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Sample records for fibras nervosas pela

  1. Avaliação da reprodutibilidade das medidas da camada de fibras nervosas retiniana e da cabeça do nervo óptico pela tomografia de coerência óptica

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    Ricardo Rau

    2012-10-01

    Full Text Available OBJETIVO: Determinar a reprodutibilidade da espessura da camada de fibras nervosas da retina peripapilar e dos parâmetros da cabeça do nervo óptico em olhos normais, utilizando a tomografia de coerência óptica de domínio espectral (SD-OCT. MÉTODOS: Trinta e quatro olhos de 34 indivíduos saudáveis foram incluídos no estudo. O protocolo do cubo do disco óptico 200x200 do OCT Cirrus foi utilizado para gerar 3 imagens de cada olho para avaliar a reprodutibilidade. O coeficiente de correlação intraclasse (ICC foi calculado para as medidas da espessura da camada de fibras nervosas da retina e da cabeça do nervo óptico. RESULTADOS: A correlação foi excelente para todas as medidas da espessura da camada de fibras nervosas da retina (ICC entre 0,87 e 0,98. O mesmo ocorreu com os parâmetros da cabeça do nervo óptico que, com exceção da razão E/D vertical (ICC 0,56, apresentou ICC entre 0,83 e 0,99. CONCLUSÃO: As medidas de espessura da camada de fibras nervosas da retina peripapilar e os parâmetros da cabeça no nervo óptico demonstraram uma excelente reprodutibilidade com o OCT Cirrus, indicando que este aparelho poderá ser uma ferramenta útil no estudo do glaucoma. Este estudo apresenta algumas limitações, como o pequeno número de casos avaliados, sendo necessários maiores estudos para corroborar nossos achados.

  2. Fibras nervosas retinianas mielinizadas associadas a miopia e ambliopia

    OpenAIRE

    Borges, Bárbara; Cabugueira, Ana; Anjos, Rita; Paixão, Ana; Marques, Margarida; Toscano, Alcina

    2015-01-01

    Introdução: A presença de fibras nervosas mielinizadas na retina está descrita em cerca de 1% da população. Os doentes são habitualmente assintomáticos, embora possam coexistir outras alterações oculares como miopia e ambliopia. Material e Métodos: Descrevem-se 3 casos de crianças com fobras nervosas retinianas mielinizadas unilaterais, associadas a miopia e ambliopia. Resultados: A idade das crianças variou entre 1 e 7 anos. O olho afectado foi o olho direito. A melhor acuidade visual ...

  3. Influência da redução medicamentosa da pressão intra-ocular na medida da espessura da camada de fibras nervosas da retina de olhos hipertensos e glaucomatosos pela polarimetria de varredura a laser The influence of intraocular pressure reduction with medication on retinal nerve fiber layer thickness measurements obtained with scanning laser polarimetry in glaucomatous and hypertensive eyes

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    Rodrigo Rezende Gomes Avelino

    2006-10-01

    Full Text Available OBJETIVO: Avaliar o efeito da redução da pressão intra-ocular (PIO obtido com o uso de terapia medicamentosa na espessura da camada de fibras nervosas da retina medida pela polarimetria de varredura a laser (PVL em pacientes glaucomatosos ou hipertensos oculares. MÉTODOS: Trinta e sete olhos de 37 pacientes foram prospectivamente incluídos no estudo e avaliados com a PVL sem uso de medicação ocular hipotensora e num período entre 15 e 30 dias após a instituição de medicação ocular hipotensora, que resultou em redução da PIO de pelo menos 25%. Os parâmetros medidos pela PVL antes e após a redução da PIO foram comparados com o teste t de Student pareado. RESULTADOS: A PIO média dos 37 pacientes diminuiu significativamente de 26,57±4,23 mmHg para 16,54±2,92 mmHg (p0,05. CONCLUSÃO: A redução da PIO com o uso de medicação ocular hipotensora não altera a medida da espessura da camada de fibras nervosas da retina pela PVL em pacientes com glaucoma ou hipertensão ocular.PURPOSE: To evaluate changes in retinal nerve fiber layer thickness as measured by scanning laser polarimetry (SLP after the use of medication to reduce intraocular pressure (IOP in glaucomatous or ocular hypertensive patients. METHODS: The authors prospectively enrolled 37 eyes of 37 patients in whom IOP was reduced by more than 25% after the use of medication. The images were obtained before and 15 to 30 days after the introduction of medication. The SLP parameters measured before and after the use of medication were compared using paired Student's t Test. RESULTS: The mean IOP was significantly reduced from 26.57±4.23 mmHg to 16.54 ±2.92 mmHg after the use of medication (p0.05. CONCLUSION: The retinal nerve fiber layer thickness, as measured by SLP, is not affected by the reduction of IOP with medication in patients with glaucoma or ocular hypertension.

  4. Análise quantitativa da camada de fibras nervosas da retina de cães normais e glaucomatosos através da polarimetria a laser

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    Ana Lucia Braga Martins

    2003-01-01

    Full Text Available As lesões glaucomatosas são progressivas e irreversíveis. Estudos sobre o aparecimento e comportamento desta enfermidade vêm sendo discutidos na oftalmologia em geral. O diagnóstico precoce é de extrema importância para o tratamento e estabilização da mesma. A análise da espessura da camada de fibras nervosas retinianas ''in vivo'' foi proposta na oftalmologia humana, para estabelecer as alterações produzidas pelo glaucoma, e tem demonstrado que tais alterações podem ser detectadas até seis anos antes de alterações de campo visual e aumento de pressão intraocular. Entretanto, na Medicina Veterinária, estes dados carecem de estudo e discussão. Neste experimento foram utilizados dois grupos de cães, com olhos normais e olhos glaucomatosos, que foram submetidos à análise das fibras nervosas retinianas através do Analisador de Fibras Nervosas GDx. Os resultados estatísticos demonstraram que a camada de fibras nervosas dos olhos dos cães glaucomatosos estava mais delgada (p < 0,05 quando comparados aos olhos de cães normais, confirmando a perda de axônios das células ganglionares em olhos de cães com glaucoma.

  5. Análise da camada de fibras nervosas pelo GDx em pacientes pseudofácicos com opacidades da cápsula posterior Analysis of the nerve fiber layer using GDx in pseudophakic patients with posterior capsular opacification

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    Tatiana Azevedo Arraes

    2008-02-01

    Full Text Available OBJETIVO: Avaliar se a opacificação de cápsula posterior (OCP influenciaria na análise da camada de fibras nervosas pela polarimetria "scanning laser" (GDx. MÉTODOS: Trinta e sete pacientes pseudofácicos não glaucomatosos foram submetidos a análise da camada de fibras nervosas pelo GDx antes e após a realização de capsulotomia com Nd:YAG laser. RESULTADOS: Em cinco olhos, o GDx não conseguiu imagens aceitáveis pelos parâmetros de aquisição do aparelho. Em todos os outros, não foi observada diferença significante entre os valores médios das variáveis antes e após a realização da capsulotomia posterior. CONCLUSÃO: A presença de OCP em graus moderados e/ou quando há imagens aceitáveis em pacientes pseudofácicos não influencia o resultado da análise das imagens das fibras do nervo óptico pelo GDx. Apenas intensos graus de OCP que impeçam a obtenção de imagem analisável pelo aparelho inviabilizam o exame.PURPOSE: To evaluate if posterior capsule opacification (PCO would alter the analysis of nerve fiber layer using the scanning laser polarimetry (GDx. METHODS: Pseudophakic non-glaucomatosous eyes (37 patients underwent nerve fiber layer analysis using GDx before and after posterior capsulotomy with Nd:YAG Laser. RESULTS: In five eyes, GDx did not obtain acceptable images using the device's parameters of acquisition. In the others, mean variable values did not reach significant difference before and after posterior capsulotomy. CONCLUSION: Moderate degrees of PCO and/or acceptable images in pseudophakic patients do not alter the analysis of nerve fiber layer by GDx. Only intense degrees of PCO that hinder analyzable images make the examination impracticable.

  6. Anorexia nervosa

    OpenAIRE

    Marzola, E; Kaye, WH

    2015-01-01

    Dissertação de mestrado em Medicina (Endocrinologia), apresentado à Faculdade de Medicina da Universidade de Coimbra Anorexia nervosa é uma doeça psiquiatrica com severas consequências orgânicas, caracterizada pela recusa em manter um peso minimamente normal. Os doentes com anorexia nervosa apresentam uma imagem corporal profundamente distorcida, um medo intenso de ganhar peso, mesmo quando visivelmente desnutridos. A anorexia nervosa é o resultado de um complexo jogo de factores biológico...

  7. Avaliação da espessura da camada de fibras nervosas da retina e mácula em pacientes com ambliopia Thickness of the retinal nerve fiber layer, macular thickness, in patients with amblyopia

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    Juliana Mitre

    2010-02-01

    Full Text Available OBJETIVO: Avaliar a espessura da camada de fibras nervosas da retina em olhos amblíopes e comparar com olhos normais e certificar se há correlação com a redução da acuidade visual. Além disso, este estudo se propõe avaliar a eficácia e eficiência em uma série de casos do protótipo de um equipamento nacional de magnificação para leitura. MÉTODOS: Participaram deste estudo 30 pacientes na faixa etária entre 9 e 80 anos (17 do sexo masculino. Foi desenvolvido um aparelho portátil, patenteado pela Unifesp (PI#020050145260, com um sistema de captura de imagens acoplado a um monitor de 5,6 polegadas proporcionando um aumento de 15 x. Foram analisadas a eficácia da acuidade visual e a eficiência de leitura após a utilização do protótipo proposto. RESULTADOS: Seis pacientes (20% apresentaram AV 8M, 12 pacientes (40% apresentaram AV 6M, 7 pacientes (23,3% apresentaram 5 M, 5 pacientes (16,7% apresentaram 4M. A média de acuidade visual antes da utilização do SLP medida pela tabela LHNV-1 logMAR foi de 5,75M e após a utilização 100% dos pacientes atingiram a eficácia de AV J1. CONCLUSÃO: O protótipo do SLP mostrou-se um recurso alternativo no processo de inclusão social das pessoas com baixa visão com diferentes níveis de resíduo visual. Também pode proporcionar incentivo psicológico, permitir conforto, mobilidade e independência àqueles que necessitam de uma leitura mais prolongada e maior distância de trabalho.OBJECTIVE: To compare the thickness of the retinal nerve fiber layer (RNFLand the macular thickness of the amblyopic eye with those of the non-amblyopic eye in patients with unilateral amblyopia using optical coherence tomography (OCT. METHODS: OCT was performed for13 patients with unilateral amblyopia who had no neurologic disease. Nine male andfour female patients, whose ages ranged from 23 to 63 years, were enrolled in the study. The RNFL thickness average analysis program was used to evaluate mean

  8. Análise da camada de fibras nervosas da retina em portadores de enxaqueca com aura Retinal nerve fiber layer measurements in patients with migraine with aura

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    Felipe Andrade Medeiros

    2001-10-01

    Full Text Available Objetivo: Avaliar as possíveis alterações na camada de fibras nervosas da retina (CFNR em pacientes com enxaqueca com aura, detectada por meio da polarimetria de varredura a laser. Métodos: Vinte pacientes com enxaqueca com aura e vinte indivíduos normais foram estudados. Os critérios de inclusão para os dois grupos compreenderam: idade de pelo menos 18 anos; ausência de história de doenças oculares, exceto erro refracional ou estrabismo; e ausência de história familiar de hipertensão ocular ou glaucoma. Foram excluídos pacientes com erro refracional maior que 5 DE e/ou 2 DC; acuidade visual corrigida menor que 20/40; pressão intra-ocular maior que 21 mmHg; discos ópticos anômalos ou com escavação maior que 0,5 ou assimetria de escavação maior que 0,2; ou com presença de doenças retinianas concomitantes. Os pacientes foram submetidos a exame de campo visual (Humphrey 30-2 e análise da CFNR com a polarimetria a laser (GDx - Nerve Fiber Analyzer. Um olho de cada paciente foi randomizado para análise estatística. Resultados: Nenhum dos pacientes do grupo controle apresentou defeitos de campo visual. Nove olhos (45% dos pacientes com enxaqueca tiveram anormalidades de campo visual além de 95% do intervalo de confiança do normal, como indicado pelos índices MD, CPSD ou GHT. Os valores de retardo no setor superior da CFNR dos pacientes com enxaqueca foram significativamente menor que no grupo controle (p=0,005. Não houve diferença significativa entre os valores de retardo dos dois grupos nas medidas globais e nos setores inferior, nasal e temporal. Conclusão: As medidas de retardo obtidas com a polarimetria a laser foram significativamente menores na porção superior da CFNR dos pacientes com enxaqueca com aura, sugerindo possível dano isquêmico às fibras nervosas, relacionadas à enxaqueca.Purpose: To evaluate the possible alterations of the retinal nerve fiber layer (RNFL, as detected by scanning laser polarimetry

  9. Alteração da camada de fibras nervosas da retina em usuários crônicos de cloroquina Retinal nerve fiber layer alteration in chronic users of chloroquine

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    Daniela de Almeida Lyra Antunes

    2005-04-01

    Full Text Available OBJETIVOS: Avaliar a camada de fibras nervosas da retina (CFN por meio da polarimetria a laser, em pacientes em uso crônico de cloroquina. MÉTODOS: Foram estudados 44 olhos de 22 pacientes em uso de cloroquina por doenças reumatológicas, por pelo menos um ano. Como controle, foram incluídos vinte indivíduos sem uso de cloroquina com idade, gênero e raça similares. Foram excluídos os pacientes que apresentavam história familiar de hipertensão ocular ou glaucoma. Ambos os olhos foram submetidos à análise da camada de fibras nervosas da retina, com o aparelho GDx® Nerve Fiber Analyser, pelo mesmo examinador. RESULTADOS: Nos usuários crônicos de cloroquina, verificou-se alteração em mais de dois parâmetros do GDx em 28 olhos (63,6%. Ocorreu também alteração no gráfico "Deviation from normal" com perda de fibras nervosas em 11 olhos (25%. Quando comparado com o grupo controle, os parâmetros que demonstraram diferença estatisticamente significante foram: Superior Ratio, Inferior Ratio, Superior Nasal, Elipse Modulation, The Number, Superior Average e Superior Integral. Houve também associação estatisticamente significante entre o tempo de uso de cloroquina e perda da CFN. CONCLUSÕES: Comprovou-se a associação entre o uso crônico da cloroquina e a alteração da CFN detectada pelo GDx. Desta forma, esses resultados podem contribuir para o diagnóstico precoce da perda de fibras nervosas na retinopatia por cloroquina.PURPOSES: To evaluate the retina nerve fiber layer by laser polarimetry in patients in chronic use of chloroquine. METHODS: Forty-four eyes of twenty-two patients were studied. These were in use of chloroquine due to rheumatic diseases during at least one year. As a control group, twenty patients without use of chloroquine with similar characteristics (age, gender and race were included. Patients who had a family history of ocular hypertension or glaucoma were not included in this group. Both eyes were

  10. Análise da camada de fibras nervosas da retina em usuários crônicos do tabaco e álcool Analysis of retinal nerve fiber layer in chronic tobacco and alcohol users

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    Rita de Cássia Ramos de Lima

    2006-06-01

    Full Text Available OBJETIVOS: Avaliar a camada de fibras nervosas (CFN da retina, através da polarimetria a laser (GDx, em usuários crônicos do tabaco e álcool. MÉTODOS: Foram estudados 46 olhos de 23 indivíduos alcoólatras e tabagistas crônicos triados do Ambulatório de Oftalmologia da Fundação Altino Ventura (grupo estudo. Como grupo controle foram incluídos 32 olhos de 16 voluntários não-usuários do álcool e tabaco, com idade, gênero e raça similares, também triados da Fundação Altino Ventura. Ambos os olhos de todos os indivíduos foram submetidos à análise da camada de fibras nervosas da retina, com aparelho "GDx nerve fiber analyses" pelo mesmo examinador. RESULTADOS: No gráfico Deviation from normal, no grupo estudo ocorreu perda de fibras nervosas da retina em 43,4%, enquanto que no grupo controle houve perda apenas em 18,7%. Quanto aos parâmetros que analisam o GDx, quando comparados o grupo estudo com o grupo controle, observou-se diferença estatisticamente significante nos parâmetros: Ellipse modulation, Inferior ratio e Max modulation. CONCLUSÕES: Os dados comprovam a associação entre o uso crônico do tabaco e álcool e a alteração na camada de fibras nervosas da retina, podendo contribuir para o diagnóstico precoce desta neuropatia.PURPOSES: To evaluate the retinal nerve fiber layer using GDx in chronic alcohol and tobacco users. METHODS: Twenty-three chronic alcohol and tobacco users were studied (study group. As a control group, sixteen volunteers without use of alcohol and tobacco with similar characteristics (age, gender and race were included. Both eyes were tested for analysis of the retinal nerve fiber layer with GDx. RESULTS: There was alteration in the Deviation from normal graph with a loss of nerve fibers in 43.4% of patients in the study group. In the control group this alteration was observed in 14 eyes (18.7%. As regards the parameters that allow comparison between the study and control groups there was

  11. Análise de Fourier para detecção de defeitos localizados na camada de fibras nervosas da retina com a polarimetria a laser Fourier analysis for the detection of localized nerve fiber layer defects using scanning laser polarimetry

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    Felipe Andrade Medeiros

    2003-12-01

    Full Text Available OBJETIVO: Avaliar a utilidade da análise de Fourier como método para detecção de defeitos localizados na camada de fibras nervosas da retina (CFN, utilizando as medidas obtidas com a polarimetria de varredura a laser. MÉTODOS: O estudo incluiu 40 olhos de 40 pacientes com glaucoma apresentando defeitos localizados na CFN detectados à oftalmoscopia e/ou em fotografias da camada de fibras nervosas. O grupo controle foi constituído por 43 olhos de 43 pacientes normais, sem antecedente de pressão intra-ocular elevada ou glaucoma, e com exame normal da CFN e disco óptico. Todos os pacientes foram submetidos a exame da CFN utilizando o aparelho GDx® - Nerve Fiber Analyzer. Para comparação entre os grupos, foram utilizados os parâmetros fornecidos pelo software do aparelho e medidas provenientes dos coeficientes obtidos pela análise de Fourier da curva de distribuição dos valores de espessura da CFN. As várias medidas dos coeficientes de Fourier foram combinadas numa função linear discriminante de maneira a encontrar a combinação que resultasse na melhor separação entre pacientes glaucomatosos com defeitos localizados e os sujeitos normais. Curvas ROC foram construídas para cada medida e valores de sensibilidade para especificidades fixas foram calculados. RESULTADOS: Os parâmetros fornecidos pelo software do GDx mostraram baixo poder de diferenciação entre os pacientes normais e com defeitos localizados na CFN, com sensibilidades variando de 15 a 48% (com especificidade a 91%. Para a mesma especificidade de 91%, a combinação dos coeficientes de Fourier teve sensibilidade de 80%. A área sob a curva ROC para a combinação dos coeficientes de Fourier (0,90 foi significativamente superior à obtida para o parâmetro The Number (0,76. CONCLUSÃO: A análise de Fourier resultou em melhora na capacidade do GDx de detectar defeitos localizados na CFN em relação aos parâmetros fornecidos pelo software do aparelho.PURPOSE: In

  12. Reprodutibilidade do exame de medida da camada de fibras nervosas da retina por meio da polarimetria de varredura a laser Reproducibility of retinal nerve fiber layer measurement by scanning laser polarimetry

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    Fernanda Bon Duarte

    1999-10-01

    Full Text Available Objetivo: Analisar a reprodutibilidade das medidas da espessura da camada de fibras nervosas da retina intra e inter-observador. Material e Métodos: As medidas da camada de fibras nervosas foram realizadas em 26 olhos normais por três examinadores diferentes, os quais tomaram três imagens de cada olho. Com base nestas imagens foi executada a média das imagens pelo programa do aparelho. A cada examinador foi solicitado que escolhesse a melhor imagem para cada exame. Foram analisados os resultados obtidos com a melhor imagem, bem como os da média das imagens. Foi calculada a média da espessura da camada de fibras nervosas nas regiões superior, nasal, temporal e inferior e suas relações. Determinou-se a reprodutibilidade nestas circunstâncias tanto inter como intra-observador por meio de teste de análise de variância por postos de Friedman. Resultados: Na análise intra-observador houve ótima reprodutibilidade do exame. Para o examinador G (glaucomatólogo os valores de p foram os seguintes: região superior = 0,48; inferior = 0,89; temporal = 0,30 e nasal = 0,89. Para o examinador R (residente os valores de p foram os seguintes: região superior = 0,89; inferior = 0,24; temporal = 0,89 e nasal = 0,30 e para o examinador T (tecnóloga os valores de p foram os seguintes: região superior = 0,76; inferior = 0,70; temporal = 0,22 e nasal = 0,63. Na análise inter-observador, não foi observada diferença estatisticamente significante das variáveis isoladas considerando-se a média das imagens (p superior = 0,52; inferior = 0,37; temporal = 0,43 e nasal = 0,52. Considerando-se as relações entre as regiões temos que apenas a relação S/I mostrou diferença estatisticamente significante. As demais relações: S/T, S/N, I/T, I/N e T/N não mostraram diferença estatisticamente significante. Para a melhor imagem observou-se diferença estatisticamente significante entre os três examinadores para as variáveis superior/temporal (p = 0

  13. Avaliação da camada de fibras nervosas na retinopatia diabética tratada por panfotocoagulação com laser de argônio Examination of the retinal nerve fiber layer in diabetic retinopathy treated by argon laser panphotocoagulation

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    Otacílio de Oliveira Maia Júnior

    2008-04-01

    Full Text Available OBJETIVO: Avaliar alterações na camada de fibras nervosas da retina na retinopatia diabética tratada por panfotocoagulação com laser de argônio. MÉTODOS: Estudo prospectivo de portadores de retinopatia diabética submetidos a panfotocoagulação retiniana. Inicialmente, foram realizados exame oftalmológico completo e tomografia de coerência óptica. Todos pacientes foram submetidos a panfotocoagulação em um dos olhos. A camada de fibras nervosas foi avaliada por meio da tomografia de coerência óptica na 1ª semana, no primeiro, terceiro e sexto meses do tratamento. RESULTADOS: A amostra foi composta por 27 pacientes (27 olhos portadores de diabetes mellitus tipo 2. A idade variou entre 41 e 64 anos (média de 53,7 ± 6,2 anos, sendo 10 (37% pacientes do sexo masculino e 17 (63% do feminino. Quanto ao tipo de retinopatia, 22,2% apresentavam RD proliferativa e 77,8%, RD não proliferativa muito grave. Houve aumento significante nas medidas da espessura da camada de fibras nervosas, permanecendo nos setores temporal, 3 e 4 horas após seis meses de seguimento. Não foi observada qualquer redução na espessura em todos parâmetros analisados. CONCLUSÃO: Não foi evidenciada, a curto e médio prazo, redução na espessura da camada de fibras nervosas em portadores de retinopatia diabética tratada por panfotocoagulação que possa ser identificável por meio da tomografia de coerência óptica. Por outro lado, alguns setores mostraram aumento na espessura durante o seguimento.PURPOSE: To evaluate the alterations in the retinal nerve fiber layer in diabetic retinopathy treated by argon laser panphotocoagulation. METHODS: Prospective study of patients with diabetic retinopathy submitted to retinal panphotocoagulation. Initially, complete ophthalmologic examination and optical coherence tomography were performed. All patients were submitted to panphotocoagulation with argon laser in one of the eyes. The retinal fiber layer was evaluated

  14. Obtenção de um revestimento compósito de poliéster-uretana reforçado com alumina pela técnica de deposição por imersão sobre fibras de poliamida 6 Preparation of a composite coating of alumina reinforced polyester urethane by dip coating on polyamide 6 fibers

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    F. A. L. Sánchez

    2009-12-01

    Full Text Available O uso de revestimentos compósitos de matriz polimérica e reforço cerâmico capazes de manter a flexibilidade e a elasticidade das fibras poliméricas, agregando propriedades típicas dos materiais cerâmicos (como ação bactericida ou fotocatalítica, resistência à chama, ao desgaste e à abrasão, tem atraído interesse da indústria têxtil. Baseado na técnica dip coating e usando fibras sintéticas de poliamida como substrato, foram produzidas suspensões de poliéster-uretana com partículas de alumina (tamanho médio de partícula 2,2 μm para obtenção de revestimentos uniformes e espessos sobre o material base, poliamida 6. A viscosidade das suspensões foi controlada pela adição de carboximetilcelulose e avaliada por reometria rotacional. A distribuição granulométrica das suspensões também foi determinada. Os parâmetros operacionais do dip coating, i.e., velocidade de bobinamento e temperatura dos fornos, foram mantidos constantes em todas as amostras. O processo mostrou viabilidade para deposição uniforme do recobrimento avaliado, com espessura adequada, indicando ser promissor para revestir fibras, agregando propriedades de interesse tecnológico.Ceramic reinforced polymer composite coatings that can retain the flexibility and elasticity of the polymeric fibers, being also able to incorporate the functionality of ceramic materials (e.g. fire, wear, or abrasion resistance, antibacterial performance, photocatalytic effect are interesting to the processing of textile materials. In this work, polyester-urethane slurries with alumina particles (mean particle size: 2.2 μm were developed based on the dip coating technique and using polyamide-6 synthetic fibers as the substrate, seeking to obtain an uniform and thick coating. The viscosity of the slurries was varied using carboxymethylcellulose as a rheological agent and evaluated by rotational rheometry. Particle size distribution of the slurries was also analyzed. The

  15. Correlação e correspondência topográfica entre espessura da camada de fibras nervosas da retina e campo visual no glaucoma primário de ângulo aberto Correlation and topographic match between nerve fiber layer thickness and visual field in primary open angle glaucoma

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    Paula Boturão de Almeida

    2001-04-01

    Full Text Available Objetivo: Verificar a correlação e a correspondência topográfica entre a espessura da camada de fibras nervosas da retina, medidas pelo polarímetro de varredura a laser GDxTM Scanning Laser System® e o campo visual, medido pelo perímetro automatizado Humphrey® ("white-white" em portadores de glaucoma primário de ângulo aberto. Métodos: Foram investigadas as seguintes correlações: 1- Correlação entre a média da sensibilidade dos quadrantes e do ponto de fixação do campo visual, em decibéis, e a média da espessura da camada de fibras nervosas da retina correspondente, em micra, sem classificação dos olhos dos pacientes quanto ao estadio do comprometimento perimétrico. 2- A mesma correlação anterior, porém, com os olhos dos pacientes distribuídos em classes quanto à alteração perimétrica. 3- Correlação entre os índices globais do campo visual e os índices numéricos do analisador de espessura da camada de fibras nervosas da retina. 4- Correlação entre a média dos valores do gráfico "total deviation" do campo visual e o desvio da normalidade da camada de fibras nervosas da região correspondente. 5- Investigou-se a freqüência de correspondência topográfica entre os defeitos perimétricos e as alterações da camada de fibras nervosas da retina. Utilizou-se o coeficiente de correlação de Spearman, sendo o nível de rejeição para a hipótese de nulidade fixado num valor menor ou igual a 0,05 (5%. Resultados: Observou-se as seguintes correlações estatisticamentes significantes, mas de forma muito pouco intensa: 1- GDX total e Campo visual total; GDX superior e Campo visual nasal inferior; GDX inferior e Campo visual nasal superior; GDX nasal e Campo visual temporal; GDX superior e Campo visual inferior; GDX inferior e Campo visual superior. 2- GDX inferior e Campo visual nasal (medial superior dos pacientes classificados como graves. 3- Nos olhos classificados como normais: PSD e EM; CPSD e SI.Nos olhos

  16. FIBRAS DE CARBONO NA CONSTRUÇÃO CIVIL

    Directory of Open Access Journals (Sweden)

    Nicolas Montanari

    2017-02-01

    Full Text Available Os materiais compósitos se dão pela utilização de dois, ou mais, materiais trabalhando de forma conjunta com o propósito de alcançar determinada propriedade a qual não seria possível com os mesmos isolados. A fibra de carbono com resina epóxi utilizada em reforços estruturais é um desses materiais, a grande resistência mecânica à tração e elevado módulo de elasticidade tornam a fibra de carbono adequada do ponto de vista estrutural, e com a resina epóxi atuando de modo a transferir as tensões da estrutura para serem resistidas pela fibra a caracteriza como tal. Este processo de reforço já vem se mostrando uma alternativa a métodos tradicionais, é mais rápido, simples e limpo que outros, clientes vem optando por este processo mesmo que apresente custo final mais elevado, pois quando consideradas as vantagens nele embutidas torna-se viável. Muito já se desenvolveu com a fibra de carbono no ramo da construção civil, porém ainda pode ser feito mais, descobrindo e aperfeiçoando novas técnicas construtivas compostas de materiais com fibra de carbono.

  17. Bulimia nervosa

    OpenAIRE

    Hay, Phillipa J; Claudino, Angélica Medeiros

    2010-01-01

    Up to 1% of young women may have bulimia nervosa, characterised by an intense preoccupation with body weight, uncontrolled binge-eating episodes, and use of extreme measures to counteract the feared effects of overeating. People with bulimia nervosa may be of normal weight, making it difficult to diagnose.Obesity has been associated with both an increased risk of bulimia nervosa and a worse prognosis, as have personality disorders and substance misuse.After 10 years, about half of people w...

  18. Padronização da determinação da velocidade de condução nervosa sensitiva dos nervos tibial e peroneal de cães clinicamente sadios, pela utilização de eletrodos de superfície

    Directory of Open Access Journals (Sweden)

    Feitosa M.M.

    2002-01-01

    Full Text Available O presente trabalho teve como objetivo a padronização dos valores de referência de velocidade de condução nervosa sensitiva dos nervos tibial e peroneal em cães clinicamente sadios, pela utilização de eletrodos de superfície. Em todos os sítios de estimulação, captação, referência e terra foram utilizados eletrodos do "tipo jacaré", exceto na captação do estímulo no nervo peroneal, próximo à articulação fêmur-tibial, onde o registro só foi possível com a utilização de eletrodo de agulha. Foram utilizados 30 cães, 11 machos e 19 fêmeas, sem raça definida, com idade entre dois e seis anos. Os valores médios das medidas dos potenciais evocados pela estimulação sensitiva dos nervos tibial e peroneal foram: latência inicial, 1,82±0,30ms (1,30 a 2,55ms e 1,57±0,29ms (1,01 a 2,16ms, amplitude de pico a pico, 96,48±45,78miV (41,6 a 214miV e 121,25±57,49miV (54,8 a 299miV e duração, 1,97±0,69ms (1,01 a 3,56ms e 2,37±0,85ms (1,11 a 3,94ms, respectivamente. Os valores médios das medidas de velocidade de condução nervosa sensitiva dos nervos tibial e peroneal foram, respectivamente, 62,14+7,71ms (50,0 a 77,2ms e 65,18+6,42ms (53,8 a 79,2ms, respectivamente.

  19. Anorexia Nervosa.

    Science.gov (United States)

    Westerlage, Patricia A.

    The author traces the case histories of five anorexic female patients treated in the therapeutic milieu in a psychiatric inpatient unit. The history of anorexia nervosa is reviewed, incidence of the disorder is cited, and common characteristics are described. Case histories are presented in terms of events precipitating the weight loss, behavior…

  20. Bulimia nervosa.

    Science.gov (United States)

    Hay, Phillipa J; Claudino, Angélica Medeiros

    2010-07-19

    Up to 1% of young women may have bulimia nervosa, characterised by an intense preoccupation with body weight, uncontrolled binge-eating episodes, and use of extreme measures to counteract the feared effects of overeating. People with bulimia nervosa may be of normal weight, making it difficult to diagnose. After 10 years, about half of people with bulimia nervosa will have recovered fully, one third will have made a partial recovery, and 10% to 20% will still have symptoms. We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for bulimia nervosa in adults? What are the effects of discontinuing treatment in people with bulimia nervosa in remission? We searched: Medline, Embase, The Cochrane Library, and other important databases up to January 2010 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). We found 27 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. In this systematic review we present information relating to the effectiveness and safety of the following interventions: cognitive behavioural therapy (CBT; alone or plus exposure/response prevention enhancement), cognitive orientation therapy, dialectical behavioural therapy, discontinuing fluoxetine in people with remission, guided self-help cognitive behavioural therapy, hypnobehavioural therapy, interpersonal psychotherapy, mirtazapine, monoamine oxidase inhibitors (MAOIs), motivational enhancement therapy, pharmacotherapy plus psychotherapy, pure or unguided self-help cognitive behavioural therapy, reboxetine, selective serotonin reuptake inhibitors (SSRIs), topiramate, tricyclic

  1. Bulimia nervosa

    Science.gov (United States)

    2008-01-01

    Introduction Up to 1% of young women may have bulimia nervosa, characterised by an intense preoccupation with body weight, uncontrolled binge-eating episodes, and use of extreme measures to counteract the feared effects of overeating. People with bulimia nervosa may be of normal weight, making it difficult to diagnose. After ten years, about half of people with bulimia nervosa will have recovered fully, a third will have made a partial recovery, and 10-20% will still have symptoms. Methods and outcomes We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for bulimia nervosa in adults? What are the effects of discontinuing treatment in people with bulimia nervosa in remission? We searched: Medline, Embase, The Cochrane Library and other important databases up to June 2007 (BMJ Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). Results We found 26 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. Conclusions In this systematic review we present information relating to the effectiveness and safety of the following interventions: cognitive behavioural therapy (alone or plus exposure response prevention enhancement); cognitive orientation therapy; dialectical behavioural therapy; discontinuing fluoxetine in people with remission; guided self-help cognitive behavioural therapy; hypnobehavioural therapy; interpersonal psychotherapy; mirtazapine; monoamine oxidase inhibitors (MAOIs); motivational enhancement therapy; pharmacotherapy plus psychotherapy; pure or unguided self-help cognitive behavioural therapy (CBT); reboxetine; selective serotonin

  2. [Bulimia nervosa].

    Science.gov (United States)

    Zeeck, A; Hartmann, A; Sandholz, A; Joos, A

    2006-08-01

    Bulimia nervosa is characterized by episodes of binge eating and compensatory behaviours (self-induced vomiting, laxative misuse, dietary restriction). It has a complex aetiology and is mostly found in young women. Bulimia leads to substantial physical and psychosocial morbidity. Bulimia nervosa needs specialized psychotherapeutic treatment. In most cases outpatient treatment is sufficient, but comorbidity with other psychiatric disturbances has to be taken into account. Additional psychopharmacological interventions might be helpful. After 5 to 10 years about 50% of the patients show complete remissions, 30% partial remissions and about 20% a chronic course of the illness. General practitioners, dentists and gynaecologists should be informed about typical signs of the disorder that is often hidden by the patients.

  3. Efeito do tratamento alcalino de fibras de Curauá sobre as propriedades de compósitos de matriz biodegradável

    Directory of Open Access Journals (Sweden)

    Lílian Vanessa Rossa Beltrami

    2014-06-01

    Full Text Available Neste trabalho avaliou-se a influência do tratamento alcalino das fibras de curauá, nas concentrações de 1, 5 e 10%(m/v de NaOH, nas propriedades dos compósitos com matriz de PHBV e 20% m/m de fibras de curauá. Os compósitos foram moldados por extrusão e injeção e avaliadas suas as propriedades morfológicas, térmicas e mecânicas. Os resultados de FTIR mostraram que o tratamento alcalino promoveu modificações na estrutura das fibras de curauá, comprovadas pela remoção da hemicelulose e da lignina, evidenciadas pela ausência das bandas típicas destes compostos. Nos compósitos com fibras de curauá tratadas com solução de NaOH na concentração de 5% apresentaram um aumento de 30% na resistência à flexão e 12% na resistência ao impacto, quando comparados aos compósitos com fibras sem tratamento. Estes resultados indicam que o tratamento alcalino promoveu uma melhoria na adesão das fibras na matriz, o que melhorou significativamente as propriedades mecânicas dos compósitos.

  4. Feixes de fibras Lignocelulósicas refinadas mecanicamente em compósitos cimentícios para avaliação da resistência à tração

    Directory of Open Access Journals (Sweden)

    Flávio Airton knuth

    2017-07-01

    Full Text Available As fibras vegetais têm características particulares em relação a outros tipos de fibras usadas em compósitos. Os estudos utilizam, em sua maioria, fibras cuja lignina fora previamente removida pelo processo de polpação. Segundo a literatura, a lignina prejudica a ancoragem fibra-matriz. No entanto, sem a lignina, é necessário que seja feito tratamento superficial no conjunto fibroso. Isso por que as fibras sofrem processo de inchamento e retração no interior da matriz devido a seu caráter hidrofílico, o que diminui sua vida útil. No entanto, a despeito das considerações literárias, esse trabalho se propõe a fazer uso da vantagem de proteção, estruturação e impermeabilização que a lignina exerce sobre as fibras vegetais. Isso implica na necessidade de suprir a redução da resistência do compósito, especialmente à tração, que a lignina causa pela sua atuação negativa na ancoragem fibra-matriz. Para tanto, fibras lignocelulósicas extraídas de talos de banana foram submetidas a processo de refinamento mecânico. Segundo a literatura, a fibra sofre modificações na sua parede externa quando submetida a esse refinamento. Ao final do processo, foram obtidas fibras com formato helicoidal e superfície corrugada o que resultou em maior aderência no conjunto fibra-matriz. As fibras submetidas ao maior grau de refinamento aumentaram a resistência do compósito à tração na compressão diametral em 40% em relação a corpo de prova de cimento puro.

  5. [Anorexia nervosa in boys].

    Science.gov (United States)

    Dalem, I; Piccinin, B; Lerminiaux, D; Ansseau, M

    2000-12-01

    Anorexia nervosa is a severe and potentially fatal disorder that generally affects adolescent girls. However, a small number of boys also suffer from anorexia nervosa. Through an analysis of a series of studies and articles, a synthesis of male anorexia nervosa is offered, with emphasis on the differences of the illness between boys and girls. A clinical case is provided as an illustration of this article.

  6. Ortorexia nervosa: reflexões sobre um novo conceito Orthorexia nervosa: reflections about a new concept

    Directory of Open Access Journals (Sweden)

    Márcia Cristina Teixeira Martins

    2011-04-01

    Full Text Available Ortorexia nervosa é o termo descrito para o comportamento obsessivo patológico caracterizado pela fixação por saúde alimentar. O quadro ainda não foi oficialmente reconhecido como um transtorno alimentar, mas discute-se o conceito, suas características, interações e sintomas. No presente trabalho foi realizada uma revisão dos vinte e um artigos publicados desde 1997, quando o comportamento da ortorexia nervosa foi inicialmente descrito. Foram apontadas semelhanças e diferenças entre o comportamento alimentar observado na ortorexia nervosa e nos transtornos alimentares mais frequentes (anorexia e bulimia nervosa. Um instrumento foi desen-volvido e validado para detecção do quadro ortoréxico. Os estudos apontam alguns grupos vulneráveis à orto-rexia nervosa: estudantes de medicina, médicos, nutricionistas, pessoas com sintomas de ansiedade, obsessivo-compulsivos e aqueles que supervalorizam o corpo perfeito. A ortorexia nervosa é situada a partir de uma análise dos conceitos de atitude alimentar e alimentação saudável, procurando um foco biopsicossocial para a alimentação adequada e não apenas um foco fisiológico. Não existem estudos investigativos sobre a ortorexia nervosa no Brasil, mas o tema deve ser discutido para alertar os profissionais da área da saúde sobre a existência desse comportamento inadequado e suas possíveis consequências não só para a saúde física e emocional, mas também para a visão de alimentação saudável.Orthorexia nervosa is a new term described as an obsessive pathological behavior characterized by fixation on healthy eating. It has not yet been officially recognized as an eating disorder, but its concept, characteristics, interactions and symptoms have been discussed. This work presents a review of the articles published on the theme since 1997, when orthorexic behavior was first described. Similarities and differences between orthorexic behavior and the more common eating

  7. Anorexia Nervosa/Atypical Anorexia Nervosa.

    Science.gov (United States)

    Moskowitz, Lindsay; Weiselberg, Eric

    2017-04-01

    Anorexia nervosa has the highest mortality rate among all psychiatric illnesses, as it can result in significant psychopathology along with life-threatening medical complications. Atypical anorexia nervosa is a new variant described in the latest DSM edition, which has much in common with anorexia nervosa and also can result in significant morbidity and mortality. The evolution of the criteria for these illnesses is reviewed, and the two are compared and contrasted in this article. Important labs to monitor for in those with these illnesses, along with an emphasis on the monitoring of vital signs and weight, are reviewed here. The necessity for close psychiatric monitoring of safety concerns, including suicidal thoughts, is also stressed. The etiology and the treatment of these illnesses are reviewed from a biopsychosocial approach; and lastly, the prognosis of these illnesses is discussed. Copyright © 2017. Published by Elsevier Inc.

  8. Fibra da casca do coco verde como substrato agrícola

    Directory of Open Access Journals (Sweden)

    Carrijo Osmar Alves

    2002-01-01

    Full Text Available A produção comercial de mudas e o cultivo sem solo de hortaliças estão se tornando práticas comuns entre os olericultores. Vários materiais orgânicos como as turfas, resíduos de madeira, casca de pinus e de arroz parcialmente carbonizada ou não, ou materiais inorgânicos como areia, rochas vulcânicas, perlita, lã de rocha e a espuma fenólica já são utilizados como substratos, isoladamente ou em composição. A casca de coco verde que em muitas regiões causa transtorno ao serviço de limpeza pública pelo volume e pela dificuldade de decomposição produz uma fibra que pode ser utilizada como substrato. Para a produção da fibra, a casca de coco verde é picada, desfibrada, triturada, lavada e secada. Para o uso como substrato na produção de mudas, a fibra deve passar por um processo de compostagem. Este processo não é necessário para o uso como substrato em cultivo sem solo, mas no entanto, o substrato necessitará ser enriquecido com nutrientes em pré-plantio ou em fertirrigação. O uso do substrato da fibra de coco verde na produção de tomate em casa de vegetação, alcançou, em termos absolutos, 13,2 kg m-2 de frutos comerciais (média de 3 anos cerca de 7,3% mais que o segundo melhor substrato, o pó de serra com 12,3 kg m-2.

  9. Treatments of medical complications of anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Mehler, Philip S; Krantz, Mori J; Sachs, Katherine V

    2015-01-01

    Inherent to anorexia nervosa and bulimia nervosa are a plethora of medical complications which correlate with the severity of weight loss or the frequency and mode of purging. Yet, the encouraging fact is that most of these medical complications are treatable and reversible with definitive care and cessation of the eating-disordered behaviours. Herein, these treatments are described for both the medical complications of anorexia nervosa and those which are a result of bulimia nervosa.

  10. Medical complications of bulimia nervosa.

    Science.gov (United States)

    Mehler, Philip S; O'Melia, Anne; Brown, Carrie; Gibson, Dennis; Hollis, Jeff; Westmoreland, Patricia

    2017-12-02

    Bulimia nervosa is a psychiatric disorder with many different medical sequelae. This article reviews the principal medical complications associated with bulimia nervosa, and emphasizes the importance of a timely approach to diagnosis and management.

  11. Cardiac changes in anorexia nervosa.

    Science.gov (United States)

    Spaulding-Barclay, Michael A; Stern, Jessica; Mehler, Philip S

    2016-04-01

    Introduction Anorexia nervosa is an eating disorder, which is associated with many different medical complications as a result of the weight loss and malnutrition that characterise this illness. It has the highest mortality rate of any psychiatric disorder. A large portion of deaths are attributable to the cardiac abnormalities that ensue as a result of the malnutrition associated with anorexia nervosa. In this review, the cardiac complications of anorexia nervosa will be discussed. A comprehensive literature review on cardiac changes in anorexia nervosa was carried out. There are structural, functional, and rhythm-type changes that occur in patients with anorexia nervosa. These become progressively significant as ongoing weight loss occurs. Cardiac changes are inherent to anorexia nervosa and they become more life-threatening and serious as the anorexia nervosa becomes increasingly severe. Weight restoration and attention to these cardiac changes are crucial for a successful treatment outcome.

  12. Morfologia e morfometria dos tipos de fibras do músculo reto abdominal de cadelas (Canis familiaris durante a gestação

    Directory of Open Access Journals (Sweden)

    Maila Karina Mattos de Brito

    2007-08-01

    Full Text Available Neste trabalho foram avaliadas as alterações morfológicas e o grau de hipertrofia das fibras de contração lentas (tipo I e rápidas (tipo II do músculo reto abdominal de cadelas adultas nas fases: pré-gestacional, 30 e 60 dias de gestação e 30 dias pós-parto (pp. Em todas essas fases, sob anestesia, foram removidas biópsias musculares, as quais foram congeladas. Cortes histológicos foram obtidos em um micrótomo e corados com hematoxilina e eosina (HE para a avaliação da morfologia. Outros cortes foram submetidos à ATPase miofibrilar (m-ATPase, após pré-incubação em meio alcalino (pH = 10,4 e em meio ácido (pH = 4,4, visando à identificação das fibras tipo I e II. Nas cadelas virgens, o tecido muscular revelou-se constituído por fibras com diferentes diâmetros, com contornos poligonais, tendo um ou mais núcleos periféricos. Estas características foram similares nos animais com 30 dias de gestação. Aos 60 dias, ao lado de fibras com aparência normal, observaram-se fibras com contornos mais polimórficos e outras fibras de diâmetros muito pequenos. Aos 30 dias pp, as características do tecido foram similares às dos animais em fase pré-gestacional. Em todas as fases estudadas, os diâmetros fibras tipo II foram maiores do que as do tipo I. Aos 30 dias observou-se a redução significativa dos diâmetros de ambos os tipos de fibras e aumento significativo aos 60 dias de gestação. Durante a gestação, o estímulo crônico, representado pela expansão da parede abdominal, promoveu alterações da morfologia e morfometria das fibras.

  13. Geriatric Anorexia Nervosa.

    Science.gov (United States)

    Zayed, Moaweya; Garry, Joseph P

    2017-01-01

    Eating disorders are not commonly diagnosed in individuals aged >50 years, yet they are associated with significant psychiatric comorbidities and overall morbidity. Anorexia nervosa is the most common eating disorder among this age group, and women are affected most often. We present the fatal case of a 66-year old woman with severe malnutrition and newly diagnosed anorexia nervosa. Inpatient refeeding was unsuccessful, and she succumbed to multisystem organ failure. The timely recognition of eating disorders among older people is important for family physicians who care for patients across the life spectrum. © Copyright 2017 by the American Board of Family Medicine.

  14. Age related changes in the elastic fiber system of the interfoveolar ligament Alterações do sistema de fibras elásticas relacionadas ao envelhecimento do ligamento interfoveolar

    Directory of Open Access Journals (Sweden)

    Mario Luiz Quintas

    2000-06-01

    Full Text Available In order to evaluate age related changes of the elastic fiber system in the interfoveolar ligament, we studied the deep inguinal ring from 33 male cadavers aged from stillborn to 76 years. Selective and alternated staining methods for elastic fibers were performed to differentiate oxytalan, elaunin, and mature elastic fibers. We confirmed quantitative changes of the elastic fiber system with aging. There was a significant and progressive reduction of the oxytalan fibers (responsible for tissue resistance and a significant increment in the mature elastic and elaunin fibers (responsible for tissue elasticity. Furthermore, there were structural changes in the thickness, shortness and curling of these mature elastic fibers. These changes induced loss of the elastic fiber function and loss of the interfoveolar ligament compliance. These factors predispose individuals to the development of indirect inguinal hernias that frequently emerge in adults and aged individuals, especially above the fifth decade.Com o objetivo de avaliar as alterações do sistema de fibras elásticas relacionadas ao envelhecimento do ligamento interfoveolar estudou-se o anel inguinal profundo em 33 cadáveres do sexo masculino com idade variando de recém-nascido a 76 anos. Métodos de coloração seletiva para as fibras elásticas foram empregados para diferenciar fibras oxitalânicas, fibras elaunínicas e fibras elásticas maduras. Verificaram-se alterações quantitativas significantes no sistema de fibras elásticas do ligamento interfoveolar com o envelhecimento: uma redução progressiva de fibras oxitalânicas, responsáveis pela resistência do tecido conjuntivo, e um aumento de fibras elásticas maduras e elaunínicas, responsáveis pela elasticidade tecidual. Demonstraram-se alterações estruturais, como espessamento, encurtamento e encurvamento das fibras elásticas maduras e elaunínicas. Estas alterações induzem a perda de função das fibras elásticas, o que

  15. Estudo da tenacidade à fratura por meio do método do trabalho essencial de fratura (EWF) da blenda PBT/ABS, reforçada com fibra de vidro

    OpenAIRE

    Carlos do Amaral Razzino

    2008-01-01

    O terpolímero acrilonitrila-butadieno-estireno (ABS) com alto teor de borracha tem sido utilizado para tenacificar PBT. Como resultados, são obtidas blendas de PBT/ABS super tenazes sob impacto Izod entalhado. No entanto, ocorre uma redução significativa no módulo elástico. O desenvolvimento de um balanço de rigidez-tenacidade em blendas de PBT/ABS pode ser alcançado pela adição de fibras curtas de vidro. O desempenho dos compósitos é fortemente dependente da interface matriz-fibra e conseque...

  16. Medical Complications of Anorexia Nervosa and Bulimia.

    Science.gov (United States)

    Westmoreland, Patricia; Krantz, Mori J; Mehler, Philip S

    2016-01-01

    Anorexia nervosa and bulimia nervosa are serious psychiatric illnesses related to disordered eating and distorted body images. They both have significant medical complications associated with the weight loss and malnutrition of anorexia nervosa, as well as from the purging behaviors that characterize bulimia nervosa. No body system is spared from the adverse sequelae of these illnesses, especially as anorexia nervosa and bulimia nervosa become more severe and chronic. We review the medical complications that are associated with anorexia nervosa and bulimia nervosa, as well as the treatment for the complications. We also discuss the epidemiology and psychiatric comorbidities of these eating disorders. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Case 39: Anorexia nervosa

    Science.gov (United States)

    Anorexia nervosa is a disease affecting primarily young women who have distorted body images. Although their weight is less than 30 percent under ideal body weight, they see themselves as overweight. Anorectics often use diuretic and laxative agents to accomplish their weight loss. Patients with bul...

  18. Biomarkers for anorexia nervosa

    DEFF Research Database (Denmark)

    Sjøgren, Jan Magnus

    2017-01-01

    Biomarkers for anorexia nervosa (AN) which reflect the pathophysiology and relate to the aetiology of the disease, are warranted and could bring us one step closer to targeted treatment of AN. Some leads may be found in the biochemistry which often is found disturbed in AN, although normalization...

  19. Tuberculosis and anorexia nervosa

    African Journals Online (AJOL)

    recently our experience in the Eating Disorders Unit at Tara, where three patients with pulmonary tuberculosis were only diagnosed after admission for treatment of anorexia nervosa.· It appears that despite the presence of a persistent dry cough in each case, no investigation was undertaken. Did demographic stereotyping ...

  20. Anorexia nervosa en adolescenten

    NARCIS (Netherlands)

    van Elburg, A A; Danner, U N

    2015-01-01

    BACKGROUND: Anorexia nervosa (AN), which is the most serious of the eating disorders, starts earlier in life and often continues into adulthood. AIM: To discuss the typical features of AN in adolescents. METHOD: We present an overview based on the literature about AN in adolescents and on analysis

  1. Anorexia Nervosa and Bulimia.

    Science.gov (United States)

    Csapo, Marg

    1987-01-01

    The article reviews the literature on anorexia nervosa, with or without bulimia, and presents a comprehensive picture of this eating disorder, focusing on terminology, historical references, prevalence, prognosis, classification, diagnostic criteria, physical and psychological characteristics, evolution of the disability, etiology, treatment, and…

  2. Interpersonal psychotherapy for anorexia nervosa.

    Science.gov (United States)

    McIntosh, V V; Bulik, C M; McKenzie, J M; Luty, S E; Jordan, J

    2000-03-01

    This paper outlines the rationale for treating individuals with anorexia nervosa using interpersonal psychotherapy. We review theoretical, empirical, and psychotherapy literature relating to interpersonal functioning in anorexia nervosa. Etiological theories emphasize interpersonal and family dysfunction in the development of anorexia nervosa. Research supports the notion that families of individuals with anorexia nervosa have dysfunctional patterns of communication. The history of treatment for anorexia nervosa emphasizes the need for resolution of interpersonal dysfunction, within the traditions of psychodynamic, family therapy, and multidimensional therapies. Interpersonal psychotherapy is a time-limited psychotherapy based on the notion that regardless of etiology, interpersonal relationships are intertwined with symptomatology. The goals of the therapy are to improve interpersonal functioning and thereby decrease symptomatology. Factors identified as important in the development of anorexia nervosa are readily conceptualized within the interpersonal psychotherapy problem areas of grief, interpersonal disputes, interpersonal deficits, and role transitions. Copyright 2000 by John Wiley & Sons, Inc.

  3. Uso da Fibra de Coco em Betão

    OpenAIRE

    Gonçalves, Stephanie Assunção

    2016-01-01

    O presente trabalho tem como objetivo avaliar as resistências à compressão axial, tração por compressão diametral e tração na flexão, módulos de elasticidade estático e dinâmico do betão reforçado com fibra de coco (BRFC), tendo como referência o betão preparado sem a adição de fibra. A escolha da fibra natural decorreu da necessidade de utilizar os resíduos gerados pelo consumo do coco verde. Sendo assim, este trabalho apresenta uma breve história do betão, suas propriedades, tipos de fibras...

  4. Fibras reforçadas por resina (FRC em Ortodontia. Versatilidade clínica: parte 2 Fiber reinforced composite (FRC in Orthodontic. Clinical versatility: part II

    Directory of Open Access Journals (Sweden)

    Daniel Ianni Filho

    2005-06-01

    Full Text Available As fibras de vidro e de polietileno podem ser utilizadas na prática ortodôntica em diversas situações clínicas, nos casos com ou sem extrações dentárias. Este artigo tem como objetivo mostrar algumas das aplicações clínicas nas quais as fibras contribuíram de forma significativa para a realização dos tratamentos ortodônticos, simplificando-os e aumentando a eficiência clínica. As fibras foram utilizadas principalmente em segmentos de ancoragem e na substituição da banda pela colagem da associação fibra/tubo nos molares.Glass and polyethylene fibers can be used in orthodontic practice on several clinical(s situations, in cases with or without teeth extraction. The objective of this article is to show some of the clinical applications in which the fibers contributed in a positive way to improve the performance of orthodontic treatments, simplifying and raiseing the clinical efficiency. These fibers were mainly used on anchorage segments, and as a substitute for the band by bonding the fiber/tube association in molars.

  5. Influência das fibras de aço e das adições minerais na fissuração de tirantes de concreto armado

    Directory of Open Access Journals (Sweden)

    L. A. Oliveira Júnior

    Full Text Available Neste trabalho é investigada a influência das fibras de aço e das adições minerais (sílica ativa e cinza volante na fissuração de tirantes de concreto armado. Fibras de aço com gancho nas extremidades e relação de aspecto igual a 65 foram usadas nas frações volumétricas de 0,75%, 1,00% e 1,50%. Dezesseis tirantes de 800 mm de comprimento e seção transversal quadrada de 150 mm de lado reforçados com uma barra de aço CA-50 de 20 mm de diâmetro foram submetidos à tração axial para determinação das aberturas das fissuras. Os resultados mostraram que as fibras reduziram a abertura média de fissuras em até 75% e que as adições minerais melhoraram o comportamento do concreto na fissuração. As aberturas de fissuras foram comparadas aos valores sugeridos pelas recomendações das normas brasileira, americana e européia, que se mostraram inadequadas para estimar a abertura de fissuras em concretos reforçados com fibras.

  6. Biological Aspects of Anorexia Nervosa and Bulimia Nervosa.

    Science.gov (United States)

    Kaplan, Allan S.; Woodside, D. Blake

    1987-01-01

    Reviews biological factors relevant to the understanding of anorexia nervosa and bulimia nervosa. Considers the physical presentation of these disorders; the medical complications of starvation, binging, and purging; and the cognitive and behavioral effects of starvation. Reviews neurophysiological and neurochemical aspects of these illnesses and…

  7. [Anorexia nervosa and bulimia nervosa. Psychological considerations for its treatment].

    Science.gov (United States)

    Barriguete Meléndez, J Armando; Rojo, Luis; Emmelhainz, Marisa

    2004-11-01

    It is presented the current perspectives in the study and treatment of the eating disorders, in specific: anorexia nervosa and bulimia nervosa, epidemiology, and the interface among the different medical specialties, nutrition and sciences of the behavior, the diagnostic approaches, instruments and current therapeutic models.

  8. Anorexia and bulimia nervosa.

    Science.gov (United States)

    Kaye, W H; Klump, K L; Frank, G K; Strober, M

    2000-01-01

    Anorexia nervosa (AN) and bulimia nervosa (BN) are disorders characterized by abnormal patterns of weight regulation and eating behavior and by disturbances in attitudes and perceptions toward weight and body shape. Etiologic research has indicated substantial genetic influence on these disorders, suggesting significant biological contributions to their development. Obsessional, perfectionistic, and anxious personality styles may be premorbid traits that contribute to this pathogenesis. Studies of neuroendocrine, neuropeptide, and neurotransmitter functioning in patients with AN and BN indicate that disturbances of these systems may contribute to the maintenance as well as the etiology of these sometimes fatal disorders. The efficacy of psychological treatments and pharmacotherapy has been more clearly established for BN than for AN.

  9. Bulimia Nervosa/Purging Disorder.

    Science.gov (United States)

    Castillo, Marigold; Weiselberg, Eric

    2017-04-01

    Bulimia nervosa was first described in 1979 by British psychiatrist Gerald Russell as a "chronic phase of anorexia nervosa" in which patients overeat and then use compensatory mechanisms, such as self-induced vomiting, laxatives, or prolonged periods of starvation. The characterization of bulimia nervosa continues to evolve with the introduction of the DSM-5 in 2013. In this article, the epidemiology and risk factors of bulimia nervosa are identified and reviewed, along with the medical complications and psychiatric comorbidities. The evaluation of a patient with suspected bulimia nervosa is addressed, with an emphasis on acquiring a complete and thorough history as well as discovering any comorbidities that are present. Management of the patient involves both medical interventions and behavioral counseling in order to address physical, psychological, and social needs. Lastly, a new diagnosis introduced in the DSM-5, purging disorder, is described and discussed. Copyright © 2017 Mosby, Inc. All rights reserved.

  10. Dopamine and anorexia nervosa.

    Science.gov (United States)

    Södersten, P; Bergh, C; Leon, M; Zandian, M

    2016-01-01

    We have suggested that reduced food intake increases the risk for anorexia nervosa by engaging mesolimbic dopamine neurons, thereby initially rewarding dieting. Recent fMRI studies have confirmed that dopamine neurons are activated in anorexia nervosa, but it is not clear whether this response is due to the disorder or to its resulting nutritional deficit. When the body senses the shortage of nutrients, it rapidly shifts behavior toward foraging for food as a normal physiological response and the mesolimbic dopamine neurons may be involved in that process. On the other hand, the altered dopamine status of anorexics has been suggested to result from a brain abnormality that underlies their complex emotional disorder. We suggest that the outcomes of the treatments that emerge from that perspective remain poor because they target the mental symptoms that are actually the consequences of the food deprivation that accompanies anorexia. On the other hand, a method that normalizes the disordered eating behavior of anorexics results in much better physiological, behavioral, and emotional outcomes. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. PSYCHOPATHOLOGICAL ASPECTS OF ANOREXIA NERVOSA

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    A. E. Bobrov

    2015-01-01

    Full Text Available Prevalence of anorexia nervosa among women is 0,5%, whereas mortality related to this disorder amounts to 5–17%. Psychopathological structure of anorexia nervosa implies abnormalities of behavior as well as those of motivation and volition, thinking, perception and appreciation. In addition, mental abnormalities typical for this disorder are evident in regulation of emotions, specific personality traits and self-consciousness. The key psychopathological feature of patients with anorexia nervosa is a lack of cognitive and personal differentiation that calls forth impairments of self-concept and self-image. Anorexia nervosa should be differentiated from depression and schizophrenic spectrum disorders. Its etiology and pathogenesis are related both to hereditary and psychosocial factors. Of great importance are psychoendocrine abnormalities, however their role is still insufficiently elucidated.

  12. Bulimia nervosa: revisão da literatura Bulimia nervosa: literature review

    Directory of Open Access Journals (Sweden)

    Rita Aparecida Romaro

    2002-01-01

    Full Text Available O presente estudo objetivou revisar a produção científica referente à bulimia nervosa, classificando-a em três dimensões de análise: países relacionados à pesquisa na área; periódicos de indexação; delineamentos e objetivos da pesquisa. A amostra foi composta de 200 abstracts de periódicos indexados nas bases de dados LILACS e MEDLINE, entre 1986 e outubro/2000, utilizando-se o descritor bulimia nervosa. Os Estados Unidos (43,5% e o Brasil (12,5% são os países com maior número de publicações. Os artigos estão distribuídos em 100 periódicos diferentes. O delineamento empírico predominou (75%, com destaque para o procedimento de comparação de grupos (63,5%, com a população adulta, predominado os estudos referentes às questões diagnósticas (24%, psicodinâmicas (21,5% e aos aspectos ligados ao tratamento (17%. Os dados encontrados sugerem um interesse crescente pelo assunto nos dois últimos anos, provavelmente pela maior incidência da doença, necessitando-se de mais pesquisas que associem as influências sociais e os aspectos preventivos.The aim of this paper was to revise the scientific production related to bulimia nervosa. It was classified in three dimensions of analysis: countries related to research in the area; indexed publications and designs and aims of the research. The sample comprised 200 abstracts of publications indexed in the LILACS and MEDLINE databases, between 1986 and october/2000, using the key word bulimia nervosa. The United States (43,5% and Brazil (12,5% are the countries having the largest number of publications. The articles are distributed among 100 different journals. The empirical design predominated (75%, with a greater emphasis on the procedure of group comparisons (63,5%, with adult population. Studies on diagnosis issues (24% psychodynamic issues (21,5% and aspects linked to treatment (17%. The data found suggest an increasing interest in the subject over the past two years, probably

  13. Reproductive issues in anorexia nervosa

    OpenAIRE

    Hoffman, Elizabeth R; Zerwas, Stephanie C; Bulik, Cynthia M

    2011-01-01

    Despite a high prevalence of menstrual irregularities, women with anorexia nervosa are becoming pregnant. The physical and psychological demands of pregnancy and motherhood can represent an immense challenge for women already struggling with the medical and psychological stress of an eating disorder. This article summarizes key issues related to reproduction in women with anorexia nervosa, highlighting the importance of preconception counseling, adequate gestational weight gain, and sufficien...

  14. Executive functions in anorexia nervosa

    OpenAIRE

    Jauregui-Lobera, Ignacio

    2014-01-01

    Introduction: The pathophysiologic mechanisms that account for the development and persistence of anorexia nervosa (AN) remain unclear. With respect to the neuropsychological functioning, the executive functions have been reported to be altered, especially cognitive flexibility and decision-making processes. Objectives: The aim of this study was to review the current state of the neuropsychological studies focused on anorexia nervosa, especially those highlighting the executive functions. Met...

  15. Bone health in anorexia nervosa

    Science.gov (United States)

    Misra, Madhusmita; Klibanski, Anne

    2013-01-01

    Purpose of review Anorexia nervosa is associated with low bone mineral density (BMD), concerning for an increased risk of fractures, and decreased bone accrual in adolescents, concerning for suboptimal peak bone mass. This review discusses causes of impaired bone health in anorexia nervosa and potential therapeutic strategies. Recent findings Low BMD in anorexia nervosa is consequent to decreased lean mass, hypogonadism, low insulin-like growth factor-1 (IGF-1), relative hypercortisolemia and alterations in hormones impacted by energy availability. Weight gain causes some improvement in bone accrual, but not to the extent observed in controls, and vitamin D supplementation does not increase BMD. Oral estrogen is not effective in increasing BMD, likely from IGF-1 suppressive effects. In contrast, transdermal estrogen replacement is effective in increasing bone accrual in adolescents with anorexia nervosa, although not to the extent seen in controls. Recombinant human IGF-1 increases bone formation in adolescents, and with oral estrogen increases BMD in adults with anorexia nervosa. Bisphosphonates increase BMD in adults, but not in adolescents, and should be used cautiously given their long half-life. Summary Further investigation is necessary to explore therapies for low BMD in anorexia nervosa. Weight gain is to be encouraged. Transdermal estrogen in adolescents, and bisphosphonates in adults, have a potential therapeutic role. PMID:21897220

  16. Obtenção de nanocompósitos, nanodiamante sobre fibra de carbono e nanotubo de carbono sobre fibra de carbono

    OpenAIRE

    Leonardo Iusuti de Medeiros

    2009-01-01

    A proposta desta dissertação é a obtenção de dois compósitos nanoestruturados que sejam constituídos um por nanodiamante sobre fibra de carbono e, o outro, por nanotubo de carbono sobre a fibra de carbono. Em ambos os compósitos as fibras de carbono usadas são obtidas com três diferentes índices de grafitização 1000, 1500 e 2000°C. As fibras de carbono apresentam uma grande área superficial devido a sua estrutura. Quando utilizadas como substrato para crescimento de materiais nanoestruturados...

  17. Diagnostic Crossover in Anorexia Nervosa and Bulimia Nervosa: Implications for DSM-V

    Science.gov (United States)

    Eddy, Kamryn T.; Dorer, David J.; Franko, Debra L.; Tahilani, Kavita; Thompson-Brenner, Heather; Herzog, David B.

    2011-01-01

    Objective The Diagnostic and Statistical Manual of Mental Disorders (DSM) is designed primarily as a clinical tool. Yet high rates of diagnostic “crossover” among the anorexia nervosa subtypes and bulimia nervosa may reflect problems with the validity of the current diagnostic schema, thereby limiting its clinical utility. This study was designed to examine diagnostic crossover longitudinally in anorexia nervosa and bulimia nervosa to inform the validity of the DSM-IV-TR eating disorders classification system. Method A total of 216 women with a diagnosis of anorexia nervosa or bulimia nervosa were followed for 7 years; weekly eating disorder symptom data collected using the Eating Disorder Longitudinal Interval Follow-Up Examination allowed for diagnoses to be made throughout the follow-up period. Results Over 7 years, the majority of women with anorexia nervosa experienced diagnostic crossover: more than half crossed between the restricting and binge eating/purging anorexia nervosa subtypes over time; one-third crossed over to bulimia nervosa but were likely to relapse into anorexia nervosa. Women with bulimia nervosa were unlikely to cross over to anorexia nervosa. Conclusions These findings support the longitudinal distinction of anorexia nervosa and bulimia nervosa but do not support the anorexia nervosa subtyping schema. PMID:18198267

  18. The incidence of anorexia nervosa on Curacao

    NARCIS (Netherlands)

    Hoek, HW; van Harten, PN; Hermans, KME; Katzman, MA; Matroos, GE; Susser, ES

    Objective: Although anorexia nervosa was once thought to occur only in affluent societies, cases have now been documented across the globe. To examine whether anorexia nervosa emerges in societies undergoing socioeconomic transition, the authors studied the incidence of anorexia nervosa on the

  19. Anorexia Nervosa: Sociocultural Factors and Treatment.

    Science.gov (United States)

    Williams, Jennifer

    This paper examines how the epidemiological findings of anorexia nervosa lead theorists to speculate a correlation between sociocultural factors and the development of anorexia nervosa. A section on the essential features of anorexia nervosa identifies five primary characteristics of anorexia: (1) severe weight loss; (2) a disturbance of body…

  20. Hacia una definición de fibra alimentaria

    OpenAIRE

    García Ochoa, Omar Eduardo; Infante, Ramón Benito; Rivera, Carlos Julio

    2008-01-01

    La fibra alimentaria (FA) ha sido un tópico de considerable interés para los nutricionistas y médicos en estos últimos 35 años. Este artículo presenta un análisis sobre la definición de fibra alimentaria y la controversia que existe al respecto, así como las nuevas propuestas que han surgido para incluir en su definición. La FA fue definida como: todos los polisacáridos no almidones más la lignina, que no pueden ser digeridos o absorbidos en el intestino delgado humano. Esta definición no inc...

  1. Infiltração de sal de alumínio em fibras de sisal para obtenção de fibras de alumina Infiltration of aluminum salt into sisal to produce alumina fibers

    Directory of Open Access Journals (Sweden)

    T. E. Andrade Jr.

    2005-03-01

    Full Text Available O sisal é um recurso estratégico para a região Nordeste e, particularmente, para o estado do Rio Grande do Norte, por ser uma cultura renovável e adaptada às condições do semi-árido. Em virtude das condições adversas de clima e solo, o sisal é, em algumas regiões, o único produto agrícola rentável passível de plantio. Agregar valor aos produtos manufaturados a partir do sisal contribui não só para o desenvolvimento científico e tecnológico da região, como também para a geração de renda para a população dos municípios potiguares produtores de sisal. Da planta extraem-se fibras ligninocelulósicas utilizadas na produção artesanal de cordas e industrial de mantas e tapetes. Uma outra alternativa é o aproveitamento da estrutura da fibra para a produção de fibras de alumina (Al2O3 pela biomodelagem. Este processo consiste na reprodução da estruturas natural do material de partida. O objetivo deste trabalho foi estudar as condições de infiltração da fibra de sisal com sal de alumínio para posterior conversão da estrutura em fibras de alumina. Inicialmente, as fibras de sisal foram pré-tratadas com hidróxido de sódio, infiltradas com uma solução saturada de sal de alumínio (Al2Cl6 e sinterizadas entre 1400 °C e 1650 °C. A caracterização das fibras de alumina foi feita por difração de raios X e microscopia eletrônica de varredura. Os resultados mostraram a conversão completa apenas da superfície da fibra de sisal em alfa-Al2O3, resultando em baixa resistência ao manuseio. Novos métodos de infiltração são propostos com o objetivo de reproduzir-se a estrutura interna da fibra de sisal, resultando em fibras materiais com melhor resistência mecânica.Sisal is a renewable agricultural resource adapted to the hostile climatic and soil conditions particularly encountered in the semi-arid areas of the state of Rio Grande do Norte, located in Northeastern Brazil. Consequently, sisal has played a

  2. Morteros Reforzados con Fibras de Bambú

    Directory of Open Access Journals (Sweden)

    Arbeláez Arce Anacilia

    1997-12-01

    Full Text Available El término fibras de bambú, hace referencia al material de desecho (aserrín, seleccionado por diferencia de peso, en inmersión en agua. Se atiene a la definición de fibras que presentan la Norma ASTM C-JI16-89 "Standard Specification for Fiber-Reinforced Concrete ". Se estudian las propiedades físico-mecánicas del mortero 1.3, reforzado con 15, 50 y 100 kg de fibras de bambú, por metro cúbico de mortero, con el objeto de determinar la factibilidad de uso de este material, como matriz para muros estructurales. En el caso de matrices de mortero reforzados para paneles, además de determinar el porcentaje de refuerzo, que permita mantener la resistencia mecánica dentro de los límites establecidos,éste debe lograr un control en el agrietamiento. De hecho en condiciones normales bajo carga, el agrietamiento es inevitable, sea cual fuere la cantidad y calidad de refuerzo usado: Sinembargo, las fibras tienen la propiedad de controlar la propagación del agrietamiento ypor ende transformaruna matrizfrágil, en un material con cierto grado de ductilidad. Los compuestos son probados a compresión axial, flexión e impacto. Las propiedades físicas de absorción de humedad ycontracciones por secado se miden en probetas con dosificación deporcentaje de refuerzo seleccionado de las pruebas mecánicas.

  3. Cutaneous manifestations in anorexia nervosa.

    Science.gov (United States)

    Hediger, C; Rost, B; Itin, P

    2000-04-22

    Anorexia nervosa is an eating disorder among adolescent girls and young women which, though common, often goes undetected and untreated. Anorexia nervosa is a response for young people with psychological conflicts who try to win love by having a body corresponding to the present-day image, symbolising strength, beauty, attraction, power and success. Anorexia nervosa involves inadequate calorie intake leading to marked cachexia with metabolic and endocrinological disturbances. We investigated dermatological changes in 21 young female anorectics aged 19-24 in an attempt to find dermatological markers which mirror the dynamics of the disease and thus obtain helpful signs for early diagnosis with its important bearing on the outcome. Extensive histories were taken and whole-body examinations performed. Seven sex- and age-matched persons served as a control group. The most common dermatological findings were xerosis (71%, controls 29%), cheilitis (76%), bodily hypertrichosis (62%), alopecia (24%), dry scalp hair (48%), acral coldness (38%), acrocyanosis (33%), periungual erythema (48%), gingival changes (37%), nail changes (29%) and calluses on dorsum of hand due to self-induced vomiting (67%). Our study documented for the first time that a body mass index of anorexia nervosa and in HIV infection. Patients with anorexia nervosa develop early stereotype skin changes which are cardinal diagnostic symptoms and pointers to the diagnosis of eating disorders. During training at the Department of Child and Adolescent Psychiatry in Solothurn one of us (C. H.) was once more able to observe most of the above-described cutaneous and mucocutaneous changes in anorexic adolescents. This paper is intended to stimulate further basic research on this topic. We hope our study will facilitate early diagnosis of anorexia nervosa by the family physician and enable him or her to institute immediate treatment for the eating disorder and thereby improve the prognosis.

  4. Reproductive issues in anorexia nervosa

    Science.gov (United States)

    Hoffman, Elizabeth R; Zerwas, Stephanie C; Bulik, Cynthia M

    2011-01-01

    Despite a high prevalence of menstrual irregularities, women with anorexia nervosa are becoming pregnant. The physical and psychological demands of pregnancy and motherhood can represent an immense challenge for women already struggling with the medical and psychological stress of an eating disorder. This article summarizes key issues related to reproduction in women with anorexia nervosa, highlighting the importance of preconception counseling, adequate gestational weight gain, and sufficient pre- and post-natal nutrition. Postpartum issues including eating disorder symptom relapse, weight loss, breastfeeding, and risk of perinatal depression and anxiety are also discussed. PMID:22003362

  5. Psychosocial Treatments in Anorexia Nervosa

    Directory of Open Access Journals (Sweden)

    Necati Serkut Bulut

    2017-09-01

    Full Text Available Despite its severe morbidity and mortality, studies regarding the psychosocial treatments of anorexia nervosa are limited in number. This paper aims to present the general outlines of various psychosocial interventions developed for the treatment of anorexia nervosa and to provide an up-to-date review of the randomized-controlled studies on the effectiveness of these approaches. Reviewed studies were classified by age spectrum of samples under two main headings: adolescents and mixed samples of adults and adolescents. Specific issues about other variables were then discussed separately. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(3.000: 329-345

  6. Orthorexia Nervosa in Turkish Dietitians.

    Science.gov (United States)

    Asil, Esma; Sürücüoğlu, Metin Saip

    2015-01-01

    The purpose of this study was to determine the prevalence of orthorexia nervosa in dietitians, as assessed by administering ORTO-15, Eating Attitudes Test-40 (EAT-40) and Maudsley Obsessive-Compulsive Inventory (MOCI). Our study included 117 dietitians (Ankara). Orto-15 test scores below 40 points was considered indicative of orthorexia, while higher scores indicated a normal eating behavior. It was found that participants with ORTO-15 scores less than 40 had higher scores for EAT-40 and MOCI (p orthorexia nervosa is recommended.

  7. Anorexia Nervosa and Bone

    Science.gov (United States)

    Misra, Madhusmita; Klibanski, Anne

    2014-01-01

    Anorexia nervosa (AN) is a condition of severe low weight that is associated with low bone mass, impaired bone structure and reduced bone strength, all of which contribute to increased fracture risk., Adolescents with AN have decreased rates of bone accrual compared with normal-weight controls, raising addition concerns of suboptimal peak bone mass and future bone health in this age group. Changes in lean mass and compartmental fat depots, hormonal alterations secondary to nutritional factors contribute to impaired bone metabolism in AN. The best strategy to improve bone density is to regain weight and menstrual function. Oral estrogen-progesterone combinations are not effective in increasing bone density in adults or adolescents with AN, and transdermal testosterone replacement is not effective in increasing bone density in adult women with AN. However, physiologic estrogen replacement as transdermal estradiol with cyclic progesterone does increase bone accrual rates in adolescents with AN to approximate that in normal-weight controls, leading to a maintenance of bone density Z-scores. A recent study has shown that risedronate increases bone density at the spine and hip in adult women with AN. However, bisphosphonates should be used with great caution in women of reproductive age given their long half-life and potential for teratogenicity, and should be considered only in patients with low bone density and clinically significant fractures when non-pharmacological therapies for weight gain are ineffective. Further studies are necessary to determine the best therapeutic strategies for low bone density in AN. PMID:24898127

  8. Desarrollo de materiales compuestos avanzados basados en fibras de carbono para la industria aeroespacial

    OpenAIRE

    Rodriguez, Exequiel Santos

    2015-01-01

    En este trabajo se estudia el desarrollo de materiales compuestos de matriz polimérica reforzados con fibras de carbono para aplicaciones que presentan solicitaciones severas. Este es el caso de la industria aeroespacial, que utiliza componentes en cohetes y aeronaves que se ven sometidos a altas solicitaciones mecánicas y están expuestos a las altas temperaturas. Es por ello que se estudiaron materiales para diversas aplicaciones basados en fibras de carbono: preimpregnados de fibras y resin...

  9. Efeito do exercício resistido na redução do edema, nocicepção e regeneração nervosa em um modelo de compressão do nervo isquiático = Effect of resistance training on the reduction of edema, nociception, and nerve regeneration in a sciatic nerve compression model

    Directory of Open Access Journals (Sweden)

    Antunes, Juliana Sobral

    2016-01-01

    Conclusões: O exercício físico resistido de subida em escada, nos parâmetros propostos, não foi eficaz para reduzir o edema, a nocicepção ou aumentar o número de axônios e a densidade de fibras nervosas após lesão do nervo isquiático

  10. Binge eating as a meaningful experience in bulimia nervosa and anorexia nervosa: a qualitative analysis.

    Science.gov (United States)

    Eli, Karin

    2015-12-01

    Clinical studies describe binge eating as a reaction to hunger, negative affect, or the need to dissociate. However, little is known about the meanings that women with bulimia nervosa and anorexia nervosa associate with binge eating. To examine how women with anorexia nervosa and bulimia nervosa interpret their experiences of binge eating. Sixteen women who engaged in binge eating and had been diagnosed with anorexia nervosa, bulimia nervosa, or their subclinical variants were interviewed about their experiences of eating disorder. Interview data were analyzed using phenomenologically-informed thematic analysis. Participants described binge eating as a practice through which the self experiences a sense of release, and existential emptiness is replaced by overwhelming fullness. Meaningful experiences of release and fullness are central to binge eating in bulimia nervosa and anorexia nervosa, and may contribute to the long-term maintenance of this practice.

  11. Adolescent Eating Disorder: Anorexia Nervosa.

    Science.gov (United States)

    Muuss, Rolf E.

    1985-01-01

    Examines anorexia nervosa, an eating disorder seen with increasing frequency, especially among adolescent girls. Presents five theories about causation, discusses early characteristics, typical family patterns, physical and medical characteristics, social adjustment problems, and society's contribution to anorexia. Describes course of the…

  12. Adolescent Boys and Anorexia Nervosa.

    Science.gov (United States)

    Romeo, Felicia

    1994-01-01

    Notes that there has been steady increase in reported incidence of male adolescents with anorexia nervosa, from approximately 5% in 1985 to as much as 10% in 1987. Considers role of educators and counselors in early identification of this disorder, noting that young anorectic males have better prognosis for recovery if they receive treatment in…

  13. PROCESSAMENTO DE CASCA E FIBRA DE COCO VERDE POR CARBONIZAÇÃO PARA AGREGAÇÃO DE VALOR / PROCESSING OF COCONUT SHELL AND FIBER FOR ADDING VALUE

    OpenAIRE

    LUIS A. B. CORTEZ; JUAN M. M. PEREZ; JOSÉ D. ROCHA; RODRIGO A. JORDAN; HENRY R. M. MESA

    2009-01-01

    Atualmente o Brasil é o maior produtor de coco verde, com uma área plantada equivalente a 57 mil hectares, onde a maior parte da parte da produção (66,5%) se concentra na região Nordeste. O descarte do coco depois do consumo da água representa um problema para os sistemas de coleta e tratamento de lixo, pela sua lenta degradação devido ao alto teor de fibras. Neste trabalho são mostrados os resultados da pirólise lenta da fibra e da casca do coco verde. Os experimentos foram conduzidos em um ...

  14. Tenacidade à fratura translaminar dinâmica de um laminado híbrido metal-fibra para uso em elevadas temperaturas Translaminar dynamic fracture toughness of a hybrid fiber-metal laminate devised to high-temperature applications

    Directory of Open Access Journals (Sweden)

    José R. Tarpani

    2010-01-01

    Full Text Available A tenacidade à fratura translaminar dinâmica do laminado híbrido metal-fibra titânio-grafite com matriz termoplástica foi determinada sob as velocidades de impacto de 2,25 e 5,52 m/s, no intervalo de temperaturas de -196 a +180 °C, e comparada à de laminados compósitos convencionais de fibras de carbono e resina epóxi. Constatou-se que o laminado híbrido exibe uma tenacidade à iniciação da fratura inferior à dos compósitos tradicionais com fibras na forma de fita unidirecional, porém superior à dos laminados convencionais com fibras na forma de tecido bidirecional. Os ensaios de impacto revelaram que, comparativamente ao desempenho mecânico dos laminados carbono-epóxi, o emprego do laminado híbrido metal-fibra se justifica mais pela sua resistência à propagação do que à iniciação da fratura dinâmica.The translaminar dynamic fracture toughness of titanium-graphite hybrid fiber-metal laminate with thermoplastic matrix has been determined at the impact velocities of 2.25 and 5.52 m/s, within the temperature range from -196 to +180 ºC, and compared to that of conventional carbon-epoxy composite laminates. The hybrid laminate exhibits lower initiation fracture toughness than traditional unidirectional tape composites though it is tougher than conventional woven fabric laminates. Impact tests revealed that, if compared to the mechanical performance of conventional carbon-epoxy laminates, the fiber-metal laminate application must rely on its resistance to dynamic fracture propagation rather than on fracture initiation.

  15. A case report of anorexia nervosa.

    Science.gov (United States)

    Binitie, A; Osaghae; Akenzua, O A

    2000-06-01

    Although there are a few reports of Anorexia Nervosa in non-white populations some authors believe that the prevalence of anorexia Nervosa is as common in African populations as it is in Western countries. A case is presented of Anorexia Nervosa in a Nigerian female with features that strictly fulfill the ICD 10 diagnostic criteria. The difficulties encountered in the treatment of such disorders as well as the recurrent nature of the disorder were also highlighted in the patient's presentation.

  16. [Anorexia nervosa and nervus peronaeus lesions].

    Science.gov (United States)

    Weber, Peter; Rost, Barbara

    2009-09-01

    Anorexia nervosa could be associated with numerous medical complications. In addition, malnutrition can cause different problems of central nervous system, whereas reports on periphere nerve lesions are rare. We report a case of a 14 8/12 years old girl suffering from anorexia nervosa since five months, who presented with peroneal nerve palsy. In association to anorexia nervosa the prognosis of this mononeuropathy seems to be good. Anorectic patients with neurological complications need an interdisciplinary medical treatment.

  17. Modelos esquemáticos para avaliação da qualidade analítica dos dados nacionais de fibra alimentar

    Directory of Open Access Journals (Sweden)

    CARUSO Lúcia

    1999-01-01

    Full Text Available O controle de qualidade de uma análise laboratorial é essencial para garantir a confiabilidade da informação. Os resultados analíticos serão considerados restritos se não houver um programa definido de controle de qualidade analítico. O presente trabalho propõe modelos esquemáticos para a avaliação da qualidade dos dados nacionais de fibra alimentar. A fibra alimentar foi escolhida, como um modelo, com o propósito de se aplicar os critérios do USDA (U.S. Department of Agriculture empregados na avaliação do selênio, cobre e de carotenóides. Esta escolha foi baseada na escassez de informações desse nutriente e pela importância da fibra alimentar na prevenção de doenças crônico-degenerativas. Para a avaliação da qualidade dos dados foram consideradas cinco categorias: número de amostras, plano de amostragem, tomada de amostra, método analítico e controle de qualidade analítica. Estes modelos foram utilizados na avaliação da qualidade das determinações de fibra alimentar de 180 alimentos. O resultado obtido foi de 29% com código A e B (considerável e razoável confiança e 68% com código C (reduzida confiança. Com a determinação da qualidade dos dados, foi possível estabelecer quais os alimentos que constituem prioridades de análise, que são aqueles nos quais ainda não foi determinada a fração fibra alimentar, e aqueles com código de confiança C.

  18. Estudo dos efeitos da acetilação em fibras de sisal Study of the effects of acetylation treatments on sisal fiber

    Directory of Open Access Journals (Sweden)

    Fernanda F. M. Lopes

    2010-07-01

    Full Text Available O emprego de fibras vegetais na confecção de compósitos tem grande viabilidade, no que diz respeito ao uso de materiais oriundos de fontes renováveis, à biodegradabilidade e aos benefícios socioeconômicos gerados na produção de matéria-prima vegetal. As fibras de sisal são altamente higroscópicas e esta característica se apresenta como um dos principais problemas na produção de compósitos induzindo a variações dimensionais sob a influência da umidade, deposição dos produtos da matriz em seus poros e a degradação. Os tratamentos de acetilação nas fibras de sisal foram aplicados em diferentes temperaturas e tempos reacionais, e a eficiência desses tratamentos, considerando-se a redução da hidrofilicidade e a manutenção do desempenho mecânico das fibras, foi avaliada pela capacidade de absorção de água por imersão, ensaios de resistência mecânica e por espectroscopia de infravermelho. Fibras acetiladas apresentaram reduções de peso por absorção de até 50% quando comparadas com as não tratadas. Os tratamentos por 3 h apresentaram as maiores perdas na resistência mecânica e a 120 °C por 1h indicaram as melhores características físico-mecânicas, além de incremento satisfatório de grupos apolares com o tratamento.The use of vegetable fibers in composites is highly viable regarding about the use of materials from renewable sources, the biodegradability and the socioeconomic advantages in the production of raw vegetable. The sisal fibers are highly hygroscopic and this is a main problem in the production of composites, inducing dimensional changes under moisture influence, deposition of the matrix products and degradation. The treatment of the acetylation was applied at different temperatures and reaction times, and the efficiency of treatments, considering the reduction of the hydrophilicity and maintenance of the mechanical properties, was evaluated by water sorption, mechanical properties and the

  19. Anorexia nervosa and bulimia nervosa: brains, bones and breeding.

    Science.gov (United States)

    Starr, Taylor B; Kreipe, Richard E

    2014-05-01

    Recent research has modified both the conceptualization and treatment of eating disorders. New diagnostic criteria reducing the "not otherwise specified" category should facilitate the early recognition and treatment of anorexia nervosa (AN) and bulimia nervosa (BN). Technology-based studies identify AN and BN as "brain circuit" disorders; epidemiologic studies reveal that the narrow racial, ethnic and income profile of individuals no longer holds true for AN. The major organs affected long term-the brain and skeletal system-both respond to improved nutrition, with maintenance of body weight the best predictor of recovery. Twin studies have revealed gene x environment interactions, including both the external (social) and internal (pubertal) environments of boys and of girls. Family-based treatment has the best evidence base for effectiveness for younger patients. Medication plays a limited role in AN, but a major role in BN. Across diagnoses, the most important medicine is food.

  20. Avaliação da biodegradação de compósitos de poli(ε-caprolactona/fibra de coco verde Evaluation of biodegradation poly(ε-caprolactone/green coconut fiber

    Directory of Open Access Journals (Sweden)

    Marcia C. A. M. Leite

    2010-01-01

    Full Text Available Uma classe de plásticos com destaque crescente são os polímeros biodegradáveis, como a Poli(ε-caprolactona (PCL. Quando esses polímeros são utilizados para elaboração de compósitos com fibras naturais, novas propriedades são agregadas. Existem vários métodos de modificação química da fibra para melhorar a adesão dessas fibras em matrizes poliméricas. Neste trabalho foi estudada a biodegradabilidade em solo simulado de compósitos de PCL/fibra de coco (antes e após a modificação química da fibra por reação de acetilação com avaliação da perda de massa e da modificação da morfologia. A espectroscopia na região do infravermelho mostrou a eficiência da reação de acetilação nas fibras. Os compósitos enterrados em solo simulado apresentaram perda de massa e a degradação das amostras foi confirmada pela modificação da morfologia observada através de análises como as Microscopias Óptica e Eletrônica de Varredura. O comportamento térmico dos compósitos, analisado por Calorimetria Diferencial de Varredura mostrou diferença no teor de cristalinidade da matriz com a incorporação da fibra.Biodegradable polymers such as poly (ε-caprolactone (PCL have received increasing attention. New properties are achieved when these polymers are used in composites with natural fibers. Several methods exist for the chemical modification of the fiber to improve adhesion to the polymer matrices. This work deals with the biodegradation in simulated soil of PCL/coconut fiber composites (before and after fiber chemical modification by acetylation - reaction with the evaluation of mass loss and morphology. Infrared spectroscopy has shown the efficiency of fiber acetylation. The composites buried in simulated soil presented weight loss. The degradation of the samples was confirmed by the morphology modification observed by Scanning Electron Microscopy and Optical Microscopy analysis. The thermal properties analyzed with

  1. Sexual function of women suffering from anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Gonidakis, Fragiskos; Kravvariti, Vasilliki; Varsou, Eleftheria

    2015-01-01

    The cross-sectional study aimed at examining the sexual function of young adult women suffering from eating disorders. The authors interviewed 53 women (26 with anorexia nervosa and 27 with bulimia nervosa) and 58 female students. Each participant was administered the Female Sexual Function Index, the Eating Attitudes Test, the Body Shape Questionnaire, and the Beck Depression Inventory. Comparisons among the 3 groups showed that patients with anorexia nervosa scored lower in each Female Sexual Function Index subscale than did healthy controls. There was no significant difference between bulimia nervosa and healthy controls. Sexual functionality of patients with anorexia nervosa was correlated only with body mass index (r = 0.5, p =.01). Sexual functionality of patients with bulimia nervosa was correlated only with the Beck Depression Inventory (r = -0.4, p =.03) Patients with anorexia nervosa had more disturbed sexual function than did controls. Sexual function can be related to the level of starvation and symptoms of depression.

  2. Estudo comparativo dos mecanorreceptores dos discos intervertebrais normais e degenerados da coluna lombar de humanos pela radiografia, ressonância magnética e estudo anatomopatológico Comparative study of normal and degenerated intervertebral discs' mechanoreceptors of human lumar spine X-ray, magnetic resonance and anatomopathologic study

    Directory of Open Access Journals (Sweden)

    Valdeci Manoel de Oliveira

    2007-01-01

    Full Text Available Os autores fizeram um estudo da coluna lombar de humanos, objetivando avaliar e determinar os diferentes tipos de fibras nervosas no disco intervertebral normal e no degenerado. Foram usadas dez colunas lombares de cadáveres com aproximadamente 48 a 72 horas de óbito. As peças foram submetidas a exames de radiografia simples e ressonância magnética. Após os exames, os discos foram classificados em normais e degenerados. Em seguida, foram dissecados, divididos em regiões anterior e posterior, incluídos em parafina e realizado estudo de imuno-histoquímica com a proteína S100. Com o auxílio de um programa de computador Image-Pro Plus (media cybernetics®, as fibras nervosas tiveram seu diâmetro medidos em micrômetros e classificadas em quatro tipos de fibras. Foram encontrados quatro tipos de fibras nervosas nas diferentes regiões discais. O número e o tipo de fibras variaram de acordo com a região e grau de degeneração do disco intervertebral. Concluíram que as fibras do tipo III são mais freqüentes na região anterior; as fibras dos tipos II e IV são mais freqüentes na região posterior, e as fibras do tipo I não apresentaram diferenças entre a região anterior e a posterior; além disso, o disco degenerado tem mais fibras nervosas que o disco normal.The authors conducted a study on human lumbar spine, aiming to assess and determine the different kinds of nervous fibers in normal and degenerated intervertebral discs. Ten cadaver’s lumbar spines with approximately 48 - 72 of death have been used. The pieces were submitted to simple X-ray and magnetic resonance tests. Subsequently to the tests, discs were divided into normal and degenerated. Then, they were dissected, divided into anterior and posterior according to the region, included in paraffin and an immunohistochemical study with S100 protein was performed. With the aid of Image-Pro Plus computer software (media cybernetics ®, nervous fibers’ diameters were

  3. Anorexia nervosa in cystic fibrosis.

    Science.gov (United States)

    Linkson, Lynette; Macedo, Patricia; Perrin, Felicity M R; Elston, Caroline M

    2018-03-01

    This article explores the challenges associated with diagnosing and managing eating disorders such as anorexia nervosa amongst adolescents and adults with cystic fibrosis. It reviews the known risk factors, generic verses disease specific eating disorder risk screening tools and considers the ethical dilemmas associated with critically low body mass indices. A case review is included to illustrate the complexities of managing both conditions in the context of declining respiratory function. Copyright © 2017. Published by Elsevier Ltd.

  4. Anorexia Nervosa/Bulimia: The Teenager's Dilemma.

    Science.gov (United States)

    Thompson, G. Sue

    Anorexia nervosa and bulimia are currently being studied with great intensity by the medical profession. Anorexia nervosa was first described in the medical literature in 1868, but was considered a rarity until the late 1930's. Bulimia was not identified in the medical literature until 1979. Recent studies suggest that approximately five percent…

  5. Action monitoring and perfectionism in anorexia nervosa

    NARCIS (Netherlands)

    Pieters, G.L.M.; Bruijn, E.R.A. de; Maas, Y.J.; Hulstijn, W.; Vandereycken, W.; Peuskens, J.; Sabbe, B.G.C.

    2007-01-01

    To study action monitoring in anorexia nervosa, behavioral and EEG measures were obtained in underweight anorexia nervosa patients (n = 17) and matched healthy controls (n = 19) while performing a speeded choice-reaction task. Our main measures of interest were questionnaire outcomes, reaction

  6. Estudio sobre la inclusión de fibra dietética en productos reestructurados de pescado

    OpenAIRE

    Sánchez Alonso, Isabel

    2009-01-01

    El objetivo principal de esta memoria es el estudio tecnológico de la inclusión de fibra dietética en músculo de pescado picado y geles elaborados a partir de surimi, ambos conservados en estado congelado. Se estudian dos tipos de fibra dietética: A/ fibra de trigo y B/ concentrado de fibra dietética antioxidante obtenido a partir de subproductos de la industria vinícola. Los dos tipos de fibras dietéticas elegidas, presentan propiedades muy diferentes en sus diversos aspectos funcional-tecno...

  7. Estudo da competitividade das empresas brasileiras do setor de fibras e filamentos químicos por meio do modelo de campos e armas da competição

    OpenAIRE

    Nave , João Góes Bizarro da

    2007-01-01

    A globalização dos mercados vem fazendo exigências de competitividade para todas as empresas, independentemente de seu porte. Um dos setores que mais foi afetado pela abertura da economia brasileira foi o setor têxtil, cuja cadeia produtiva passou por muitas transformações nos últimos anos. Dentro desta cadeia, um dos elos de maior destaque em avanços tecnológicos, diferenciação e, consequentemente, valor agregado, é o elo das empresas produtoras de fibras e filamentos artificiais e sintético...

  8. A longitudinal investigation of mortality in anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Franko, Debra L; Keshaviah, Aparna; Eddy, Kamryn T; Krishna, Meera; Davis, Martha C; Keel, Pamela K; Herzog, David B

    2013-08-01

    OBJECTIVE Although anorexia nervosa has a high mortality rate, our understanding of the timing and predictors of mortality in eating disorders is limited. The authors investigated mortality in a long-term study of patients with eating disorders. METHOD Beginning in 1987, 246 treatment-seeking female patients with anorexia nervosa or bulimia nervosa were interviewed every 6 months for a median of 9.5 years to obtain weekly ratings of eating disorder symptoms, comorbidity, treatment participation, and psychosocial functioning. From January 2007 to December 2010 (median follow-up of 20 years), vital status was ascertained with a National Death Index search. RESULTS Sixteen deaths (6.5%) were recorded (lifetime anorexia nervosa, N=14; bulimia nervosa with no history of anorexia nervosa, N=2). The standardized mortality ratio was 4.37 (95% CI=2.4-7.3) for lifetime anorexia nervosa and 2.33 (95% CI=0.3-8.4) for bulimia nervosa with no history of anorexia nervosa. Risk of premature death among patients with lifetime anorexia nervosa peaked within the first 10 years of follow-up, resulting in a standardized mortality ratio of 7.7 (95% CI=3.7-14.2). The standardized mortality ratio varied by duration of illness and was 3.2 (95% CI=0.9-8.3) for patients with lifetime anorexia nervosa for 0 to 15 years (4/119 died), and 6.6 (95% CI=3.2-12.1) for those with lifetime anorexia nervosa for >15 to 30 years (10/67 died). Multivariate predictors of mortality included alcohol abuse, low body mass index, and poor social adjustment. CONCLUSIONS These findings highlight the need for early identification and intervention and suggest that a long duration of illness, substance abuse, low weight, and poor psychosocial functioning raise the risk for mortality in anorexia nervosa.

  9. Obtenção de cerâmicas ferroelétricas de Gd2Mo3O12 e o puxamento de fibras monocristalinas

    Directory of Open Access Journals (Sweden)

    Ferrari C. R.

    2001-01-01

    Full Text Available Nesse trabalho abordamos a obtenção do material cerâmico Gd2Mo3O12 na sua fase beta, denominado beta-GMO, utilizando-se do método convencional de mistura de óxidos e reação do estado sólido. MoO3 e o Gd2O3 nas razões molares 3:1 e 3,25:1 foram usados como pós de partida. Cerâmicas sinterizadas foram usadas como pedestais e sementes na produção de fibras monocristalinas pela técnica Laser Heated Pedestal Growth- LHPG. A cerâmica com fase única Gd2Mo3O12 foi melhor obtida usando a razão molar 3:1 entre os pós de partida. Por outro lado, fibras cristalinas obtidas a partir de pedestais cerâmicos com excesso de MoO3 apresentaram melhor qualidade óptica e a estequiometria desejada.

  10. Influencia de los componentes del concreto reforzado con fibras en sus propiedades mecánicas

    OpenAIRE

    González Salcedo, Luis Octavio

    2013-01-01

    El concreto es un material de construcción y estructural por excelencia, elaborado con cemento, agua, agregados, adiciones minerales y aditivos químicos. Sin embargo, es conocido también como un material quebradizo, característica que es contrarrestada con la incorporación de un volumen de fibra como reforzamiento de su matriz basada en cemento. La incorporación de fibra hace que se denomine como concreto reforzado con fibra, o simplemente fibrorreforzado, y se caracteriza c...

  11. Plan estratégico Sudamericana de Fibras (2016-2020)

    OpenAIRE

    Herrera Chávez, Santiago; Leyva Forcelledo, Johanna; Ríos Oroz, Erika

    2016-01-01

    La presente investigación tiene como finalidad elaborar un plan estratégico para la empresa Sudamericana de Fibras S.A.; así como proponer recomendaciones con el fin que pueda crecer, en los niveles local y regional, con un modelo sostenible. La empresa Sudamericana de Fibras S.A. opera en el país desde el año 1972 y se dedica a la elaboración de fibras acrílicas, material que se encuentra al inicio de la cadena de suministro en el rubro textil, y permite otorgar propiedades extraordinarias a...

  12. Aplicaciones del cemento reforzado con fibra de vidrio (GRC

    Directory of Open Access Journals (Sweden)

    Barros Llerena, Ángel

    1981-12-01

    Full Text Available Not available.

    El presente artículo tiene como objeto dar a conocer la utilización de fibras de vidrio como refuerzo de los cementos. Se da una breve reseña histórica, se mencionan sus características y comportamiento. Además se presenta un caso práctico y reciente de utilización en la fabricación de elementos de fachada del Estadio «Santiago Bernabéu» del Real Madrid C. de F., y se completa con una relación de los actuales y futuros usos del G.R.C. (glass reinforced cement, denominación inglesa del material más comúnmente utilizado.

  13. Despliegue red fibra óptica hasta el hogar (FTTH)

    OpenAIRE

    Velasco de Miguel, Javier

    2017-01-01

    En este PFC se pretende dar una visión general de lo que es un despliegue FTTH presentando un caso teórico práctico. Está compuesto en 4 partes. En la primera parte se presenta una explicación de la evolución de las redes fijas de banda ancha llegando al uso actual de la fibra como medio de transmisión. Después, se desarrolla una parte teórica del funcionamiento y elementos presentes en las redes de comunicación ópticas. Explicaremos las partes en las que se divide la red FTTH, y se pre...

  14. Características físico-química, energética e dimensões das fibras de três espécies florestais do semiárido brasileiro

    Directory of Open Access Journals (Sweden)

    Juarez Benigno Paes

    Full Text Available Esta pesquisa teve como objetivo avaliar as características físico-química, energética e dimensões das fibras das madeiras de angico-vermelho (Anadenanthera colubrina var. cebil, jurema-preta (Mimosa tenuiflora e jurema-vermelha (Mimosa arenosa, espécies de ocorrência no Semiárido Brasileiro e empregadas para energia. Para tanto, foram colhidas cinco árvores de cada espécie estudada. A caracterização física foi realizada no Laboratório de Tecnologia de Produtos Florestais (LTPF da Universidade Federal de Campina Grande e a caracterização química e a análise das dimensões das fibras no Laboratório de Papel e Celulose da Universidade Federal de Viçosa. De modo geral, as madeiras ensaiadas tiveram características físicas e dimensões das fibras semelhantes. Quanto às características químicas, a jurema-preta teve maior solubilidade em álcool:tolueno, maior teor de lignina total e menores teores de holocelulose e cinzas do que as demais espécies, tendo três vezes menos cinzas do que a madeira de angico-vermelho e a metade do apresentado pela jurema-vermelha.

  15. Epidemiology of anorexia nervosa and bulimia nervosa in Bornholm County, Denmark, 1970-1989

    DEFF Research Database (Denmark)

    Pagsberg, A K; Wang, A R

    1994-01-01

    In a retrospective study of anorexia nervosa and bulimia nervosa, potential cases were traced, studied, and diagnosed according to ICD-10. Forty-two cases were found in Bornholm County, comprising the island of Bornholm in Denmark, in a population of 47,000 from 1970 to 1989. Less than half...... the number of cases in the population year by year, also increased during the late part of the study period. In 1989 the incidence rate of the high-risk group of females 10 to 24 years of age was 136 per 100,000 for anorexia nervosa and 45 per 100,000 for bulimia nervosa, and the prevalence rate was 222 per...... 100,000 for anorexia nervosa and 89 per 100,000 for bulimia nervosa....

  16. ESTUDO DA SECAGEM DA FIBRA RESIDUAL DO ABACAXI

    Directory of Open Access Journals (Sweden)

    T. G. M. WAUGHON

    2009-01-01

    Full Text Available

    O objetivo deste trabalho foi caracterizar o resíduo fibroso gerado na industrialização do suco de abacaxi (Ananas comosus L. e estudar seu beneficiamento, através da secagem, visando obter um produto rico em fibras dietéticas. O resíduo caracterizado apresentou um elevado teor de fibras (32,95% b.s.. A secagem foi realizada em secador de leito fixo, em camada delgada, utilizando planejamento fatorial completo a três níveis, com triplicata no ponto central. As variáveis de entrada foram: temperatura (50 ºC, 60 ºC e 70ºC e velocidade de circulação do ar (2,0 m/s; 2,5 m/s e 3,0 m/s. As variáveis de resposta avaliadas foram: umidade de equilíbrio, tempo de secagem, taxa de secagem à velocidade constante e coloração do produto. Os resultados obtidos através da análise de variância mostraram que a temperatura foi a variável de entrada que apresentou maior influência sobre as variáveis de resposta analisadas, não exercendo influência significativa apenas sobre a cor do produto.

  17. Anorexia nervosa: un estudio de casos

    Directory of Open Access Journals (Sweden)

    Lillyana Zusman Tinman

    2013-09-01

    Full Text Available La Anorexia Nervosa es un trastorno de alimentación que se define (etimológicamente como una "pérdida nerviosa del apetito". Se caracteriza por la actitud consciente, voluntaria y rotunda de los sujetos  de tener un exceso de peso que intentan modificar por vía de la inanición. A partir del estudio de casos, se propone la distinción entre una Anorexia Nervosa Estructural -aquella en la que predomina el conflicto intrapsíquico primario y arcaico, y que manifiesta una conducta aislada y retraída- y una Anorexia Nervosa Reactiva, aquella en la que predomina un conflicto intrafamiliar algo más posterior y, por lo tanto, una personalidad más abierta y compatible con el medio. Anorexia Nervosa is an Eating Disorder defined (etimoligacally as a "nervouse loss of apetite". It is characterized by a conscious, voluntary and categoric attitude of the sick patient to refrain from eating. He/she has a firm conviction of having excess weight which they try to modify by starvation. Through a case study, a distinction between two types of Anorexia Nervosa is proposed: a Structural Anorexia Nervosa -in which an intrapsyhic, primary, arcaic conflic prevails, leading to an isolated, withdrawal conduct- and a Reactive Anorexia Nervosa, in which a later intrafamilial conflict prevails leading, therefore, to a more open personality, compatible with the enviroment.

  18. Understanding the 'Anorexic Voice' in Anorexia Nervosa.

    Science.gov (United States)

    Pugh, Matthew; Waller, Glenn

    2017-05-01

    In common with individuals experiencing a number of disorders, people with anorexia nervosa report experiencing an internal 'voice'. The anorexic voice comments on the individual's eating, weight and shape and instructs the individual to restrict or compensate. However, the core characteristics of the anorexic voice are not known. This study aimed to develop a parsimonious model of the voice characteristics that are related to key features of eating disorder pathology and to determine whether patients with anorexia nervosa fall into groups with different voice experiences. The participants were 49 women with full diagnoses of anorexia nervosa. Each completed validated measures of the power and nature of their voice experience and of their responses to the voice. Different voice characteristics were associated with current body mass index, duration of disorder and eating cognitions. Two subgroups emerged, with 'weaker' and 'stronger' voice experiences. Those with stronger voices were characterized by having more negative eating attitudes, more severe compensatory behaviours, a longer duration of illness and a greater likelihood of having the binge-purge subtype of anorexia nervosa. The findings indicate that the anorexic voice is an important element of the psychopathology of anorexia nervosa. Addressing the anorexic voice might be helpful in enhancing outcomes of treatments for anorexia nervosa, but that conclusion might apply only to patients with more severe eating psychopathology. Copyright © 2016 John Wiley & Sons, Ltd. Experiences of an internal 'anorexic voice' are common in anorexia nervosa. Clinicians should consider the role of the voice when formulating eating pathology in anorexia nervosa, including how individuals perceive and relate to that voice. Addressing the voice may be beneficial, particularly in more severe and enduring forms of anorexia nervosa. When working with the voice, clinicians should aim to address both the content of the voice and how

  19. Anorexia Nervosa: A Lifestyle Disorder

    OpenAIRE

    Talbot, Yves

    1983-01-01

    Anorexia nervosa is a real lifestyle disorder. The apparent increase in frequency has been linked to the change of position of women in society. If families have an important role to play in the maintenance of the drama, they also hold the key to its resolution. The family physician in early contact with the anorectic patient is in an important position to involve the family in therapy and maximize the chances of recovery. The steps required are reframing, preparing the family involved for fa...

  20. Anorexia nervosa: a lifestyle disorder.

    Science.gov (United States)

    Talbot, Y

    1983-03-01

    Anorexia nervosa is a real lifestyle disorder. The apparent increase in frequency has been linked to the change of position of women in society. If families have an important role to play in the maintenance of the drama, they also hold the key to its resolution. The family physician in early contact with the anorectic patient is in an important position to involve the family in therapy and maximize the chances of recovery. The steps required are reframing, preparing the family involved for family therapy, exploring the benefits of change, and follow up.

  1. Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up.

    Science.gov (United States)

    Eddy, Kamryn T; Tabri, Nassim; Thomas, Jennifer J; Murray, Helen B; Keshaviah, Aparna; Hastings, Elizabeth; Edkins, Katherine; Krishna, Meera; Herzog, David B; Keel, Pamela K; Franko, Debra L

    2017-02-01

    The course of eating disorders is often protracted, with fewer than half of adults achieving recovery from anorexia nervosa or bulimia nervosa. Some argue for palliative management when duration exceeds a decade, yet outcomes beyond 20 years are rarely described. This study investigates early and long-term recovery in the Massachusetts General Hospital Longitudinal Study of Anorexia and Bulimia Nervosa. Females with DSM-III-R/DSM-IV anorexia nervosa or bulimia nervosa were assessed at 9 and at 20 to 25 years of follow-up (mean [SD] = 22.10 [1.10] years; study initiated in 1987, last follow-up conducted in 2013) via structured clinical interview (Longitudinal Interval Follow-Up Evaluation of Eating Disorders [LIFE-EAT-II]). Seventy-seven percent of the original cohort was re-interviewed, and multiple imputation was used to include all surviving participants from the original cohort (N = 228). Kaplan-Meier curves estimated recovery by 9-year follow-up, and McNemar test examined concordance between recovery at 9-year and 22-year follow-up. At 22-year follow-up, 62.8% of participants with anorexia nervosa and 68.2% of participants with bulimia nervosa recovered, compared to 31.4% of participants with anorexia nervosa and 68.2% of participants with bulimia nervosa by 9-year follow-up. Approximately half of those with anorexia nervosa who had not recovered by 9 years progressed to recovery at 22 years. Early recovery was associated with increased likelihood of long-term recovery in anorexia nervosa (odds ratio [OR] = 10.5; 95% CI, 3.77-29.28; McNemar χ²₁ = 31.39; P bulimia nervosa (OR = 1.0; 95% CI, 0.49-2.05; McNemar χ²₁ = 0; P = 1.0). At 22 years, approximately two-thirds of females with anorexia nervosa and bulimia nervosa were recovered. Recovery from bulimia nervosa happened earlier, but recovery from anorexia nervosa continued over the long term, arguing against the implementation of palliative care for most individuals with eating disorders. © Copyright

  2. Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Harrington, Brian C; Jimerson, Michelle; Haxton, Christina; Jimerson, David C

    2015-01-01

    Eating disorders are life-threatening conditions that are challenging to address; however, the primary care setting provides an important opportunity for critical medical and psychosocial intervention. The recently published Diagnostic and Statistical Manual of Mental Disorders, 5th ed., includes updated diagnostic criteria for anorexia nervosa (e.g., elimination of amenorrhea as a diagnostic criterion) and for bulimia nervosa (e.g., criterion for frequency of binge episodes decreased to an average of once per week). In addition to the role of environmental triggers and societal expectations of body size and shape, research has suggested that genes and discrete biochemical signals contribute to the development of eating disorders. Anorexia nervosa and bulimia nervosa occur most often in adolescent females and are often accompanied by depression and other comorbid psychiatric disorders. For low-weight patients with anorexia nervosa, virtually all physiologic systems are affected, ranging from hypotension and osteopenia to life-threatening arrhythmias, often requiring emergent assessment and hospitalization for metabolic stabilization. In patients with frequent purging or laxative abuse, the presence of electrolyte abnormalities requires prompt intervention. Family-based treatment is helpful for adolescents with anorexia nervosa, whereas short-term psychotherapy, such as cognitive behavior therapy, is effective for most patients with bulimia nervosa. The use of psychotropic medications is limited for anorexia nervosa, whereas treatment studies have shown a benefit of antidepressant medications for patients with bulimia nervosa. Treatment is most effective when it includes a multidisciplinary, teambased approach.

  3. [Anesthesia in patients with anorexia nervosa and bulimia nervosa].

    Science.gov (United States)

    Zenker, J; Hagenah, U; Rossaint, R

    2010-03-01

    Eating disorders are typical diseases of adolescence and early adulthood. About 1-3% of female juveniles suffer from anorexia nervosa (AN) or bulimia nervosa (BN). Today AN is still the psychiatric disease with the highest mortality rate. The peri-operative mortality rate of patients suffering from AN is in the range up to 15%. The beginning of AN is a lingering process and the majority of patients show increasingly restrictive eating habits ending in cachexia. Patients are obsessed by the predominant idea of being obese in spite of having a significant underweight. Patients suffering from bulimia break the strict regimen by eating enormous amounts of high calorie food. Such eating attacks are followed by weight reducing measures, mostly vomiting. Most of the physical changes caused by AN are due to starvation and loss of weight. The most significant medical complications are alterations of the cardiovascular system accompanied by decreasing contractility of the heart, bradycardia, electrocardiographic changes as well as disequilibrium of electrolytic and water balance. Most of these symptoms can be reversed by putting on weight.

  4. Oral mucosal lesions in Anorexia Nervosa, Bulimia Nervosa and EDNOS.

    Science.gov (United States)

    Panico, Rene; Piemonte, Eduardo; Lazos, Jerónimo; Gilligan, Gerardo; Zampini, Anibal; Lanfranchi, Héctor

    2018-01-01

    The aim of this study is to describe oral lesions in patients with eating disorders (ED), including Anorexia Nervosa (AN), Bulimia Nervosa (BN) and eating disorders not otherwise specified (EDNOS). A prospective case-control study was carried out from April 2003 to May 2004. Inclusion criteria for the study group were individuals with a diagnosis of ED; age and sex-matched individuals without ED were included as controls. Clinical data regarding ED, medical complications and oral examination were performed by previously calibrated professionals. Study group (n = 65) presented 46 cases of BN (71%), 13 of EDNOS (20%) and 6 of AN (9%); also, 94% (n = 61) showed oral lesions. The most common were: labial erythema, exfoliative cheilitis, orange-yellow palate, hemorrhagic lesions, lip-cheek biting and non-specific oral atrophies. Only two patients of the study group had dental erosions, and no case of major salivary gland swelling was found. ED display a wide array of oral mucosal lesions that can be regarded as their early manifestations. The dentist could be the first professional to detect symptoms of eating disorders, potentially improving early detection and treatment of ED. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Neuropsychological function in patients with anorexia nervosa or bulimia nervosa.

    Science.gov (United States)

    Weider, Siri; Indredavik, Marit Saebø; Lydersen, Stian; Hestad, Knut

    2015-05-01

    This study explored the neuropsychological performance of patients diagnosed with anorexia nervosa (AN) or bulimia nervosa (BN) compared with healthy controls (HCs). An additional aim was to investigate the effect of several possible mediators on the association between eating disorders (EDs) and cognitive function. Forty patients with AN, 39 patients with BN, and 40 HCs who were comparable in age and education were consecutively recruited to complete a standardized neuropsychological test battery covering the following cognitive domains: verbal learning and memory, visual learning and memory, speed of information processing, visuospatial ability, working memory, executive function, verbal fluency, attention/vigilance, and motor function. The AN group scored significantly below the HCs on eight of the nine measured cognitive domains. The BN group also showed inferior performance on six cognitive domains. After adjusting for possible mediators, the nadir body mass index (lowest lifetime BMI) and depressive symptoms explained all findings in the BN group. Although this adjustment reduced the difference between the AN and HC groups, the AN group still performed worse than the HCs regarding verbal learning and memory, visual learning and memory, visuospatial ability, working memory, and executive functioning. Patients with EDs scored below the HCs on several cognitive function measures, this difference being most pronounced for the AN group. The nadir BMI and depressive symptoms had strong mediating effects. Longitudinal studies are needed to identify the importance of weight restoration and treatment of depressive symptoms in the prevention of a possible cognitive decline. © 2014 Wiley Periodicals, Inc.

  6. Síndrome de Straatsma. Caso familiar de mielinización de fibras nerviosas

    Directory of Open Access Journals (Sweden)

    Fanny Campos-Jiménez

    2014-01-01

    Full Text Available En condiciones normales sólo ocurre mielinización de fibras del nervio óptico por detrás de la lámina cribosa, pero se observa mielinización de parte de la capa de fibras nerviosas de la retina en el 0.32% a 0.98% de los pacientes. la mielinización intraocular generalmente es yuxtapapilar, y las fibras toman un aspecto característico: manchas blancas, nacaradas, parecidas a una pluma, que siguen la dirección de las fibras de la retina y a veces ocultan la papila. Aparte de estas características fundoscópicas, la mayoría de los pacientes son normales. Se ha encontrado que puede haber una asociación entre la mielinización de las fibras de la retina y una miopía ipsilateral, y también se ha observado ambliopía y estrabismo. Se describe un caso de mielinización de fibras nerviosas, en madre e hija, hecho que sugiere un factor genético en su génesis.

  7. Anorexia Nervosa: Adolescent Starvation by Choice.

    Science.gov (United States)

    Gilbert, Evelyn H.; DeBlassie, Richard R.

    1984-01-01

    Discusses anorexia nervosa in terms of symptoms, characteristics of patients, family relationship, and modes of treatment. Suggests that a combination of psychological and medical treatment is more effective than behavior modification. (JAC)

  8. Adolescence, Sexual Conflict, and Anorexia Nervosa.

    Science.gov (United States)

    Romeo, Felicia F.

    1984-01-01

    Suggests that the high incidence of anorexia nervosa in adolescent girls may be related to developmental sexual pressure. Symptoms appear with the onset of puberty and are related to physiological and psychological changes. (JAC)

  9. Treatment of Adolescents with Anorexia Nervosa.

    Science.gov (United States)

    Patel, Dilip R.; Pratt, Helen D.; Greydanus, Donald E.

    2003-01-01

    Reviews research on the treatment of adolescents with anorexia nervosa, including the general approach, treatment setting, treatment of medical complications, nutritional management, psychopharmacotherapy, psychotherapy, treatment efficacy and outcome studies, comparison studies, and prevention programs. (EV)

  10. Anorexia Nervosa, Obesity and Bone Metabolism

    Science.gov (United States)

    Misra, Madhusmita; Klibanski, Anne

    2014-01-01

    Anorexia nervosa and obesity are conditions at the extreme ends of the nutritional spectrum, associated with marked reductions versus increases respectively in body fat content. Both conditions are also associated with an increased risk for fractures. In anorexia nervosa, body composition and hormones secreted or regulated by body fat content are important determinants of low bone density, impaired bone structure and reduced bone strength. In addition, anorexia nervosa is characterized by increases in marrow adiposity and decreases in cold activated brown adipose tissue, both of which are related to low bone density. In obese individuals, greater visceral adiposity is associated with greater marrow fat, lower bone density and impaired bone structure. In this review, we discuss bone metabolism in anorexia nervosa and obesity in relation to adipose tissue distribution and hormones secreted or regulated by body fat content. PMID:24079076

  11. Anorexia Nervosa and Bulimia: A Research Review.

    Science.gov (United States)

    Sweeten, Mary K.

    1985-01-01

    The eating disorders called anorexia nervosa and bulimia are examined in terms of their symptomatology, etiology, and treatment, and in terms of how the extension home economist or teacher can help. Resources for additional information or help are listed. (CT)

  12. Jane: A Case Study in Anorexia Nervosa.

    Science.gov (United States)

    Willingham, Barbara

    1988-01-01

    The article reports the case history of a 15-year-old Australian girl with anorexia nervosa. Information is also given on prevalence, causes, definitions, and treatments including hospitalization, co-therapy, psychotherapy, behavior modification, family therapy, and counseling. (DB)

  13. Update on endocrine disturbances in anorexia nervosa

    DEFF Research Database (Denmark)

    Støving, R K; Hangaard, J; Hagen, C

    2001-01-01

    The marked endocrine changes that occur in anorexia nervosa have aroused a great deal of interest, and over the last decade much research has been conducted in this field. The endocrine disturbances are not specific to this disorder, as they also occur in starvation states secondary to other causes...... of the large body of literature concerning endocrine aspects of anorexia nervosa with the main focus on the latest results, which provide leads for potential etiological theories....

  14. Caracterização mecânica e morfológica de compósitos de polipropileno e fibras de coco verde: influência do teor de fibra e das condições de mistura Mechanical and morphological characterization of polypropylene and green coconut fiber composites: influence of fiber content and mixture conditions

    Directory of Open Access Journals (Sweden)

    Marina H. Ishizaki

    2006-01-01

    Full Text Available Compósitos de polipropileno com 10, 20 e 30% em volume de fibra de coco verde foram obtidos em câmara de mistura Haake, tendo como variáveis a temperatura de processamento e a velocidade de cisalhamento. O módulo de flexão e as características morfológicas dos diferentes compósitos obtidos foram avaliados e comparados com o polipropileno puro. Foi observado que a temperatura de 170 °C, a velocidade do rotor de 60rpm e o teor de fibra de coco verde de 30% forneceram o melhor desempenho quanto à flexão. Essas observações foram comprovadas pela análise da morfologia.Polypropylene composites containing 10, 20 and 30% in volume of green coconut fiber were prepared in a Haake chamber at various processing temperatures and shear rates. The flexural modulus and morphological characteristics of the composites were evaluated and compared with pure polypropylene. Optimization experiments indicated that a temperature of 170 °C, shear rate of 60rpm and green coconut fiber content of 30% showed the best properties by flexural modulus. These observations were confirmed by a morphology analysis.

  15. The Enigmatic Persistence of Anorexia Nervosa

    Science.gov (United States)

    Walsh, B. Timothy

    2014-01-01

    Objective In this review, based on recent advances in cognitive neuroscience, the author presents a formulation in which the marked persistence of anorexia nervosa can be usefully understood as a well-ingrained maladaptive habit. Method The author reviewed the relevant literature on the development and course of anorexia nervosa and interpreted critical features in light of developments in cognitive neuroscience. Results Anorexia nervosa is a well characterized disorder with remarkable persistence both across history and among affected individuals. Food restriction, the salient behavioral feature of the disorder, often begins innocently but gradually takes on a life of its own. Over time, it becomes highly entrenched and resistant to change through either psychological or pharmacological treatment. Cognitive neuroscience has described two related but distinct processes that underlie the acquisition of new patterns of behavior, namely, action-outcome and stimulus-response learning. It is likely that both processes are engaged in the development of anorexia nervosa and that stimulus-response learning (that is, habit formation) is critical to the persistence of the dieting behavior. Conclusions The formulation of the dieting behavior characteristic of anorexia nervosa as a well-entrenched habit provides a basis for understanding the striking persistence of this disorder. This model helps explain the resistance of anorexia nervosa to interventions that have established efficacy in related disorders and implies that addressing the dieting behavior is critical, especially early in the course of the illness, before it has become ingrained. PMID:23429750

  16. Anorexia nervosa and bulimia nervosa: A meta-analysis of executive functioning.

    Science.gov (United States)

    Hirst, Rayna B; Beard, Charlotte L; Colby, Katrina A; Quittner, Zoe; Mills, Brent M; Lavender, Jason M

    2017-12-01

    Research investigating the link between eating disorder (ED) diagnosis and executive dysfunction has had conflicting results, yet no meta-analyses have examined the overall association of ED pathology with executive functioning (EF). Effect sizes were extracted from 32 studies comparing ED groups (27 of anorexia nervosa, 9 of bulimia nervosa) with controls to determine the grand mean effect on EF. Analyses included effects for individual EF measures, as well as an age-based subgroup analysis. There was a medium effect of ED diagnosis on executive functioning, with bulimia nervosa demonstrating a larger effect (Hedges's g=-0.70) than anorexia nervosa (g=-0.41). Within anorexia nervosa studies, subgroup analyses were conducted for age and diagnostic subtype. The effect of anorexia nervosa on EF was largest in adults; however, subgroup differences for age were not significant. Anorexia and bulimia nervosa are associated with EF deficits, which are particularly notable for individuals with bulimia nervosa. The present analysis includes recommendations for future studies regarding study design and EF measurement. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Anorexia nervosa versus bulimia nervosa : differences based on retrospective correlates in a case-control study

    NARCIS (Netherlands)

    Machado, Barbara C.; Goncalves, Sonia F.; Martins, Carla; Brandao, Isabel; Roma-Torres, Antonio; Hoek, Hans W.; Machado, Paulo P.

    This study is the result of two Portuguese case-control studies that examined the replication of retrospective correlates and preceding life events in anorexia nervosa (AN) and bulimia nervosa (BN) development. This study aims to identify retrospective correlates that distinguish AN and BN A

  18. Fractures in Patients with Anorexia Nervosa, Bulimia Nervosa, and Other Eating Disorders - A Nationwide Register Study

    DEFF Research Database (Denmark)

    Vestergaard, P.; Emborg, C.; Støving, R.K.

    2002-01-01

    OBJECTIVE: To study fracture risk in patients with anorexia nervosa (AN), bulimia nervosa (BN), or eating disorders not otherwise specified (EDNOS). METHOD: Cohort study including all Danes diagnosed with AN (n = 2,149), BN (n = 1,294), or EDNOS (n = 942) between 1977 and 1998. Each patient...

  19. Wait Not, Want Not: Factors Contributing to the Development of Anorexia Nervosa and Bulimia Nervosa.

    Science.gov (United States)

    Murray, Trish

    2003-01-01

    The purpose of this literature review is to examine prevalence and incident rates of both anorexia nervosa and bulimia nervosa. In addition, this article will review the psychological and sociological factors that contribute to the development and maintenance of an eating disorder. Finally, different treatment approaches will be discussed in…

  20. Anorexia Nervosa and Bulima Nervosa Critical Analysis of It's Treatment: Implications and Interventions

    Directory of Open Access Journals (Sweden)

    Flourish Itulua-Abumere

    2013-06-01

    Full Text Available The diagnostic consideration of the eating disorders anorexia nervosa and bulimia nervosa has been given much focus over the last two decades than previously, as clinicians have become more aware of the frequency of these disorders and the difficulties associated with their treatment. Anorexia nervosa and bulimia nervosa as known in the DSM-IV as eating disorders are characterized by physically and/or psychologically harmful eating patterns. Although the psychological explanation of what we now call anorexia nervosa have been known about for centuries, it has only recently attracted much interest, due to greater public knowledge and increased incidence (according to Gross and MclLveen 2006, the latter claim has been disputed. Most people suffering from anorexia nervosa and bulimia nervosa start by fasting. Anorexia nervosa is a deliberate self-starvation. A person whose body weight is less than expected for his or her body height and weight is considered to be anorexic. In contract, bulimia involves binge eating a large quantity of food followed by purging by self-induced vomiting, enemas, laxatives, or diuretics.

  1. Tratamento nutricional da bulimia nervosa Nutritional therapy for bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Marle dos Santos Alvarenga

    2010-10-01

    Full Text Available A bulimia nervosa é um transtorno alimentar caracterizado por compulsões alimentares e métodos compen-satórios recorrentes. Os pacientes apresentam ingestão alimentar inadequada e comportamentos alimentares disfuncionais. O adequado tratamento do transtorno requer uma equipe multiprofissional e terapia nutricional especializada. Compreender as características desse transtorno, os padrões de consumo e o comportamento alimentar, bem como atentar para as atitudes alimentares dos pacientes, é fundamental para o planejamento e para a adequada condução da abordagem nutricional. A terapia nutricional para esse transtorno é diferenciada, exigindo do nutricionista maiores habilidades de aconselhamento nutricional. Educação nutricional e acon-selhamento nutricional, com ênfase na abordagem de atitudes alimentares e insatisfação corporal, são o foco da terapia nutricional. Para o atendimento eficaz desses pacientes e o sucesso no tratamento nutricional, é importante que o profissional se mantenha atualizado sobre nutrição e transtornos alimentares e procure especialização e experiência nessa área do conhecimento.Bulimia nervosa is an eating disorder characterized by binge eating and compensatory behaviors. The patients present inappropriate food intake and dysfunctional eating behaviors. Proper treatment of this disorder requires a multidisciplinary team and specialized nutrition therapy. It is fundamental to understand the characteristics of this disorder, the intake patterns and the eating behavior, and be attentive to the eating attitudes of these patients to plan and conduct a nutritional approach properly. The nutrition therapy for this disorder is specific and demands greater skillfulness in nutrition counseling from the dietician. Nutrition therapy focuses on nutrition education and nutrition counseling, mainly addressing eating attitudes and dissatisfaction with body image. The professional must keep abreast on nutrition and

  2. Efeito da forma de processamento e do tratamento da fibra de curauá nas propriedades de compósitos com poliamida-6 Effect of the processing method and curauá fiber treatment on the properties of polyamide-6 composites

    Directory of Open Access Journals (Sweden)

    Paulo A. Santos

    2009-01-01

    Full Text Available O interesse pela utilização de fibras vegetais como reforço para polímeros tem aumentado recentemente devido às suas vantagens ambientais e tecnológicas. Este trabalho avaliou o uso de fibras de Curauá para substituir a fibra de vidro em compósitos de poliamida-6. Teores de fibra de 0, 20, 30 ou 40 wt% e comprimento de 0,1 ou 10 mm foram analisados. Parte das fibras foi tratada com plasma de N2 ou lavados com solução de NaOH, para melhorar a adesão fibra/matriz. Compósitos com 20 wt% de fibra curta ou longa, sem ou com pré-tratamento, foram preparados em misturador interno e em duas extrusoras dupla-rosca, co-rotantes, interpenetrantes. Corpos de prova destas amostras moldados por injeção foram submetidos a testes de propriedades mecânicas (tração, flexão e impacto e térmicas (HDT. Observou-se que para as amostras com fibras sem tratamento processadas em extrusora, a não-secagem das matérias-primas melhorou a adesão interfacial fibra/matriz e que as propriedades mecânicas destes compósitos são melhores que a da PA-6 sem reforço, mas ainda não superam a PA-6 reforçada com fibra de vidro. Entretanto, sua menor densidade, sua resistência ao impacto, temperatura de deflexão térmica e contração de moldagem, comparáveis às da PA-6 reforçada com fibra de vidro, podem viabilizar a substituição desta em aplicações específicas. Este foi o primeiro trabalho a estudar o uso de fibra de curauá como reforço de um termoplástico de engenharia como a poliamida-6.The interest for the use of vegetal fibers as polymer reinforcement has recently increased because of their unique environmental and technological advantages. This work evaluated the use of Curauá fibers in polyamide-6 composites, aiming at glass fiber replacement. Fiber contents of 0, 20, 30 and 40 wt% and fiber lengths of 0.1 or 10 mm were analyzed. Part of short fibers were treated with N2 plasma, or washed with NaOH solution, to improve their adhesion to

  3. Proyecto de apertura de una Planta de Recolección de Fibras Secundarias en la zona norte de la República del Perú, Piura

    OpenAIRE

    Coellar Neira, Paulo Geovanny

    2005-01-01

    Fibras Secundarias. La utilización de fibras secundarias en la elaboración y producción de papel. La recuperación de fibras secundarias. El Mercado Ecuatoriano de Fibras Secundarias. Análisis de Mercado. Determinación del mercado potencial, comparación con países desarrollados. ¿Cómo potenciar el mercado nacional de recuperación de fibras?. Marco legal actual y deseado. Análisis y comentario. Fuentes alternativas de aprovisionamiento de fibras secundarias. Análisis del potencial mercado del P...

  4. The diet of an individual diagnosed with anorexia nervosa

    OpenAIRE

    SRBOVÁ, Martina

    2015-01-01

    The aim of this Bachelor thesis entitled "A diet of individual with a diagnosis of anorexia nervosa" was to monitor the content and quality of the diet of people with a diagnosis of anorexia nervosa. Anorexia nervosa is a very serious disease belonging to the group of eating disorders. The prevalence of this disease increases, to which primarily affect media and requirements of today's society excessively slender figure, other factors that influence the formation of anorexia nervosa include b...

  5. Epidemiology of anorexia nervosa in Japanese adolescents.

    Science.gov (United States)

    Hotta, Mari; Horikawa, Reiko; Mabe, Hiroyo; Yokoyama, Shin; Sugiyama, Eiko; Yonekawa, Tadato; Nakazato, Masamitsu; Okamoto, Yuri; Ohara, Chisato; Ogawa, Yoshihiro

    2015-01-01

    No epidemiologic survey examining eating disorders in Japan has been done at a national level since 1992. The prevalence of anorexia nervosa, as assessed by questionnaires to hospitals, is thought to be underestimated because patients with anorexia nervosa tend to avoid consultations. In conformity with the School Health and Safety Act of Japan, schools are required to have physicians perform a medical examination of students every year. The teachers in charge of health education and school physicians determine the height, weight, and health condition, and examine the medical records of each student. Therefore, we as members of the Survey Committee for Eating Disorders of the Japanese Ministry of Health, Labour, and Welfare conducted an epidemiologic survey using questionnaires sent to schools in seven prefectures to determine the current prevalence of anorexia nervosa among adolescents. We sent a questionnaire to elementary, junior high, and senior high schools. Questionnaires contained items on the number of students, patients with anorexia nervosa in each grade who were diagnosed by specialists, and students who the school physician strongly suspected to have anorexia nervosa but who did not undergo a clinical examination in a medical institution. We found patients of both sexes with anorexia nervosa aged 9-10 years in elementary schools. The point prevalence of anorexia nervosa for girls, including strongly suspected cases, in the three grades of junior high school and three grades of senior high school were 0-0.17 %, 0-0.21 %, 0.17-0.40 %, 0.05-0.56 %, 0.17-0.42 % and 0.09-0.43 %, respectively. We also confirmed a prominent sex difference in the prevalence of anorexia nervosa. The prevalence of boys was one third that of girls in some prefectures. One third to one half of diagnosed and strongly suspected students with anorexia nervosa had not received medical consultation or treatment. Although the prevalence of anorexia nervosa had regional differences

  6. Bone Metabolism in Anorexia Nervosa

    Science.gov (United States)

    Fazeli, Pouneh K.; Klibanski, Anne

    2014-01-01

    Anorexia nervosa (AN), a psychiatric disorder predominantly affecting young women, is characterized by self-imposed chronic nutritional deprivation and distorted body image. AN is associated with a number of medical co-morbidities including low bone mass. The low bone mass in AN is due to an uncoupling of bone formation and bone resorption, which is the result of hormonal adaptations aimed at decreasing energy expenditure during periods of low energy intake. Importantly, the low bone mass in AN is associated with a significant risk of fractures and therefore treatments to prevent bone loss are critical. In this review, we discuss the hormonal determinants of low bone mass in AN and treatments that have been investigated in this population. PMID:24419863

  7. New Insights in Anorexia Nervosa

    Science.gov (United States)

    Gorwood, Philip; Blanchet-Collet, Corinne; Chartrel, Nicolas; Duclos, Jeanne; Dechelotte, Pierre; Hanachi, Mouna; Fetissov, Serguei; Godart, Nathalie; Melchior, Jean-Claude; Ramoz, Nicolas; Rovere-Jovene, Carole; Tolle, Virginie; Viltart, Odile; Epelbaum, Jacques

    2016-01-01

    Anorexia nervosa (AN) is classically defined as a condition in which an abnormally low body weight is associated with an intense fear of gaining weight and distorted cognitions regarding weight, shape, and drive for thinness. This article reviews recent evidences from physiology, genetics, epigenetics, and brain imaging which allow to consider AN as an abnormality of reward pathways or an attempt to preserve mental homeostasis. Special emphasis is put on ghrelino-resistance and the importance of orexigenic peptides of the lateral hypothalamus, the gut microbiota and a dysimmune disorder of neuropeptide signaling. Physiological processes, secondary to underlying, and premorbid vulnerability factors—the “pondero-nutritional-feeding basements”- are also discussed. PMID:27445651

  8. Endocrine Consequences of Anorexia Nervosa

    Science.gov (United States)

    Misra, Madhusmita; Klibanski, Anne

    2014-01-01

    Summary Anorexia nervosa (AN) is prevalent in adolescents and young adults, and endocrine changes include hypothalamic amenorrhea, a nutritionally acquired growth hormone resistance with low insulin like growth factor-1 (IGF-1), relative hypercortisolemia, decreases in leptin, insulin, amylin and incretins, and increases in ghrelin, PYY and adiponectin. These changes in turn have deleterious effects on bone, and may affect neurocognition, anxiety, depression and eating disorder psychopathology. Low bone density is particularly concerning; clinical fractures occur and changes in both bone microarchitecture and strength estimates have been reported. Recovery causes improvement of many, but not all, hormonal changes, and deficits in bone accrual may persist despite recovery. Physiologic, primarily transdermal, estrogen replacement increases bone density in adolescents, although catch-up is incomplete. In adults, oral estrogen co-administered with rhIGF-1 in one study, and bisphosphonates in another increased bone density, though not to normal. More studies are necessary to determine the optimal therapeutic approach in AN. PMID:24731664

  9. [Bipolar disorders and anorexia nervosa: A clinical study].

    Science.gov (United States)

    Valentin, M; Radon, L; Duclos, J; Curt, F; Godart, N

    2018-06-20

    Anorexia nervosa is often accompanied by comorbid mood disorders, in particular depression, but individual or family history of bipolar disorders has not frequently been explored in anorexia nervosa. The objectives of the present study were: (1) to assess the frequency of bipolar disorders in patients with anorexia nervosa hospitalized in adolescence and in their parents, (2) to determine whether the patients with a personal or family history of bipolar disorders present particular characteristics in the way in which anorexia nervosa manifests itself, in their medical history, in the secondary diagnoses established, and in the treatments prescribed. Overall, 97 female patients aged 13 to 20 hospitalized for anorexia nervosa and their parents were assessed. The diagnoses of anorexia nervosa and bipolar disorders were established on the basis of DSM-IV-TR criteria. A high frequency of type II and type V bipolar disorders was observed. The patients with anorexia nervosa and presenting personal or family histories of bipolar disorder had an earlier onset of anorexia nervosa, more numerous hospitalizations, a longer time-lapse between anorexia nervosa onset and hospitalization, more suicide attempts and more psychiatric comorbidities. The occurrence of anorexia nervosa-bipolar disorders comorbidity appears to be considerable and linked to the severity of anorexia nervosa, raising the issue of the relationship between anorexia nervosa and bipolar disorders. Copyright © 2017. Published by Elsevier Masson SAS.

  10. "Fasting Girls": Reflections on Writing the History of Anorexia Nervosa

    Science.gov (United States)

    Brumberg, Joan Jacobs

    1986-01-01

    Reflects on the history of anorexia nervosa among adolescent ("fasting") girls, suggesting that its psychodynamics have changed over time. Focuses on the social and cultural processes by which anorexia nervosa became a disease. Argues for a conception of anorexia nervosa that incorporates culture as well as biomedical and psychological…

  11. Comparação do comportamento à flexão com restrições à deflexão de placas de compósitos de matriz polimérica epoxídica em função do tipo de fibra de reforço

    Directory of Open Access Journals (Sweden)

    Morais Willy A. de

    2003-01-01

    Full Text Available Placas finas de compósitos de matriz polimérica epoxídica reforçada por fibras de vidro, carbono ou aramida, bem como placas de um compósito híbrido vidro-aramida, foram submetidas a ensaios de flexão. As condições de fixação dos corpos de prova foram tais que o ensaios foram realizados com deflexão restrita. Os resultados experimentais obtidos para a deflexão máxima dos compósitos puderam ser qualitativamente previstos usando-se o método de balanço de energia de Ritz. Os compósitos reforçados por fibras de carbono apresentaram os maiores valores de energia de iniciação e de força máxima, o que foi atribuído às altas propriedades intrínsecas das fibras. As propriedades específicas do compósito híbrido foram superiores às dos compósitos apenas com fibras de vidro ou fibras aramidas. Este efeito sinergístico indicou um projeto adequado na fabricação deste compósito. O modo de falha macroscópico de todos os compósitos foi semelhante. Na face frontal, a interação compósito - punção seguiu o comportamento previsto pela Lei de Hertz. Na face posterior, houve preferencialmente delaminação.

  12. Hormigones de alta resistencia con nano-adiciones y fibras de acero

    OpenAIRE

    Alizo Mirabal, Manuel Arturo

    2015-01-01

    El presente Trabajo Fin de Máster consistió en determinar la influencia que pueden poseer las nano-adiciones de Sílice y Alúmina y fibras de acero en un Hormigón de Alta Resistencia. Partiendo de una dosificación de Hormigón de Alta Resistencia conocida, que contenía humo de Sílice (10%) y fibras de poliolefina (3kg/m3), se les procedió a sustituir por la incorporación de nano-adiciones de Sílice y Alúmina (7% y 3% respectivamente) y añadiendo fibras de acero en lugar de poliolefina. En el pr...

  13. CONCRETO REFORZADO CON FIBRA NATURAL DE ORIGEN ANIMAL (PLUMAS DE AVES)

    OpenAIRE

    Díaz Cabrejos, Pablo; Universidad Señor de Sipán SAC

    2016-01-01

    Para mejorar las propiedades del concreto como la resistencia y la durabilidad ha sido investigado a través de los años. Con ayuda de la tecnología se han obtenido óptimos diseños para concretos reforzados con fibras pero su aplicación comercial aún está limitada debido a que estas fibras incrementan el costo.Con la presente investigación se pretende determinar el contenido óptimo de las fibras en el concreto teniendo en cuenta la inhibición causadas por la contracción plástica. Se estudiará ...

  14. Clinical spectrum of anorexia nervosa in children.

    Science.gov (United States)

    Atkins, D M; Silber, T J

    1993-08-01

    A retrospective review of 21 patients ages 12 years and younger (age of onset range 7 to 12 years) with anorexia nervosa showed diagnostic delay in the youngest ones, high incidence of family psychiatric history, a remarkable severity of illness, and positive response to intensive treatment. Additional findings included significant comorbidity, a distinct subgroup with personality disorder and another with features of the "vulnerable child syndrome." This broad clinical spectrum of anorexia nervosa in children may explain the great variability in outcome. The development of anorexia nervosa in children relates to a complex combination of etiological and trigger factors. Precipitants identified in this study were physical maturation, entry into junior high, loss, or some combination thereof.

  15. Estudio de viabilidad de cajones marítimos con hormigón con fibras

    OpenAIRE

    Ramos Marquès, Òscar Gonçal

    2017-01-01

    En este TFM se estudia la viabilidad de sustituir la armadura pasiva por fibras metálicas o plásticas en cajones para obras portuarias. Para ello, en primer lugar, se estudia el procedimiento constructivo de un cajón y las propiedades de los hormigones con fibras. Una vez analizado el estado del conocimiento se procede a escoger un cajón representativo, ya construido con armadura pasiva. El cajón escogido es el cajón tipo 3 del dique est...

  16. Sensores de fibra óptica basados en resonancias electromagnéticas

    OpenAIRE

    López Lambás, Sergio

    2011-01-01

    Este trabajo surge como continuación a los trabajos basados en LMR ya realizados con el objetivo de profundizar en el estudio y fabricación de sensores de fibra óptica basados en resonancias electromagnéticas utilizando diferentes materiales y técnicas. En concreto el proyecto perseguirá los siguientes objetivos: Desarrollar sensores de fibra óptica basados en resonancias electromagnéticas con recubrimientos metálicos y su aplicación a la detección de campo magnético. Estudiar y mejorar la fa...

  17. Reconstrucción de lesiones osteocondrales con fibra de carbono

    OpenAIRE

    Carranza Bencano, A.; Armas-Padrón, J. R.; Lozano, Mª A.

    1998-01-01

    Objetivo: Estudiar a largo plazo la evolución histológica de defectos osteocondrales de la rótula de conejos tratados con fibra de carbono. Material y Método: 18 conejos de raza gigante español, variedad parda, de ambos sexos, con un peso aproximado de 1.5 a 2 Kg y 18 discos Cleveland de fibra de carbono de 8 mm de diámetro (Medicarb®, fabricado por Leyland Medical International). Creación de un defecto de 6 mm. de diámetro en la superficie articular de la rótula, hasta alcanzar el teji...

  18. Caracterización de propiedades relacionadas con la textura de suspensiones de fibras alimentarias

    OpenAIRE

    CÓRDOBA SEQUEIRA, ARTURO

    2008-01-01

    La fibra dietética es un componente que, además de ser beneficioso para la salud, puede resultar adecuado para aumentar la viscosidad y otras propiedades relacionadas de determinados productos. No obstante, la procedencia de la misma, así como su concentración y el modo en que se adicione puede afectar a su funcionalidad. En este trabajo se ha realizado un estudio de las propiedades físico-químicas y estructurales de fibras dietéticas procedentes de diferentes frutas (limón, naranja y manzana...

  19. Desenvolvimento de sorvete de chocolate utilizando fibra de casca de laranja como substituto de gordura

    Directory of Open Access Journals (Sweden)

    Camila Comas e Boff

    2013-10-01

    Full Text Available A procura por alimentos mais saudáveis por parte dos consumidores tem impulsionado as indústrias de alimentos a desenvolverem alimentos que contenham menor teor de gordura, contudo sem alterar as características sensoriais e nutricionais dos produtos. A indústria de sorvetes é uma das que mais utiliza gordura em suas formulações, contendo, em média, 10% desse ingrediente. Uma alternativa para a substituição de gorduras é a fibra de frutas cítricas, que vem sendo utilizada com sucesso, reduzindo o teor de gordura na indústria de embutidos, por exemplo. Nesse sentido, o objetivo deste trabalho foi avaliar as características sensoriais e físico-químicas de sorvetes elaborados com fibra de casca de laranja amarga comercial como substituto da gordura. Foram utilizadas duas formulações com concentrações diferentes de fibra de laranja (F1 com 0,74% e F2 com 1,10% de fibra e uma formulação controle (com gordura. Para as duas formulações, foram encontrados valores condizentes com a literatura para a composição centesimal do sorvete. Em relação ao valor energético dos sorvetes, foi observada uma redução de mais de 25%, indicando que o produto pode ter alegação de light. Para o teor de fibra dos sorvetes, os valores observados foram de F1 1,4% e F2, 2,0%, podendo considerar o sorvete da formulação F2 como fonte de fibras. Os atributos de cor, odor e textura não apresentaram diferenças entre as amostras. Já sabor, sabor residual e aceitação global obtiveram diferenças entre as amostras com fibra e a controle. Os sorvetes elaborados com fibra de casca de laranja obtiveram índices de aceitação de 78%.

  20. Anorexia nervosa: un estudio de casos

    OpenAIRE

    Zusman, Lillyana

    2013-01-01

    La Anorexia Nervosa es un trastorno de alimentación que se define (etimológicamente) como una "pérdida nerviosa del apetito". Se caracteriza por la actitud consciente, voluntaria y rotunda de los sujetos  de tener un exceso de peso que intentan modificar por vía de la inanición. A partir del estudio de casos, se propone la distinción entre una Anorexia Nervosa Estructural -aquella en la que predomina el conflicto intrapsíquico primario y arcaico, y que manifiesta una conducta aislada y retraí...

  1. Hepatic Complications of Anorexia Nervosa.

    Science.gov (United States)

    Rosen, Elissa; Bakshi, Neeru; Watters, Ashlie; Rosen, Hugo R; Mehler, Philip S

    2017-11-01

    Anorexia nervosa (AN) has the highest mortality rate of all psychiatric illnesses due to the widespread organ dysfunction caused by the underlying severe malnutrition. Starvation causes hepatocyte injury and death leading to a rise in aminotransferases. Malnutrition-induced hepatitis is common among individuals with AN especially as body mass index decreases. Acute liver failure associated with coagulopathy and encephalopathy can rarely occur. Liver enzymes may also less commonly increase as part of the refeeding process due to hepatic steatosis and can be distinguished from starvation hepatitis by the finding of a fatty liver on ultrasonography. Individuals with AN and starvation-induced hepatitis are at increased risk of hypoglycemia due to depleted glycogen stores and impaired gluconeogenesis. Gastroenterology and hepatology consultations are often requested when patients with AN and signs of hepatitis are hospitalized. It should be noted that additional laboratory testing, imaging, or liver biopsy all have low diagnostic yield, are costly, and potentially invasive, therefore, not generally recommended for diagnostic purposes. While the hepatitis of AN can reach severe levels, a supervised increase in caloric intake and a return to a healthy body weight often quickly lead to normalization of elevated aminotransferases caused by starvation.

  2. Subtyping adolescents with bulimia nervosa.

    Science.gov (United States)

    Chen, Eunice Y; Le Grange, Daniel

    2007-12-01

    Cluster analyses of eating disorder patients have yielded a "dietary-depressive" subtype, typified by greater negative affect, and a "dietary" subtype, typified by dietary restraint. This study aimed to replicate these findings in an adolescent sample with bulimia nervosa (BN) from a randomized controlled trial and to examine the validity and reliability of this methodology. In the sample of BN adolescents (N=80), cluster analysis revealed a "dietary-depressive" subtype (37.5%) and a "dietary" subtype (62.5%) using the Beck Depression Inventory, Rosenberg Self-Esteem Scale and Eating Disorder Examination Restraint subscale. The "dietary-depressive" subtype compared to the "dietary" subtype was significantly more likely to: (1) report co-occurring disorders, (2) greater eating and weight concerns, and (3) less vomiting abstinence at post-treatment (all p'sreliability of the subtyping scheme, a larger sample of adolescents with mixed eating and weight disorders in an outpatient eating disorder clinic (N=149) was subtyped, yielding similar subtypes. These results support the validity and reliability of the subtyping strategy in two adolescent samples.

  3. Social attribution in anorexia nervosa.

    Science.gov (United States)

    Oldershaw, Anna; DeJong, Hannah; Hambrook, David; Schmidt, Ulrike

    2018-05-01

    People with anorexia nervosa (AN) report socioemotional difficulties; however, measurement has been criticised for lacking ecological validity and the state or trait nature of difficulties remains unclear. Participants (n = 122) were recruited across 3 groups: people who are currently ill with AN (n = 40); people who recovered (RecAN, n = 18); healthy-control participants (n = 64). Participants completed clinical questionnaires and the Social Attribution Task. The Social Attribution Task involves describing an animation of moving shapes, scored for number of propositions offered, accuracy, and social relevance. Groups were compared cross-sectionally. Those with current AN were assessed prepsychological and postpsychological treatments. People with AN provided fewer propositions than other groups and fewer salient social attributions than healthy-control participants. Those who recovered scored intermediately and not significantly different from either group. Following treatment, people with AN demonstrated (nonsignificant) improvements, and no significance between group differences were observed. Findings suggest difficulties for people with AN in providing spontaneous social narrative and in identifying social salience. Copyright © 2018 John Wiley & Sons, Ltd and Eating Disorders Association.

  4. Biscoitos de polvilho azedo enriquecidos com fibras solúveis e insolúveis Fermented cassava starch biscuits enriched with soluble and insoluble fibers

    Directory of Open Access Journals (Sweden)

    Flavio Martins Montenegro

    2008-12-01

    Full Text Available O presente trabalho avaliou a utilização de farelo de trigo e polidextrose como fontes de fibra no enriquecimento de biscoitos de polvilho. Utilizou-se a Metodologia de Superfície de Resposta para verificar a influência da adição destes ingredientes nos parâmetros de qualidade dos biscoitos. As respostas avaliadas do planejamento experimental fatorial completo 2² foram o volume específico, a dureza instrumental, a umidade e a cor - parâmetros L, a* e b*. Para as respostas: volume específico e dureza instrumental, todos os fatores foram significativos, a 95% de confiança, com R² = 0,9307 e 0,8091, respectivamente. Pela análise das superfícies geradas, pode-se observar que o farelo de trigo e a polidextrose reduziram o volume específico e o farelo teve maior efeito no aumento da dureza. A substituição de polvilho azedo por farelo de trigo e polidextrose nas proporções de 1,5 e 5%, respectivamente, gerou uma amostra rica em fibras, com 6,23% de fibra alimentar (calculado teoricamente, sem prejuízo considerável para as características de expansão e dureza, e com boa aceitação sensorial.This work evaluated the use of wheat bran and polidextrose as fiber sources to enrich fermented cassava starch biscuits. The Response Surface Methodology was used to verify the influence of the addition of these fiber sources on the quality parameters of the biscuits. The responses of the 2² central composite rotational experimental design that were evaluated were specific volume, hardness, and moisture and color - parameters L, a*, and b*. For the specific volume and hardness responses, all factors were significant: 95% confidence level, with R² of 0.9307 and 0.8091, respectively. Analyzing the surfaces obtained it could be observed that the wheat bran and polidextrose reduced the specific volume and the wheat bran had a greater effect in increasing hardness. The substitution of fermented cassava starch by wheat bran and polidextrose in

  5. Psychopharmacotherapy of anorexia nervosa, bulimia nervosa and binge-eating disorder

    Science.gov (United States)

    Kruger, S; Kennedy, SH

    2000-01-01

    Pharmacotherapy for anorexia nervosa is considered to be of limited efficacy. However, many studies suffer methodological limitations, and the utility of newer drugs in the treatment of anorexia has not been examined yet. Although there have been more fruitful investigations on the efficacy of medication in the management of bulimia nervosa, there are still many unresolved issues regarding the optimal management of partial remission during the acute treatment phase and the intensity and duration of pharmacotherapy to achieve optimal prophylaxis. Selective serotonin reuptake inhibitors (SSRIs) control the binge urges in binge-eating disorder, but more trials are required to investigate the utility of SSRIs and other agents in maintenance treatment. We review the current status of psychopharmacotherapy for anorexia nervosa, bulimia nervosa and binge-eating disorder and evaluate the merits of newer agents in the treatment of these disorders. PMID:11109300

  6. Measurement of nonclinical personality characteristics of women with anorexia nervosa or bulimia nervosa.

    Science.gov (United States)

    Pryor, T; Wiederman, M W

    1996-10-01

    Past research on personality and eating disorders has most often emphasized personality psychopathology and personality disorders. We further investigated nonclinical personality characteristics among women with anorexia nervosa (n = 35) or bulimia nervosa (n = 45) using the Multidimensional Personality Questionnaire (MPQ; Tellegen, 1982, 1985). The MPQ measures several personality traits that have been shown to consist of a substantial genetic component (Tellegen et al., 1988). In logistic regression analyses, women with anorexia nervosa evidenced greater degrees of control (vs. impulsivity) and general constraint, and a lower degree of absorption in sensory experiences relative to those with bulimia nervosa. Relative to the normative population (Tellegen, 1982), our sample evidenced very low scores on Well-being, Social Closeness, and Positive Affectivity and high scores on Stress Reaction, Alienation, and Negative Affectivity. Our results emphasize the importance of considering nonclinical personality features and temperament, and varying methods of assessment, in the understanding of predisposing factors for eating disorders.

  7. Psychopharmacotherapy of anorexia nervosa, bulimia nervosa and binge-eating disorder.

    Science.gov (United States)

    Krüger, S; Kennedy, S H

    2000-11-01

    Pharmacotherapy for anorexia nervosa is considered to be of limited efficacy. However, many studies suffer methodological limitations, and the utility of newer drugs in the treatment of anorexia has not been examined yet. Although there have been more fruitful investigations on the efficacy of medication in the management of bulimia nervosa, there are still many unresolved issues regarding the optimal management of partial remission during the acute treatment phase and the intensity and duration of pharmacotherapy to achieve optimal prophylaxis. Selective serotonin reuptake inhibitors (SSRIs) control the binge urges in binge-eating disorder, but more trials are required to investigate the utility of SSRIs and other agents in maintenance treatment. We review the current status of psychopharmacotherapy for anorexia nervosa, bulimia nervosa and binge-eating disorder and evaluate the merits of newer agents in the treatment of these disorders.

  8. Effectiveness of individualized, integrative outpatient treatment for females with anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Freudenberg, Cara; Jones, Rebecca A; Livingston, Genvieve; Goetsch, Virginia; Schaffner, Angela; Buchanan, Linda

    2016-01-01

    The effectiveness of an individualized outpatient program was investigated in the treatment of bulimia nervosa (BN) and anorexia nervosa (AN). Participants included 151 females who received outpatient eating disorder treatment in the partial hospitalization program, the intensive outpatient program, or a combination of the two programs. Outcome measures included the Eating Disorder Inventory (EDI-2), Beck Depression Inventory (BDI-II), frequency of binge eating and purging, and mean body weight. Findings included significant increases in weight for the AN group, reductions in binge eating frequency for the BN group, and reductions in EDI-2 and BDI-II scores and purging frequency for both groups. This study provides preliminary support for the efficacy of a multimodal program for the treatment of both anorexia nervosa and bulimia nervosa.

  9. Psychopharmacotherapy of anorexia nervosa, bulimia nervosa and binge-eating disorder

    OpenAIRE

    Kruger, S; Kennedy, SH

    2000-01-01

    Pharmacotherapy for anorexia nervosa is considered to be of limited efficacy. However, many studies suffer methodological limitations, and the utility of newer drugs in the treatment of anorexia has not been examined yet. Although there have been more fruitful investigations on the efficacy of medication in the management of bulimia nervosa, there are still many unresolved issues regarding the optimal management of partial remission during the acute treatment phase and the intensity and durat...

  10. Anorexia nervosa and bulimia nervosa - a psychotherapeutic cognitive-constructivist approach.

    Science.gov (United States)

    Abreu, Cristiano Nabuco de; Cangelli Filho, Raphael

    2017-06-01

    Of the eating disorders, anorexia nervosa and bulimia nervosa are the ones that have made adolescent patients-often females and aged younger and younger-seek for help. This help is provided through a multidisciplinary treatment involving psychiatrists, psychologists and dietists. Psychotherapy has shown to be an efficient component for these patients' improvement. The present article aims at presenting a proposal of psychotherapeutic treatment based on a cognitive-constructivist approach.

  11. A psychological typology of females diagnosed with anorexia nervosa, bulimia nervosa or binge eating disorder

    OpenAIRE

    Bernadetta Izydorczyk

    2015-01-01

    Background The present paper reports the results of research aimed at identifying intra-group differences among females suffering from different eating disorders (anorexia nervosa, bulimia nervosa or binge eating disorder) in terms of the subjects’ psychological traits, adoption of socio-cultural norms (through media pressure, internationalization of norms, and exposure to information concerning body image standards), and the level of body dissatisfaction. The following research question...

  12. Taste Reward Circuitry Related Brain Structures Characterize Ill and Recovered Anorexia Nervosa and Bulimia Nervosa

    Science.gov (United States)

    Frank, Guido K.; Shott, Megan E.; Hagman, Jennifer O.; Mittal, Vijay A.

    2013-01-01

    Objective The pathophysiology of the eating disorder anorexia nervosa remains obscure, but structural brain alterations could be functionally important biomarkers. Here we assessed taste pleasantness and reward sensitivity in relation to brain structure, which might be related to food avoidance commonly seen in eating disorders. Method We used structural magnetic resonance brain imaging to study gray and white matter volumes in individuals with restricting type currently ill (n = 19) or recovered-anorexia nervosa (n = 24), bulimia nervosa (n= 19) and healthy control women (n=24). Results All eating disorder groups showed increased gray matter volume of the medial orbitofrontal cortex (gyrus rectus). Manually tracing confirmed larger gyrus rectus volume, and predicted taste pleasantness across all groups. The analyses also indicated other morphological differences between diagnostic categories: Ill and recovered-anorexia nervosa had increased right, while bulimia nervosa had increased left antero-ventral insula gray matter volumes compared to controls. Furthermore, dorsal striatum volumes were reduced in recovered-anorexia and bulimia nervosa, and predicted sensitivity to reward in the eating disorder groups. The eating disorder groups also showed reduced white matter in right temporal and parietal areas when compared to healthy controls. Notably, the results held when controlling for a range of covariates (e.g., age, depression, anxiety, medications). Conclusion Brain structure in medial orbitofrontal cortex, insula and striatum is altered in eating disorders and suggests altered brain circuitry that has been associated with taste pleasantness and reward value. PMID:23680873

  13. Efeito da tenacidade da fibra sobre propriedades tecnológicas do fio de algodão Effect of the cotton fiber strength on yarn properties

    Directory of Open Access Journals (Sweden)

    Nelson Paulieri Sabino

    1995-01-01

    Full Text Available Consideraram-se três variedades de algodão com valores de tenacidade da fibra variando de 20,5 a 22,2 g/Tex: IAC 16, IAC 13-1 e IAC 17, classificadas, respectivamente, como de alta, média e baixa tenacidade. Tais variedades apresentaram características tecnológicas semelhantes quanto a comprimento, uniformidade de comprimento, índice de finura Micronaire e maturidade. As amostras foram processadas em estabelecimentos industriais, da maneira convencional, produzindo, cada uma, fios de títulos Ne20, Ne30 e Ne40. Para cada título, empregaram-se sete coeficientes de torção, representados pelas constantes 3,4, 3,6, 3,8, 4,0, 4,2, 4,5 e 4,7. Efetuaram-se as análises da variância dos resultados, de acordo com o delineamento fatorial 3 x 3 x 7, representado pelas três variedades, pelos três títulos e pelos sete níveis de coeficientes de torção. Mediante os resultados, conclui-se que fibras de algodão com alta tenacidade produzem fios mais resistentes e elásticos do que aquelas de baixa tenacidade, para qualquer título ou torção. A quantidade de torções requeridas para a obtenção de máxima resistência dos fios de algodão é pouco afetada pela tenacidade da fibra. Os fios de títulos mais altos têm os menores valores de tenacidade e elongação. A variedade IAC 16 apresentou fios com os maiores valores de tenacidade, seguida da 'IAC 13-1' e da 'IAC 17', e fios mais elásticos, acompanhada da 'IAC 17' e da 'IAC 13-1'.Three cottons with fiber strength of 20.5, 20.9 and 22.2 g/Tex and having other important fiber properties approximately equal were selected. The cottons were processed on conventional processing equipment into 20/1, 30/1 and 40/1 yarn counts, using a range of twist multipliers of 3.4, 3.6, 3.8, 4.0, 4.2, 4.5 and 4.7. Yarn strength and elongation determinations were made on a pendulum-type tester of 150-300 lbs capacity. It was found that: 1 - High strength cotton produced stronger yarns than low strength for any

  14. Increased mortality in bulimia nervosa and other eating disorders.

    Science.gov (United States)

    Crow, Scott J; Peterson, Carol B; Swanson, Sonja A; Raymond, Nancy C; Specker, Sheila; Eckert, Elke D; Mitchell, James E

    2009-12-01

    Anorexia nervosa has been consistently associated with increased mortality, but whether this is true for other types of eating disorders is unclear. The goal of this study was to determine whether anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified are associated with increased all-cause mortality or suicide mortality. Using computerized record linkage to the National Death Index, the authors conducted a longitudinal assessment of mortality over 8 to 25 years in 1,885 individuals with anorexia nervosa (N=177), bulimia nervosa (N=906), or eating disorder not otherwise specified (N=802) who presented for treatment at a specialized eating disorders clinic in an academic medical center. Crude mortality rates were 4.0% for anorexia nervosa, 3.9% for bulimia nervosa, and 5.2% for eating disorder not otherwise specified. All-cause standardized mortality ratios were significantly elevated for bulimia nervosa and eating disorder not otherwise specified; suicide standardized mortality ratios were elevated for bulimia nervosa and eating disorder not otherwise specified. Individuals with eating disorder not otherwise specified, which is sometimes viewed as a "less severe" eating disorder, had elevated mortality risks, similar to those found in anorexia nervosa. This study also demonstrated an increased risk of suicide across eating disorder diagnoses.

  15. Avaliação do trofismo muscular de sóleos de ratos wistar após compressão nervosa e tratamento com corrente de alta voltagem Evaluación del tropismo del músculo sóleo de ratas wistar después de la compresión del nervio y tratamiento con corriente de alto voltaje Assessment of wistar rats' soleus muscle trophism after nerve compression and treatment with high-voltage current

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    Gladson Ricardo Flor Bertolini

    2012-12-01

    Full Text Available OBJETIVO: avaliar a corrente de alta voltagem sobre o trofismo de sóleos de ratos com compressão de nervo isquiático. Dezoito ratos distribuídos em: GS - compressão nervosa e simulacro; GP+ - compressão e tratado com corrente anódica; GP- - compressão e catódica. Ao final, os sóleos foram dissecados e pesados em balança analítica. Em seguida foram montadas lâminas de cortes transversais, observadas em microscópio óptico de luz comum e digitalizadas, para análise do menor diâmetro de 100 fibras por músculo. RESULTADOS: todos os grupos apresentaram menor trofismo pelas duas formas de avaliação (p0,05. CONCLUSÃO: a corrente de alta voltagem não inibiu a hipotrofia em sóleos submetidos à compressão nervosa.OBJETIVO: Evaluar la corriente de alto voltaje en el tropismo del sóleo de ratas con la compresión del nervio ciático. Dieciocho ratas se dividieron en: GS - compresión del nervio y la falsa; GP+ - compresión y tratados con corriente anódica; GP- - compresión y el cátodo. Por último, fueron los sóleos disecados y pesados ​​en una balanza analítica. Luego diapositivas de secciones transversales fueron montadas para la observación al microscopio de luz común y digitalizadas para el análisis de menor diámetro de 100 fibras por músculo. RESULTADOS: Todos los grupos mostraron menor tropismo, las dos formas de evaluación (p 0,05. CONCLUSIÓN: La corriente de alto voltaje no inhibe la atrofia en el músculo sóleo se sometieron a la compresión del nervio.AIM: to evaluate the high voltage current on the tropism of rats soleus with sciatic nerve compression. Eighteen rats were divided into: GS - nerve compression and sham; GP + - compression and treated with anodic current; GP - compression and cathode. Finally, the soleus were dissected and weighed on an analytical balance. Then slides were mounted cross sections observed in light microscope and digitized for analysis of smaller diameter of 100 fibers per

  16. PROCESSAMENTO DE CASCA E FIBRA DE COCO VERDE POR CARBONIZAÇÃO PARA AGREGAÇÃO DE VALOR / PROCESSING OF COCONUT SHELL AND FIBER FOR ADDING VALUE

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    LUIS A. B. CORTEZ

    2009-04-01

    Full Text Available Atualmente o Brasil é o maior produtor de coco verde, com uma área plantada equivalente a 57 mil hectares, onde a maior parte da parte da produção (66,5% se concentra na região Nordeste. O descarte do coco depois do consumo da água representa um problema para os sistemas de coleta e tratamento de lixo, pela sua lenta degradação devido ao alto teor de fibras. Neste trabalho são mostrados os resultados da pirólise lenta da fibra e da casca do coco verde. Os experimentos foram conduzidos em um forno experimental de pequena capacidade, a uma temperatura de 350°C. Os resultados mostraram que o rendimento em carbono fixo foi de 74,43% para o endocarpo verde e 58,07% para o mesocarpo verde. O teor de cinzas, para as mesmas amostras, foi de 14,13% e 13,03%, respectivamente. Os teores de voláteis foram de 11,40% para o carvão obtido do endocarpo verde e, de 28,90% para o carvão obtido do mesocarpo verde. Ficou demonstrado que o resíduo do coco verde apresenta potencial para a produção de carvão vegetal. Porém ainda é preciso estudar o rendimento, utilizando para isto, sistemas em maior escala, avaliando também o emprego integral (casca e fibra, além de estudos econômicos que considerem os custos de logística e acondicionamento.Palavras Chaves: pirólise lenta, carbonização, resíduos de coco.

  17. INFLUÊNCIA DA QUANTIDADE DE FIBRAS NA DUREZA E RESISTÊNCIA AO IMPACTO DE COMPÓSITOS HIPS/BAGAÇO DE CANA PARA APLICAÇÃO NA INDÚSTRIA DE PET SHOP

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    Glayce Cassaro Pereira

    2016-10-01

    Full Text Available Nos últimos anos houve um grande avanço tecnológico no desenvolvimento de materiais compósitos reforçados com fibras naturais. Esse aumento do interesse das indústrias e grupos de pesquisa em desenvolver e utilizar materiais feitos a partir de matérias primas renováveis se deu principalmente pelo grande apelo mundial para a utilização de produtos naturais e pela preservação do meio ambiente. O presente trabalho visou a caracterização de compósitos reforçados com bagaço de cana em matriz de poliestireno de alto impacto (HIPS, tendo como objetivo uma possível substituição dos materiais utilizados atualmente na indústria de produtos para pet shop. Foram caracterizadas três famílias de compósitos, nas proporções de 10, 20 e 30% (m/m. Os resultados da dureza Shore A indicaram que a adição da fibra de bagaço ao HIPS não acarretou alterações nos valores da dureza nos compósitos quando comparados ao HIPS puro. E os resultados de resistência ao impacto foi possível constatar que a adição da fibra de bagaço ao HIPS acarretou uma diminuição na resistência ao impacto, quando comparados ao HIPS puro.

  18. Biomarkører for anorexia nervosa

    DEFF Research Database (Denmark)

    Sjögren, Magnus

    2017-01-01

    Biomarkers for anorexia nervosa (AN) which reflect the pathophysiology and relate to the aetiology of the disease, are warranted and could bring us one step closer to targeted treatment of AN. Some leads may be found in the biochemistry which often is found disturbed in AN, although normalization...

  19. Dronabinol in severe, enduring anorexia nervosa

    DEFF Research Database (Denmark)

    Andries, Alin; Frystyk, Jan; Flyvbjerg, Allan

    2014-01-01

    The evidence for pharmacological treatment of severe, longstanding anorexia nervosa (AN) is sparse and the few controlled pharmacologic studies have focused on a narrow range of drugs. The aim of the present study was to investigate the effects of treatment with a synthetic cannabinoid agonist...

  20. Eco-Systemic Analysis of Anorexia Nervosa.

    Science.gov (United States)

    Sheppy, Margarette I.; And Others

    1988-01-01

    Tested eco-systemic approach to understanding of anorexia nervosa. Compared 30 anorexics and parents to 34 matched control subjects and parents. Found that, compared to controls, families of anorexics were less supportive, helpful, and committed to each other. Family interactions perceived by anorexics were characterized by overprotective,…

  1. Self-injurious behavior in anorexia nervosa.

    Science.gov (United States)

    Favaro, A; Santonastaso, P

    2000-08-01

    Recent reports have postulated the existence of two different types of self-injurious behavior: impulsive and compulsive. The aim of the present study is to analyze the dimensionality of self-injurious behavior and to study the link between self-injurious behavior and clinical features in anorexia nervosa. The study involved 236 consecutive patients with anorexia nervosa, diagnosed by DSM-IV criteria. Subjects were evaluated by means of a semistructured interview and self-reported questionnaires, such as the Eating Disorders Inventory and Hopkins Symptom Checklist. A principal component analysis was used to study the dimensionality of different types of self-injurious behavior, including purging. Our findings confirm the distinction between impulsive and compulsive self-injurious behavior. The dimensions appear to be represented as a continuum in both the anorexia nervosa diagnostic subgroups. A third distinct dimension emerged that included self-induced vomiting and laxative/diuretics abuse. Childhood sexual abuse and anxiety significantly predict the presence of impulsive self-injury, whereas obsessionality and age predict compulsive self-injury. The coexistence of a positive score on both dimensions of self-injurious behavior was the strongest predictor of treatment dropout. The present study highlights the importance of self-injurious behavior; it should be given due consideration in future outcome studies on anorexia nervosa

  2. Anorexia Nervosa--A Teacher's Perspective.

    Science.gov (United States)

    Rittner, Max

    The paper describes the physical and psychological symptoms of anorexia nervosa, treatment methods, and implications for the classroom. A rationale is offered for the predominance of upper-middle and upper class female adolescents in the anorectic population. Four models of treatment for the anorectic individual are considered: medical,…

  3. Family Patterns Associated with Anorexia Nervosa.

    Science.gov (United States)

    Grigg, Darryl N.; And Others

    1989-01-01

    Used family systems perspective to explore familial transactional patterns related to anorexia nervosa among 22 families with an anorexic child and 22 matched control families. Identified 7 family groups with unique family dynamics differentiating one from another. With no single family pattern characterizing families of anorexics, results…

  4. Compulsory Treatment in Anorexia Nervosa : A Review

    NARCIS (Netherlands)

    Elzakkers, Isis F. F. M.; Danner, Unna N.; Hoek, Hans W.; Schmidt, Ulrike; van Elburg, Annemarie A.

    2014-01-01

    ObjectiveCompulsory in-patient refeeding of patients with severe anorexia nervosa (AN) has caused considerable controversy. The effects of such treatment on longer-term outcome are not well known. The objective of this article is to review the evidence on the outcome of compulsory treatment for AN.

  5. Anorexia Nervosa: Its Symptoms and Possible Cures.

    Science.gov (United States)

    Bingaman, David E.

    This document presents a definition and description of anorexia nervosa as a disorder that occurs predominantly in girls and that can affect 1 out of every 250 girls between the ages of 12 and 18 years. The existence of a distorted mental body image among anorexics is discussed and symptoms of the disorder are described, including amenorrhea…

  6. Anorexia nervosa e bulimia nervosa: abordagem cognitivo-construtivista de psicoterapia Anorexia nervosa and bulimia nervosa: a psychotherapeutic cognitive-constructivist approach

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    Cristiano Nabuco de Abreu

    2004-01-01

    Full Text Available Dos transtornos alimentares, a anorexia nervosa e a bulimia nervosa são os que mais têm levado pacientes adolescentes, geralmente do sexo feminino e cada vez mais jovens, a buscar ajuda. Essa ajuda se dá através de um tratamento multidisciplinar envolvendo médicos psiquiatras, psicólogos e nutricionistas. A psicoterapia tem se mostrado um componente eficaz para a melhora dessas pacientes. O presente artigo tem por objetivo expor uma proposta de tratamento psicoterápico a partir da abordagem cognitivo-construtivista.Among the eating disorders, anorexia nervosa and bulimia nervosa are the ones that have made adolescent patients - often females and aged younger and younger - seek for help. This help is provided through a multidisciplinary treatment involving psychiatrists, psychologists and dietists. Psychotherapy has shown to be an efficient component for these patients' improvement. The present article aims at presenting a proposal of psychotherapeutic treatment based on a cognitive-constructivist approach.

  7. Body representation disturbances in anorexia nervosa

    NARCIS (Netherlands)

    Keizer, A.

    2014-01-01

    One of the main symptoms of anorexia nervosa (AN) is a disturbed experience of body size and shape. Although patients are underweight, they experience their body as bigger than it in reality is. Previous studies were mainly conducted by (clinical) psychologists and psychiatrists, and almost

  8. Behavioral neuroendocrinology and treatment of anorexia nervosa

    NARCIS (Netherlands)

    Sodersten, P.; Nergardh, R.; Bergh, C.; Zandian, M.; Scheurink, A.

    2008-01-01

    Outcome in anorexia nervosa remains poor and a new way of looking at this condition is therefore needed. To this aim, we review the effects of food restriction and starvation in humans. It is suggested that body weight remains stable and relatively low when the access to food requires a considerable

  9. Avaliação dos teores de fibra alimentar e de beta-glicanas em cultivares de aveia (Avena sativa L Evaluation of dietary fiber and beta-glucan levels in oat (Avena sativa L cultivars

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    Luiz C. GUTKOSKI

    1999-12-01

    Full Text Available A fibra alimentar é composta por celulose, hemiceluloses, gomas, pectinas e mucilagens sendo classificada em solúvel e insolúvel, quanto a sua solubilidade em água. As beta-glicanas são componentes da fibra alimentar solúvel presentes na aveia e sua importância é devido às propriedades funcionais e aos efeitos hipocolesterolêmicos e hipoglicêmicos apresentados. O presente trabalho tem como objetivo avaliar os teores de fibra alimentar solúvel, insolúvel e total e de beta-glicanas de cultivares de aveia recomendados pela Comissão Brasileira de Pesquisa de Aveia. Grãos de aveia (Avena sativa, L foram descascados, as cariopses moídas e as amostras acondicionadas e armazenadas à temperatura de -20° C. Para a análise de fibra alimentar foi adotada a metodologia da AOAC (1997. Entre os cultivares analisados, UPF 7, UPF 13, UPF 14 e UPF 16 apresentaram os maiores teores de fibra alimentar insolúvel. Os maiores teores de fibra alimentar solúvel foram verificados nos cultivares UFRGS 7, CTC 13, UPF 16 e CTC 2. O cultivar UPF 16 apresentou o maior teor de fibra alimentar total, seguido de UFRGS 7, CTC 13 e UFRGS 18. Para a determinação de beta-glicanas foi adotada a metodologia da AOAC (1997. Os maiores teores de beta-glicanas foram verificados nos cultivares UFRGS 7, UPF 14 e UFRGS 18.The dietary fiber is composed by cellulose, hemi-celluloses, gums, pectins, and mucilages, being classified as soluble or insoluble depending on its solubility in water. Beta-glucans are a fraction of the soluble dietary fiber, being important due to its functional properties and effects in reducing cholesterol and glucose. This work aimed at evaluating the levels of soluble, insoluble, and total dietary fiber, as well as the amount of beta-glucans, present in grains of oat cultivars recommended by the Brazilian Commission for Oat Research. Oat grains were hulled, the caryopses were ground and the samples packaged and stored at temperature of -20º

  10. Carboidratos das fibras de cotilédones e proteínas de produtos derivados de soja (Glycine max (L. Merril Carbohydrates from cotyledon fibers and proteins of soybean (Glycine max (L. Merril derivatives

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    Neusa Fátima Seibel

    2008-09-01

    Full Text Available Fibras alimentares obtidas de cotilédones de soja original (FAO e micronizada (FAM foram fracionadas e avaliadas quanto a polissacarídeos e monossacarídeos constituintes. O componente majoritário foi a hemicelulose, totalizando 59% em FAO e 51% na FAM, a pectina representou em média 14% e a celulose 8,5%. As duas amostras de fibras apresentaram 17 mg.g-1 de ácidos urônicos e a mesma composição de monossacarídeos, sendo galactose, glicose e arabinose/ramnose os principais componentes. As proteínas de concentrado protéico, farinha desengordurada e fibras alimentares (FAO e FAM foram avaliadas quanto à solubilidade em diferentes solventes (NaCl, água, etanol e NaOH e quanto ao peso molecular. A farinha desengordurada de soja teve a maior parte das proteínas passível de extração com solução salina, e o concentrado protéico e as fibras de cotilédones com solução alcalina. A fração protéica que não foi extraída com nenhum dos quatro solventes utilizados permaneceu no resíduo, o maior percentual estava no concentrado, seguido pela fibra alimentar micronizada e a farinha, já a menor quantidade estava na fibra alimentar original. A eletroforese das proteínas dos quatro ingredientes alimentares mostrou as subunidades que constituem as frações β-conglicinina e glicinina. Bandas com peso molecular próximo aos 30 kDa foram reveladas nas proteínas extraídas das fibras de cotilédones de soja, sendo provavelmente glicoproteínas de parede celular, ricas em hidroxiprolina.Dietary fibers from soybean cotyledons classified as original (ODF and milled (MDF were fractionated and evaluated as to fractions and monosaccharide composition. The major constituent was hemicellulose, 59% in ODF and 51% MDF, pectin was in average 14% and cellulose, 8.5%. Both samples had 17 mg.g-1 uronic acids and the same composition in monosaccharides: galactose, glucose and arabinose/rhamnose, after hydrolysis. Protein fractions extracted from

  11. Psychosomatic syndromes and anorexia nervosa

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    Abbate-Daga Giovanni

    2013-01-01

    Full Text Available Abstract Background In spite of the role of some psychosomatic factors as alexithymia, mood intolerance, and somatization in both pathogenesis and maintenance of anorexia nervosa (AN, few studies have investigated the prevalence of psychosomatic syndromes in AN. The aim of this study was to use the Diagnostic Criteria for Psychosomatic Research (DCPR to assess psychosomatic syndromes in AN and to evaluate if psychosomatic syndromes could identify subgroups of AN patients. Methods 108 AN inpatients (76 AN restricting subtype, AN-R, and 32 AN binge-purging subtype, AN-BP were consecutively recruited and psychosomatic syndromes were diagnosed with the Structured Interview for DCPR. Participants were asked to complete psychometric tests: Body Shape Questionnaire, Beck Depression Inventory, Eating Disorder Inventory–2, and Temperament and Character Inventory. Data were submitted to cluster analysis. Results Illness denial (63% and alexithymia (54.6% resulted to be the most common syndromes in our sample. Cluster analysis identified three groups: moderate psychosomatic group (49%, somatization group (26%, and severe psychosomatic group (25%. The first group was mainly represented by AN-R patients reporting often only illness denial and alexithymia as DCPR syndromes. The second group showed more severe eating and depressive symptomatology and frequently DCPR syndromes of the somatization cluster. Thanatophobia DCPR syndrome was also represented in this group. The third group reported longer duration of illness and DCPR syndromes were highly represented; in particular, all patients were found to show the alexithymia DCPR syndrome. Conclusions These results highlight the need of a deep assessment of psychosomatic syndromes in AN. Psychosomatic syndromes correlated differently with both severity of eating symptomatology and duration of illness: therefore, DCPR could be effective to achieve tailored treatments.

  12. Value Education on Pela Tradition (An Ethnographic Study of Ambonese

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    Frans Thomas

    2015-12-01

    Full Text Available Pendidikan Nilai dalam Tradisi Pela (Kajian Etnografis Masyarakat Ambon Abstract: The value that has meaning in pela tradition in Ambon society is something that has been handled as personally and can be internalized in human behaviour. The reality of pela tradition value order has been processing in institutionalized as the education direction of social values. The purpose of this qualitative research is to describe the values in the tradition of pela for educational value in Ambon community. The Exposure to the data, data explanation and understanding of discourse data tradition of pela is done in depth. The Study of pela discourse tradition with hermeneutics gives holistic-emic views of how the tradition of pela is able to package and legitimize the Ambonese community life philosophy. The results of the study describes the values in the tradition of pela include (1 the value of religion that regulates the dimensions of God in human life, (2 the value of the philosophy that is universal and will be impacted by the ending value and subjectivity, and (3 the value of ethical consequences of individual responsibility in achieving a moral obligation. Key Words: value education, culture, pela tradition Abstrak: Nilai yang memiliki arti dalam tradisi pela masyarakat Ambon adalah sesuatu yang telah diberikan sejak turun temurun secara pribadi dan dapat diinternalisasi dalam perilaku manusia. Pada kenyataannya, nilai pada tradisi pela telah dilembagakan menjadi arahan dalam pendidikan nilai-nilai sosial. Tujuan penelitian kualitatif ini adalah menggambarkan nilai-nilai yang terkandung dalam tradisi pela sebagai pendidikan nilai masyarakat Ambon. Paparan data, cara penjelasan data, dan pemahaman data wacana tradisi pela dilakukan secara mendalam. Kajian wacana tradisi pela dengan ancangan hermeneutika memberikan gambaran holistik-emik tentang bagaimana tradisi pela mampu mengemas dan melegitimasi falsafah hidup komunitas masyarakat Ambon. Hasil

  13. Do Mortality Rates in Eating Disorders Change over Time? A Longitudinal Look at Anorexia Nervosa and Bulimia Nervosa

    Science.gov (United States)

    Franko, Debra L.; Keshaviah, Aparna; Eddy, Kamryn T.; Krishna, Meera; Davis, Martha C.; Keel, Pamela K.; Herzog, David B.

    2014-01-01

    Objective Although anorexia nervosa has a high mortality rate, our understanding of the timing and predictors of mortality in eating disorders is limited. The authors investigated mortality in a long-term study of patients with eating disorders. Method Beginning in 1987, 246 treatment-seeking women with anorexia nervosa or bulimia nervosa were interviewed every 6 months for a median of 9.5 years to obtain weekly ratings of eating disorder symptoms, comorbidity, treatment participation, and psychosocial functioning. From January 2007 to December 2010 (median follow-up of 20 years), vital status was ascertained with a National Death Index search. Results Sixteen deaths (6.5%) were recorded (lifetime anorexia nervosa, N=14; bulimia nervosa with no history of anorexia nervosa, N=2). The standardized mortality ratio was 4.37 [95% CI=2.4-7.3] for lifetime anorexia nervosa and 2.33 [95% CI=0.3-8.4] for bulimia nervosa with no history of anorexia nervosa. Risk of premature death among women with lifetime anorexia nervosa peaked within the first 10 years of follow-up resulting in a standardized mortality ratio of 7.7 [95% CI=3.7-14.2]. The standardized mortality ratio varied by duration of illness and was 3.2 [95% CI=0.9-8.3] for women with lifetime anorexia nervosa for 0-15 years (4/119 died), and 6.6 [95% CI=3.2-12.1] for women with lifetime anorexia nervosa for >15-30 years (10/67 died). Multivariate predictors of mortality included alcohol abuse (panorexia nervosa. PMID:23771148

  14. VIDEOFLUOROSCOPIC EVALUATION OF SWALLOWS IN ANOREXIA NERVOSA.

    Science.gov (United States)

    Santos, Carla Manfredi; Cassiani, Rachel Aguiar; Dantas, Roberto Oliveira

    2016-01-01

    There are some studies in the literature about the feeding behavior and masticatory process in patients with feeding disorders; however, it is not very well known if there are alterations in oral-pharyngeal swallowing dynamics in subjects with anorexia nervosa. To evaluate the oral and pharyngeal bolus transit in patients with anorexia nervosa. The study was conducted with 8 individuals clinically diagnosed and in treatment for restricting-type anorexia nervosa (seven women and one man), and 14 healthy individuals with no digestive or neurological symptoms (10 women, 4 men). Swallows were evaluated by videofluoroscopy with three swallows of 5 mL liquid bolus and three swallows of 5 mL paste bolus consistency, given in a random sequence. The participants were asked after each swallow about the sensation of the bolus passage. In the analysis of oral-pharyngeal transit duration, the mean duration of pharyngeal transit with paste bolus in patients with anorexia was shorter than in healthy volunteers (P=0.02). In the duration of movement of the hyoid bone, longer movement was observed in anorexia than in healthy volunteers with liquid bolus (P=0.01). With liquid bolus, five (62.5%) patients and one (7.1%) control had sensation of the bolus passage (Panorexia nervosa, although the results suggest that pharyngeal transit has shorter duration than that seen in healthy volunteers and the hyoid movement duration is longer in patients than in healthy volunteers. Fast pharyngeal transit may be the cause of bolus transit perception in patients with anorexia nervosa.

  15. [Impaired theory of mind in anorexia nervosa].

    Science.gov (United States)

    Gál, Zita; Egyed, Katalin; Pászthy, Bea; Németh, Dezsö

    2011-01-01

    Anorexia nervosa (AN) is a severe mental illness, which is characterized by a continuously growing occurrence in the population and by the shift of the onset for earlier ages. The understanding of factors playing role in AN and the importance of effective prevention is an essential issue in science as well as in the society. AN also affects the social domain of life, patients with AN may exhibit impaired social interaction, social isolation, difficulties in emotion recognition and egocentric thinking in cognitive processing. Therefore, the aim of present study was to investigate the theory of mind (ToM) deficits is anorexia nervosa. Although previous studies have reported ToM deficits in autism and in schizophrenia, the number of studies investigating ToM functioning in eating disorders are particularly low. Even though ToM difficulties, such as the affective ToM impairments were found in AN, however, the evidence of cognitive ToM deficits in anorexia patients is still lacking. Twenty anorexia nervosa patients and 20 healthy control adolescent girls participated in the experiment. EDI, BAT, Fallon-Rozin Test and Anamoprhic Micro Body Image Assesment Programme questionnaires and body-image tests were applied to discriminate anorexia nervosa group from healthy control group. The Hungarian version of Faux Pas Recognition Test was applied to evaluate ToM functioning. Compared to healthy control group, impairment in ToM functioning was found in AN group, especially in affective mental state attribution. Our results can raise new aspects for research, therapy and prevention of anorexia nervosa.

  16. Fibra de sisal como envoltório na drenagem agrícola

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    Viviane F. Silva

    2014-06-01

    Full Text Available O trabalho foi realizado objetivando analisar o desempenho do sistema de drenagem com fibra de sisal envolto orgânico como material alternativo.  A pesquisa foi realizada no Laboratório de Engenharia de Irrigação e Drenagem da Universidade Federal de Campina Grande. Usando-se um sistema experimental composto de nove tanques construídos de alvenaria e impermeabilizados internamente. Os tratamentos foram dispostos em um arranjo fatorial com três tipos de tubos, Drenoflex, Kananet e tubo de PVC liso próprio para Esgoto envolto com fibra de sisal num delineamento inteiramente casualizado com três repetições. Foram avaliados a carga hidráulica de entrada (he, fluxo(q e resistência de entrada(re e analisados  estatisticamente, utilizando-se o software ASSISTAT . A comparação dos tubos Drenoflex, PVC liso e Kananet envolto com fibra de sisal, as médias da carga hidráulica na entrada para os tubos variando os valores de 0,40486 a 0,35543, sendo significativo para o tubo Kananet, devido possuir furos maiores facilitando assim a passagem da água pelo tubo. E em relação à resistência de entrada na interação entre os tubos drenantes e a fibra de sisal diferiu estatisticamente com o tubo PVC liso. O desempenho do sistema drenante com envolto de fibra de sisal é considerado muito bom.

  17. Fibras vegetales colombianas como refuerzo en compuestos de matriz polimérica

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    José Luis Suárez Castañeda

    2017-01-01

    Full Text Available Contexto: Se realizó una búsqueda local de tejidos de fibras vegetales para determinar la composición de los grupos funcionales y morfología de su superficie antes y después de un tratamiento alcalino con miras a su empleo como refuerzo en compuestos de matriz polimérica. Método: La búsqueda se desarrolló dentro del área metropolitana del Valle de Aburrá, Colombia. Las fibras se trataron por inmersión en NaOH disuelto al 6 % w/v por 48 horas, seguida por una neutralización en ácido acético al 1 % v/v por una hora. Posteriormente fueron secadas a 60 °C por 24 horas. Las técnicas empleadas para los análisis fueron la espectroscopía infrarroja por transformada de Fourier (FTIR y la microscopía electrónica de barrido (SEM. Resultados: Se seleccionaron tejidos de fique, yute, corteza de coco, lino y algodón. Los análisis FTIR muestran una tendencia a la disminución de ácidos grasos, hemicelulosas, ligninas y enlaces β en la superficie de las fibras, mientras que las imágenes SEM demuestran la remoción de impurezas, la exposición de rugosidades y la creación de espacios interfibrales. Conclusiones: El tratamiento alcalino podría favorecer el mecanismo de anclaje del polímero termofijo a la superficie de las fibras y la creación de enlaces entre las moléculas polares de las fibras y el polímero termofijo, disminuyendo el deslizamiento relativo entre matriz y refuerzo durante la aplicación de cargas.

  18. The clinical features of late onset anorexia nervosa.

    OpenAIRE

    Joughin, N. A.; Crisp, A. H.; Gowers, S. G.; Bhat, A. V.

    1991-01-01

    This study examines clinical features of late onset anorexia nervosa. This involved the scrutiny of a large database of patients with anorexia nervosa comprising data gathered at standardized initial assessments over the period 1960-1990. Patients with a late onset were compared to other selected patient samples. The population comprised 12 patients with a first onset of anorexia nervosa at or after the age of 30, 415 patients with an onset after 15 but before 20 and 9 patients with an onset ...

  19. Instagram use is linked to increased symptoms of orthorexia nervosa

    OpenAIRE

    Turner, Pixie G.; Lefevre, Carmen E.

    2017-01-01

    Purpose Social media use is ever increasing amongst young adults and has previously been shown to have negative effects on body image, depression, social comparison, and disordered eating. One eating disorder of interest in this context is orthorexia nervosa, an obsession with eating healthily. High orthorexia nervosa prevalence has been found in populations who take an active interest in their health and body and is frequently comorbid with anorexia nervosa. Here, we investigate links betwee...

  20. Instagram use is linked to increased symptoms of orthorexia nervosa

    OpenAIRE

    Turner, P. G.; Lefevre, C. E.

    2017-01-01

    PURPOSE: Social media use is ever increasing amongst young adults and has previously been shown to have negative effects on body image, depression, social comparison, and disordered eating. One eating disorder of interest in this context is orthorexia nervosa, an obsession with eating healthily. High orthorexia nervosa prevalence has been found in populations who take an active interest in their health and body and is frequently comorbid with anorexia nervosa. Here, we investigate links betwe...

  1. Bullae, Bronchiectasis and Nutritional Emphysema in Severe Anorexia Nervosa

    OpenAIRE

    Cook, Victoria J; Coxson, Harvey O; Mason, Andrew G; Bai, Tony R

    2001-01-01

    STUDY OBJECTIVES: Pulmonary complications of anorexia nervosa are rarely documented. The case of a patient with anorexia nervosa and pulmonary disease is presented, a new quantitative computed tomography (CT) method for the detection of emphysema is employed, the literature is reviewed and the concept of 'nutritional' emphysema is discussed.RESULTS: The case of a 34-year-old, nonsmoking woman with long-standing severe anorexia nervosa who was evaluated for cough and progressive shortness of b...

  2. OBTENCIÓN DE FIBRA DIETETICA NUTRICIONAL DE VALOR AGREGADO A PARTIR DE BAGAZO DE CAÑA

    OpenAIRE

    LICONA AGUILAR, ANGELES IVETH

    2014-01-01

    La fibra dietética se reconoce cada vez más como un elemento importante para una nutrición sana; numerosas referencias respaldan esta aseveración en las que se ha demostrado no solo la importancia que la fibra tiene en la regulación de las funciones intestinales sino también para la prevención de algunas enfermedades. En este contexto, tiene sentido analizar la posibilidad de aprovechar la potencial utilización que brindan numerosos residuos agrícolas como fuente de fibra en una gran variedad...

  3. Comparação dos métodos convencional e Filter Bag Technique da Ankom® (FBT para determinação de fibra em detergente neutro e fibra em detergente ácido Comparison of conventional and Ankom’s filter bag technique (FBT methodologies for determining neutral detergent fiber and acid detergent fiber.

    Directory of Open Access Journals (Sweden)

    Geane Dias Gonçalves

    2000-05-01

    Full Text Available Foram analisadas fibra em detergente neutro (FDN e fibra em detergente ácido (FDA pelo método convencional e pela Filter Bag Technique da Ankom® (FBT, reutilizando os filtros F57 por até seis vezes. Para tanto, fez-se uso dos alimentos: milho moído, farelo de trigo, farelo de soja, farelo de canola, feno de tifton 85, feno de aveia, milheto e silagem de milho. O método FBT mostrou-se eficaz para a determinação de FDN e FDA para a maioria dos alimentos. A reutilização dos filtros F57 na FBT é recomendada de acordo com o tipo de alimento a ser testado. Para alimentos como a silagem de milho e o farelo de canola, a reutilização dos filtros poderá ser feita até seis vezes, já para outros alimentos, recomenda-se menor número de reutilizações. A análise da FDN para o milho, na FBT, não é recomendada.Neutral detergent fiber (NDF and acid detergent fiber (ADF concentrations were analyzed by conventional and ANKOM’s filter bag technique methodologies using F57 filter bags for up to six determinations. The feed samples used were: corn grist, wheat middlings, soybean meal, canola meal, tifton 85 hay, rat hay, millet and corn silage. FBT method was effective for NDF and ADF determination for the majority of feed samples. F57 filters reutilization in FBT is recommended in accordance with the tested feed type. For corn silage and canola meal, F57 filters are recommended to be reutilized up to six times, but for other feeds a lower number of reutilizations is recommended. NDF analysis of corn using FBT is not recommended.

  4. Controlled family study of anorexia nervosa and bulimia nervosa: evidence of shared liability and transmission of partial syndromes.

    Science.gov (United States)

    Strober, M; Freeman, R; Lampert, C; Diamond, J; Kaye, W

    2000-03-01

    Lifetime rates of full and partial anorexia nervosa and bulimia nervosa were determined in first-degree relatives of diagnostically pure proband groups and relatives of matched, never-ill comparison subjects. Rates of each eating disorder were obtained for 1,831 relatives of 504 probands on the basis of personal structured clinical interviews and family history. Best-estimate diagnoses based on all available information were rendered without knowledge of proband status and pedigree identity. Only definite and probable diagnoses were considered. Whereas anorexia nervosa was rare in families of the comparison subjects, full and partial syndromes of anorexia nervosa aggregated in female relatives of both anorexic and bulimic probands. For the full syndrome of anorexia nervosa, the relative risks were 11.3 and 12.3 in female relatives of anorexic and bulimic probands, respectively. Bulimia nervosa was more common than anorexia nervosa in female relatives of comparison subjects, but it, too, aggregated in the families of ill probands; the corresponding relative risks for bulimia nervosa were 4.2 and 4.4 for female relatives of anorexic and bulimic probands, respectively. When partial syndromes of anorexia nervosa and bulimia nervosa were considered, relative risks fell by one-half in each group of ill probands. Both anorexia nervosa and bulimia nervosa are familial. Their cross-transmission in families suggests a common, or shared, familial diathesis. The additional observation that familial aggregation and cross-transmission extend to milder phenotypes suggests the validity of their inclusion in a continuum of familial liability.

  5. Reboxetina no tratamento da bulimia nervosa Reboxetine in the treatment of bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Simone Mancini Castilho

    2003-06-01

    Full Text Available É vasta a literatura demonstrando a eficácia dos antidepressivos inibidores seletivos da recaptação de serotonina na Bulimia Nervosa, diminuindo a freqüência do comportamento alimentar compulsivo e dos vômitos. A boa resposta terapêutica aos agentes farmacológicos noradrenérgicos, como a desipramina e a reboxetina, embora menos encontrada na literatura, também já foi documentada. O presente relato de caso descreve o tratamento de uma paciente com Bulimia Nervosa utilizando-se reboxetina na dose de 4 a 8 mg ao dia. A resposta terapêutica vem confirmar os resultados favoráveis do uso desta droga no tratamento da Bulimia Nervosa.There is a substancial body of literature demonstrating the efficacy of selective serotonin reuptake inhibitors antidepressants (SSRI in reducing binge eating and vomiting frequency in Bulimia Nervosa. Good therapeutic response to noradrenergic agents, like desipramine and reboxetine, though not frequently reported in literature, has already been demonstrated. This case report describes the treatment of Bulimia Nervosa with reboxetine (4 to 8 mg/day and its favorable therapeutic results.

  6. Efeito da argila calcinada sobre a durabilidade de argamassas reforçadas com fibras curtas de sisal Effect of calcined clay on aging of sisal short fiber reinforced mortar

    Directory of Open Access Journals (Sweden)

    João de Farias Filho

    2010-10-01

    Full Text Available O interesse pelo uso de fibras vegetais como reforço de matrizes, à base de cimento, tem crescido em todo o mundo nos últimos anos, sendo limitado pela baixa durabilidade das fibras no meio alcalino. Com o tempo, as fibras podem mineralizar devido à migração de hidróxido de cálcio (CH da matriz para o lúmen e paredes das fibro-células. Procurou-se consumir, no presente estudo, o CH livre utilizando-se resíduo de tijolo moído e metacaulinita em substituição parcial, de 20 e 40% em peso, do cimento portland. Compósitos com fibras de sisal e matrizes cimento-pozolana foram submetidos a ensaios de resistência a flexão, após 28 dias de cura em água, 135 e 180 dias de envelhecimento natural e após 94 ciclos de molhagem e secagem. Os resultados indicaram que é possível consumir todo o CH da matriz, o que resultou na manutenção da tenacidade inicial do compósito e no aumento da sua resistência a flexão após exposição natural ou ciclos de molhagem e secagem.In the last few years a growing interest in the use of sisal fibers as reinforcement in cement based composites has been observed. However, the main concern for its use is related with the durability of the fibers in the alkaline water of concrete as they can mineralize due to the migration of calcium hydroxide to the fiber lumen and cell walls. In this study, the alkalinity of the matrix was reduced using metakaolin and crushed waste calcined clay bricks as cement replacement. The percentage of cement replacement ranged from 20 to 40% on weight basis. Flexural tests were carried out in the composites after 28 days of cure in water, 135 and 180 days of ageing in the open air and after 94 cycles of wetting and drying. These results indicated that the mixture with cement replacement consumed all calcium hydroxide and kept the toughness over time.

  7. El Nopal fresco como fuente de fibra y calcio en panqués El Nopal fresco como fuente de fibra y calcio en panqués

    OpenAIRE

    José Eleazar Barboza- Corona; Victor Manuel Da Mota; Ernesto Camarena-Aguilar; Guadalupe Alanís- Guzmán; Rosa Inés Pineda Torres; Mayela Bautista-Justo

    2012-01-01

    El objetivo de este trabajo fue utilizar nopal fresco en la formulación de panqués para incrementar su contenido de fibra dietética y calcio. Se desarrollaron cinco formulaciones de panqués utilizando nopal fresco (Opuntia amyclaea Tenore), 4 con sucralosa (una testigo sin nopal) y una con azúcar y nopal. Se evaluaron sensorialmente por 60 jueces no entrenados mediante la prueba de preferencia, utilizando una escala hedónica del 1 al 9. Se les determinó el contenido de proteína (Nx6.25), hume...

  8. Theory of mind in bulimia nervosa.

    Science.gov (United States)

    Kenyon, Martha; Samarawickrema, Nelum; Dejong, Hannah; Van den Eynde, Frederique; Startup, Helen; Lavender, Anna; Goodman-Smith, Emily; Schmidt, Ulrike

    2012-04-01

    This study aimed to investigate theory of mind (ToM) in individuals with bulimia nervosa (BN), an area neglected by empirical research despite social functioning difficulties in this disorder and evidence of ToM deficits in people with anorexia nervosa (AN). ToM was assessed in 48 BN and 34 Eating Disorder Not Otherwise Specified BN-type (EDNOS-BN) outpatients and 57 healthy controls (HCs) using the Reading the Mind in the Eyes and the Reading the Mind in the Films (RMF), an ecologically valid task novel to BN research. Overall performance in BN and EDNOS-BN groups was equivalent to HCs on both tasks. Individuals with BN had enhanced negative emotion recognition on the RMF. Individuals with AN and BN have distinct socio-cognitive profiles. Further research into social cognition is required to establish the link between interpersonal difficulties and psychopathology in people with BN. Copyright © 2011 Wiley Periodicals, Inc.

  9. The Treatment of Anorexia Nervosa and Bulimia: A Multidimensional Group Approach.

    Science.gov (United States)

    Richards, P. Scott

    This paper defines the eating disorders of anorexia nervosa, bulimia, and bulimia nervosa, a bulimic subtype of anorexia nervosa. The diagnosis of these disorders is discussed and similarities and differences among the three disorders are reviewed. Etiological factors are considered and current trends in treatment of anorexia nervosa, bulimia, and…

  10. The Life with Anorexia and Bulimia Nervosa

    OpenAIRE

    Licková, Gabriela

    2008-01-01

    The Life with Anorexia and Bulimia Nervosa The Bachelor's thesis deals with problems of eating disordes. This work is focused on the manifestations of the illness and feelings of the women who are suffering from this disorder. The research part of the thesis is focused on the means the women use for fighting with this illness, how they deal with it and what helps them to manage the manifestations of the illness.

  11. [Adaptation of psychodrama in psychotherapy of patients with anorexia nervosa and bulimia nervosa].

    Science.gov (United States)

    Izydorczyk, Bernadetta

    2011-01-01

    The aim of the article was an attempt to present selected theoretical motifs and moreover self experience in the adaptation of elements of psychodrama by Moreno in psychodynamic psychotherapy (individual and group psychotherapy) in a group of people with anorexia and bulimia nervosa. Psychodrama through own creativity, spontaneity and taking action on the "here and now" stage helps to attain and intensify therapeutic aims which concern the consciousness of inner conflict of persons with anorexia and bulimia nervosa, which is translocated on their body.

  12. Endocrine Dysregulation in Anorexia Nervosa Update

    Science.gov (United States)

    2011-01-01

    Context: Anorexia nervosa is a primary psychiatric disorder with serious endocrine consequences, including dysregulation of the gonadal, adrenal, and GH axes, and severe bone loss. This Update reviews recent advances in the understanding of the endocrine dysregulation observed in this state of chronic starvation, as well as the mechanisms underlying the disease itself. Evidence Acquisition: Findings of this update are based on a PubMed search and the author's knowledge of this field. Evidence Synthesis: Recent studies have provided insights into the mechanisms underlying endocrine dysregulation in states of chronic starvation as well as the etiology of anorexia nervosa itself. This includes a more complex understanding of the pathophysiologic bases of hypogonadism, hypercortisolemia, GH resistance, appetite regulation, and bone loss. Nevertheless, the etiology of the disease remains largely unknown, and effective therapies for the endocrine complications and for the disease itself are lacking. Conclusions: Despite significant progress in the field, further research is needed to elucidate the mechanisms underlying the development of anorexia nervosa and its endocrine complications. Such investigations promise to yield important advances in the therapeutic approach to this disease as well as to the understanding of the regulation of endocrine function, skeletal biology, and appetite regulation. PMID:21976742

  13. Refeeding Hypophosphatemia in Adolescents With Anorexia Nervosa

    Science.gov (United States)

    Nicholls, Dasha

    2013-01-01

    The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125–1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R 2 = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake. PMID:23459608

  14. Association of CNR1 and FAAH endocannabinoid gene polymorphisms with anorexia nervosa and bulimia nervosa: evidence for synergistic effects.

    Science.gov (United States)

    Monteleone, P; Bifulco, M; Di Filippo, C; Gazzerro, P; Canestrelli, B; Monteleone, F; Proto, M C; Di Genio, M; Grimaldi, C; Maj, M

    2009-10-01

    Endocannabinoids modulate eating behavior; hence, endocannabinoid genes may contribute to the biological vulnerability to eating disorders. The rs1049353 (1359 G/A) single nucleotide polymorphism (SNP) of the gene coding the endocannabinoid CB1 receptor (CNR1) and the rs324420 (cDNA 385C to A) SNP of the gene coding fatty acid amide hydrolase (FAAH), the major degrading enzyme of endocannabinoids, have been suggested to have functional effects on mature proteins. Therefore, we explored the possibility that those SNPs were associated to anorexia nervosa and/or bulimia nervosa. The distributions of the CNR1 1359 G/A SNP and of the FAAH cDNA 385C to A SNP were investigated in 134 patients with anorexia nervosa, 180 patients with bulimia nervosa and 148 normal weight healthy controls. Additive effects of the two SNPs in the genetic susceptibility to anorexia nervosa and bulimia nervosa were also tested. As compared to healthy controls, anorexic and bulimic patients showed significantly higher frequencies of the AG genotype and the A allele of the CNR1 1359 G/A SNP. Similarly, the AC genotype and the A allele of the FAAH cDNA 385C to A SNP were significantly more frequent in anorexic and bulimic individuals. A synergistic effect of the two SNPs was evident in anorexia nervosa but not in bulimia nervosa. Present findings show for the first time that the CNR1 1359 G/A SNP and the FAAH cDNA 385C to A SNP are significantly associated to anorexia nervosa and bulimia nervosa, and demonstrate a synergistic effect of the two SNPs in anorexia nervosa.

  15. Uso de fibra natural de sisal em blocos de concreto para alvenaria estrutural

    OpenAIRE

    Indara Soto Izquierdo

    2011-01-01

    A utilização de fibras vegetais como reforço constitui um grande interesse na obtenção de novos materiais para a construção civil produto de seu baixo custo, alta disponibilidade e reduzido consumo de energia para sua produção. Este trabalho avalia a incorporação de fibras de sisal, de comprimento 20 e 40 mm, e fração volumétrica de 0,5 e 1%, em concretos para a alvenaria de blocos estruturais e determina o uso destas unidades na execução de prismas e mini-paredes. Foram realizados os testes ...

  16. Perfis de polietileno reciclado carregado com fibra de açaí

    OpenAIRE

    BRITO, Paulo Roberto de Oliveira

    2012-01-01

    Foram obtidos perfis tubulares porosos de polietileno (PE) e de polietileno/fibra de açaí (PE/PA) 80/20 extrudados a partir de partículas granuladas de polietileno de alta densidade reciclado de embalagens pós-consumo de 600 μm, e deste com fibra de açaí de 300 μm. Para o processamento das peças foi desenvolvida uma extrusora mono-rosca de bancada, com sistema mecânico acionado por um motor elétrico de ½ CV (0,37 kw) controlado por um inversor de freqüência, com canhões, roscas, matriz e sist...

  17. Vibrómetro de fibra óptica codificado en frecuencia

    OpenAIRE

    Sánchez Prudencio, Guillermo

    2013-01-01

    En el presente proyecto se expone el desarrollo de un vibrómetro basado en fibra óptica. La motivación de este proyecto es el diseño de un sistema capaz de monitorizar las vibraciones de una máquina mediante el uso de tecnología láser y de fibra óptica. Mediante este sistema es posible el cálculo de la frecuencia y amplitud de la vibración de la máquina. El vibrómetro está basado en el principio de interferencia de la luz. Un haz de luz coherente proporcionado por un láser se divide en dos: u...

  18. TECNOLOGIA A FIBRA OPTICA: UNIVERSIDAD NACIONAL DE COLOMBIA SEDE MEDELLIN, "UN REFERENTE LATINOAMERICANO"

    Directory of Open Access Journals (Sweden)

    RODRIGO ACUÑA

    2008-01-01

    Full Text Available En este artículo se muestran algunos resultados de las investigaciones realizadas por el grupo de Fotónica y Opto-electrónica de la Universidad Nacional de Colombia, Sede Medellín. Se hace una breve reseña de la creación del grupo y se describen las principales aplicaciones desarrolladas, las cuales convierten al grupo en un referente Latinoamericano en el área. Se ilustran aplicaciones de las redes de Bragg en fibra óptica en sensores, simulaciones computacionales de guías de onda ópticas y la construcción de fuentes de luz láser a fibra óptica.

  19. The CT appearance of ''reversible'' cerebral pseudoatrophy in anorexia nervosa

    International Nuclear Information System (INIS)

    Boron, Z.; Kozlowska, R.; Grzegorzewski, M.; Nawrot, M.; Bulawska, I.

    1995-01-01

    The CT appearance of ''reversible'' cerebral pseudoatrophy resulting from anorexia nervosa was demonstrated. The CT studies were performed in 3 young women with typical clinical course of anorexia nervosa. In all of them computed tomography revealed dilatation of the subarachnoid fluid space. After 5 months of therapy the follow-up scans have reverted to normal in all cases. (author)

  20. Instagram use is linked to increased symptoms of orthorexia nervosa.

    Science.gov (United States)

    Turner, Pixie G; Lefevre, Carmen E

    2017-06-01

    Social media use is ever increasing amongst young adults and has previously been shown to have negative effects on body image, depression, social comparison, and disordered eating. One eating disorder of interest in this context is orthorexia nervosa, an obsession with eating healthily. High orthorexia nervosa prevalence has been found in populations who take an active interest in their health and body and is frequently comorbid with anorexia nervosa. Here, we investigate links between social media use, in particularly Instagram and orthorexia nervosa symptoms. We conducted an online survey of social media users (N = 680) following health food accounts. We assessed their social media use, eating behaviours, and orthorexia nervosa symptoms using the ORTO-15 inventory. Higher Instagram use was associated with a greater tendency towards orthorexia nervosa, with no other social media channel having this effect. In exploratory analyses Twitter showed a small positive association with orthorexia symptoms. BMI and age had no association with orthorexia nervosa. The prevalence of orthorexia nervosa among the study population was 49%, which is significantly higher than the general population (Instagram has a high prevalence of orthorexia symptoms, with higher Instagram use being linked to increased symptoms. These findings highlight the implications social media can have on psychological wellbeing, and the influence social media 'celebrities' may have over hundreds of thousands of individuals. These results may also have clinical implications for eating disorder development and recovery.

  1. Anorexia Nervosa in Chinese Adolescents: Does Culture Make a Difference?

    Science.gov (United States)

    Lai, Kelly Y. C.

    2000-01-01

    Reports on clinical and psychosocial characteristics of 16 Chinese adolescents from Hong Kong with anorexia nervosa. Over 80% of these patients expressed a fear of fatness. Against the background of increasing Westernization of Hong Kong society, anorexia is taking on a Western pattern, in congruence with the notion that anorexia nervosa is a…

  2. Anorexia nervosa: an increasing problem in children and adolescents

    OpenAIRE

    Halmi, Katherine A.

    2009-01-01

    Information from eating disorder clinics across five continents suggests that anorexia nervosa is becoming an increasing problem in children and young adolescents. There is some indication that anxiety disorders in childhood may be a major risk factor for the development of anorexia nervosa. Early recognition and family treatment for this disorder are essential to prevent chronic impairment.

  3. Special Issue: Outcome of Anorexia Nervosa with Teenage Onset.

    Science.gov (United States)

    Casper, Regina C., Ed.

    1996-01-01

    The articles of this special issue report on studies of the outcomes of treatment of adolescent anorexia nervosa. These studies leave no doubt about the mortality risk and debilitating nature of chronic anorexia nervosa, but they do suggest that the prognosis, given expert treatment, is favorable for the most part. (SLD)

  4. Death Related Themes in Anorexia Nervosa: A Practical Exploration.

    Science.gov (United States)

    Russell, Janice; And Others

    1990-01-01

    Explored death-related themes in psychodynamic etiology of anorexia nervosa by comparing anorexic adolescent patients (n=28) to age-matched controls (n=238). Results suggest that death-related themes are of significance in the understanding and management of anorexia nervosa. (Author/ABL)

  5. Anorexia Nervosa: A Misdiagnosis of the Adolescent Male.

    Science.gov (United States)

    Svec, Henry

    1987-01-01

    Discusses rarity of anorexia nervosa among male population with primary reference to differences from female symptomatology. Presents case which implies that anorexia nervosa in the male may be a marker for other more severe pathology. Presents findings which suggest a diagnostic strategy based on familial, behavioral, environmental, educational,…

  6. Multimodal Therapy for Anorexia Nervosa: An Holistic Approach to Treatment.

    Science.gov (United States)

    O'Keefe, Edward J.; Castaldo, Christine

    1985-01-01

    Anorexia nervosa has received considerable attention lately because of its increased incidence, potential danger, and resistance to treatment. A review of the literature on anorexia nervosa suggests that, although it is characterized by complex interrelated psychological and physiological processes, it is often conceptualized and treated in…

  7. Bullae, Bronchiectasis and Nutritional Emphysema in Severe Anorexia Nervosa

    Directory of Open Access Journals (Sweden)

    Victoria J Cook

    2001-01-01

    Full Text Available STUDY OBJECTIVES: Pulmonary complications of anorexia nervosa are rarely documented. The case of a patient with anorexia nervosa and pulmonary disease is presented, a new quantitative computed tomography (CT method for the detection of emphysema is employed, the literature is reviewed and the concept of 'nutritional' emphysema is discussed.

  8. Symptoms, Causes and Possible Treatment of Anorexia Nervosa.

    Science.gov (United States)

    Odebunmi, Akin

    This document provides research findings, a discussion of etiology, case studies, and treatment approaches for anorexia nervosa. The research findings classify the anorexic patient by sex, age, presenting characteristics, socioeconomic status, premorbid personality, and cultural and familial characteristics. The etiology of anorexia nervosa is…

  9. The paradoxical nature of sexuality in anorexia nervosa

    NARCIS (Netherlands)

    Tuiten, A; Panhuysen, G; Everaerd, W; Koppeschaar, H; Krabbe, P; Zelissen, P

    1993-01-01

    Psychosexual dysfunctioning is often put forward as an etiological factor in anorexia nervosa. In contrast, we hypothesize that anorexia nervosa patients were in general psychosexually normal before their illness, and that the problems in their sexual life arise only after the emergence of

  10. PROPRIEDADES TERMOFÍSICAS DE COMPÓSITO DE MATRIZ DE GESSO E FIBRA VEGETAL

    Directory of Open Access Journals (Sweden)

    George Santos Marinho

    2013-03-01

    Full Text Available Foi desenvolvido um compósito de matriz de gesso e reforço de fibra vegetal (Cocos nucifera destinado à fabricação de elementos construtivos (e. g., placas para forração de coberturas e painéis de vedação. Corpos de prova foram produzidos na forma de sanduíche de gesso / fibra / gesso. Duas espessuras diferentes da fatia de fibra foram consideradas: 8 mm e 10 mm. Um corpo de prova de gesso sem a fatia de fibra foi fabricado para servir como padrão de comparação. Utilizando-se um equipamento analisador térmico, foram realizados ensaios para determinação das seguintes propriedades termofísicas dos corpos de prova: condutividade térmica (k, capacidade térmica volumétrica (.CP e difusividade térmica (. A partir dos resultados foi possível evidenciar vantagens do compósito em relação ao padrão. O menor valor de k conferiu ao compósito uma maior capacidade de isolação, possibilitando redução da carga térmica no interior das edificações devido à radiação solar. Nsse aspecto, o compósito se mostra adequado ao uso como elemento de vedação em edificações situadas em localidades de baixas latitudes (e. g., região Nordeste do Brasil. Além das vantagens citadas, o compósito pode proporcionar mais leveza e economia de material, possibilitando a produção de elementos construtivos mais esbeltos.

  11. Local Political Conflict and Pela Gandong Amidst the Religious Conflicts

    Directory of Open Access Journals (Sweden)

    Tonny SB Hoedodo

    2013-08-01

    Full Text Available Pela Gandong which is believed by Ambonese for its propitiational value is in fact failed to prevent horizontal conflict that victimized a big number of life and financial damages. However, Wayame villagem is found to survive from those conflicts, and the community of this village, comprising of Islam and Christian religious group, succeeds to maintain harmonious relation. The research aims at, first, describing the perception of Wayamae village community to Pela Gandong in the post-conflict period; second, analyzing the cultural competence of pela Gandong in conflict resolution in the era of technology. This research employed qualitative method, involving in-field data gathering based on official report, digging out information from the resource persons who were directly witnessing the conflict when it occured and other references obtained through Forum Group Discussion (FGD. An analysis was performed to seek answer concerning on how the community of Wayame village viewed Pela Gandong in post-conflict period, how it is – as a local wisdom – maintained in the middle of changing and how Pela Gandong was revitalized. Research showed that Pela Gandong was maintained by involving all elements such as customary community and the government. Pela Gandong grew as the icon of Ambonese society in settling conflicts by raising awareness that they are Eastern people, collectivistic in nature, and place kinship into priority.

  12. Theory of the Sagnac's interferometer of low birefringence and twist fiber; Teoria del interferometro de Sagnac de fibra de baja birrefrigencia y torcida

    Energy Technology Data Exchange (ETDEWEB)

    Estudillo-Ayala, J. M.; Kuzin, E. A.; Ibarra-Escamilla, B. [Instituto Nacional de Astrofisica, Optica y Electronica, Puebla (Mexico); Rojas-Laguna, R. [Universidad de Guanajuato, Guanajuato (Mexico)

    2001-06-01

    The fibre Sagnac interferometer of low birefringence and twist in the lineal region is examined numerically, a method is shown to measure the birefringence in the fibers and rotation of the axes inside of the interferometer fibre loop. [Spanish] El interferometro de Sagnac de fibra de baja birrefrigencia y torcida en la region lineal es numericamente examinado, se muestra un metodo para medir la birrefrigencia en las fibras y rotacion de los ejes dentro de la fibra del lazo del interferometro.

  13. New recommendations for management of eating disorders (anorexia nervosa, bulimia nervosa from NICE

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    Vitaliy Bezsheiko

    2017-08-01

    Full Text Available The UK's National Institute for Health and Care Excellence (NICE, one of the most authoritative institutions in the field of evidence-based medicine, has issued standards for management of patients with anorexia and bulimia nervosa.

  14. Electrocortical processing of food and emotional pictures in anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Blechert, Jens; Feige, Bernd; Joos, Andreas; Zeeck, Almut; Tuschen-Caffier, Brunna

    2011-06-01

    Objective To compare the electrocortical processing of food pictures in participants with anorexia nervosa (n = 21), bulimia nervosa (n = 22), and healthy controls (HCs) (n = 32) by measuring the early posterior negativity, an event-related potential that reflects stimulus salience and selective attention. Methods We exposed these three groups to a rapid stream of high- and low-calorie food pictures, as well as standard emotional and neutral pictures. Results Event-related potentials in the time range of 220 milliseconds to 310 milliseconds on posterior electrodes differed between groups: patients with eating disorders showed facilitated processing of both high- and low-calorie food pictures relative to neutral pictures, whereas HC participants did so only for the high-calorie pictures. Subjective palatability of the pictures was rated highest by patients with anorexia nervosa, followed by the HC and bulimia nervosa groups. Conclusions Patients with eating disorders show a generalized attentional bias for food images, regardless of caloric value. This might explain the persistent preoccupation with food in these individuals.

  15. Hypovitaminosis D3, Leukopenia, and Human Serotonin Transporter Polymorphism in Anorexia Nervosa and Bulimia Nervosa.

    Science.gov (United States)

    Tasegian, Anna; Curcio, Francesco; Dalla Ragione, Laura; Rossetti, Francesca; Cataldi, Samuela; Codini, Michela; Ambesi-Impiombato, Francesco Saverio; Beccari, Tommaso; Albi, Elisabetta

    2016-01-01

    Vitamin D3 has been described to have different extraskeletal roles by acting as parahormone in obesity, diabetes, cancer, cognitive impairment, and dementia and to have important regulatory functions in innate immunity. There are no studies showing extraskeletal changes associated with hypovitaminosis D3 in eating disorders. Methods. We have analyzed the blood of 18 patients affected by anorexia nervosa and bulimia nervosa collected over a 15-month period. We performed a panel of chemical and clinical analyses: the assay of vitamin D3, the immunoblotting of vitamin D receptor and peroxisome proliferator-activated receptor gamma, and the genotyping of 5-hydroxytryptamine transporter linked polymorphic region. Results. We choose 18 patients with a normal blood test profile such as thyroid hormones, hepatic and renal parameters, triglycerides, proteins, vitamin B12, and folic acid. Among these emerged the case of a woman with long-term anorexia nervosa and the case of a woman with long-term bulimia nervosa both complicated by anxiety and depression, severe hypovitaminosis D3, decrease of vitamin D receptor, leukopenia, and 5-hydroxytryptamine transporter linked polymorphic region short allele. Conclusion. The results induce hypothesising that the severe hypovitaminosis D3 might be responsible for the lack of the inflammatory response and the depressive symptoms in patients with long-term eating disorders.

  16. Hypovitaminosis D3, Leukopenia, and Human Serotonin Transporter Polymorphism in Anorexia Nervosa and Bulimia Nervosa

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    Anna Tasegian

    2016-01-01

    Full Text Available Vitamin D3 has been described to have different extraskeletal roles by acting as parahormone in obesity, diabetes, cancer, cognitive impairment, and dementia and to have important regulatory functions in innate immunity. There are no studies showing extraskeletal changes associated with hypovitaminosis D3 in eating disorders. Methods. We have analyzed the blood of 18 patients affected by anorexia nervosa and bulimia nervosa collected over a 15-month period. We performed a panel of chemical and clinical analyses: the assay of vitamin D3, the immunoblotting of vitamin D receptor and peroxisome proliferator-activated receptor gamma, and the genotyping of 5-hydroxytryptamine transporter linked polymorphic region. Results. We choose 18 patients with a normal blood test profile such as thyroid hormones, hepatic and renal parameters, triglycerides, proteins, vitamin B12, and folic acid. Among these emerged the case of a woman with long-term anorexia nervosa and the case of a woman with long-term bulimia nervosa both complicated by anxiety and depression, severe hypovitaminosis D3, decrease of vitamin D receptor, leukopenia, and 5-hydroxytryptamine transporter linked polymorphic region short allele. Conclusion. The results induce hypothesising that the severe hypovitaminosis D3 might be responsible for the lack of the inflammatory response and the depressive symptoms in patients with long-term eating disorders.

  17. Comportamiento mecánico del concreto reforzado con fibras de bagazo de caña de azúcar

    OpenAIRE

    Espinoza Carvajal, Marlon Jonathan

    2015-01-01

    El tema de investigación que a continuación vamos a describir se centra en el estudio de la incorporación de fibras naturales a una matriz de cemento. Primeramente se evaluó el Estado del Arte, verificando la existencia de estudios que tenga similitud con el tema y sirvan de referentes. Ya en campo empezamos con la recolección de la fibra natural en el Ingenio Monterrey, (MALCA), luego se procede con el aislamiento de la fibra por un tiempo no mayor a tres meses, esto ayuda a que la fibra...

  18. Combinación de fibras de acero de última generación para el refuerzo de hormigón autocompactante

    OpenAIRE

    Alberti, Marcos; Enfedaque, Alejandro; Galvez, Jaime; Cortez, Adriana

    2018-01-01

    [ES] Dado que la mayor desventaja mecánica del hormigón son sus propiedades en tracción, las fibras normalmente se utilizan para mejorar la respuesta frente a solicitaciones de tracción y flexión, siendo las fibras de acero las más comúnmente utilizadas. Este tipo de fibras se ha utilizado con éxito en aplicaciones estructurales en los últimos 50 años y, como consecuencia, se han desarrollado nuevas fibras de acero de última generación de las que existe una bibliografía muy lim...

  19. [Prevalence of anorexia nervosa, bulimia nervosa and other eating disorders in adolescent girls in Reus (Spain)].

    Science.gov (United States)

    Olesti Baiges, M; Piñol Moreso, J L; Martín Vergara, N; de la Fuente García, M; Riera Solé, A; Bofarull Bosch, J Maria; Ricomá de Castellarnau, G

    2008-01-01

    Eating disorders are characterized by changes in eating patterns associated with a series of psychosocial conflicts, low self-esteem and poor empathy, and an obsession with slimming. The aims of the present study were: 1. To determinate the prevalence of anorexia nervosa, bulimia nervosa and other eating disorders in a representative sample of adolescent girls between the ages of 12 and 21 living in the city of Reus (Spain). 2. To evaluate the association between eating disorders and alterations on the Eating Attitudes Test-40 (EAT-40), Body Attitudes Test (BAT), and the Aesthetic Body Shape Questionnaire (CIMEC). We performed a cross-sectional observational study in a random sample of adolescent girls aged between 12 and 21 years old. Information was gathered from a structured questionnaire on demographic and anthropometric factors (age, place of birth, education, etc.), clinical examination, clinical interview, DMS-IV diagnostic criteria, and three self-administered tests: EAT-40, BAT and CIMEC. A total of 551 adolescents were analyzed. The mean age was 17.6+/-2.5 years. Diagnostic criteria of anorexia nervosa were found in 0.9% (95% CI: 0.4-2.4), bulimia nervosa in 2.9% (95% CI: 1.7-4.7), and other eating disorders in 5.3% (95% CI: 3.6-7.5). The test showing the greatest alterations was the CIMEC (38%), followed by the BAT (27.1%) and EAT-40 (23.1%). All the adolescents that met the diagnostic criteria of anorexia nervosa showed alterations in all three tests. The high prevalence of eating disorders indicates the need for greater direct involvement among health professionals. The EAT-40, BAT and CIMEC are effective screening instruments for these disorders.

  20. Consumo de fibra alimentar por crianças e adolescentes com constipação crônica: influência da mãe ou cuidadora e relação com excesso de peso Dietary fiber intake for children and adolescents with chronic constipation: influence of mother or caretaker and relationship with overweight

    Directory of Open Access Journals (Sweden)

    Carolina Santos Mello

    2010-06-01

    Full Text Available OBJETIVO: Avaliar a influência da mãe ou da cuidadora sobre o consumo de fibra alimentar por crianças e adolescentes com constipação crônica bem como sua relação com a ocorrência de excesso de peso. MÉTODOS: Estudo transversal com 38 crianças e adolescentes com constipação funcional e suas respectivas cuidadoras. Para análise do consumo de fibra alimentar, foi utilizado o registro alimentar de três dias. Peso e estatura foram aferidos para verificar o estado nutricional. A história familiar de constipação foi investigada. RESULTADOS: A maioria dos pacientes com constipação (89,5%; 34/38 apresentava consumo insuficiente de fibra (inferior à idade +5g. Das 38 cuidadoras, apenas uma (2,6% apresentou ingestão de fibra superior à recomendação mínima (20g/dia. Excesso de peso foi encontrado em 28,9% (11/38 dos pacientes e em 60,5% (23/38 das suas responsáveis. Associação entre excesso de peso e presença de constipação foi verificada entre as cuidadoras (p=0,046. As crianças e adolescentes do sexo feminino com excesso de peso apresentaram menor ingestão de fibra, comparadas às sem excesso de peso (p=0,011. Nos pacientes do sexo masculino, essa associação não foi observada. O consumo de fibra pelas cuidadoras com excesso de peso foi inferior ao das demais (p=0,027. Observou-se correlação entre consumo de fibra pelas crianças com constipação e suas cuidadoras, nos sexos masculino (r=+0,561; p=0,005 e feminino (r=+0,782; pOBJECTIVE: To evaluate the influence of the mother or caretaker on the consumption of dietary fiber by children and adolescents with chronic constipation and its relationship with the occurrence of overweight. METHODS: This cross-sectional study enrolled 38 children and adolescents with functional constipation and their respective caretakers. A three-day food register was used for the analysis of the dietary fiber consumption. Weight and height were measured to verify the nutritional status

  1. Quantitative analysis of collagen and elastic fibers in the transversalis fascia in direct and indirect inguinal hernia Análise quantitativa do colágeno e de fibras elásticas na fascia transversal de pacientes com hernia inguinal direta e indireta

    Directory of Open Access Journals (Sweden)

    Aldo Junqueira Rodrigues Junior

    2002-01-01

    direta. MATERIAL E MÉTODOS: Fragmentos de fascia transversal foram retirados durante a intervenção cirúrgica e seguiram para rotina histológica para análise quantitativa colorimétrica do colágeno e histomorfométrica de fibras elásticas. RESULTADOS: Demonstramos que a fascia transversal de pacientes com hernia inguinal direta apresenta menor quantidade de colágeno e maior de fibras elásticas em relação à fascia transversal de pacientes com hernia inguinal indireta. A fascia transversal dos pacientes com hernia inguinal direta apresentou alterações estruturais das fibras elásticas maduras e elaunínicas, responsáveis pela elasticidade e redução da densidade de fibras oxitalânicas, responsáveis pela resistência. Estas alterações promovem perda da complacência tecidual da fascia transversal. CONCLUSÃO: Estes resultados nos dão elementos para compreender a participação efetiva da matriz extracellular na gênese da hernia inguinal direta, sugerindo uma relação com alterações genéticas do metabolismo de fibras elásticas e colágeno.

  2. Endocrinology of anorexia nervosa in young people: recent insights

    Science.gov (United States)

    Singhal, Vibha; Misra, Madhusmita; Klibanski, Anne

    2014-01-01

    Purpose of review Anorexia nervosa is among the most prevalent chronic medical conditions in young adults. It has acute as well as long-term consequences, some of which, such as low bone mineral density (BMD), are not completely reversible even after weight restoration. This review discusses our current understanding of endocrine consequences of anorexia nervosa. Recent findings Anorexia nervosa is characterized by changes in multiple neuroendocrine axes including acquired hypogonadotropic hypogonadism, growth hormone resistance with low insulin-like growth factor-1 (likely mediated by fibroblast growth factor-1), relative hypercortisolemia, alterations in adipokines such as leptin, adiponectin and resistin, and gut peptides including ghrelin, PYY and amylin. These changes in turn contribute to low BMD. Studies in anorexia nervosa have demonstrated abnormalities in bone microarchitecture and strength, and an association between increased marrow fat and decreased BMD. One study in adolescents reported an improvement in BMD following physiologic estrogen replacement, and another in adults demonstrated improved BMD following risedronate administration. Brown adipose tissue is reduced in anorexia nervosa, consistent with an adaptive response to the energy deficit state. Summary Anorexia nervosa is associated with widespread physiologic adaptations to the underlying state of undernutrition. Hormonal changes in anorexia nervosa affect BMD adversely. Further investigation is underway to optimize therapeutic strategies for low BMD. PMID:24275621

  3. Socio-cultural factors in the development of anorexia nervosa.

    Science.gov (United States)

    Garner, D M; Garfinkel, P E

    1980-11-01

    A population of professional dance (N = 183) and modelling (N = 56) students, who by career choice must focus increased attention and control over their body shapes, was studied. Height and weight data were obtained on all subjects. In addition, a questionnaire that is useful in assessing the symptoms of anorexia nervosa, the Eating Attitudes Test (EAT), was administered. Results of these tests were compared with those of normal female university students (N = 59), patients with anorexia nervosa (N = 68), and music students (N = 35). Anorexia nervosa and excessive dieting concerns were overrepresented in the dance and modelling students. Twelve cases (6.5%) of primary anorexia nervosa were detected in the dance group. All but one case developed the disorder while studying dance. Within the dance group those from the most competitive environments had the greatest frequency of anorexia nervosa. These data suggest that both pressures to be slim and achievement expectations are risk factors in the development of anorexia nervosa. The influence of socio-cultural determinants are discussed within the context of anorexia nervosa as a multidetermined disorder.

  4. Efeitos da calagem e da adubação potássica sobre características agronômicas e propriedades tecnológicas da fibra do algodoeiro Effects of liming and potassium fertilization on the agronomic characteristics and technological properties of the cotton fiber

    Directory of Open Access Journals (Sweden)

    Nelson Paulieri Sabino

    1995-01-01

    Full Text Available Em latossolo roxo, ácido e de baixa fertilidade, do município de Guaíra (SP, implantou-se, em 1976, um ensaio permanente de calagem e adubação potássica com o algodoeiro, variedade IAC 18. Em esquema de parcelas subdivididas, o calcário dolomítico foi incorporado às parcelas nas doses de 0, 2, 4 e 6 t/ha no primeiro ano. O potássio foi aplicado anualmente, nas doses de 0, 50, 100 e 150 kg/ha de K2O, na forma de cloreto e na presença de doses constantes de N, P2O5 e, quando necessário, boro. No sexto ano (1981/82, reaplicou-se o calcário nas doses originais e, nos anos subseqüentes até 1985/86, utilizou-se a variedade IAC 20. No primeiro ciclo de calagem, o calcário alterou positivamente a massa de um capulho e deprimiu a de cem sementes. Ambas as características foram beneficiadas pela adubação potássica. Quanto às propriedades tecnológicas da fibra, o comprimento, a maturidade, o índice Micronaire e a tenacidade diminuíram com a calagem, enquanto a adubação potássica proporcionou melhoria apenas à uniformidade de comprimento e índice Micronaire. A porcentagem de fibra não foi afetada pela calagem e teve seus valores diminuídos pela ação do potássio. Os resultados do segundo ciclo de calagem confirmaram o efeito positivo do calcário sobre a massa de um capulho e da adubação potássica nessa característica e também na massa de cem sementes. Verificou-se, ainda, efeito depressivo do corretivo na porcentagem de fibra. Quanto às propriedades tecnológicas da fibra, a calagem se mostrou tão prejudicial como na primeira fase, enquanto o uso do potássio continuou concorrendo para aumentar a uniformidade de comprimento, o índice Micronaire e a maturidade da fibra. Essa prática deprimiu os valores de tenacidade da fibra. Em nenhum dos dois ciclos, verificou-se interação entre calagem e adubação potássica.The effects of liming and potassium fertilization on the agronomic characteristics and technological

  5. Anorexia nervosa: slow regain of bone mass.

    Science.gov (United States)

    Valla, A; Groenning, I L; Syversen, U; Hoeiseth, A

    2000-01-01

    In a retrospective study of women aged 18-30 years, aimed at assessing factors associated with peak bone mass (PBM), 13 of 239 study cases reported having had anorexia nervosa. The mean total femoral and lumbar bone mineral density (BMD) values were not significantly lower in women who had had anorexia than in the pooled group (mean Z-scores of -0.60 and -0.48). Cases with less than 6 years since the anorexia had on average a present weight 5.7 kg less than their premorbid weights, while cases with more than 6 years since the eating disorder had an average weight 22.5 kg above their pre-morbid weights. The cases who had not regained their weight had BMD values significantly lower than the pooled material (mean Z-scores -1.15 and -0.9 in the lumbar spine and total femur respectively). Those who had regained their weight had BMD values as predicted from their present anthropometric data, while those who had not regained their weight had BMD values that were substantially below that predicted from their present weight. Anorexia nervosa seems to be associated with a low BMD which is even lower than that which can be predicted from the weight loss alone. This suggests that weight loss and other factors, such as menstrual dysfunction and estrogen deficiency, are independent and thus additive causes of bone loss in anorexia nervosa. Recovery of BMD seems slow, but the BMD may become as predicted from the anthropometric data after restoration of body weight and menses. The potential for recovery of BMD seems intact for several years after menarche.

  6. Neuroendocrine and Metabolic Disorders in Bulimia Nervosa.

    Science.gov (United States)

    Milano, Walter; Capasso, Anna

    2017-12-11

    Bulimia nervosa, is an eating disorder characterized by excessive influence of weight and body shape on the levels of self-esteem, with pervasive feelings of failure and inadequacy. The eating is characterized by the presence of episodes of uncontrolled eating (Binge), during which the person ingests mass wide variety of foods and the feeling of not being able to stop eating. This review focuses on the metabolic and hormonal alterations in the in bulimia nervosa. A literature search was conducted using the electronic database Medline and PubMed and with additional hand searches through the reference list obtained from the articles found. Journal were searched up to 2015. Inclusion criteria were: 1) full text available in English; 2) published in a peer-reviewed journal and using the following keywords: neurotrasmitters (AgRP, BDNF, αMSH, NP Y, endocannabinoids, adiponectin, CCK, ghrelin, GLP-1, insulin, leptin, PP, PYY), hormones (FSH, LH, estrogen, progesterone, testosterone) and bulimia nervosa, eating disorders. All data reported in the present review indicated that changes in the central and peripheral neuroendocrine equilibria may favor the onset and influence the course and prognosis of an DA. However, it is still questionable whether the alterations of the peptides and hormones regulating the mechanisms of eating behavior are the cause or consequence of a compromised diet. The results of the present review indicate that the altered balance of the various peptides or hormones can be relevant not only for the genesis and / or maintenance of altered dietary behaviors, but also for the development of specific psychopathological aspects in eating disorders. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  7. Defining recovery in adult bulimia nervosa.

    Science.gov (United States)

    Yu, Jessica; Agras, W Stewart; Bryson, Susan

    2013-01-01

    To examine how different definitions of recovery lead to varying rates of recovery, maintenance of recovery, and relapse in bulimia nervosa (BN), end-of-treatment (EOT) and follow-up data were obtained from 96 adults with BN. Combining behavioral, physical, and psychological criteria led to recovery rates between 15.5% and 34.4% at EOT, though relapse was approximately 50%. Combining these criteria and requiring abstinence from binge eating and purging when defining recovery may lead to lower recovery rates than those found in previous studies; however, a strength of this definition is that individuals who meet this criteria have no remaining disordered behaviors or symptoms.

  8. [The refeeding syndrome in anorexia nervosa].

    Science.gov (United States)

    Ibrahim, Iman Badr; Hussain, Alia Arif; Sjögren, Jan Magnus

    2018-04-30

    The refeeding syndrome (RFS) is a potentially fatal condition involving fluid and electrolyte imbalances after refeeding in patients with anorexia nervosa. Low-calorie diet added thiamine and minerals is the standard approach to prevent RFS. In a recent systematic review starting with a higher calorie amount than earlier has been recommended, and in another review, it is proposed that a restriction in the amount of carbohydrates may allow for a higher calorie intake early on to enable a safe and faster weight gain. There are still many unanswered questions, but these studies may point to a future change in the guidelines.

  9. Nursing Process to patients with Anorexia Nervosa

    OpenAIRE

    Toledo, Vanessa Pellegrino; Ramos, Natália Amorim; Wopereis, Flávia

    2011-01-01

    Relato de experiência da aplicação do Processo de Enfermagem a uma paciente portadora de Anorexia Nervosa, utilizando histórico, diagnósticos, intervenções e resultados de enfermagem. As intervenções foram fundamentadas nos diagnósticos de enfermagem: distúrbio da imagem corporal, nutrição desequilibrada menos que as necessidades corporais, ansiedade, baixa autoestima crônica, intolerância a atividade, controle ineficaz do regime terapêutico, risco de infecção, volume de líquidos deficiente e...

  10. Can cognitive exercises help treat anorexia nervosa?

    Science.gov (United States)

    Tchanturia, K; Whitney, J; Treasure, J

    2006-12-01

    Cognitive remediation therapy (CRT) is used as an intervention for people with brain lesions and psychosis. This case report demonstrates the possible benefits of introducing CRT into treatment packages for anorexia nervosa (AN). In our previous work, we reported that people with AN demonstrate inflexibility in cognitive set-shifting tasks. Weight gain alone does not improve the neuropsychological profile in set-shifting tasks. This case report illustrates how training programmes can address problems in cognitive rigidity. We acknowledge the limitations of case studies, however, this is a starting point in exploring the possibilities of introducing CRT as part of the treatment of AN.

  11. Psychosurgery in the Treatment of Anorexia Nervosa

    OpenAIRE

    Franco, Silvia; Pontificia Universidad Javeriana; Otero, Óscar; Pontificia Universidad Javeriana; Acevedo González, Juan Carlos; Pontificia Universidad Javeriana; Zorro Guio, Óscar; Hospital Universitario de San Ignacio; Berbeo Calderón, Miguel; Pontificia Universidad Javeriana; Díaz Orduz, Roberto; Pontificia Universidad Javeriana; Feo Lee, Óscar; Pontificia Universidad Javeriana

    2012-01-01

    Anorexia nervosa is a severe restriction of food intake that can sometimes be associated to purging behaviour. Beyond the difficulty of manteining an addecuate body mass index, people affected by this disease suffer a constant fear of gaining weight, a severe distortion of body image, and a poor introspection of the gravity of the disease. Anorexia is associated with other commorbilities such as depression, anxiety, and personality disorders, which makes anorexia a complex disease with diffic...

  12. El Nopal fresco como fuente de fibra y calcio en panqués El Nopal fresco como fuente de fibra y calcio en panqués

    Directory of Open Access Journals (Sweden)

    José Eleazar Barboza- Corona

    2012-02-01

    Full Text Available El objetivo de este trabajo fue utilizar nopal fresco en la formulación de panqués para incrementar su contenido de fibra dietética y calcio. Se desarrollaron cinco formulaciones de panqués utilizando nopal fresco (Opuntia amyclaea Tenore, 4 con sucralosa (una testigo sin nopal y una con azúcar y nopal. Se evaluaron sensorialmente por 60 jueces no entrenados mediante la prueba de preferencia, utilizando una escala hedónica del 1 al 9. Se les determinó el contenido de proteína (Nx6.25, humedad, cenizas, lípidos, hidratos de carbono, fibra dietética total, calcio y fósforo por los métodos de la AOAC, (1990. Los resultados revelaron contenidos de proteínas (Nx6.25 entre 9.54 y 10.08, de humedad entre 35.75 y 40.00, de cenizas, 2.29 g/100 g y 2.44 g/100 g peso húmedo. La evaluación sensorial mostró una buena aceptación, los contenidos de fibra dietética total estuvieron entre 8.27 % y 10.43 % y los de calcio entre 0.27 y 0.375 g/100 g. El valor calórico fue de 216.02 kcal a 225.68 kcal kJ/100 g de panqué, aproximadamente 50 % menos que los que se ofrecen en el mercado. Por su alto contenido de fibra y calcio, ausencia de azúcar y bajo valor calórico estos productos podrían ser una opción saludable para personas diabéticas y obesas.The aim of this work was to utilize fresh cactus as a source of dietary fiber and calciumin pound cake formulations. Five pound cake formulations using fresh cactus (Opuntiaamyclaea Tenore were developed (four with sucralosa, one of them without cactus andone with sugar cane and cactus. Sensory evaluation was performed by 60 untrained judgesand based on a preference assay with a hedonic scale from 1 to 9. Protein (Nx6.25,lipids, ashes, carbohydrates, total dietary fiber, calcium and phosphorus were determinedaccording to the methods of the AOAC, (1990. The results showed protein contentsfrom 9.54 to 10.08, moisture from 35.75 to 40.00, lipids from 2.29 g/100 g y 2.44 g/100g fresh weight. The

  13. ESTUDIO DE LA RESISTENCIA MECÁNICA DE MATERIALES COMPUESTOS POLIMÉRICOS REFORZADOS CON FIBRAS DE CARBONO

    Directory of Open Access Journals (Sweden)

    Enrique Rocha-Rangel

    2011-01-01

    Full Text Available Materiales compuestos hechos de una resina epóxica reforzada con diferentes contenidos de fibra de carbono, fueron preparados por dos técnicas de laminación diferentes. Se aplicó 1 Kg/cm2 de presión en los laminados, mientras, que otros laminados se sometieron a un vacío de 1 atm. De los resultados se tiene que las resistencias a la flexión y tensión de los compósitos son mejoradas con el aumento en el contenido de fibra en los mismos. Los compósitos resultantes presentan un mejor comportamiento mecánico bajo esfuerzos de tensión que cuando lo hacen bajo esfuerzos de flexión, debido a que en flexión las fibras se rompen eventualmente, provocando que el material falle a bajos valores de esfuerzo. Cuando los materiales compuestos son sometidos a tensión, las fibras trasmiten los esfuerzos entre ellas y el material falla hasta que se acumula la energía necesaria para romper todas las fibras de una sola vez.

  14. Applying neurobiology to the treatment of adults with anorexia nervosa.

    Science.gov (United States)

    Hill, Laura; Peck, Stephanie Knatz; Wierenga, Christina E; Kaye, Walter H

    2016-01-01

    Anorexia nervosa is a severe, biologically based brain disorder with significant medical complications. It is critical that new, effective treatments are developed to interrupt the persistent course of the illness due to the medical and psychological sequelae. Several psychosocial, behavioral and pharmacologic interventions have been investigated in adult anorexia nervosa; however, evidence shows that their impact is weak and treatment effects are generally small. This paper describes a new neurobiological anorexia nervosa model that shifts focus from solely external influences, such as social and family, to include internal influences that integrate genetic and neurobiological contributions, across the age span. The model serves as a theoretical structure for a new, five-day treatment, outlined in this paper, targeting anorexia nervosa temperament, which integrates neurobiological dimensions into evidence-based treatment interventions. The treatment is in two phases. Phase I is a five day, 40 hour treatment for anorexia nervosa adults. Phase II is the follow-up and is currently being developed. Preliminary qualitative acceptability data on 37 adults with anorexia nervosa and 60 supports (e.g., spouses, parents, aunts, friends, partners, children of anorexia nervosa adults) are promising from Phase I. Clients with anorexia nervosa and their supports report that learning neurobiological facts improved their understanding of the illness and helped equip them with better tools to manage anorexia nervosa traits and symptoms. In addition, nutritional knowledge changed significantly. This is the first neurobiologically based, five-day treatment for adults with anorexia nervosa and their supports. It is a new model that outlines underlying genetic and neurobiological contributions to anorexia nervosa that serves as a foundation to treat both traits and symptoms. Preliminary qualitative findings are promising, with both clients and supports reporting that the

  15. [A case of ammonium urate urinary stones with anorexia nervosa].

    Science.gov (United States)

    Komori, K; Arai, H; Gotoh, T; Imazu, T; Honda, M; Fujioka, H

    2000-09-01

    A 27-year-old woman had been suffering from bulimia and habitual vomiting for about 7 years and was incidentally found to have right renal stones by computed tomography. She was referred to our hospital for the treatment of these caluculi. On admission, she presented with hypokalemia, hypochloremia and metabolic alkalosis and was diagnosed with anorexia nervosa. Following successful removal by percutaneous nephrolithotripsy and extracorporeal shockwave lithotripsy the stones were found to consist of pure ammonium urate. Since the urine of an anorexia nervosa patient tends to be rich in uric acid and ammonium, anorexia nervosa seems to be associated with ammonium urate urinary stones.

  16. Underlying assumptions and core beliefs in anorexia nervosa and dieting.

    Science.gov (United States)

    Cooper, M; Turner, H

    2000-06-01

    To investigate assumptions and beliefs in anorexia nervosa and dieting. The Eating Disorder Belief Questionnaire (EDBQ), was administered to patients with anorexia nervosa, dieters and female controls. The patients scored more highly than the other two groups on assumptions about weight and shape, assumptions about eating and negative self-beliefs. The dieters scored more highly than the female controls on assumptions about weight and shape. The cognitive content of anorexia nervosa (both assumptions and negative self-beliefs) differs from that found in dieting. Assumptions about weight and shape may also distinguish dieters from female controls.

  17. Avaliação da determinação da fibra em detergente neutro e da fibra em detergente ácido pelo sistema ANKOM

    Directory of Open Access Journals (Sweden)

    Berchielli Telma Teresinha

    2001-01-01

    Full Text Available O objetivo do trabalho foi comparar os valores de fibra em detergente neutro (FDN e os de fibra em detergente ácido (FDA obtidos com o equipamento ANKOM e pelo método convencional (Van Soest. No primeiro ensaio foram analisados cinco materiais diferentes (cana-de-açúcar, capim-braquiária, silagem de milho, polpa cítrica e fezes bovina e testados quatro tipos de saquinhos para filtragem de amostra. O delineamento experimental foi em blocos casualizados, em um fatorial 5x4 (cinco materiais diferentes e quatro tipos de saquinhos de filtragem, com três repetições. As médias obtidas foram comparadas àquelas obtidas com método convencional. No segundo ensaio procurou-se avaliar o efeito da quantidade de amostra por saquinho (0,5; 0,8 e 1,0 g sobre os teores de FDN e FDA em três tipos de alimentos, utilizando o ANKOM. Neste ensaio, o delineamento experimental foi em blocos casualizados em esquema fatorial 3x3 (três alimentos x três quantidades, com três repetições. Os tipos de saquinhos de filtragem utilizados não influenciaram os teores de FDN nos diferentes alimentos, com exceção das fezes, cujos saquinhos de náilon resultaram em concentrações de FDN inferiores. Não houve diferença entre os valores de FDN e FDA, obtidos pelo equipamento ANKOM ou pelo convencional, para os alimentos estudados, com exceção da polpa cítrica, cujo valor médio de FDA pelo ANKOM foi inferior àquele obtido pelo método convencional. A quantidade não exerceu efeito sobre a concentração de FDN dos alimentos analisados no equipamento ANKOM.

  18. Alterations in brain structures related to taste reward circuitry in ill and recovered anorexia nervosa and in bulimia nervosa.

    Science.gov (United States)

    Frank, Guido K; Shott, Megan E; Hagman, Jennifer O; Mittal, Vijay A

    2013-10-01

    The pathophysiology of anorexia nervosa remains obscure, but structural brain alterations could be functionally important biomarkers. The authors assessed taste pleasantness and reward sensitivity in relation to brain structure, which may be related to food avoidance commonly seen in eating disorders. The authors used structural MR imaging to study gray and white matter volumes in women with current restricting-type anorexia nervosa (N=19), women recovered from restricting-type anorexia nervosa (N=24), women with bulimia nervosa (N=19), and healthy comparison women (N=24). All eating disorder groups exhibited increased gray matter volume of the medial orbitofrontal cortex (gyrus rectus). Manual tracing confirmed larger gyrus rectus volume, and volume predicted taste pleasantness ratings across all groups. Analyses also indicated other morphological differences between diagnostic categories. Antero-ventral insula gray matter volumes were increased on the right side in the anorexia nervosa and recovered anorexia nervosa groups and on the left side in the bulimia nervosa group relative to the healthy comparison group. Dorsal striatum volumes were reduced in the recovered anorexia nervosa and bulimia nervosa groups and predicted sensitivity to reward in all three eating disorder groups. The eating disorder groups also showed reduced white matter in right temporal and parietal areas relative to the healthy comparison group. The results held when a range of covariates, such as age, depression, anxiety, and medications, were controlled for. Brain structure in the medial orbitofrontal cortex, insula, and striatum is altered in eating disorders and suggests altered brain circuitry that has been associated with taste pleasantness and reward value.

  19. Anorexia nervosa: uma revisão

    Directory of Open Access Journals (Sweden)

    Eder Schmidt

    2008-12-01

    Full Text Available Os autores apresentam uma revisão de alguns pontos de vista com relação à anorexia nervosa. Alinham-se aspectos classificatórios, históricos, clínicos e terapêuticos. Reconhecida como a base para ocorrências místicas na Idade Média, foi entendida como uma apresentação histérica no século XVII, para tornar-se, logo em seguida, objeto das indagações freudianas. Discute-se a anorexia como uma apresentação da estrutura histérica, aqui abordada a partir dos conceitos freudianos sobre histeria, Édipo e feminino, e considerando-se o corpo físico como um mero suporte para articulações simbólicas. Para Freud, a anorexia nervosa seria um quadro pelo qual a histérica exprime sua aversão à sexualidade.

  20. [Anorexia nervosa: a model of malnutrition].

    Science.gov (United States)

    Rigaud, D

    2000-11-01

    Anorexia nervosa is a typical kind of malnutrition resulting from chronic starvation. The malnutrition is related to a severe eating disorder (fear of eating and becoming fat) causing reduction of food intake. The large majority of the patients are women (95%). There are two types of anorexia nervosa with different prognosis and treatment: the restricting type and the "purging" type (with or without bulimia). In this kind of malnutrition, plasma nutritional markers are normal. The decrease in energy intake induces an adaptative decrease in energy expenditure. Body weight loss is related to a loss in fat free mass and in fat mass, although there is an increase in extracellular water. Below a body mass index of 15 kg/(m)(2), sodium and water retention require prescription of a low sodium diet. Several factors of resistance are operating in this disease, acting against body weight gain: metabolic wasting of energy expenditure (futile cycles), fear-related energy expenditure, dissimulations. Recovery is still long and difficult to obtain and requires a combined nutritional and psychotherapeutic approach.

  1. Mitochondrial Neurogastrointestinal Encephalomyopathy Presenting as Anorexia Nervosa.

    Science.gov (United States)

    Demaria, Francesco; De Crescenzo, Franco; Caramadre, Anna Maria; D'Amico, Adele; Diamanti, Antonella; Fattori, Fabiana; Casini, Maria Pia; Vicari, Stefano

    2016-12-01

    Mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) is a rare multisystemic autosomal recessive disorder mainly caused by mutations in the nuclear gene TYMP, encoding thymidine phosphorylase. It generally appears in childhood and is clinically characterized by severe gastrointestinal dysmotility, cachexia, ptosis, progressive external ophthalmoplegia, peripheral neuropathy, and diffuse leukoencephalopathy on brain magnetic resonance imaging. The disease is clinically heterogeneous with the main symptoms being gastrointestinal, with an important weight loss. Symptoms might worsen rapidly, and a timely diagnosis is vital. However, patients report retrospectively their first symptoms before the age of 12 years, but the delay in diagnosis varies from 5 to 10 years. In the present study, we report a case of an adolescent with MNGIE, which was initially, and erroneously, diagnosed as anorexia nervosa. To make a timely and accurate differential diagnosis, we will discuss the clinical differences and similarities between MNGIE and anorexia nervosa and the importance of a multidisciplinary evaluation. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  2. Outcome, comorbidity and prognosis in anorexia nervosa.

    Science.gov (United States)

    Jagielska, Gabriela; Kacperska, Iwona

    2017-04-30

    Anorexia nervosa (AN) is a relatively common disorder, especially in adolescent and young adult women. The lifetime prevalence of AN in females ranges from 1.2 to 2.2%. The prevalence in males is 10-times lower. The condition is associated with a high risk of chronic course and poor prognosis in terms of treatment and the risk of death. Longer follow-up periods seemed to correspond with increased improvement rates and increased mortality. Onset of the disorder during adolescence is associated with better prognosis. It is reported that as much as 70% to over 80% of patients in this age group achieve remission. Worse outcomes are observed in patients who required hospitalization and in adults. Recent studies indicate improved prognosis for cure and lower mortality rates than previously reported. However, the recovery can take several years and AN is associated with high risk of developing other psychiatric disorders during the patients' lifetime, even after recovery from AN (mainly: affective disorders, anxiety disorders, obsessive-compulsive disorders, substance abuse disorders). Studies indicate that bulimic symptoms often occur in the course of anorexia nervosa (especially within 2-3 years from the onset of AN). The authors present a review of literature on the course, comorbidity, mortality, and prognostic factors in AN. Better knowledge of the course of anorexia can contribute to more realistic expectations of the pace of symptomatic improvement, as well as to a creation of therapeutic programs which are better adapted to the needs of the patients.

  3. Características de adhesión entre fibras de queratina y poliéster insaturado

    Directory of Open Access Journals (Sweden)

    Marco Paniagua

    2008-01-01

    Full Text Available En este trabajo se presentan los métodos y resultados utilizados para determinar las características de adhesión entre fibras de queratina y una matriz de poliéster insaturado. Las fibras fueron preparadas con varios tratamientos superficiales para determinar el efecto de estos en la adhesión a la matriz mediante: i pruebas de desgarre de monofilamento, pull-out, como método directo de medición y ii pruebas de tensión en laminados como método indirecto para estudiar, mediante microscopía electrónica SEM, la adhesión fibra matriz en la zona de fractura.

  4. Establishing guidelines for pharmacotherapy trials in bulimia nervosa and anorexia nervosa.

    Science.gov (United States)

    Mitchell, J E; Tareen, B; Sheehan, W; Agras, S; Brewerton, T D; Crow, S; Devlin, M; Eckert, E; Halmi, K; Herzog, D; Marcus, M; Powers, P; Stunkard, A; Walsh, B T

    2000-07-01

    This paper addresses the lack of a standard protocol for pharmacotherapy trials for patients with bulimia nervosa (BN) and anorexia nervosa (AN). Twenty-two surveys were sent to established researchers in the field of eating disorders to elicit their opinions regarding medication trials, including baseline laboratory tests, the optimal length/frequency of medication management sessions, and the information that should or should not be included in these sessions. Sixteen of 22 researchers completed and returned the survey. Their answers are the basis of the data presented. We propose a battery of screening laboratory tests for both conditions. We suggest 30-45-min initial medication management sessions in both AN and BN trials with 15-min follow-ups to be held weekly for AN subjects, and weekly for 2 weeks, then biweekly for 2 weeks, then monthly, for BN subjects. We also recommend that published trials should include explicit details of medication management. Copyright 2000 John Wiley & Sons, Inc.

  5. Investigation of Oxytocin Secretion in Anorexia Nervosa and Bulimia Nervosa: Relationships to Temperament Personality Dimensions.

    Science.gov (United States)

    Monteleone, Alessio Maria; Scognamiglio, Pasquale; Volpe, Umberto; Di Maso, Virginia; Monteleone, Palmiero

    2016-01-01

    Published studies suggested an implication of oxytocin in some temperament characteristics of personality. Therefore, we measured oxytocin secretion in 23 women with anorexia nervosa (AN), 27 with bulimia nervosa (BN) and 19 healthy controls and explored the relationships between circulating oxytocin and patients' personality traits. Plasma oxytocin levels were significantly reduced in AN women but not in BN ones. In healthy women, the attachment subscale scores of the reward dependence temperament and the harm avoidance (HA) scores explained 82% of the variability in circulating oxytocin. In BN patients, plasma oxytocin resulted to be negatively correlated with HA, whereas no significant correlations emerged in AN patients. These findings confirm a dysregulation of oxytocin production in AN but not in BN and show, for the first time, a disruption of the associations between hormone levels and patients' temperament traits, which may have a role in certain deranged behaviours of eating disorder patients. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  6. Indirect evidence for decreased hypothalamic somatostatinergic tone in anorexia nervosa

    DEFF Research Database (Denmark)

    Støving, R K; Andersen, M; Flyvbjerg, A

    2002-01-01

    in the central feeding mechanism in anorexia nervosa (AN). Peripheral administration of pyridostigmine (PD) minimizes the release of hypothalamic SRIH. DESIGN: To study the influence of hypothalamic somatostatinergic inhibition on the exaggerated somatotroph responsiveness to GHRH in patients with severe AN, two...... indirectly to greater SRIH withdrawal and greater GHRH release in anorexia nervosa. Moreover, hypothalamic SRIH activity seems to be inversely related to cortisol levels, indirectly supporting the hypothesis that SRIH and CRH neuronal activity are inversely related in anorexia nervosa. Leptin, which...... is believed to act on hypothalamic feeding mechanisms, seems to be positively related to SRIH activity. Finally, the present data demonstrate that the potentiating effect of pyridostigmine in anorexia nervosa is related to body mass index and increases upon weight gain, suggesting that the low...

  7. Reduced perception of bodily signals in anorexia nervosa.

    Science.gov (United States)

    Pollatos, Olga; Kurz, Anne-Lene; Albrecht, Jessica; Schreder, Tatjana; Kleemann, Anna Maria; Schöpf, Veronika; Kopietz, Rainer; Wiesmann, Martin; Schandry, Rainer

    2008-12-01

    Interoceptive awareness is known to be impaired in eating disorders. To date, it has remained unclear whether this variable is related to the construct of interoceptive sensitivity. Interoceptive sensitivity is considered to be an essential variable in emotional processes. The objective of the study was to elucidate this potential relationship and to clarify whether general interoceptive sensitivity is reduced in anorexia nervosa. Using a heartbeat perception task, interoceptive sensitivity was assessed in 28 female patients with anorexia nervosa and 28 matched healthy controls. Questionnaires assessing interoceptive awareness (EDI) and several other variables were also administered. Patients with anorexia nervosa displayed significantly decreased interoceptive sensitivity. They also had more difficulties in interoceptive awareness. In addition to a decreased ability to recognize certain visceral sensations related to hunger, there is a generally reduced capacity to accurately perceive bodily signals in anorexia nervosa. This highlights the potential importance of interoceptive sensitivity in the pathogenesis of eating disorders.

  8. Altered social reward and attention in anorexia nervosa

    Directory of Open Access Journals (Sweden)

    Karli K Watson

    2010-09-01

    Full Text Available Dysfunctional social reward and social orienting attend a variety of neuropsychiatric disorders including autism, schizophrenia, social anxiety, and psychopathy. Here we show that similar social reward and attention dysfunction attend anorexia nervosa, a disorder defined by avoidance of food and extreme weight loss. We measured the implicit reward value of social stimuli for female participants with (n=11 and without (n=11 anorexia nervosa using an econometric choice task and also tracked gaze patterns during free viewing of images of female faces and bodies. As predicted, the reward value of viewing bodies varied inversely with observed body weight for women with anorexia but not neurotypical women, in contrast with their explicit ratings of attractiveness. Surprisingly, women with anorexia nervosa, unlike neurotypical women, did not find female faces rewarding and avoided looking at both the face and eyes—independent of observed body weight. These findings demonstrate comorbid dysfunction in the neural circuits mediating gustatory and social reward in anorexia nervosa.

  9. How to Feed a Patient with Anorexia Nervosa?

    Directory of Open Access Journals (Sweden)

    D.O. Ptushkina

    2015-11-01

    Full Text Available The article presents the problems of nutritional rehabilitation of patients with anorexia nervosa, methods for evaluation of nutritional status, eating behavior, weight restoration and weight gain rates, stages of treatment, enteral nutrition.

  10. ANOREXIA NERVOSA IN KENYA FG NJENGA and RN KANGETHE ...

    African Journals Online (AJOL)

    hi-tech

    2004-04-04

    Apr 4, 2004 ... recently genetic and other biological factors such as ..... population developing hypertension because there is a high level of awareness of its causation. We here argue that abnormal eating habits and anorexia nervosa are.

  11. Estudo da Estabilização Termo-Oxidativa de Fitas e Feixes de Fibras de Poliacrilonitrila

    Directory of Open Access Journals (Sweden)

    Costa Andréa M. A. R.

    2002-01-01

    Full Text Available Os estudos relacionados ao processo de fabricação de fibras de carbono indicam que a etapa de estabilização termo-oxidativa das fibras precursoras é limitante, envolvendo reações químicas complexas e mudanças na estrutura física das fibras. Com o objetivo de se conhecer melhor a etapa de estabilização e eliminar gastos em testes experimentais, a modelagem e a simulação surgem para tentar otimizar este processo. Apresenta-se neste trabalho um modelo matemático para a etapa de estabilização de uma fita de fibras de poliacrilonitrila. As equações do modelo descrevem as principais reações químicas de estabilização, a difusão de oxigênio e a transferência de calor na fita. Para a resolução do modelo foi desenvolvido um programa computacional na linguagem Fortran, utilizando os métodos de Colocação Ortogonal e Rungefraction three-quarters Kutta Semi-implícito. Foram obtidos resultados de temperaturas e concentrações na fita de fibras de poliacrilonitrila em função do tempo de estabilização e da posição na espessura da fita. Estes resultados foram analisados e comparados com os simulados em um feixe de fibras de poliacrilonitrila e indicaram que a transferência de calor na fita é melhor do que no feixe e conseqüentemente as reações exotérmicas são mais controladas.

  12. Could Dopamine Agonists Aid in Drug Development for Anorexia Nervosa?

    Science.gov (United States)

    Frank, Guido K. W.

    2014-01-01

    Anorexia nervosa is a severe psychiatric disorder most commonly starting during the teenage-years and associated with food refusal and low body weight. Typically there is a loss of menses, intense fear of gaining weight, and an often delusional quality of altered body perception. Anorexia nervosa is also associated with a pattern of high cognitive rigidity, which may contribute to treatment resistance and relapse. The complex interplay of state and trait biological, psychological, and social factors has complicated identifying neurobiological mechanisms that contribute to the illness. The dopamine D1 and D2 neurotransmitter receptors are involved in motivational aspects of food approach, fear extinction, and cognitive flexibility. They could therefore be important targets to improve core and associated behaviors in anorexia nervosa. Treatment with dopamine antagonists has shown little benefit, and it is possible that antagonists over time increase an already hypersensitive dopamine pathway activity in anorexia nervosa. On the contrary, application of dopamine receptor agonists could reduce circuit responsiveness, facilitate fear extinction, and improve cognitive flexibility in anorexia nervosa, as they may be particularly effective during underweight and low gonadal hormone states. This article provides evidence that the dopamine receptor system could be a key factor in the pathophysiology of anorexia nervosa and dopamine agonists could be helpful in reducing core symptoms of the disorder. This review is a theoretical approach that primarily focuses on dopamine receptor function as this system has been mechanistically better described than other neurotransmitters that are altered in anorexia nervosa. However, those proposed dopamine mechanisms in anorexia nervosa also warrant further study with respect to their interaction with other neurotransmitter systems, such as serotonin pathways. PMID:25988121

  13. Diminished creatinine clearance in anorexia nervosa: reversal with weight gain.

    OpenAIRE

    Boag, F; Weerakoon, J; Ginsburg, J; Havard, C W; Dandona, P

    1985-01-01

    To assess whether patients with anorexia nervosa have abnormalities in creatinine clearance, we measured plasma creatinine concentration, urinary creatinine excretion, and creatinine clearance in 10 patients with anorexia nervosa before and during treatment. Urinary creatinine excretion and creatinine clearance were diminished in all patients. Nine patients had significant decreases in their plasma creatinine and creatinine clearance was increased even when corrected for body weight and body ...

  14. Could dopamine agonists aid in drug development for anorexia nervosa?

    Science.gov (United States)

    Frank, Guido K W

    2014-01-01

    Anorexia nervosa is a severe psychiatric disorder most commonly starting during the teenage-years and associated with food refusal and low body weight. Typically there is a loss of menses, intense fear of gaining weight, and an often delusional quality of altered body perception. Anorexia nervosa is also associated with a pattern of high cognitive rigidity, which may contribute to treatment resistance and relapse. The complex interplay of state and trait biological, psychological, and social factors has complicated identifying neurobiological mechanisms that contribute to the illness. The dopamine D1 and D2 neurotransmitter receptors are involved in motivational aspects of food approach, fear extinction, and cognitive flexibility. They could therefore be important targets to improve core and associated behaviors in anorexia nervosa. Treatment with dopamine antagonists has shown little benefit, and it is possible that antagonists over time increase an already hypersensitive dopamine pathway activity in anorexia nervosa. On the contrary, application of dopamine receptor agonists could reduce circuit responsiveness, facilitate fear extinction, and improve cognitive flexibility in anorexia nervosa, as they may be particularly effective during underweight and low gonadal hormone states. This article provides evidence that the dopamine receptor system could be a key factor in the pathophysiology of anorexia nervosa and dopamine agonists could be helpful in reducing core symptoms of the disorder. This review is a theoretical approach that primarily focuses on dopamine receptor function as this system has been mechanistically better described than other neurotransmitters that are altered in anorexia nervosa. However, those proposed dopamine mechanisms in anorexia nervosa also warrant further study with respect to their interaction with other neurotransmitter systems, such as serotonin pathways.

  15. Eating disorders focused on anorexia and bulimia nervosa.

    OpenAIRE

    Zinková, Alžběta

    2011-01-01

    The study deals with eating disorders. It tries to bring the most comprehensive overview of the two majority eating disorders, anorexia nervosa and bulimia nervosa, respectively. Both diseases have a lot in common, but also some of its specifics which are pointed out in the study. The study is conceived to make the reader in the early chapters acquainted with the various eating disorders according to international diagnostic criteria. Then there is a brief history, epidemiology and etiology a...

  16. Could Dopamine Agonists Aid in Drug Development for Anorexia Nervosa?

    OpenAIRE

    Frank, Guido K. W.

    2014-01-01

    Anorexia nervosa is a severe psychiatric disorder most commonly starting during the teenage-years and associated with food refusal and low body weight. Typically there is a loss of menses, intense fear of gaining weight, and an often delusional quality of altered body perception. Anorexia nervosa is also associated with a pattern of high cognitive rigidity, which may contribute to treatment resistance and relapse. The complex interplay of state and trait biological, psychological, and social ...

  17. Could Dopamine Agonists Aid in Drug Development for Anorexia Nervosa?

    Directory of Open Access Journals (Sweden)

    Guido eFrank

    2014-11-01

    Full Text Available Anorexia nervosa is a severe psychiatric disorder most commonly starting during the teenage years and associated with food refusal and low body weight. Typically there is a loss of menses, intense fear of gaining weight and an often delusional quality of altered body perception. Anorexia nervosa is also associated with a pattern of high cognitive rigidity, which may contribute to treatment resistance and relapse. The complex interplay of state and trait biological, psychological and social factors has complicated identifying neurobiological mechanisms that contribute to the illness. The dopamine D1 and D2 neurotransmitter receptors are involved in motivational aspects of food approach, fear extinction and cognitive flexibility. They could therefore be important targets to improve core and associated behaviors in anorexia nervosa. Treatment with dopamine antagonists has shown little benefit, and it is possible that antagonists over time increase an already hypersensitive dopamine pathway activity in anorexia nervosa. On the contrary, application of dopamine receptor agonists could reduce circuit responsiveness, facilitate fear extinction and improve cognitive flexibility in anorexia nervosa, as they may be particularly effective during underweight and low gonadal hormone states. This article provides evidence that the dopamine receptor system could be a key factor in the pathophysiology of anorexia nervosa and dopamine agonists could be helpful in reducing core symptoms of the disorder. This review is a theoretical approach that primarily focuses on dopamine receptor function as this system has been mechanistically better described than other neurotransmitters that are altered in anorexia nervosa. However, those proposed dopamine mechanisms in anorexia nervosa also warrant further study with respect to their interaction with other neurotransmitter systems, such as serotonin pathways.

  18. Similarities and differences between eating disorders and orthorexia nervosa

    OpenAIRE

    Larsen, Kristine Instefjord

    2013-01-01

    Masteroppgave - Norges idrettshøgskole, 2013 In today`s society there is an increased focus on having a healthy lifestyle and a good health. For some people, the attempt to achieve good health turns into an obsession which again may lead to an eating disorder. In recent years a new term is noticed, called orthorexia nervosa. Orthorexia is about being obsessed with healthy eating. Today there is a lot of research and literature about eating disorders such as anorexia nervosa ...

  19. Efeito da fibra do polissacarídeo de soja no peso e na umidade das fezes de ratos em fase de crescimento

    OpenAIRE

    Freitas,Karine C.; Motta,Maria Eugênia F. A.; Amâncio,Olga M. S.; Fagundes Neto,Ulysses; Morais,Mauro B.

    2004-01-01

    OBJETIVO: Comparar, em ratos, o efeito do polissacarídeo de soja em relação a celulose e fórmula de soja sem fibra alimentar sobre o peso e a umidade fecal. MÉTODOS: Foram utilizados 12 ratos Wistar machos, com 21 dias de vida, distribuídos em três grupos, que receberam ração AIN-93G variando-se a fonte de fibra alimentar: grupo polissacarídeo, com 5% de fibra na forma de polissacarídeo de soja; grupo fórmula de soja, com 5% de fórmula de soja sem fibra; e grupo celulose, com 5% de fibra na f...

  20. Clinical, psychopathological and personality correlates of interoceptive awareness in anorexia nervosa, bulimia nervosa and obesity.

    Science.gov (United States)

    Fassino, Secondo; Pierò, Andrea; Gramaglia, Carla; Abbate-Daga, Giovanni

    2004-01-01

    To determine the levels of interoceptive awareness (IA), which measures the ability of an individual to discriminate between sensations and feelings, and between the sensations of hunger and satiety, in eating disorder patients and to identify the clinical, psychopathological and personal variables correlated with IA. Sixty-one restrictor anorectics, 61 binge-purging anorectics, 104 purging bulimics, 49 obese subjects with binge eating disorder (BED) and 47 obese subjects without BED were compared. They were assessed with the Eating Disorder Inventory-2, the Temperament and Character Inventory, and the Beck Depression Inventory, and their clinical and sociodemographic features were recorded. In all patients, the levels of IA were higher than the 'normal' ones; in bulimia nervosa, they were higher than in anorexia nervosa and obesity. Similar personal features and eating attitudes are shared by patients with bulimia nervosa and BED. In the total sample, the following variables independently correlate with IA: the Beck Depression Inventory, self- directedness and persistence. The importance of an altered IA in eating disorders is supported. Both depression and a perfectionist and poorly self-directive personality can lead to greater difficulties in discriminating hunger and satiety. Copyright 2004 S. Karger AG, Basel

  1. Elaboração de farofa de grãos, sementes oleaginosas e castanha de caju: composição de fibras, ácidos graxos e aceitação

    Directory of Open Access Journals (Sweden)

    Elisângela Porfírio

    2014-09-01

    Full Text Available O trabalho objetivou a elaboração de farofa salgada, composta de sementes oleaginosas e castanha de caju, bem como a avaliação de seus atributos nutricionais, comparando-os às recomendações atuais de ingestão e sua aceitação sensorial. As matérias-primas utilizadas na elaboração da farofa foram: gergelim, linhaça dourada, girassol, soja tostada, aveia, flocos de milho, gérmen de trigo, castanha de caju, farinha de milho, óleo de girassol, tempero desidratado e sal. A análise sensorial foi realizada por 120 avaliadores, voluntários, não treinados, de ambos os sexos, frequentadores do campus. A análise físico-química foi realizada considerando teores de fibra alimentar total, solúvel, insolúvel; ácidos graxos; gorduras saturadas, monoinsaturadas, poli-insaturadas, trans; índice de peróxidos e estabilidade oxidativa. Quanto à fibra total, a porção de 30 g apresentou 11% dos valores diários recomendados; ácidos graxos ω-6 e ω-3, com proporção de 5:1, razão adequada segundo as recomendações da Organização Mundial de Saúde; ácido graxo oleico representou 15 g da composição lipídica do produto. Quanto à estabilidade, a farofa mostrou-se estável pelo método Rancimat e índice de peróxido aceitável pela legislação brasileira. Apresentou excelente aceitação entre os avaliadores, com 98% de aprovação e 89% de intenção de compra.

  2. Variación de la estructura fina de las fibras acrílicas en la hilatura

    OpenAIRE

    Gacén Guillén, Joaquín; Maillo Garrido, Josefina; Manich i Bou, Albert Mª; Ussmane, Mahomed

    2002-01-01

    Dos fibras acrílicas comerciales de diferente finura han sido transformadas en hilados en continua de hilar (3.3. dtex) y en hilatura de rotor (1.3 dtex). Los hilos resultantes han sido vaporizados y teñidos en condiciones standard. Las variaciones de la estructura producidas por las operaciones de hilatura, vaporizado y tintura han sido evaluadas a través del ensayo de solubilidad de las fibras acrílicas en una mezcla dimetilformamida/agua (95/5). Two commercial acrylic fibres of d...

  3. Variación de la estructura fina de las fibras acrílicas en la hilatura

    OpenAIRE

    Gacén Guillén, Joaquín; Maillo Garrido, Josefina; Manich i Bou, Albert Mª; Ussmane, Mahomed

    2002-01-01

    [ESP] Dos fibras acrílicas comerciales de diferente finura han sido transformadas en hilados en continua de hilar (3.3. dtex) y en hilatura de rotor (1.3 dtex). Los hilos resultantes han sido vaporizados y teñidos en condiciones standard. Las variaciones de la estructura producidas por las operaciones de hilatura, vaporizado y tintura han sido evaluadas a través del ensayo de solubilidad de las fibras acrílicas en una mezcla dimetilformamida/agua (95/5).

  4. Fertilidade de substratos para mudas de mangabeira, contendo fibra de coco e adubados com fósforo

    OpenAIRE

    Dias,Thiago Jardelino; Pereira,Walter Esfrain; Sousa,Geocleber Gomes de

    2007-01-01

    Este experimento foi executado no Centro de Ciências Agrárias da UFPB, Areia, Estado da Paraíba, com objetivo de avaliar a fertilidade de substratos compostos por diferentes concentrações de fibra de coco (0 a 40%), esterco bovino (0 a 25%), terra vegetal (25 a 70%), 15% de areia e adubados com superfosfato triplo (0; 5,5 e 11 g L-1). Houve aumento das características químicas desejáveis do substrato com aumento da concentração de terra vegetal, fibra de coco e dose máxima do superfosfato tri...

  5. Hernia hiatal y su relación con la ingestión de fibra dietética

    OpenAIRE

    Rodríguez Miranda, Adelaida; González-Carbajal Pascual, Miguel; Naranjo Hernández, Daysi; Valdés Alonso, Lidunka; Companioni Acosta, Susana

    1995-01-01

    Se estudiaron 226 pacientes con diagnóstico de hernia hiatal por radiología, endoscopia y manometría esofágica y 200 controles normales para determinar la cantidad de fibra dietética ingerida y su relación con la hernia hiatal. Se encontró que los pacientes que presentaron hernia hiatal consumían menos cantidad de fibra dietética que los controles, lo cual fue demostrado estadísticamente.

  6. Papel de la fibra dietética en la prevención de las enfermedades cardiovasculares

    OpenAIRE

    María Zurdo Seijas, Claudia

    2015-01-01

    Las enfermedades cardiovasculares constituyen una de las principales causas de muerte en España. Casi todos los factores de riesgo cardiovascular son modificables, ya que tienen relación con el estilo de vida, y más concretamente, con la alimentación. La relación entre el consumo de fibra y las enfermedades cardiovasculares ha sido muy estudiada, tanto a través de ensayos clínicos como en los grandes estudios de cohortes. El objetivo de este trabajo es describir los tipos de fibra dietética q...

  7. Conocimiento y hábitos en relación a la fibra dietética: resultados preliminaries

    OpenAIRE

    Leal, Marcela; Carranza, C; Herrera, J; Guiné, Raquel

    2015-01-01

    Introducción. El consumo de fibra dietética, y el conocimiento de sus beneficios son fundamentales en el cambio de conducta alimentaria para la prevención de ECNT. Objetivo. Describir los hábitos de consumo de alimentos con fibra dietética y el nivel de conocimiento. Metodología. Estudio cuantitativo, descriptivo, no experimental transversal, parte del proyecto internacional del Instituto Politécnico (Portugal) donde participan 10 países. Muestra no probabilística por voluntarios de 8...

  8. Worse survival after breast cancer in women with anorexia nervosa.

    Science.gov (United States)

    Bens, Annet; Papadopoulos, Fotios C; Pukkala, Eero; Ekbom, Anders; Gissler, Mika; Mellemkjær, Lene

    2018-04-01

    A history of anorexia nervosa has been associated with a reduced risk of developing breast cancer. We investigated survival after breast cancer among women with a prior anorexia nervosa diagnosis compared with women in a population comparison group. This register-based study included combined data from Sweden, Denmark and Finland. A total of 76 and 1462 breast cancer cases identified among 22,654 women with anorexia nervosa and 224,619 women in a population comparison group, respectively, were included in the study. Hazard ratios (HR) for overall and breast cancer-specific mortality after breast cancer diagnosis were estimated using Cox regression. Cause of death was available only for Swedish and Danish women; therefore, the analysis on breast cancer-specific mortality was restricted to these women. We observed 23 deaths after breast cancer among anorexia nervosa patients and 247 among population comparisons. The overall mortality after the breast cancer diagnosis was increased in women with a history of anorexia nervosa compared with population comparisons (HR 2.5, 95% CI 1.6-3.9) after adjustment for age, period and extent of disease. Results were similar for overall (HR 2.3, 95% CI 1.4-3.6) and breast cancer-specific mortality (HR 2.1, 95% CI 1.3-3.6) among Swedish and Danish women. We found that female breast cancer patients with a prior diagnosis of anorexia nervosa have a worse survival compared with other breast cancer patients.

  9. Social Cognition in Child and Adolescents with Anorexia Nervosa

    Directory of Open Access Journals (Sweden)

    ipek Percinel

    2015-06-01

    Full Text Available Social cognition represents the mental processes of social interaction between oneself and others. In recent years, the interest in social cognition skills has increased in cases with eating disorders. Anorexia nervosa is an eating disorder that is associated with the multiple factors in etiology. Treatment of anorexia nervosa is still controversial. The youths diagnosed with anorexia nervosa are known to be as the most difficult group in eating disorders for building therapeutic relations. Studies, mostly suggests that there are difficulties in social cognitive functions in patients with anorexia nervosa. However, there are studies that reported different results. It seems that, the majority of studies which evaluate the social cognitive functions in patients with anorexia nervosa, are carried out with the adult age group. There are limited number of studies in child and adolescent age group. The purpose of this paper was to examinate the studies of social cognitive skills in children and adolescents diagnosed with anorexia nervosa and present the general characteristics. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2015; 7(2: 178-189

  10. Involvement of leucocyte/endothelial cell interactions in anorexia nervosa.

    Science.gov (United States)

    Víctor, Víctor M; Rovira-Llopis, Susana; Saiz-Alarcón, Vanessa; Sangüesa, Maria C; Rojo-Bofill, Luis; Bañuls, Celia; de Pablo, Carmen; Álvarez, Ángeles; Rojo, Luis; Rocha, Milagros; Hernández-Mijares, Antonio

    2015-07-01

    Anorexia nervosa is a common psychiatric disorder in adolescence and is related to cardiovascular complications. Our aim was to study the effect of anorexia nervosa on metabolic parameters, leucocyte-endothelium interactions, adhesion molecules and proinflammatory cytokines. This multicentre, cross-sectional, case-control study employed a population of 24 anorexic female patients and 36 controls. We evaluated anthropometric and metabolic parameters, interactions between leucocytes polymorphonuclear neutrophils (PMN) and human umbilical vein endothelial cells (HUVEC), proinflammatory cytokines such as tumour necrosis factor alpha (TNF-α) and interleukin-6 (IL-6) and soluble cellular adhesion molecules (CAMs) including E-selectin, vascular cell adhesion molecule-1 (VCAM-1) and intercellular adhesion molecule-1 (ICAM-1). Anorexia nervosa was related to a decrease in weight, body mass index, waist circumference, systolic blood pressure, glucose, insulin and HOMA-IR, and an increase in HDL cholesterol. These effects disappeared after adjusting for BMI. Anorexia nervosa induced a decrease in PMN rolling velocity and an increase in PMN rolling flux and PMN adhesion. Increases in IL-6 and TNF-α and adhesion molecule VCAM-1 were also observed. This study supports the hypothesis of an association between anorexia nervosa, inflammation and the induction of leucocyte-endothelium interactions. These findings may explain, in part at least, the increased risk of vascular disease among patients with anorexia nervosa. © 2015 Stichting European Society for Clinical Investigation Journal Foundation.

  11. SÍNTESIS IN SITU DE NANOPARTÍCULAS DE PLATA SOBRE FIBRAS DE FIQUE

    Directory of Open Access Journals (Sweden)

    Sergio Ovalle

    2014-07-01

    Full Text Available Se realizó la síntesis de un material nanocompuesto mediante la deposiciónin situ de nanopartículas (NPs de plata sobre fibras de Fique. La influencia de parámetros experimentales, como concentración del precursor, concentración del agente reductor y tiempos de inmersión de las fibras en la solución del precursor y del agente reductor, se evaluó en términos de recubrimiento, tamaño y dispersión del nanomaterial sobre la superficie. Los nanocompositos fueron caracterizados mediante espectroscopia de reflectancia difusa UV-Vis (RD, microscopía electrónica (FESEM y difracción de rayos X (DRX. El control de los parámetros experimentales mencionados permitió obtener un material que exhibe recubrimiento uniforme y completo de NPs sobre la superficie y tamaños promedio de NPs de 40 nm. 

  12. Método experimental para consolidar fibras de papel. (I parte del estudio

    Directory of Open Access Journals (Sweden)

    Alicia De Lera Santín

    2009-08-01

    Full Text Available En este artículo describimos un nuevo método enzimático para consolidar la celulosa del papel. Este método consiste en la síntesis de la celulosa con una enzima hidrolítica: la celulasa. Ésta actúa como una sintetasa, consolidando el papel cuando es mezclada en una solución orgánica de solvente/tampón (4:1 en presencia de un sustrato (β-cellobiosyl fluoride. Para mejorar el tratamiento añadimos un gel de agar-agar con todos los reactivos necesarios. Para observar el estado de las fibras antes y después del tratamiento, realizamos test mecánicos y fotografías de microscopía electrónica de barrido. Se observó que el proceso de consolidación casi consigue recuperar el estado físico inicial de las fibras así como su resistencia al desgarre y alargamiento.

  13. FIBRAS ANIMALES ARQUEOLÓGICAS. ESTUDIO DE LA ESTRUCTURA FÍSICA CELULAR DE LAS FIBRAS/Archaeological animal fibres. Study of their physical cellular structure

    Directory of Open Access Journals (Sweden)

    María del Carmen Reigadas

    2012-11-01

    Full Text Available El análisis microscópico de la morfología de fibras animales se ha empleado conjuntamente con otras líneas de evidencia, brindando información taxonómica útil para reconstruir posibles escenarios que den cuenta de las estrategias implementadas por las sociedades cazadoras- recolectoras y/ o productoras, en vistas a la explotación y aprovechamiento de los recursos animales. En esta oportunidad y en el marco de la vía mencionada, se presenta como complemento de los resultados obtenidos a partir de las variables cualitativas y cuantitativas tales como grosor, médula, tipo de fibra y color, el avance realizado en el estudio de la corteza, estructura no contemplada hasta el presente. Se evalúa a partir de la información generada su relevancia en la búsqueda de indicadores interespecíficos. El análisis fue realizado en muestras correspondientes al nivel 4 del sitio Cueva Salamanca 1 (7500 + 60 AP [Beta 178223] (Pintar 2004 y nivel 4 de Quebrada Seca 3 (Cal. 3684- 4226 1s (Aschero et al. 1993-94, ambos localizados en la puna meridional (Antofagasta de la Sierra, Argentina de las cuales ya se disponen designaciones taxonómicas obtenidas por análisis morfológico. Abstract Microscopic analysis of the morphology of animal fibers has been used in conjunction with other lines of evidence, providing useful taxonomic information to reconstruct scenarios that account for the strategies implemented by hunter-gatherers and producers, in view of the use of animal resources. Here, the advance made in the study of cortical cells is offered as a complement to results obtained from qualitative and quantitative variables such as thickness, medulla, fiber type and color. The information gained is used to evaluate the relevance in the search of interspecific indicators. The analysis was performed on samples corresponding to level 4 from Cueva Salamanca 1 (7500 ± 60 BP [Beta 178223] (Pintar 2004 and level 4 from Quebrada Seca 3 (Cal. 3684 to 4226 1s

  14. Tratamento cirúrgico das hérnias discais foraminais pela microdiscectomia artroscópica

    Directory of Open Access Journals (Sweden)

    Machado Filho Pedro Vilela

    2004-01-01

    Full Text Available A hérnia discal lombar foraminal é extremamente incapacitante em relação à sintomatologia clínica. Nos últimos quarenta anos muitas alternativas foram propostas no tratamento dessa patologia. Vinte pacientes com essa síndrome radicular foram operados, via póstero-lateral, pela técnica da microdiscectomia artroscópica. O acompanhamento foi realizado com questionários de auto-avaliação pré-operatória e pós-operatória sendo obedecidos rigorosamente os critérios de inclusão e exclusão para a indicação cirúrgica. A idade média dos pacientes foi de 43 anos, com variação de 23 a 58 anos. Houve predomínio do sexo feminino (13 pacientes e freqüência percentual de 65% em relação ao masculino (7 pacientes e freqüência percentual de 35%. Todos os pacientes foram operados de hérnia discal lombar foraminal no nível entre as 4ª e 5ª vértebras lombares. Os resultados clínicos apresentaram um percentual de 75% de sucesso. Não ocorreram nesse estudo complicações, tais como: lesão nervosa motora, vascular ou discite bacteriana.

  15. Fibras de polipropileno e sua influência no comportamento de concretos expostos a altas temperaturas: revisão Polypropylene fibers and their influence on the behavior of concretes exposed to high temperatures: review

    Directory of Open Access Journals (Sweden)

    A. L. de Castro

    2011-03-01

    Full Text Available A resistência ao fogo de um elemento estrutural de concreto é avaliada pelo intervalo de tempo em que o elemento continua a desempenhar suas funções sob condições de alta temperatura. Normalmente acredita-se que o concreto tem uma excelente durabilidade frente à ação do fogo, entretanto, na prática, a estabilidade desse material é prejudicada pelas altas temperaturas e os elementos de concreto têm apresentado danos excessivos ou mesmo rupturas catastróficas sob tais condições. Quando expostos às altas temperaturas, materiais à base de cimento sofrem mudanças físico-químicas que prejudicam suas propriedades mecânicas e comprometem sua resistência à transferência de calor. Embora as características térmicas de um concreto de alta resistência sejam semelhantes aos de um concreto convencional, este material possui uma maior sensibilidade às altas temperaturas devido à sua porosidade reduzida, apresentando uma maior perda relativa das propriedades mecânicas e a ocorrência do lascamento explosivo na faixa de temperatura entre 100 ºC e 400 ºC. O lascamento pode ser evitado pela introdução de fibras de polipropileno na composição do concreto: quando fundidas e parcialmente absorvidas pela matriz de cimento, as fibras criam uma rede de canais permeável que permite a migração dos gases para o exterior, reduzindo a pressão nos poros do material e, conseqüentemente, eliminando a possibilidade de ocorrência do lascamento explosivo. Assim, no presente artigo, uma revisão sobre o comportamento de concretos expostos às altas temperaturas, bem como a influência da fibra de polipropileno sobre este comportamento foi realizada, direcionando-se para os concretos aplicados na construção civil.The fire resistance of a structural concrete is evaluated by the time length that the element keeps performing its functions under high temperature conditions. It is usually believed that the concrete has an excellent durability

  16. Delirium and refeeding syndrome in anorexia nervosa.

    Science.gov (United States)

    Norris, Mark L; Pinhas, Leora; Nadeau, Pierre-Olivier; Katzman, Debra K

    2012-04-01

    To review the literature on delirium and refeeding syndrome in patients with anorexia nervosa (AN) and present case examples in an attempt to identify common clinical features and response to therapy. A comprehensive literature review was completed. In addition to the cases identified in the literature, we present two additional cases of our own. We identified a total of 10 cases (all female; mean age 19 years old, range 12-29 years); 2/3 of the cases had similar clinical features predating the delirium and during refeeding. Delirium, albeit rare, can be associated with the refeeding syndrome in low weight patients with AN. During the initial refeeding phase, close monitoring of medical, metabolic, and psychological parameters are important in establishing factors that may elevate risk. Early detection and treatment of delirium using nonpharmacologic and pharmacologic means are also important to help minimize the effects of this potentially deadly condition. Copyright © 2011 Wiley Periodicals, Inc.

  17. [Termination of inpatient treatment for anorexia nervosa].

    Science.gov (United States)

    Zeeck, A; Herzog, T

    2000-07-01

    Dropout is a neglected area of research; patients with anorexia nervosa are a group with high risk for dropout. 1. What are the frequency and type of dropout in disorder-specific, integrated treatment programs for anorexic patients? 2. What are the predictors for dropout? Analysis of 80 prospectively documented, consecutive treatment episodes of anorexic inpatients, based on multimodal clinical and psychometric parameters. Twenty percent of patients terminated on their own initiative, often after reaching target weight; 10% were discharged by the treatment team. At least 43% of dropouts continued with some sort of psychotherapy within the 3 months after discharge. Previous dropout was a predictor for dropout in the present episodes. Patients with no comorbidity had a higher risk of dropout. Patients discharged by the team had personality disorders more often. Patients with comorbid depression stayed in treatment. The form of termination of treatment should be routinely assessed. Previous dropout and comorbidity are indicators of the risk of dropout.

  18. Symptoms predicting psychosocial impairment in bulimia nervosa.

    Science.gov (United States)

    Jenkins, Paul E; Staniford, Jessica; Luck, Amy

    2017-05-12

    The current study aimed to determine which particular eating disorder (ED) symptoms and related features, such as BMI and psychological distress, uniquely predict impairment in bulimia nervosa (BN). Two hundred and twenty-two adults with BN completed questionnaires assessing ED symptoms, general psychological distress, and psychosocial impairment. Regression analyses were used to determine predictors which account for variance in impairment. Four variables emerged as significant predictors of psychosocial impairment: concerns with eating; concerns with weight and shape; dietary restraint; and general psychological distress. Findings support previous work highlighting the importance of weight and shape concerns in determining ED-related impairment. Other ED symptoms, notably dietary restraint and concerns with eating, were also significant predictors as was psychological distress. Results suggest that cognitive aspects of EDs, in addition to psychological distress, may be more important determinants of impairment than behavioural symptoms, such as binge eating or purging.

  19. Extreme Achalasia Presenting as Anorexia Nervosa

    Directory of Open Access Journals (Sweden)

    P. J. Goldsmith

    2012-01-01

    Full Text Available Background. Achalasia may lead to cachexia if not diagnosed in an early stage. Surgery in cachectic patients is hazardous and complications may result in a protracted recovery or even death. Different treatment options have been described. In this paper, we report a stepwise surgical laparoscopic approach which appears to be safe and effective. Methods. Over a one-year period, a patient with a body mass index (BMI below 17 being treated for anorexia nervosa was referred with dysphagia. Because of the extreme cachexia, a laparoscopic feeding jejunostomy (LFJ was fashioned to enable long-term home enteral feeding. The patient underwent a laparoscopic Heller myotomy (LHM when the BMI was normal. Results. The patient recovered well following this stepwise approach. Conclusion. Patients with advanced achalasia usually present with extreme weight loss. In this small group of patients, a period of home enteral nutrition (HEN via a laparoscopically placed feeding jejunostomy allows weight gain prior to safe definitive surgery.

  20. Orthorexia Nervosa: A Review of the Literature.

    Science.gov (United States)

    Costa, Christine B; Hardan-Khalil, Kholoud; Gibbs, Kimberly

    2017-12-01

    The phenomenon of orthorexia nervosa (ON) has been noted by clinicians since 1996 and described in the scientific literature, and yet there is no formal recognition of ON as a psychiatric diagnosis. Review the latest available literature regarding diagnoses similarities, presentation uniqueness, assessment/assessment tools, and suggested treatments of ON. A literature search of four databases focusing on articles published between 2000 and 2016 was conducted to evaluate the status of the literature on Orthorexia. Among the 15 articles selected for this review, similarities with other psychiatric disorders emerged, confusion about use of assessment tools existed, and the lack of evidence based treatments for ON was pronounced. More research is needed to determine the prevalence of pathologically unhealthy, obsessive, "self-defined healthy," eating behaviors, and to determine if ON is a unique eating disorder or just a subset of another disorder.

  1. [Orthorexia nervosa and it's background factors].

    Science.gov (United States)

    Varga, Márta; Dukay-Szabo, Szilvia; Túry, Ferenc

    2013-07-30

    The place of orthorexia nervosa (ON)--described by Bratman in 1997--is not clearly defined in the diagnostic systems. However, the increasing number of clinical experiences and research data gives us more and more information about the epidemiology, and the social and individual characteristics of ON. The general population shows a 6.9% prevalence of ON; healthcare professionals are at high risk of ON with the prevalence rate of 35-57.6%. Education, the choice of profession, socioeconomic status and the internalization of the ideals of society are significant factors in the development of ON, while sex, age and body mass index do not seem to be determining variables in this respect. The lack of common criteria and proper research results on ON makes it impossible to generalize data on the general population. Further studies with larger representative samples and assessment instruments with good psychometric properties are necessary to make research data on ON comparable.

  2. Siblings in the context of anorexia nervosa.

    Science.gov (United States)

    Bachner-Melman, Rachel

    2005-01-01

    Sibling relationships may be relevant to the development of anorexia nervosa (AN), yet little research has focused on this aspect of the disorder. A narrative study of four women in various stages of recovery from AN is described and results relevant to sibling relationships are presented, enriched by published anecdotes and case studies. The anorexic interviewees described much antagonism and rivalry and little warmth and intimacy between themselves and their siblings. They seemed to feel they did not belong sufficiently in their families and other social settings despite a strong desire to belong. The sample is small, reports subjective and retrospective and no control group was included. It is suggested that anorexic girls often feel emotionally isolated from and misunderstood by siblings, who may have much to contribute to the process of therapy and recovery.

  3. Medical Complications In Anorexia And Bulimia Nervosa.

    Science.gov (United States)

    Gravina, Giovanni; Milano, Walter; Nebbiai, Grazia; Piccione, Carla; Capasso, Anna

    2018-05-30

    Anorexia Nervosa (AN), Bulimia Nervosa (BN) and their variants are characterized by persistent alteration of eating behaviour, such as restricted intake or bingeing and purging, as well as excessive concerns about body shape and body weight. Purging behaviour may include self induced vomiting and/or abuse of laxatives, diuretics and physical hyperactivity. Unlike other psychiatric disorders, patients suffering from AN and BN have a high prevalence of many different medical complications, through the sequelae of undernutrition and purging, often with a serious impairment of health status and quality of life. This article describes the main diagnostic and clinical aspects of medical complications in AN and BN. The medical complications of ED are extremely variable and can occur with only modest biological and physical damage up to extremely serious and life-threatening conditions; the mortality rate of young subjects with AN is 4 - 11% with a risk of death about 12 times higher than that of subjects of the same age of the general population. The management of the medical-internship aspects of AN and BN is rightly placed within complex and articulated programs of interdisciplinary treatment with different levels of intensity of care (outpatient, semi-residential/residential, hospital in cases of emergency/medical and/or psychiatric emergency). the results of the investigations carried out, describe the functions of the various organs and apparatuses and the alterations detected, the possible complications and physiological adaptations to malnutrition. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  4. Atypical bulimia nervosa in a male patient of rural north-east India

    Directory of Open Access Journals (Sweden)

    Manabendra Makhal

    2014-01-01

    Full Text Available Eating disorders such as bulimia nervosa rarely seem to manifest in males from non-Western cultures like India, but occur infrequently in milder forms with fewer symptoms as atypical bulimia nervosa. This report describes a male case of bulimia nervosa from rural area of India presenting with atypical features. He was treated successfully with fluoxetine and cognitive behavioural therapy.

  5. CONSUMO DE FIBRA DIETÉTICA EN LACTANTES MENORES DE 2 AÑOS Y ESTREÑIMIENTO FUNCIONAL

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Velasco Benítez

    2014-09-01

    Full Text Available Introducción: La inclusión de la fibra dietética (FD, tiene múltiples beneficios sobre la salud del ser humano; sin embargo, en pediatría, existen grandes brechas concernientes a la relación de fibra y estreñimiento. Objetivo: Describir el hábito intestinal en lactantes . Se tuvo en cuenta la alimentación con leche materna, el tiempo de inicio de alimentación complementaria y el antecedente de madre o cuidador con EF. Los resultados son expresados como X±DS. El análisis estadístico incluyó X2 y prueba de Spearman  o Fischer. Resultados: Se estudiaron 125 lactantes de 13±7 meses, 86 masculinos. No hubo diferencias significativas en edad, sexo, consumo de gramos de fibra/d, ni con la alimentación con leche materna, el tiempo de inicio de la alimentación complementaria y el antecedente de madre o cuidador con EF. Conclusión: No encontramos ninguna asociación entre hábito intestinal y gramos de fibra consumidos, ni alimentación con leche materna, inicio de la alimentación complementaria precoz y antecedente de EF en la madre o cuidador.

  6. Personality Dimensions in Bulimia Nervosa, Binge Eating Disorder, and Obesity

    Science.gov (United States)

    Peterson, Carol B.; Thuras, Paul; Ackard, Diann M.; Mitchell, James E.; Berg, Kelly; Sandager, Nora; Wonderlich, Stephen A.; Pederson, Melissa W.; Crow, Scott J.

    2010-01-01

    Objective The purpose of this investigation was to examine differences in personality dimensions among individuals with bulimia nervosa, binge eating disorder, non-binge eating obesity and a normal weight comparison group as well as to determine the extent to which these differences were independent of self-reported depressive symptoms. Method Personality dimensions were assessed using the Multidimensional Personality Questionnaire in 36 patients with bulimia nervosa, 54 patients with binge eating disorder, 30 obese individuals who did not binge eat, and 77 normal weight comparison participants. Results Participants with bulimia nervosa reported higher scores on measures of stress reaction and negative emotionality compared to the other three groups, and lower well-being scores compared to the normal weight comparison and the obese samples. Patients with binge eating disorder scored lower on well-being and higher on harm avoidance than the normal weight comparison group. In addition, the bulimia nervosa and binge eating disorder groups scored lower than the normal weight group on positive emotionality. When personality dimensions were re-analyzed using depression as a covariate, only stress reaction remained higher in the bulimia nervosa group compared to the other three groups and harm avoidance remained higher in the binge eating disorder than the normal weight comparison group. Conclusions The higher levels of stress reaction in the bulimia nervosa sample and harm avoidance in the binge eating disorder sample after controlling for depression indicate that these personality dimensions are potentially important in the etiology, maintenance, and treatment of these eating disorders. Although the extent to which observed group differences in well-being, positive emotionality and negative emotionality reflect personality traits, mood disorders, or both is unclear, these features clearly warrant further examination in understanding and treating bulimia nervosa and

  7. Anorexia Nervosa: Analysis of Trabecular Texture with CT.

    Science.gov (United States)

    Tabari, Azadeh; Torriani, Martin; Miller, Karen K; Klibanski, Anne; Kalra, Mannudeep K; Bredella, Miriam A

    2017-04-01

    Purpose To determine indexes of skeletal integrity by using computed tomographic (CT) trabecular texture analysis of the lumbar spine in patients with anorexia nervosa and normal-weight control subjects and to determine body composition predictors of trabecular texture. Materials and Methods This cross-sectional study was approved by the institutional review board and compliant with HIPAA. Written informed consent was obtained. The study included 30 women with anorexia nervosa (mean age ± standard deviation, 26 years ± 6) and 30 normal-weight age-matched women (control group). All participants underwent low-dose single-section quantitative CT of the L4 vertebral body with use of a calibration phantom. Trabecular texture analysis was performed by using software. Skewness (asymmetry of gray-level pixel distribution), kurtosis (pointiness of pixel distribution), entropy (inhomogeneity of pixel distribution), and mean value of positive pixels (MPP) were assessed. Bone mineral density and abdominal fat and paraspinal muscle areas were quantified with quantitative CT. Women with anorexia nervosa and normal-weight control subjects were compared by using the Student t test. Linear regression analyses were performed to determine associations between trabecular texture and body composition. Results Women with anorexia nervosa had higher skewness and kurtosis, lower MPP (P anorexia nervosa. Conclusion Patients with anorexia nervosa had increased skewness and kurtosis and decreased entropy and MPP compared with normal-weight control subjects. These parameters were associated with lowest lifetime weight and duration of amenorrhea, but there were no such associations with bone mineral density. These findings suggest that trabecular texture analysis might contribute information about bone health in anorexia nervosa that is independent of that provided with bone mineral density. © RSNA, 2016.

  8. Neural signature of behavioural inhibition in women with bulimia nervosa.

    Science.gov (United States)

    Skunde, Mandy; Walther, Stephan; Simon, Joe J; Wu, Mudan; Bendszus, Martin; Herzog, Wolfgang; Friederich, Hans-Christoph

    2016-08-01

    Impaired inhibitory control is considered a behavioural phenotype in patients with bulimia nervosa. However, the underlying neural correlates of impaired general and food-specific behavioural inhibition are largely unknown. Therefore, we investigated brain activation during the performance of behavioural inhibition to general and food-related stimuli in adults with bulimia nervosa. Women with bulimia and healthy control women underwent event-related fMRI while performing a general and a food-specific no-go task. We included 28 women with bulimia nervosa and 29 healthy control women in our study. On a neuronal level, we observed significant group differences in response to general no-go stimuli in women with bulimia nervosa with high symptom severity; compared with healthy controls, the patients showed reduced activation in the right sensorimotor area (postcentral gyrus, precentral gyrus) and right dorsal striatum (caudate nucleus, putamen). The present results are limited to adult women with bulimia nervosa. Furthermore, it remains unclear whether impaired behavioural inhibition in patients with this disorder are a cause or consequence of chronic illness. Our findings suggest that diminished frontostriatal brain activation in patients with bulimia nervosa contribute to the severity of binge eating symptoms. Gaining further insight into the neural mechanisms of behavioural inhibition problems in individuals with this disorder may inform brain-directed treatment approaches and the development of response inhibition training approaches to improve inhibitory control in patients with bulimia nervosa. The present study does not support greater behavioural and neural impairments to food-specific behavioural inhibition in these patients.

  9. Neural signature of behavioural inhibition in women with bulimia nervosa

    Science.gov (United States)

    Skunde, Mandy; Walther, Stephan; Simon, Joe J.; Wu, Mudan; Bendszus, Martin; Herzog, Wolfgang; Friederich, Hans-Christoph

    2016-01-01

    Background Impaired inhibitory control is considered a behavioural phenotype in patients with bulimia nervosa. However, the underlying neural correlates of impaired general and food-specific behavioural inhibition are largely unknown. Therefore, we investigated brain activation during the performance of behavioural inhibition to general and food-related stimuli in adults with bulimia nervosa. Methods Women with bulimia and healthy control women underwent event-related fMRI while performing a general and a food-specific no-go task. Results We included 28 women with bulimia nervosa and 29 healthy control women in our study. On a neuronal level, we observed significant group differences in response to general no-go stimuli in women with bulimia nervosa with high symptom severity; compared with healthy controls, the patients showed reduced activation in the right sensorimotor area (postcentral gyrus, precentral gyrus) and right dorsal striatum (caudate nucleus, putamen). Limitations The present results are limited to adult women with bulimia nervosa. Furthermore, it remains unclear whether impaired behavioural inhibition in patients with this disorder are a cause or consequence of chronic illness. Conclusion Our findings suggest that diminished frontostriatal brain activation in patients with bulimia nervosa contribute to the severity of binge eating symptoms. Gaining further insight into the neural mechanisms of behavioural inhibition problems in individuals with this disorder may inform brain-directed treatment approaches and the development of response inhibition training approaches to improve inhibitory control in patients with bulimia nervosa. The present study does not support greater behavioural and neural impairments to food-specific behavioural inhibition in these patients. PMID:27575858

  10. Personality dimensions in bulimia nervosa, binge eating disorder, and obesity.

    Science.gov (United States)

    Peterson, Carol B; Thuras, Paul; Ackard, Diann M; Mitchell, James E; Berg, Kelly; Sandager, Nora; Wonderlich, Stephen A; Pederson, Melissa W; Crow, Scott J

    2010-01-01

    The purpose of this investigation was to examine differences in personality dimensions among individuals with bulimia nervosa, binge eating disorder, non-binge eating obesity, and a normal-weight comparison group as well as to determine the extent to which these differences were independent of self-reported depressive symptoms. Personality dimensions were assessed using the Multidimensional Personality Questionnaire in 36 patients with bulimia nervosa, 54 patients with binge eating disorder, 30 obese individuals who did not binge eat, and 77 normal-weight comparison participants. Participants with bulimia nervosa reported higher scores on measures of stress reaction and negative emotionality compared to the other 3 groups and lower well-being scores compared to the normal-weight comparison and the obese samples. Patients with binge eating disorder scored lower on well-being and higher on harm avoidance than the normal-weight comparison group. In addition, the bulimia nervosa and binge eating disorder groups scored lower than the normal-weight group on positive emotionality. When personality dimensions were reanalyzed using depression as a covariate, only stress reaction remained higher in the bulimia nervosa group compared to the other 3 groups and harm avoidance remained higher in the binge eating disorder than the normal-weight comparison group. The higher levels of stress reaction in the bulimia nervosa sample and harm avoidance in the binge eating disorder sample after controlling for depression indicate that these personality dimensions are potentially important in the etiology, maintenance, and treatment of these eating disorders. Although the extent to which observed group differences in well-being, positive emotionality, and negative emotionality reflect personality traits, mood disorders, or both, is unclear, these features clearly warrant further examination in understanding and treating bulimia nervosa and binge eating disorder.

  11. Comportamiento al corte de hormigones reforzado con fibras de acero Shear behavior of steel fiber reinforced concretes

    Directory of Open Access Journals (Sweden)

    Sergio Carmona Malatesta

    2009-01-01

    Full Text Available En este artículo se presentan los resultados de un estudio experimental a cerca de la influencia de la incorporación de fibras de acero en el comportamiento del hormigón frente a esfuerzos de corte, medidos utilizando el ensayo JSCE - SF6, modificado. Usando los resultados de los ensayos realizados se evalúa La capacidad de disipación de energía del hormigón durante la rotura o tenacidad del hormigón reforzado con fibras en función del contenido y tipo de Fibra utilizada. Con los resultados obtenidos, se puede concluir que la incorporación de fibras como refuerzo al esfuerzo de corte aumenta la ductilidad del hormigón, permitiendo mayores deformaciones que un hormigón convencional. Se observa que la capacidad de absorber energía de los hormigones, cuantificada a través de la tenacidad absoluta, se incrementa más de tres veces cuando se incorporar fibras y no se tienen roturas frágiles. Por lo tanto, la incorporación de fibras como refuerzo es una buena solución para mejorar la respuesta del hormigón ante solicitaciones de corte. Por otra parte, se demuestra que el ensayo de corte propuesto por la recomendación japonesa JSCE-SF6, levemente modificada, entrega resultados coherentes y reproducibles, permitiendo cuantificar diferentes propiedades del hormigón reforzado con fibras sometido a solicitaciones de corte.This paper presents the results of an experimental research on influence of steel fibers on shear behavior of concrete, using modified JSCE - SF6 test. The tests results are used to evaluate the energy dissipation capacity of concrete during failure or fiber reinforced concrete toughness, in terms of amount and type of fibers. With the results, it can be concluded that the addition of fibers as shear reinforcement influence significantly the ductility of concrete. The results show that the absorption energy capacity of concrete, measured by mean of absolute toughness, increase 3 times when concrete is reinforced with

  12. Fibras poliméricas como aditivos de secagem em diferentes classes de concretos refratários Polymeric fibers as drying additives for different classes of refractory castables

    Directory of Open Access Journals (Sweden)

    R. Salomão

    2006-03-01

    Full Text Available Concretos refratários apresentam grande variedade de métodos de instalação, definidos principalmente pelas características da aplicação e do projeto de engenharia da microestrutura do material. Entre as classes mais importantes, destacam-se os autoescoantes, aplicados sem cisalhamento externo; os bombeáveis, transportados por tubulações, e os vibráveis. Diferenciando-se principalmente pelas mudanças de distribuição de tamanho de partículas, essas classes apresentam grande variedade de propriedades como permeabilidade, módulo de ruptura a quente e resistência à fluência, descrita na literatura. Por também apresentarem diferentes comportamentos de secagem, é razoável supor que tenham necessidades de aditivos de secagem distintas. Para verificar essa hipótese, foram estudadas três composições de concretos refratários formulados a partir do modelo de empacotamento de partículas de Andreasen: bombeável (q=0,21, autoescoante (q=0,26 e vibrável (q=0,31. Fibras poliméricas de diferentes geometrias foram adicionadas a essas composições e seu efeito como aditivo de secagem foi avaliado. Verificou-se que as fibras atuaram favoravelmente em todas as formulações, aumentando significativamente sua velocidade de secagem, com efeitos mais marcantes quanto maior o teor de finos no concreto.Refractory castables present a broad variety of placing methods, defined mainly by the desired application and by the material microstructural characteristics. Among the most important, it can be mentioned the self-flowing, which are cast without external shearing; the pumpable, conveyed through metallic pipes, and the vibrated. These classes of castables present a great range of properties as permeability, hot modulus of rupture and creep resistance. As they also present particularities in their drying behavior, it is reasonable to consider that they would also have different needs of drying additives. In order to verify this hypothesis

  13. Crescimento inicial de mudas de Acacia mangium cultivadas em mantas de fibra de coco contendo substrato de lodo de esgoto

    Directory of Open Access Journals (Sweden)

    Rômulo Fredson Duarte

    2011-02-01

    Full Text Available O objetivo deste trabalho foi avaliar o crescimento inicial de mudas de Acacia mangium semeadas em "manta" de fibra de coco contendo substrato de lodo de esgoto. O delineamento experimental foi em blocos casualizados com 13 tratamentos e três repetições, distribuídos em esquema fatorial (6 x 2 + 1 com seis proporções de fibra de coco e resíduo agregante, combinados com substratos com e sem lodo de esgoto, mais o tratamento-controle (terra de subsolo. Foram avaliados o índice de velocidade de emergência (IVE, a percentagem de emergência (EM e a altura das plantas aos 40 e 60 dias após a emergência. O tratamento- controle apresentou melhores resultados em relação ao IVE e EM quando comparado com os tratamentos utilizando "manta" de fibra de coco e resíduo agregante. Não houve diferença entre o controle e os tratamentos com "mantas" em altura das plantas aos 40 e 60 dias. Não foram observadas interações entre o tipo de substrato utilizado no semeio e as diferentes proporções de fibra de coco na "manta". A presença de lodo no substrato não influenciou o IVE e a EM, contudo verificou-se que o substrato sem lodo de esgoto proporcionou maior crescimento em altura das plantas. O uso de "mantas" contendo 50 e 100% de fibra de coco proporcionou maior crescimento às mudas de acácia em condições de campo.

  14. Sensory modulation disorder symptoms in anorexia nervosa and bulimia nervosa: A pilot study.

    Science.gov (United States)

    Brand-Gothelf, Ayelet; Parush, Shula; Eitan, Yehudith; Admoni, Shai; Gur, Eitan; Stein, Daniel

    2016-01-01

    Individuals with anorexia nervosa (AN) and bulimia nervosa (BN) may exhibit reduced ability to modulate sensory, physiological, and affective responses. The aim of the present study is to assess sensory modulation disorder (SMD) symptoms in patients with AN and BN. We assessed female adolescent and young adult inpatients with restrictive type anorexia nervosa (AN-R; n = 20) and BN (n = 20) evaluated in the acute stage of their illness, and 27 female controls. Another group of 20 inpatients with AN-R was assessed on admission and discharge, upon achieving their required weight. Participants completed standardized questionnaires assessing the severity of their eating disorder (ED) and the sensory responsiveness questionnaire (SRQ). Inpatients with AN-R demonstrated elevated overall sensory over-responsiveness as well as elevated scores on the taste/gustatory, vestibular/kinesthetic and somatosensory/tactile SRQ modalities compared with patients with BN and controls. Significant correlations between the severity of sensory over-responsiveness and ED-related symptomatology were found in acutely-ill patients with AN-R and to a lesser extent, following weight restoration. Elevated sensory over-responsiveness was retained in weight-restored inpatients with AN-R. Inpatients with BN demonstrated greater sensory under-responsiveness in the intensity subscale of the SRQ, but not in the frequency and combined SRQ dimensions. Female inpatients with AN-R exhibited sensory over-responsiveness both in the acute stage of their illness and following weight restoration, suggesting that sensory over-responsiveness may represent a trait related to the illness itself above and beyond the influence of malnutrition. The finding for sensory under-responsiveness in BN is less consistent. © 2015 Wiley Periodicals, Inc.

  15. Cardiovascular complications of anorexia nervosa: A systematic review.

    Science.gov (United States)

    Sachs, Katherine V; Harnke, Ben; Mehler, Philip S; Krantz, Mori J

    2016-03-01

    Anorexia nervosa portends the highest mortality among psychiatric diseases, despite primarily being a disease of adolescents and younger adults. Although some of this mortality risk is attributable to suicide, many deaths are likely cardiovascular in etiology. Recent studies suggest that adverse myocardial structural changes occur in this condition, which could underlie the increased mortality. Given limited prevalence of severe anorexia there is a paucity of clinical and autopsy data to discern an exact cause of death. Given this background we conducted a systematic review of the medical literature to provide a contemporary summary of the pathobiologic sequelae of severe anorexia nervosa on the cardiovascular system. We sought to elucidate the impact of anorexia nervosa in four cardiovascular domains: structural, repolarization/conduction, hemodynamic, and peripheral vascular. A number of cardiac abnormalities associated with anorexia nervosa have been described in the literature, including pericardial and valvular pathology, changes in left ventricular mass and function, conduction abnormalities, bradycardia, hypotension, and dysregulation in peripheral vascular contractility. Despite the prevalent theory that malignant arrhythmias are implicated as a cause of sudden death in this disorder, data to support this causal relationship are lacking. It is reasonable to obtain routine electrocardiography and measurements of orthostatic vital signs in patients presenting with anorexia nervosa. Echocardiography is generally not indicated unless prompted by clinical signs of disease. Admission to an inpatient unit with telemetry monitoring is recommended for patients with severe sinus bradycardia or junction rhythm, marked prolongation of the corrected QT interval, or syncope. © 2015 Wiley Periodicals, Inc.

  16. Body composition in men with anorexia nervosa: Longitudinal study.

    Science.gov (United States)

    El Ghoch, Marwan; Calugi, Simona; Milanese, Chiara; Bazzani, Paola Vittoria; Dalle Grave, Riccardo

    2017-07-01

    To compare body composition patterns before and after complete weight restoration in men with anorexia nervosa. Dual-energy X-ray absorptiometry (DXA) was used to measure body composition patterns in 10 men with anorexia nervosa before and after complete weight restoration, and in 10 healthy men matched to age and patients' post-treatment body mass index (BMI). Before weight restoration, men with anorexia nervosa displayed lower total body fat mass (FM) and lean mass (LBM) than those in the healthy comparison group, with a greater FM loss from the extremity than the trunk region. After short-term weight restoration, patients displayed complete normalization in total LBM and FM, but greater deposition of FM in the trunk region. Short-term weight restoration can normalize body composition patterns in men with anorexia nervosa, but results in a central adiposity phenotype. The clinical implication of this finding is unknown, but should be explored given the high levels of concern about central adiposity in anorexia nervosa. © 2017 Wiley Periodicals, Inc.

  17. Neurofunctional areas related to food appetency in anorexia nervosa

    Directory of Open Access Journals (Sweden)

    Juán José Cervantes-Navarrete

    2012-07-01

    Full Text Available In Anorexia Nervosa the observable phenomenon is the suppression of appetite. Little is known about the biological and psychological (top-down bases that maintain this pathological state. However, Anorexia Nervosa is a biological, psychological and social model where the main behavioral characteristic is the inhibition of eating behavior; not by bottom-up but top-down regulation. Objective: To explore the areas of the brain associated with food appetency through functional magnetic resonance in women with anorexia nervosa. Methods: The subjects include 5 female with Restrictive type of Anorexia Nervosa and five controls female with similar in age and low weigh. The subjects were within the MRI scanner and while took fMRI they saw food images that would generate appetite. The subjects were in fasting state and mentally prepare by instruction “imagine you are eating the food presented in the following images”. Results: Compared differences in the activation between subjects four regions were found significant: the anterior cingulate, left front medial region and the left and right midbrain. Conclusions: The patients with Anorexia Nervosa present different activated cerebral areas to those of the controls during the visual exposition to food in hungry state and with evoke cognitions associated with eat food; those regions may be implicated in reward and self-control.

  18. Differential environmental factors in anorexia nervosa: a sibling pair study.

    Science.gov (United States)

    Murphy, F; Troop, N A; Treasure, J L

    2000-06-01

    Previous studies have explored differences in psychosocial and familial factors between women who develop anorexia nervosa and those who do not. However, these studies have generally used between-group comparisons. This study looks at the environmental factors which may be antecedents of anorexia nervosa looking at sister pairs where one had anorexia nervosa and the other did not. A paired design was used to compare anorexic women with an unaffected sister on a number of background variables, including sibling interaction, parental care, peer group characteristics and other events unique to the individual. The Sibling Inventory of Differential Experience (SIDE) was used to determine non-shared environment. Out of an initial sample of 148 women with past or current anorexia nervosa, 28 were identified who had sisters with no reported history of eating disorders and who also consented to complete the questionnaire. Anorexic sisters perceived more maternal control and reported more antagonism towards and jealousy of their sisters than did unaffected sisters. In addition, anorexic women reported having had fewer friends and boyfriends than their sisters. These results confirm the perceived differences in background environment between women with and women without anorexia nervosa. These issues are discussed in relation to behavioural genetics, family dynamics and psychosexual development.

  19. Total body water and total body potassium in anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Dempsey, D.T.; Crosby, L.O.; Lusk, E.; Oberlander, J.L.; Pertschuk, M.J.; Mullen, J.L.

    1984-08-01

    In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. The close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal. A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation.

  20. [Adipocytokines: potential biomarkers for childhood obesity and anorexia nervosa].

    Science.gov (United States)

    Leoni, M C; Pizzo, D; Marchi, A

    2010-04-01

    Adipose tissue is now considered an important endocrine organ that secretes a large number of physiologically active peptides affecting metabolic homeostasis of human body: they are collectively referred to as adipocytokines. Leptin is a key hormone in the regulation of food intake, energy expenditure, neuroendocrine and immune function. Leptin is related with obesity and its metabolic disorders; starvation-induced depletion of fat stores is accompanied by alterations of circulating adipocytokines that may have potential repercussions in the pathophysiology of anorexia nervosa. Adiponectin enhances insulin sensitivity, controls body weight, prevents atherosclerosis and negatively regulates immune functions. Plasma adiponectin relates inversely to adiposity and reflects the sequelae of accumulation of excess adiposity. Resistin is a protein hormone produced both by adipocytes and immunocompetent cells that affect fuel homeostasis and insulin action. Plasma resistin levels are decreased in anorectic patients, while plasma adiponectin levels are increased. Plasma ghrelin levels present opposite changes in obesity and anorexia nervosa, suggesting that ghrelin is a good marker of nutritional status. Visfatin shows to correlate with visceral fat mass in patients with obesity. Its possible role in patients with anorexia nervosa is unknown. In conclusion, obesity is defined as a state of low-grade inflammation, which is associated with increased leptin, resistin and ghrelin levels and decreased adiponectin levels; anorexia nervosa is characterized by opposite changes. Finally, plasma adipocytokines levels can represent a sensitive parameter of nutritional status that reflects changes in the level of body fat in children and adolescents with obesity and anorexia nervosa.

  1. Total body water and total body potassium in anorexia nervosa

    International Nuclear Information System (INIS)

    Dempsey, D.T.; Crosby, L.O.; Lusk, E.; Oberlander, J.L.; Pertschuk, M.J.; Mullen, J.L.

    1984-01-01

    In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. The close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal. A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation

  2. [Follow-up and treatment outcome of early anorexia nervosa].

    Science.gov (United States)

    Schulze, U; Neudörfl, A; Krill, A; Warnke, A; Remschmidt, H; Herpertz-Dahlmann, B

    1997-03-01

    In a two-center follow-up study on the early-onset form of anorexia nervosa, we reexamined 43 (74%) of 58 former patients who had developed anorexia nervosa at the age of 13 years or younger. In addition to make a standardized assessment of the eating disorder at follow-up we assessed psychiatric comorbidity with a structured interview based on the criteria of DSM-III-R and ICD-10. After an average follow-up period of 6.8 years, 8 (18%) of our former patients had an eating disorder not otherwise specified (EDNOS) and 4 (9%) still suffered from anorexia nervosa. 5 (11%) of the subjects had developed bulimia nervosa. In 3 cases (7%) we found both syndromes. 12 (28%) of our former patients had an additional psychiatric disorder. The results of our study indicate that the quality of outcome in patients with an early-onset form of anorexia nervosa does not differ from that in individuals with a later manifestation of the eating disorder. Factors of prognostic relevance were the existence of an eating disorder during the first year of life and the duration of the follow-up period.

  3. The stigma of clean dieting and orthorexia nervosa.

    Science.gov (United States)

    Nevin, Suzanne M; Vartanian, Lenny R

    2017-01-01

    Although the stigma of eating disorders such as anorexia has been well established, little is known about the social consequences of "clean dieting" and orthorexia nervosa. In two studies, we examined the social stigma of clean dieting and orthorexia. In Study 1, participants read a vignette describing a woman following a "clean" diet, a woman with anorexia, or a control target (minimal information about the individual). In Study 2, participants read a vignette describing a woman with orthorexia, a woman displaying identical orthorexic behaviors but without the orthorexia label, a woman with anorexia, or a control target. Participants then rated the target individual on a range of measures assessing stereotypes, emotions, and behavioral intentions toward the target. Study 1 found that the clean-dieting target was evaluated more negatively than the control target on some dimensions, but less negatively than the target with anorexia nervosa. Study 2 found that evaluations of the targets with orthorexia nervosa were more negative than evaluations of a control target, but did not differ from evaluations of the target with anorexia nervosa. Perceptions of the target's control over her behavior were associated with more positive evaluations (Studies 1 and 2), whereas perceptions of blame and responsibility for the condition were associated with more negative evaluations (Study 2). Overall, these findings highlight the potential negative social consequences of clean dieting and orthorexia nervosa, and point to perceptions of control and blame as potential mechanisms underlying the stigma of these conditions.

  4. Obtención de fibra dietética nutricional de valor agregado a partir de bagazo de caña

    OpenAIRE

    Licona Aguilar, Angeles Iveth

    2013-01-01

    La fibra dietética se reconoce cada vez más como un elemento importante para una nutrición sana; numerosas referencias respaldan esta aseveración en las que se ha demostrado no solo la importancia que la fibra tiene en la regulación de las funciones intestinales sino también para la prevención de algunas enfermedades. En este contexto, tiene sentido analizar la posibilidad de aprovechar la potencial utilización que brindan numerosos residuos agrícolas como fuente de fibra en una gran variedad...

  5. Carga limite para juntas mecânicas em laminados de fibra de carbono

    OpenAIRE

    Arthur Chaves de Mas Santacreu

    1989-01-01

    Neste trabalho são testadas várias juntas parafusadas com laminados de fibra de carbono. São investigadas as influências dos parâmetros geométricos e dos parâmetros de constituição do laminado no comportamento da curva carga versus deformação do furo carregado. Paralelamente é desenvolvido um modelo de elementos finitos linear elástico para calcular a deformação do furo carregado a partir das propriedades mecânicas do material e da geometria da junta. É proposto um critério de previsão de car...

  6. DESENVOLVIMENTO DE SORVETE ENRIQUECIDO COM FIBRAS DE LINHAÇA E LACTOBACILOS VIVOS E SUA VIABILIDADE

    Directory of Open Access Journals (Sweden)

    Marina Leopoldina Lamounier,

    2012-08-01

    Full Text Available Observa-se um aumento no número de consumidores conscientes que se preocupam em adquirir produtos de qualidade, que apresentam sabor e aparência agradáveis e são mais nutritivos e saudáveis. Dentre esses alimentos, se destacam os probióticos e as fibras que são comprovadamente benéficos à saúde. Este trabalho teve como objetivos desenvolver sorvete de ameixa enriquecido com fibras de linhaça e lactobacilos vivos, bem como verificar sua aceitação e viabilidade durante o período de validade. Foi utilizado Lactobacillus acidophilus como agente de fermentação do leite e sua viabilidade na mistura foi avaliada através das análises microbiológicas durante 0, 7, 14, 21 e 28 dias de estocagem. Os resultados obtidos mostraram que sorvete pode ser armazenado durante 28 dias a -18 ºC mantendo as suas características probióticas. Apesar de haver uma redução no número de células viáveis após o armazenamento, o sorvete apresentou no final desse período contagens médias de 1,9 x 107 UFC/g, estando de acordo com a legislação podendo, portanto ser considerado um alimento probiótico. A avaliação sensorial foi realizada por 50 provadores não treinados onde 91% aprovaram o produto e 76% declararam que comprariam o produto. Assim, demonstra-se a viabilidade de elaboração do sorvete adicionado de Lactobacillus acidophilus e linhaça.

  7. Appetite Regulatory Hormones in Women With Anorexia Nervosa: Binge-Eating/Purging Versus Restricting Type

    Science.gov (United States)

    Eddy, Kamryn T.; Lawson, Elizabeth A.; Meade, Christina; Meenaghan, Erinne; Horton, Sarah E.; Misra, Madhusmita; Klibanski, Anne; Miller, Karen K.

    2015-01-01

    Objective Anorexia nervosa is a psychiatric illness characterized by low weight, disordered eating, and hallmark neuroendocrine dysfunction. Behavioral phenotypes are defined by predominant restriction or bingeing/purging; binge-eating/purging type anorexia nervosa is associated with poorer outcome. The pathophysiology underlying anorexia nervosa types is unknown, but altered hormones, known to be involved in eating behaviors, may play a role. Method To examine the role of anorexigenic hormones in anorexia nervosa subtypes, we examined serum levels of peptide YY (PYY; total and active [3-36] forms), brain-derived neurotrophic factor (BDNF), and leptin as primary outcomes in women with OSM-5 restricting type anorexia nervosa (n=50), binge-eating/purging type anorexia nervosa (n = 22), and healthy controls (n = 22).1n addition, women completed validated secondary outcome measures of eating disorder psychopathology (Eating Disorder Examination-Questionnaire) and depression and anxiety symptoms (Hamilton Rating Scales for Depression [HDRS] and Anxiety [HARS]). The study samples were collected from May 22, 2004, to February 7, 2012. Results Mean PYY 3-36 and leptin levels were lower and BDNF levels higher in binge-eating/purging type anorexia nervosa than in restricting type anorexia nervosa (all Pvalues anorexia nervosa types were significant (Panorexia nervosa, the anorexigenic hormones PYY, BDNF, and leptin are differentially regulated between the restricting and binge/purge types. Whether these hormone pathways play etiologic roles with regard to anorexia nervosa behavioral types or are compensatory merits further study. PMID:25098834

  8. Anorexia nervosa and major depression: shared genetic and environmental risk factors.

    Science.gov (United States)

    Wade, T D; Bulik, C M; Neale, M; Kendler, K S

    2000-03-01

    The authors sought to derive heritability estimates for anorexia nervosa and to explore the etiology of the comorbid relationship between anorexia nervosa and major depression. They applied bivariate structural equation modeling to a broad definition of anorexia nervosa and lifetime major depression as assessed in a population-based sample of 2,163 female twins. Anorexia nervosa was estimated to have a heritability of 58% (95% confidence interval=33%-84%). The authors were unable to completely rule out a contribution of shared environment. The comorbidity between anorexia nervosa and major depression is likely due to genetic factors that influence the risk for both disorders. Although the study was limited by the small number of affected twins, the results suggest that genetic factors significantly influence the risk for anorexia nervosa and substantially contribute to the observed comorbidity between anorexia nervosa and major depression.

  9. Remission of anorexia nervosa after thyroidectomy: A report of two cases with Graves' disease and anorexia nervosa

    Directory of Open Access Journals (Sweden)

    Noguchi Hitoshi

    2011-12-01

    Full Text Available Abstract We report two patients with anorexia nervosa and Graves' disease who received subtotal thyroidectomy for Graves' disease and concomitantly experienced remission from anorexia nervosa. Both were young women (aged 20 and 26 at the time of surgery. Both had well controlled thyroid function and eating behavior at the time of surgery. Both were followed for over five years without relapse of anorexia nervosa or hyperthyroidism. These cases suggest the existence of an endocrine factor originating from the thyroid gland that is involved in the pathogenesis of anorexia nervosa. Since patients of thyroidectomy can remain in good health with supplement of thyroxine alone, it can be hypothesized that this anorexigenic endocrine factor is an evolutionary relic not necessary for the normal function of humans and does not have physiological effects unless secreted beyond normal levels. Given that, it implies the existence of a creature in the animal kingdom for which such an anorexigenic hormone is essential for survival. Migrating birds eat beyond their caloric expenditure before migration and become anorexic for the duration of their flight. It is also known that their thyroid function is elevated during migration. The normal physiology of migration is a complex mechanism involving the hypothalamic, pituitary, thyroid, adrenal and reproductive hormones. The mechanism of disease, however, can be simpler. A review of the literature is presented that suggest a heretofore unreported thyroid hormone, which is involved in the regulation of migration behavior, may be the responsible factor behind anorexia nervosa.

  10. Neuroendokrine forstyrrelser ved anorexia nervosa - primoere eller sekundoere?

    DEFF Research Database (Denmark)

    Støving, R K; Hansen-Nord, M; Hangaard, J

    1996-01-01

    Anorexia nervosa is associated with multiple endocrine abnormalities. Hypothalamic neuropeptides and monoamines are involved in the regulation of human appetite, and they are changed in several ways in anorexia nervosa. But it remains to be clarified whether these alterations are secondary...... or etiologic. Feeding behaviour in anorexia nervosa is characterised by a strong ambivalence and not by loss of appetite. Hypothalamic amenorrhea is a diagnostic criterion, and is not only secondary as it often precedes the weight loss and persists for a long time after weight and motor activity have returned...... to normal. Hypersecretion of corticotropin releasing hormone seems to be secondary to starvation, but at the same time it may keep up and intensify the anorexia, physical hyperactivity and amenorrhea. Low production of insulinlike growth factor-I and high growth hormone secretion reflects the nutritional...

  11. A review of endocrine changes in anorexia nervosa

    DEFF Research Database (Denmark)

    Støving, R K; Hangaard, J; Hansen-Nord, M

    1999-01-01

    Anorexia nervosa is a syndrome of unknown etiology. It is associated with multiple endocrine abnormalities. Hypothalamic monoamines (especially serotonin), neuropeptides (especially neuropeptide Y and cholecystokinin) and leptin are involved in the regulation of human appetite, and in several ways...... they are changed in anorexia nervosa. However, it remains to be clarified whether the altered appetite regulation is secondary or etiologic. Increased secretion of corticotropin-releasing hormone and proopiomelanocortin seems to be secondary to starvation, however, there is evidence that it may maintain...... and intensify anorexia, excessive physical activity and amenorrhea. Hypothalamic amenorrhea, which is a diagnostic criterion in anorexia nervosa, is not solely related to the low body weight and exercise. Growth hormone resistance with low production of insulin-like growth factor I and high growth hormone...

  12. Relapse prevention in anorexia nervosa: Experiences of patients and parents.

    Science.gov (United States)

    Berends, Tamara; van de Lagemaat, Marleen; van Meijel, Berno; Coenen, Jasmijn; Hoek, Hans W; van Elburg, Annemarie A

    2018-03-24

    One of the main aims of treatment after successful recovery from anorexia nervosa (AN) is to prevent a relapse. The Guideline Relapse Prevention (GRP) Anorexia Nervosa offers a structured approach to relapse prevention. This study explores how patients and their parents experience working with the guideline. It also describes the factors that support or hinder successful application of the guideline. A descriptive qualitative research design was chosen involving in-depth interviews with seventeen patients with anorexia nervosa and six sets of parents. Patients and family members were generally satisfied with the support provided by the GRP. It contributed significantly to a better understanding of the personal process of relapse. Patients and families valued being able to keep in touch with their professional during the aftercare programme. The GRP supports the patient's use of self-management strategies for relapse prevention. © 2018 Australian College of Mental Health Nurses Inc.

  13. Mindfulness in Anorexia Nervosa: An Integrated Review of the Literature.

    Science.gov (United States)

    Dunne, Julie

    Anorexia nervosa is a serious psychiatric illness with limited evidenced-based treatment options. Mindfulness appears useful in many conditions, but few studies focus on its use in individuals with anorexia nervosa. To examine and summarize studies of mindfulness in individuals with anorexia nervosa and identify areas for future research. An integrated review was conducted by searching health care computerized databases. Results were mixed among the eight studies that met inclusion criteria. Multimodal mindfulness-based therapies appear effective, while brief interventions may be equally useful or result in greater anxiety compared to distraction. Qualitative data support that some participants feel mindfulness is challenging but beneficial. Mindfulness as a concurrent part of therapy and/or when routinely practiced may be more clinically useful than single-episode mindful eating interventions. Due to the complexity of the concept of mindfulness and limited existing data, additional research is needed.

  14. Measuring Orthorexia Nervosa: Psychometric Limitations of the ORTO-15.

    Science.gov (United States)

    Roncero, María; Barrada, Juan Ramón; Perpiñá, Conxa

    2017-09-20

    Orthorexia nervosa has recently been defined as excessive preoccupation with healthy eating, causing significant nutritional deficiencies and social and personal impairments. The ORTO-15 is the most widely used instrument to evaluate orthorexia nervosa, although previous studies obtained inconsistent results about its psychometric properties, and there are no data on the Spanish version. Thus, the main objective of the present study was to analyze the psychometric properties of the Spanish adaptation of the ORTO-15. In order to cross-validate the results, two independent samples were used (Sample 1: n = 807, 74.1% women; Sample 2: n = 242, 63.2% women). The results did not support the original recoding and reversal of the items; thus, the original scores were maintained. The analysis of the internal structure showed that the best interpretable solution was unidimensional, and due to low loadings, four items were removed. The internal consistency (α = .74) and temporal stability (r = .92; p orthorexia nervosa.

  15. Composição química, propriedades mecânicas e térmicas da fibra de frutos de cultivares de coco verde Chemical composition, thermal and mechanical properties for cultivars of immature coconut fibers

    Directory of Open Access Journals (Sweden)

    Elisângela Corradini

    2009-09-01

    Full Text Available O consumo da água de coco verde, in natura ou industrializada, vem gerando um grande problema ambiental, devido ao destino final da casca dos frutos. Aproximadamente 85% do peso bruto do coco verde é constituído pelas cascas, que são acumuladas em lixões ou às margens de estradas. Como a minimização da geração desse resíduo implicaria a redução da atividade produtiva associada, o seu aproveitamento torna-se uma necessidade. Neste sentido, este estudo teve como objetivo investigar as características da fibra de coco verde de diversos cultivares em função do ponto de colheita dos frutos, na composição química, nas propriedades mecânicas e térmicas, como forma de contribuir para avaliar seu potencial de aplicação na elaboração de novos materiais. Os resultados mostraram que a variação da composição química em função da cultivar de coco verde foi na faixa de 37,2 ± 0,8% a 43,9±0,7% e de 31,5±0,1% a 37,4±0,5% para os teores de lignina e celulose, respectivamente. A composição química não variou significativamente em função do ponto de maturação para a fibra da cultivar Anão-Verde-de-Jiqui (AVeJ. A fibra de cultivares de coco verde e AVeJ em diferentes pontos de maturação apresentaram propriedades térmicas e mecânicas semelhantes, as quais são próximas das propriedades das fibras de coco maduro, demonstrando, portanto, um potencial equivalente para serem utilizadas como reforço em matrizes poliméricas.The consumption of water of green coconut in natura or industrialized has generated a large amount of residues that are disposed in landfills or in roadside. The husks residues correspond to around 85% of the weight of the fruit and present slow decomposition process. This environmental problem requires alternative solutions. In order to assessing to potential of the immature (green coconut fibers to be used as reinforcement material in polymer matrices, the chemical composition, thermal and mechanical

  16. Resistência mecânica de compósitos cimentícios leves utilizando resíduos industriais e fibras de sisal Mechanical resistence of lightweight cement composites utilizing industrial residues and fibers of sisal

    Directory of Open Access Journals (Sweden)

    Nivaldo T. de Arruda Filho

    2012-08-01

    Full Text Available A valorização de materiais alternativos incorporados com resíduos como opção ao convencional deve possibilitar a geração de um produto com qualidade, estética, produtividade e com potencial de reduzir impactos da poluição ambiental. Este trabalho foi realizado com o objetivo de desenvolver elementos construtivos para forro e divisórias, a partir de matrizes cimentícias com incorporação de resíduos industriais (resíduo cerâmico, etil vinil acetato - EVA e fibras de sisal. Desenvolveram-se técnicas de moldagem em matrizes cimentícias autoadensáveis e se avaliou a resistência mecânica dos novos compósitos. Uma placa com resíduos de EVA foi produzida e, através de trabalhos de reologia, encontrou-se a pasta matriz de revestimento desta placa, com teor adequado de adições pozolânicas e aditivo superplastificante. Avaliaram-se as resistências mecânicas das placas, da pasta matriz de revestimento encontrada, com e sem adição de fibras, e do novo compósito formado pela união desses dois elementos. Utilizou-se a técnica de alinhamento de fibras com o intuito de incrementar resistência ao novo compósito leve. A adição da matriz com fibras alinhadas melhorou a resistência a flexão do novo compósito.The appreciation of alternative materials incorporated in waste as an option to conventional material should enable to generate a product with quality, aesthetics, productivity and reduce the potential impacts of environmental pollution. This study aims to develop constructive elements for ceilings and walls from cementitious matrix incorporating industrial waste (ceramic waste, ethyl vinyl acetate - EVA and sisal fibers. Moulding techniques to produce self-compacting cementitious matrices were developed and the strength of the new composites were evaluated. A plate with EVA waste was produced and through rheology studies, a matrix plaster for coating of plate surface was found, with appropriate content of pozzolanic and

  17. Cognitive theory in anorexia nervosa and bulimia nervosa: progress, development and future directions.

    Science.gov (United States)

    Cooper, Myra J

    2005-06-01

    Important developments have taken place in cognitive theory of eating disorders (EDs) (and also in other disorders) since the review paper published by M.J. Cooper in 1997. The relevant empirical database has also expanded. Nevertheless, cognitive therapy for anorexia nervosa and bulimia nervosa, although helpful to many patients, leaves much to be desired. The current paper reviews the relevant empirical evidence collected, and the theoretical revisions that have been made to cognitive models of eating disorders, since 1997. The status and limitations of these developments are considered, including whether or not they meet the criteria for "good" theory. New theoretical developments relevant to cognitive explanations of eating disorders (second generation theories) are then presented, and the preliminary evidence that supports these is briefly reviewed. The lack of integration between cognitive theories of EDs and risk (vulnerability) factor research is noted, and a potential model that unites the two is noted. The implications of the review for future research and the development of cognitive theory in eating disorders are then discussed. These include the need for study of cognitive constructs not yet fully integrated (or indeed not yet applied clinically) into current theories and the need for cognitive theories of eating disorders to continue to evolve (as they have indeed done since 1997) in order to fully integrate such constructs. Treatment studies incorporating these new developments also urgently need to be undertaken.

  18. Depression or depressiveness in patients diagnosed with Anorexia Nervosa and Bulimia Nervosa - pilot research.

    Science.gov (United States)

    Dêbska, Ewa; Janas, Adam; Bañczyk, Wojciech; Janas-Kozik, Małgorzata

    2011-09-01

    The target of this work is to consider if depressive symptoms intercurrent with patients suffering from Anorexia Nervosa (AN) and Bulimia Nervosa (BN) form a depression complex or whether they are physiological depression accompanying adolescence. We wished to observe the perception of these patients,of their functioning, both social and within their families and also looking for common point in the issues mentioned above trying to locate them within the course of the basic illness. We studied 19 patients suffering from eating disorders, and aged between 12 and 24 years old. 15 of them suffered from the restrictive form of AN and 4 suffered from BN. The control group consisted of 30 healthy girls in the same age interval. In the study authors used the Beck Depression Inventory (BDI) and the Quebec Quality of Life Questionnaire. Comparison of a number of points acquired in the survey using Beck Depression Scale revealed statistic significance at the level pdepression symptoms among persons with eating disorders comparing to control group. The survey using the Questionnaire for Social Quality showed no statistically significant differences between study and control groups (p>0.05). The authors observed a statistically significant increased frequency of suicidal thoughts in the study group compared to the controls. To diagnose depression, depressive symptoms presented by the patients must give the image of depression at the clinical level. The result of the Beck's scale needs to be confronted with the clinical picture. Depression in adolescence requires differentiation from depressiveness.

  19. Understanding the Relation between Anorexia Nervosa and Bulimia Nervosa in a Swedish National Twin Sample

    Science.gov (United States)

    Bulik, Cynthia M; Thornton, Laura; Root, Tammy L.; Pisetsky, Emily M.; Lichtenstein, Paul; Pedersen, Nancy L.

    2010-01-01

    Background We present a bivariate twin analysis of anorexia nervosa (AN) and bulimia nervosa (BN) to determine the extent to which shared genetic and environmental factors contribute to liability to these disorders. Method Focusing on females from the Swedish Twin study of Adults: Genes and Environment (STAGE) (N=7000), we calculated heritability estimates for narrow and broad AN and BN and estimated their genetic correlation. Results In the full model, the heritability estimate for narrow AN was (a2 = .57; 95% CI: .00, .81) and for narrow BN (a2 = .62; 95% CI: .08, .70) with the remaining variance accounted for by unique environmental factors. Shared environmental factors estimates were (c2 = .00; 95% CI: .00, .67) for AN and (c2 = .00; 95% CI: .00, .40) for BN. Moderate additive genetic (.46) and unique environmental (.42) correlations between AN and BN were observed. Heritability estimates for broad AN were lower (a2 = .29; 95% CI: .04, .43) than for narrow AN, but estimates for broad BN were similar to narrow BN. The genetic correlation for broad AN and BN was .79 and the unique environmental correlation was .44. Conclusions We highlight the contribution of additive genetic factors to both narrow and broad AN and BN and demonstrate a moderate overlap of both genetic and unique environmental factors that influence the two conditions. Common concurrent and sequential comorbidity of AN and BN can in part be accounted for by shared genetic and environmental influences on liability although independent factors also operative. PMID:19828139

  20. Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior.

    Science.gov (United States)

    Lourenço, Maria; Azevedo, Álvaro; Brandão, Isabel; Gomes, Pedro S

    2018-06-01

    This case-control study aims to evaluate the oral health status and orofacial problems in a group of outpatients with eating disorders (ED)-either anorexia nervosa (AN) or bulimia nervosa (BN)-further focusing on the influence of vomit. Fifty-five women outpatients with AN or BN diagnosis were invited to participate, of which 33 agreed. ED outpatients and matched controls were submitted to a questionnaire and clinical oral examination. Multivariate analysis identified a significantly higher incidence of teeth-related complications (i.e., tooth decay, dental erosion, and self-reported dentin hypersensitivity), periodontal disease, salivary alterations (i.e., hyposalivation and xerostomia), and oral mucosa-related complications in ED outpatients. Dental erosion, self-reported dentin hypersensitivity, hyposalivation, xerostomia, and angular cheilitis were found to be highly correlated with the vomiting behavior. ED outpatients were found to present a higher incidence of oral-related complications and an inferior oral health status, compared to gender- and age-matched controls. Alterations verified within outpatients were acknowledged to be quite similar to those previously reported within inpatients, in both of nature and severity, thus sustaining that the cranio-maxillofacial region is significantly affected by ED, even in the early/milder forms of the condition, as expectedly verified within outpatients.

  1. Core psychopathology in anorexia nervosa and bulimia nervosa: A network analysis.

    Science.gov (United States)

    Forrest, Lauren N; Jones, Payton J; Ortiz, Shelby N; Smith, April R

    2018-04-25

    The cognitive-behavioral theory of eating disorders (EDs) proposes that shape and weight overvaluation are the core ED psychopathology. Core symptoms can be statistically identified using network analysis. Existing ED network studies support that shape and weight overvaluation are the core ED psychopathology, yet no studies have estimated AN core psychopathology and concerns exist about the replicability of network analysis findings. The current study estimated ED symptom networks among people with anorexia nervosa (AN) and bulimia nervosa (BN) and among a combined group of people with AN and BN. Participants were girls and women with AN (n = 604) and BN (n = 477) seeking residential ED treatment. ED symptoms were assessed with the Eating Disorder Examination-Questionnaire (EDE-Q); 27 of the EDE-Q items were included as nodes in symptom networks. Core symptoms were determined by expected influence and strength values. In all networks, desiring weight loss, restraint, shape and weight preoccupation, and shape overvaluation emerged as the most important symptoms. In addition, in the AN and combined networks, fearing weight gain emerged as an important symptom. In the BN network, weight overvaluation emerged as another important symptom. Findings support the cognitive-behavioral premise that shape and weight overvaluation are at the core of AN psychopathology. Our BN and combined network findings provide a high degree of replication of previous findings. Clinically, findings highlight the importance of considering shape and weight overvaluation as a severity specifier and primary treatment target for people with EDs. © 2018 Wiley Periodicals, Inc.

  2. The Impact of Alexithymia on Emotion Dysregulation in Anorexia Nervosa and Bulimia Nervosa over Time.

    Science.gov (United States)

    Brown, Tiffany A; Avery, Jade C; Jones, Michelle D; Anderson, Leslie K; Wierenga, Christina E; Kaye, Walter H

    2018-03-01

    Research supports that anorexia nervosa-restricting subtype (AN-R) and bulimia nervosa (BN) are associated with emotion regulation difficulties and alexithymia. However, the impact of diagnosis on the relationship between these constructs is less well understood. The purpose of the present study was to examine whether eating disorder diagnosis moderated the association between admission alexithymia and emotion regulation through discharge. Adult patients with AN-R (n = 54) and BN (n = 60) completed assessments at treatment admission and discharge from a partial hospital program. Eating disorder diagnosis moderated the association between admission alexithymia levels and change in global emotion dysregulation, impulse control difficulties and access to emotion regulation strategies. At higher levels of admission alexithymia, there were no differences between AN-R and BN on emotion dysregulation, whereas at lower levels of alexithymia, AN-R patients demonstrated lower levels of emotion dysregulation. Results imply that difficulties with alexithymia appear to have a greater impact on emotion dysregulation for AN-R patients. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

  3. [Purging behaviors and nutritional status in anorexia nervosa and bulimia nervosa].

    Science.gov (United States)

    Vaz, F J; García-Herráiz, A; López-Vinuesa, B; Monge, M; Fernández-Gil, M A; Guisado, J A

    2003-01-01

    The aim of the study was to investigate whether the use of purgative methods in patients with eating disorders (anorexia nervosa [AN] and bulimia nervosa [BN]) could be capable of producing changes in the nutritional status of the patients. The group under study was composed of 184 female eating disordered outpatients. One hundred and sixteen patients (63.0%) fulfilled the DSM-IV diagnostic criteria for BN (90 purging type, 26 nonpurging type). Sixty eight patients (37.0%) fulfilled the DSM-IV criteria for the diagnosis of AN (48 restricting type, 20 binging-purging type). The assessment process included anthropometry (body circumferences and skinfold thickness) and body impedance analysis. The two subgroups of AN patients significantly differed from each of the BN subgroups. From a nutritional point of view, some significant differences between the two DSM-IV subtypes of AN existed, but not between the purging type and the nonpurging type of BN. The paper discusses the clinical significance of these findings. An alternative subtypification of AN patients is proposed: 1) restricting type [patients who control their food intake and do not purge]; 2) purging type [patient with true episodes of binging which are followed by purgative behaviors]; and 3) pseudopurging type [patients with subjective binging episodes who use purging methods].

  4. Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder in Midlife and Beyond.

    Science.gov (United States)

    Elran-Barak, Roni; Fitzsimmons-Craft, Ellen E; Benyamini, Yael; Crow, Scott J; Peterson, Carol B; Hill, Laura L; Crosby, Ross D; Mitchell, James E; Le Grange, Daniel

    2015-08-01

    We examined eating disorders in midlife and beyond by comparing frequency of anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding or eating disorder (OSFED) among midlife eating disorder treatment-seeking individuals and younger controls. We also compared demographic and eating disorder-related characteristics across diagnoses and age groups. Participants included 2,118 treatment-seeking adults who self-reported their eating-related symptoms on the Eating Disorder Questionnaire. Results showed that percent of patients with BN was significantly lower whereas percent of patients with BED and OSFED was significantly higher among midlife relative to younger patients. Percent of patients with AN did not differ between midlife and younger patients. Additionally, midlife and younger patients with BED and OSFED differed on several demographic (e.g., marital status) and eating disorder-related characteristics (e.g., BMI, compulsive exercising). This study suggests that BN is less common whereas BED and OSFED are more common among midlife eating disorder treatment-seeking individuals relative to younger controls. In addition, AN and BN present fairly similarly whereas BED and OSFED present fairly differently among midlife patients relative to younger controls. Attention to these differences and similarities is necessary to understand eating disorders in midlife.

  5. Trail making task performance in inpatients with anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Vall, Eva; Wade, Tracey D

    2015-07-01

    Set-shifting inefficiencies have been consistently identified in adults with anorexia nervosa (AN). It is less clear to what degree similar inefficiencies are present in those with bulimia nervosa (BN). It is also unknown whether perfectionism is related to set-shifting performance. We employed a commonly used set-shifting measure, the Trail Making Test (TMT), to compare the performance of inpatients with AN and BN with a healthy control sample. We also investigated whether perfectionism predicted TMT scores. Only the BN sample showed significantly suboptimal performance, while the AN sample was indistinguishable from controls on all measures. There were no differences between the AN subtypes (restrictive or binge/purge), but group sizes were small. Higher personal standards perfectionism was associated with better TMT scores across groups. Higher concern over mistakes perfectionism predicted better accuracy in the BN sample. Further research into the set-shifting profile of individuals with BN or binge/purge behaviours is needed. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  6. Differential impairments underlying decision making in anorexia nervosa and bulimia nervosa: a cognitive modeling analysis.

    Science.gov (United States)

    Chan, Trista Wai Sze; Ahn, Woo-Young; Bates, John E; Busemeyer, Jerome R; Guillaume, Sebastien; Redgrave, Graham W; Danner, Unna N; Courtet, Philippe

    2014-03-01

    This study examined the underlying processes of decision-making impairments in individuals with anorexia nervosa (AN) and bulimia nervosa (BN). We deconstructed their performance on the widely used decision task, the Iowa Gambling Task (IGT) into cognitive, motivational, and response processes using cognitive modeling analysis. We hypothesized that IGT performance would be characterized by impaired memory functions and heightened punishment sensitivity in AN, and by elevated sensitivity to reward as opposed to punishment in BN. We analyzed trial-by-trial data of IGT obtained from 224 individuals: 94 individuals with AN, 63 with BN, and 67 healthy comparison individuals (HC). The prospect valence learning model was used to assess cognitive, motivational, and response processes underlying IGT performance. Individuals with AN showed marginally impaired IGT performance compared to HC. Their performance was characterized by impairments in memory functions. Individuals with BN showed significantly impaired IGT performance compared to HC. They showed greater relative sensitivity to gains as opposed to losses than HC. Memory functions in AN were positively correlated with body mass index. This study identified differential impairments underlying IGT performance in AN and BN. Findings suggest that impaired decision making in AN might involve impaired memory functions. Impaired decision making in BN might involve altered reward and punishment sensitivity. Copyright © 2013 Wiley Periodicals, Inc.

  7. Anorexia nervosa versus bulimia nervosa: differences based on retrospective correlates in a case-control study.

    Science.gov (United States)

    Machado, Bárbara C; Gonçalves, Sónia F; Martins, Carla; Brandão, Isabel; Roma-Torres, António; Hoek, Hans W; Machado, Paulo P

    2016-06-01

    This study is the result of two Portuguese case-control studies that examined the replication of retrospective correlates and preceding life events in anorexia nervosa (AN) and bulimia nervosa (BN) development. This study aims to identify retrospective correlates that distinguish AN and BN METHOD: A case-control design was used to compare a group of women who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for AN (N = 98) and BN (N = 79) with healthy controls (N = 86) and with other psychiatric disorders (N = 68). Each control group was matched with AN patients regarding age and parental social categories. Risk factors were assessed by interviewing each person with the Oxford Risk Factor Interview. Compared to AN, women with BN reported significantly higher rates of paternal high expectations, excessive family importance placed on fitness/keeping in shape, and negative consequences due to adolescent overweight and adolescent objective overweight. Overweight during adolescence emerged as the most relevant retrospective correlate in the distinction between BN and AN participants. Family expectations and the importance placed on keeping in shape were also significant retrospective correlates in the BN group.

  8. Clinical and genetic correlates of decision making in anorexia nervosa.

    Science.gov (United States)

    Tenconi, Elena; Degortes, Daniela; Clementi, Maurizio; Collantoni, Enrico; Pinato, Claudia; Forzan, Monica; Cassina, Matteo; Santonastaso, Paolo; Favaro, Angela

    2016-01-01

    Decision-making (DM) abilities have been found to be impaired in anorexia nervosa (AN), but few data are available about the characteristics and correlates of this cognitive function. The aim of the present study was to provide data on DM functioning in AN using both veridical and adaptive paradigms. While in veridical DM tasks, the individual's ability to predict a true/false response is measured, adaptive DM is the ability to consider both internal and external demands in order to make a good choice, in the absence of a single true "correct" answer. The participants were 189 women, of whom 91 were eating-disordered patients with a lifetime diagnosis of anorexia nervosa, and 98 were healthy women. All the participants underwent clinical, neuropsychological, and genetic assessment. The cognitive evaluation included a set of neuropsychological tasks and two decision-making tests: The Iowa Gambling Task and the Cognitive Bias Task. Anorexia nervosa patients showed significantly poorer performances on both decision-making tasks than healthy women. The Cognitive Bias Task revealed that anorexia nervosa patients employed significantly more context-independent decision-making strategies, which were independent from diagnostic subtype, handedness, education, and psychopathology. In the whole sample (patients and controls), Cognitive Bias Task performance was independently predicted by lifetime anorexia nervosa diagnosis, body mass index at assessment, and 5-HTTLPR genotype. Patients displayed poor decision-making functioning in both veridical and adaptive situations. The difficulties detected in anorexia nervosa individuals may affect not only the ability to consider the future outcomes of their actions (leading to "myopia for the future"), but also the capacity to update and review one's own mindset according to new environmental stimuli.

  9. Glucocorticoid receptors in anorexia nervosa and Cushing's disease.

    Science.gov (United States)

    Invitti, C; Redaelli, G; Baldi, G; Cavagnini, F

    1999-06-01

    Patients with anorexia nervosa do not display cushingoid features in spite of elevated cortisol plasma levels. Whether a cortisol resistance or a reduced availability of the metabolic substrates necessary to develop the effect of glucocorticoids is responsible for this has not been established. Twenty-two patients with severe restrictive anorexia nervosa, 10 patients with active Cushing's disease, and 24 healthy volunteers without psychiatric disorders or mood alterations were investigated. Glucocorticoid receptor characteristics were examined on mononuclear leukocytes by measuring [3H]dexamethasone binding and the effect of dexamethasone on [3H]thymidine incorporation, which represents an index of DNA synthesis. The number of glucocorticoid receptors on mononuclear leukocytes (MNL) was comparable in patients with anorexia nervosa, patients with active Cushing's disease, and normal subjects (binding capacity 3.3 +/- 0.23 vs. 3.7 +/- 0.30 and 3.5 +/- 0.20 fmol/10(6) cells). Conversely, glucocorticoid receptor affinity was significantly decreased in anorexia nervosa as well as in Cushing's patients compared to control subjects (dissociation constant 4.0 +/- 0.31 and 4.1 +/- 0.34 vs. 2.9 +/- 0.29 nmol/L, p Cushing's patients compared to control subjects (p Cushing's disease. In patients with anorexia nervosa, the incorporation of [3H]thymidine into the MNL was inversely correlated with urinary free cortisol levels. These data indicate that the lack of cushingoid features in patients with anorexia nervosa is not ascribable to a reduced sensitivity to glucocorticoids but is more likely due to the paucity of metabolic substrates.

  10. Anorexia nervosa ses ofte sammen medandre psykiatriske lidelser

    DEFF Research Database (Denmark)

    Panchenko, Anna; Arnfred, Sidse Marie Hemmingsen

    2015-01-01

    Recent literature is explored focusing on the relationship between symptoms of anorexia nervosa (AN) and other psychiatric disorders and lines of treatment. In AN, restrictive subtype, anxiety and obsessive-compulsive disorders are the most frequent co-morbidities. In AN, bulimic subtype, depress......Recent literature is explored focusing on the relationship between symptoms of anorexia nervosa (AN) and other psychiatric disorders and lines of treatment. In AN, restrictive subtype, anxiety and obsessive-compulsive disorders are the most frequent co-morbidities. In AN, bulimic subtype...

  11. Understanding the working alliance with clients diagnosed with anorexia nervosa.

    Science.gov (United States)

    Oyer, Laura; O'Halloran, Mary Sean; Christoe-Frazier, Liesel

    2016-01-01

    The therapeutic working alliance is a vital ingredient of psychotherapy, specifically for clients diagnosed with anorexia nervosa, as progress is often slow and treatment difficult. This qualitative phenomenological study investigated the experiences of eight clients with anorexia nervosa and seven therapists who work with this population, regarding which therapist factors aided in and challenged the working alliance formation in individual psychotherapy. Data was gathered through semi-structured interviews. Some helpful therapist factors included collaboration, appropriate self-disclosure, providing a warm and safe environment, and willingness to be contacted outside of a session. Unhelpful factors included lack of attunement and objectivity and failure to individualize treatment.

  12. Early-onset anorexia nervosa in girls with Asperger syndrome

    Directory of Open Access Journals (Sweden)

    Dudova I

    2015-07-01

    Full Text Available Iva Dudova, Jana Kocourkova, Jiri Koutek Department of Child Psychiatry, Charles University Second Faculty of Medicine and University Hospital Motol, Prague, Czech Republic Abstract: Eating disorders frequently occur in conjunction with autism spectrum disorders, posing diagnostic and therapeutic difficulties. The comorbidity of anorexia nervosa and Asperger syndrome is a significant clinical complication and has been associated with a poorer prognosis. The authors are presenting the cases of an eleven-year-old girl and a five-and-a-half-year-old girl with comorbid eating disorders and Asperger syndrome. Keywords: eating disorders, early-onset anorexia nervosa, autism spectrum disorders, Asperger syndrome, diagnostics, therapy

  13. A case of anorexia nervosa in an elderly man.

    Science.gov (United States)

    Malik, Fahd; Wijayatunga, Uditha; Bruxner, George M

    2014-06-01

    To explore aspects of anorexia nervosa occurring in older populations, especially men, by reviewing the literature and presenting a case study of an elderly man with unexplained vomiting and weight loss. The literature is reviewed and an illustrative case study of an elderly man with unexplained vomiting and weight loss is described. Anorexia nervosa is an uncommon cause of unexplained weight loss in the elderly, but may be under-recognized and associated with a high level of mortality. © The Royal Australian and New Zealand College of Psychiatrists 2014.

  14. Attention networks in adolescent anorexia nervosa.

    Science.gov (United States)

    Weinbach, Noam; Sher, Helene; Lock, James D; Henik, Avishai

    2018-03-01

    Anorexia nervosa (AN) usually develops during adolescence when considerable structural and functional brain changes are taking place. Neurocognitive inefficiencies have been consistently found in adults with enduring AN and were suggested to play a role in maintaining the disorder. However, such findings are inconsistent in children and adolescents with AN. The current study conducted a comprehensive assessment of attention networks in adolescents with AN who were not severely underweight during the study using an approach that permits disentangling independent components of attention. Twenty partially weight-restored adolescents with AN (AN-WR) and 24 healthy adolescents performed the Attention Network Test which assesses the efficiency of three main attention networks-executive control, orienting, and alerting. The results revealed abnormal function in the executive control network among adolescents with AN-WR. Specifically, adolescents with AN-WR demonstrated superior ability to suppress attention to task-irrelevant information while focusing on a central task. Moreover, the alerting network modulated this ability. No difference was found between the groups in the speed of orienting attention, but reorienting attention to a target resulted in higher error rates in the AN-WR group. The findings suggest that adolescents with AN have attentional abnormalities that cannot be explained by a state of starvation. These attentional dysregulations may underlie clinical phenotypes of the disorder such as increased attention of details.

  15. Compulsivity in Anorexia Nervosa: a transdiagnostic concept

    Directory of Open Access Journals (Sweden)

    Lauren Rose Godier

    2014-07-01

    Full Text Available The compulsive nature of weight loss behaviours central to Anorexia Nervosa (AN, such as relentless self-starvation and over-exercise, has led to the suggestion of parallels between AN and other compulsive disorders such as Obsessive-Compulsive Disorder (OCD and addictions. There is a huge unmet need for effective treatments in AN, which has high rates of morbidity and the highest mortality rate of any psychiatric disorder, yet a grave paucity of effective treatments. Viewing compulsivity as a transdiagnostic concept, seen in various manifestations across disorders, may help delineate the mechanisms responsible for the persistence of AN, and aid treatment development. We explore models of compulsivity that suggest dysfunction in cortico-striatal circuitry underpins compulsive behaviour, and consider evidence of aberrances in this circuitry across disorders. Excessive habit formation is considered as a mechanism by which initially rewarding weight loss behaviour in AN may become compulsive over time, and the complex balance between positive and negative reinforcement in this process is considered. The physiological effects of starvation in promoting compulsivity, positive reinforcement and habit formation are also discussed. Further research in AN may benefit from a focus on processes potentially underlying the development of compulsivity, such as aberrant reward processing and habit formation. We discuss the implications of a transdiagnostic perspective on compulsivity, and how it may contribute to the development of novel treatments for AN.

  16. Developmental considerations of anorexia nervosa and obesity.

    Science.gov (United States)

    Bruch, H

    1981-06-01

    The differentiation of the distinct clinical syndrome of anorexia nervosa from atypical cases is based on the following distinguishing features: a relentless pursuit of thinness; an almost delusional disturbance of body image; an inability to correctly identify hunger from other bodily or tension states; a lack of an identity awareness; and a paralyzing sense of ineffectiveness. This sense of ineffectiveness, pervasive of all thought and action, is connected with the perception of the self as acting only in response to the demands of others and is camouflaged by negativism and defiance. The core developmental issues of being unable to experience the control over one's own body and of lacking the conviction of living one's own life are based on the severe deficits in autonomy and initiative, originating from the distortion and mislabeling of feelings, sensation and moods in early childhood. The treatment process focuses on evoking awareness in these patients of their impulses, feelings and needs as originating within themselves as an essential step in the development of a sense of competence and self-esteem.

  17. Neuroendocrine Consequences of Anorexia Nervosa in Adolescents

    Science.gov (United States)

    Misra, Madhusmita; Klibanski, Anne

    2013-01-01

    Anorexia nervosa (AN) is a condition of severe undernutrition characterized by alterations in multiple neuroendocrine axes and peptides that signal or regulate energy intake. These alterations include a state of hypogonadotropic hypogonadism, a nutritionally acquired resistance to growth hormone (GH) with low IGF-1 levels, relative hypercortisolemia, low total T3 despite normal TSH, low levels of leptin and insulin, and elevated levels of ghrelin, peptide YY (PYY) and possibly adiponectin. Although many of these changes are adaptive to low weight, they can impact bone metabolism, body composition, reproductive function and statural growth. Low bone mass is characteristic of AN in both adolescent boys and girls. In girls, sites of trabecular bone are more likely to be affected than sites of cortical bone, whereas in boys with AN, sites of cortical bone are more commonly affected. Bone microarchitecture is also affected in adolescent girls with AN, with a decrease in trabecular thickness and bone trabecular volume, and an increase in trabecular separation. Important predictors of low bone density include nutritional factors, body composition, hypogonadism, low IGF-1, elevated cortisol and PYY levels, with possible contributions of low insulin. Weight gain is associated with a stabilization of bone density, although residual deficits persist in the short term, and in some cases, long term. PMID:19955768

  18. [Orthorexia nervosa. A new eating behavior disorder?].

    Science.gov (United States)

    Catalina Zamora, M L; Bote Bonaechea, B; García Sánchez, F; Ríos Rial, B

    2005-01-01

    New eating behavior disorders such as bigorexia (muscle dysmorphia) and orthorexia are appearing in developed countries. These disorders have not been officially recognized so that they are not classified as independent entities. The term orthorexia comes from the Greek word orthos (straight, proper) and orexia (appetite). It is characterized by the pathological obsession for biologically pure food, which leads to important dietary restrictions. Orthorexic patients exclude foods from their diets that they consider to be impure because they have herbicides, pesticides or artificial substances and they worry in excess about the techniques and materials used in the food elaboration. This obsession leads to loss of social relationships and affective dissatisfactions which, in turn, favors obsessive concern about food. In orthorexia, that patient initially wants to improve his/her health, treat a disease or lose weight. Finally, the diet becomes the most important part of their lives. We present a clinical case that responds to the characteristics of orthorexia. The differential diagnosis with chronic delusional disorder, anorexia nervosa and obsessive-compulsive disorder is carried out.

  19. Visual body perception in anorexia nervosa.

    Science.gov (United States)

    Urgesi, Cosimo; Fornasari, Livia; Perini, Laura; Canalaz, Francesca; Cremaschi, Silvana; Faleschini, Laura; Balestrieri, Matteo; Fabbro, Franco; Aglioti, Salvatore Maria; Brambilla, Paolo

    2012-05-01

    Disturbance of body perception is a central aspect of anorexia nervosa (AN) and several neuroimaging studies have documented structural and functional alterations of occipito-temporal cortices involved in visual body processing. However, it is unclear whether these perceptual deficits involve more basic aspects of others' body perception. A consecutive sample of 15 adolescent patients with AN were compared with a group of 15 age- and gender-matched controls in delayed matching to sample tasks requiring the visual discrimination of the form or of the action of others' body. Patients showed better visual discrimination performance than controls in detail-based processing of body forms but not of body actions, which positively correlated with their increased tendency to convert a signal of punishment into a signal of reinforcement (higher persistence scores). The paradoxical advantage of patients with AN in detail-based body processing may be associated to their tendency to routinely explore body parts as a consequence of their obsessive worries about body appearance. Copyright © 2012 Wiley Periodicals, Inc.

  20. [Anorexia nervosa in German medical literature 1900 to 1945. The role of anorexia nervosa in the origin of psychosomatic medicine].

    Science.gov (United States)

    Habermas, T

    1992-01-01

    German-language publications on anorexia nervosa and Simmonds' disease from between 1900 and 1945 are reviewed in order to trace factors inherent in medical thinking which have mostly hindered German-language medicine in understanding anorexia nervosa. It is demonstrated that a) the few German-language physicians who did describe central and possible characteristics of a.n. (weight-phobia, overactivity, bulimia, self-induced vomiting) were enabled to do so by valuing detailed clinical description, also of psychic characteristics, and an interest in the neuroses; b) the concept of anorexia nervosa was better known than previously assumed, though largely misunderstood; c) typical diagnostic misinterpretations led to typical biases in the description of the syndrome; d) in Germany more than in other countries a.n. was confounded with Simmonds' disease; and e) in addition to other factors, one reason for this lay in the 'holistic' ideal of psychosomatic medicine in the 1930s.

  1. Mejoramiento de las propiedades de tensión en WPC de LDPE: HIPS/fibra natural mediante entrecruzamiento con DCP

    Directory of Open Access Journals (Sweden)

    Arnoldo Emilio Delgado Tobón

    2014-06-01

    Full Text Available Fibra de Retamo Liso (telinemonspessulana fue mezclada en una matriz polimérica formada por: polietileno de baja densidad (LDPE y poliestireno de alto impacto (HIPS en relación 70:30 respectivamente. La fibra natural fue sometida a reducción de tamaño entre 1700 y 850 µm; se le realizó tratamiento superficial de mercerización; el contenido de humedad fue 0,17%. El análisis termo gravimétrico (TGA muestra que la fibra tratada tiene estabilidad de 200,53 °C. La elaboración del compuesto se realizó en mezclador interno y la técnica de obtención de las probetas fue mediante moldeo por compresión. Se evaluó el efecto del agente entrecruzante peróxido de dicumilo (DCP en compuestos con varios porcentajes de fibra: 0; 10; 25; 50 phr. La adición de DCP (1 phr en los compuestos, mejora significativamente las propiedades de tensión con respecto a similares concentraciones de fibra; sin embargo, esta diferencia en los valores de las propiedades disminuye progresivamente cuando la cantidad de fibra se aproxima a 50 phr. El aumento en la concentración de fibra afecta negativamente las propiedades de tensión, con excepción del Módulo de Elasticidad y la Resistencia a la Fluencia. La causa principal es originada por la baja adhesión interfacial fibra natural-matriz polimérica, claramente evidenciada en las imágenes SEM.

  2. Kultur Damai Berbasis Tradisi Pela Dalam Perspektif Psikologi Sosial

    Directory of Open Access Journals (Sweden)

    Roubrenda N. Ralahallo

    2015-11-01

    Full Text Available Conflict and violence was the destructive reality that showed reduction and alienated of existence humanity. The essence of human being has destruction because dominance of egoism of people’s without care value of victim community. Because of that condition, the basic need to create a culture of peace as constructive reality that connected relationship between all of people is urgently. On the level individual and group, the acceptance of “the other‐self” as him/herself has destroy the wall of differences which always be source of conflict and violence. The fusion identity “we” (ingroup and “them” (outgroup has establish common ingroup identity as “us” in recategorization process that contribution to reduction negative aspect seems like prejudice, discrimination and stereotype. This research involve four subject with age 20‐30 years old, genre as masculin and feminin, and they have a comprehensive science about pela tradition. Other informant like a King of negeri, Kapitan negeri and all of people also involve in this research. Qualitative method with ethno‐phenomenology approach is use in this research with observation and interview as method and procedure to collect data. The result of this research showed that culture of peace can be found in local wisdom as pela tradition. The basic idea in this tradition is a common identity “saudara/orang basudara” which has calling as “ela”. Pscychological dynamics occur in this perspective because the word of “ela” to contain a constructive and positive meaning that arranged relation between the groups Rohomoni‐Tuhaha. Implementation of values the culture of peace has been seen in the behavioral “saudara pela” that mutual constructive, trust, respect. This fact could be found in Molluccas conflict at 1999‐2004, pela tradition can be the media reconciliation between two groups Moslem and Christian.

  3. CONSUMO DE FIBRA DIETÉTICA EN LACTANTES MENORES DE 2 AÑOS Y ESTREÑIMIENTO FUNCIONAL

    OpenAIRE

    Carlos Alberto Velasco Benítez; Sandra Carolina Giraldo Lora

    2014-01-01

    Introducción: La inclusión de la fibra dietética (FD), tiene múltiples beneficios sobre la salud del ser humano; sin embargo, en pediatría, existen grandes brechas concernientes a la relación de fibra y estreñimiento. Objetivo: Describir el hábito intestinal en lactantes . Se tuvo en cuenta la alimentación con leche materna, el tiempo de inicio de alimentación complementaria y el antecedente de madre o cuidador con EF. Los resultados son expresados como X±DS. El análisis estadístico incluyó X...

  4. Utilização de pós residuais e fibra de sisal em blocos de concreto

    OpenAIRE

    Indara Soto Izquierdo

    2015-01-01

    A pesquisa tem como enfoque fundamental a aplicação de novos materiais alternativos para uma construção sustentável. Pós residuais, provenientes do resíduo orgânico e do setor mineral, e fibras de sisal constituem bons exemplos de materiais não convencionais. Dessa forma, o objetivo principal foi avaliar a incorporação dos pós residuais e da fibra de sisal no concreto para a fabricação de blocos de concreto e elementos de alvenaria. Foram estudados três relações cimento: agregado, de 1:15, 1:...

  5. Altered insula response to sweet taste processing after recovery from anorexia and bulimia nervosa.

    Science.gov (United States)

    Oberndorfer, Tyson A; Frank, Guido K W; Simmons, Alan N; Wagner, Angela; McCurdy, Danyale; Fudge, Julie L; Yang, Tony T; Paulus, Martin P; Kaye, Walter H

    2013-10-01

    Recent studies suggest that altered function of higher-order appetitive neural circuitry may contribute to restricted eating in anorexia nervosa and overeating in bulimia nervosa. This study used sweet tastes to interrogate gustatory neurocircuitry involving the anterior insula and related regions that modulate sensory-interoceptive-reward signals in response to palatable foods. Participants who had recovered from anorexia nervosa and bulimia nervosa were studied to avoid confounding effects of altered nutritional state. Functional MRI measured brain response to repeated tastes of sucrose and sucralose to disentangle neural processing of caloric and noncaloric sweet tastes. Whole-brain functional analysis was constrained to anatomical regions of interest. Relative to matched comparison women (N=14), women recovered from anorexia nervosa (N=14) had significantly diminished and women recovered from bulimia nervosa (N=14) had significantly elevated hemodynamic response to tastes of sucrose in the right anterior insula. Anterior insula response to sucrose compared with sucralose was exaggerated in the recovered group (lower in women recovered from anorexia nervosa and higher in women recovered from bulimia nervosa). The anterior insula integrates sensory reward aspects of taste in the service of nutritional homeostasis. One possibility is that restricted eating and weight loss occur in anorexia nervosa because of a failure to accurately recognize hunger signals, whereas overeating in bulimia nervosa could represent an exaggerated perception of hunger signals. This response may reflect the altered calibration of signals related to sweet taste and the caloric content of food and may offer a pathway to novel and more effective treatments.

  6. Lesao pulmonar induzida pela ventilacao em recem-nascidos prematuros

    Directory of Open Access Journals (Sweden)

    Clarissa Gutierrez Carvalho

    2013-12-01

    Full Text Available A necessidade de intubação e do uso de ventilação mecânica na prematuridade está relacionada à chamada lesão pulmonar induzida pela ventilação e à consequente displasia broncopulmonar. Busca-se a melhor compreensão dos mecanismos de lesão envolvendo resposta inflamatória mediada pelas citocinas para o desenvolvimento de novas estratégias protetoras. Pesquisou-se na base de dados PubMed, incluindo artigos relevantes, os unitermos "ventilator induced lung injury preterm", "continuous positive airway pressure", "preterm" e "bronchopulmonary dysplasia". Dados e informações significativas foram compilados em tópicos, com o objetivo de formar uma visão crítica e plena acerca da lesão induzida pela ventilação e de suas consequências ao prematuro. Foi revisado o papel das citocinas pró-inflamatórias como mediadores da lesão, especialmente interleucinas 6 e 8, e fator de necrose tumoral alfa. Foram apresentadas evidências em estudos com animais e também em humanos, mostrando que breves períodos de ventilação mecânica são suficientes para a liberação dessas interleucinas inflamatórias. Também foram revisadas outras formas de ventilação mecânica e de ventilação não invasiva, como alternativas protetoras aos modos convencionais. Concluiu-se que o uso de ventilação não invasiva, a intubação com administração precoce de surfactante e a extubação rápida para CPAP nasal, além de estratégias que regulam o volume corrente evitando o volutrauma (como a ventilação com volume garantido, são medidas protetoras da lesão pulmonar induzida pela ventilação mecânica no prematuro.

  7. Objetivismo, subjetivismo e comunicação pela TV

    Directory of Open Access Journals (Sweden)

    Luís Carlos Lopes

    2011-01-01

    Full Text Available Este texto objetiva contribuir para a discussão dos significados da objetividade e da subjetividade, como categorias aplicáveis ao estudos comunicacionais. Deseja esclarecer a diferença entre objetividade e objetivismo e entre subjetividade e subjetivismo. Discute o mesmo problema aplicado a dois livros recentes que analisaram a problemática dos fenômenos comunicacionais passados pela televisão. Conclui, ressaltando a importância das balizas enunciadas como verificadoras da natureza das interpretações usadas.

  8. Guia de receitas brasileiras: uma saborosa viagem pela literatura

    OpenAIRE

    Santos, Denísia Moraes dos

    2011-01-01

    Esta dissertação tem por objetivo compreender, sob o ponto de vista da Análise Dialógica do Discurso, o processo de construção dos sentidos em Guia de receitas brasileiras ─ texto premiado na primeira edição do Concurso Cultural Viagem Nestlé pela Literatura (1999). Com o tema A literatura e a vida nos 500 anos de Brasil , essa edição desafiou alunos e professores a produzir um intertexto literário-cultural, utilizando cinco obras da literatura brasileira ─ Cronistas do Descobrim...

  9. Mediadores envolvidos na resposta febril induzida pela RANTES

    OpenAIRE

    Renes de Resende Machado

    2009-01-01

    Em estudo anterior, observamos que o Met-RANTES, antagonista de receptores CCR1 e CCR5 para quimiocinas, injetado pela via endovenosa (i.v.) reduziu a resposta febril induzida pelo lipopolissacarídeo (LPS) de E. coli, demonstrando o envolvimento da quimiocina RANTES (Regulada sob ativação, expressa e secretada por células T normais) nesta resposta. Além disso, a injeção intrahipotalâmica (i.h.) da RANTES dose-dependentemente aumentou a temperatura corporal de ratos, o qual foi caracterizado c...

  10. Caracterização mecânica e térmica de compósitos de poli (cloreto de vinila reforçados com fibras de sisal Mechanical and thermal characterization of the polyvinyl chloride-sisal fibers composites

    Directory of Open Access Journals (Sweden)

    Gilson S. Martins

    2004-12-01

    Full Text Available Compósitos de PVC, plastificados com diferentes sistemas de plastificação e reforçados com fibras de sisal, foram processados em moinho de dois rolos. A influência do tipo e teor do plastificante, do comprimento e do teor das fibras nas propriedades dos compósitos obtidos foi estudada. Dois tipos de plastificantes foram usados, um líquido (do tipo poliéster e um sólido permanente (copolímero etileno/ acetato de vinila/ monóxido de carbono. As fibras usadas foram previamente lavadas com água a 80 °C por uma hora. Os compósitos, com fibras curtas aleatoriamente distribuídas, foram caracterizados através de ensaio mecânico de resistência à tração, microscopia eletrônica de varredura (MEV, e análises térmicas de calorimetria exploratória diferencial (DSC e análise por termogravimetria (TG. O comprimento ótimo de fibra obtido para os compósitos foi de 6 mm. O uso do plastificante sólido mostrou-se viável e promoveu uma maior molhabilidade da fibra pela matriz nos compósitos, principalmente para teores acima de 40 pcr. As análises térmicas mostraram que a substituição do plastificante líquido pelo plastificante sólido não afetou a estabilidade térmica das matrizes e dos compósitos.Composites consisting of flexible polyvinyl chloride (PVC, plasticized with two different types of plasticizers and reinforced with sisal fibers, were processed on a two-roll mixing mill. Two plasticizers were used, a liquid plasticizer (polyester and a permanent solid plasticizer (ethylene/ vinyl acetate/ carbon monoxide copolymer - Elvaloy® , to form two kinds of polymeric matrices. For each one of these matrices, the influence of plasticizers type, plasticizers content, size and quantity of sisal fibers in the composite properties has been studied. The fibers were washed with water at 80 °C during one hour. The composites with randomly distributed short fibers were characterized by mechanical analysis, scanning electron microscopy

  11. Método para la formulación de hormigones de fibras metálicas

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    Serna Ros, Pedro

    1984-06-01

    Full Text Available In the work we are presenting, we have set ourselves the target of determining a practical method for ascertaining the dosage of fibrous concrete. To do this, as in any problem regarding dosage, we shall start from the possibilities of supply, which will be conditioned by the nature of the aggregates to be used, of certain technical restrictions imposed by the admixtures and of the carrying out requirements which will set the concrete workability. The first part of our study amounts to determining the optimal percentages for each aggregate and the water-cement ratio, starting with the dosage of cement established initially and for each fibre content proposed. In the second part, we shall develop the study of acceptable limits of fibre content, in order to prevent 'balls of fibre' from forming.

    En los trabajos que presentamos nos hemos planteado el objetivo de determinar un método práctico de dosificación de hormigones de fibras. Para ello partiremos, como en cualquier problema de dosificación, de unas posibilidades de suministro que nos condicionarán la naturaleza de los áridos a utilizar, de unas limitaciones técnicas impuestas por los aditivos, y de unas necesidades de puesta en obra que nos fijarán la trabajabilidad del hormigón. La primera parte de nuestro trabajo se reduce a determinar, a partir de la dosificación en cemento fijada inicialmente, y para cada contenido en fibras propuesto, los porcentajes óptimos de cada uno de los áridos y la relación agua/cemento. En la segunda parte desarrollaremos el estudio de los límites admisibles del contenido en fibras, para evitar la formación de "pelotas de fibras".

  12. Neuropatia experimental por DDT: análise de nervo por microdissecção de fibras

    Directory of Open Access Journals (Sweden)

    Edison Matos Nóvak

    1984-09-01

    Full Text Available Estudou-se o nervo gênito-femural do rato albino submetido a intoxicação crônica por DDT, administrado por 180 dias na dose de 5 mg/kg de peso via oral. Os resultados mostraram proporção anormal de fibras tipo C, sendo sugerido ocorrer degeneração tipo axonal determinada pelo DDT.

  13. Studio dei fattori che influenzano la digeribilità della fibra nella bovina da latte: approcci dinamici

    OpenAIRE

    Bonfante, Elena

    2017-01-01

    I ruminanti sono altamente specializzati nella digestione della fibra. In condizioni di ottima funzionalità digestiva, sono le particelle di foraggio ad essere trattenute per lungo tempo nel rumine dove possono essere degradate dai batteri cellulosolitici. Nonostante queste conoscenze, la stima della degradabilità ruminale delle porzioni potenzialmente degradabili delle fibre è stata notevolmente sottostimata da taluni modelli dinamici di razionamento. Studi più recenti realizzati da Kriz...

  14. COMPORTAMIENTO DEL CONCRETO REFORZADO CON FIBRAS DE ACERO ZP-306 SOMETIDO A ESFUERZOS DE COMPRESIÓN

    Directory of Open Access Journals (Sweden)

    Lina P. Gallo-Arciniegas

    2013-01-01

    Full Text Available En Colombia, el uso del concreto reforzado con fibras de acero (CRFA es muy limitado, debido a que en el país no existe suficiente evidencia experimental y requisitos reglamentarios al respecto. En el artículo se presentan los resultados de una investigación experimental y analítica sobre el comportamiento del CRFA elaborado con fibras ZP-306, sometidas a esfuerzos de compresión. El estudio involucra la revisión y discusión de los modelos disponibles en la literatura, así como un programa experimental que incluye el ensayo de 48 especímenes. A partir de un análisis de regresión de los datos medidos, se proponen ecuaciones para estimar las principales propiedades mecánicas del CRFA, tales como resistencia a compresión, módulo de elasticidad y relación de Poisson. Las ecuaciones correlacionan las propiedades mecánicas con las principales características de las fibras de acero, tales como dosificación y relación de aspecto.

  15. Importância da fibra na nutrição de coelhos Importance of fibre in rabbit nutrition

    Directory of Open Access Journals (Sweden)

    Alexandra del Pilar Naranjo Herrera

    2001-06-01

    Full Text Available Os coelhos, por serem herbívoros não ruminantes, podem ser alimentados com considerável quantidade de alimentos fibrosos. No entanto, não apresentam eficiência tão grande para utilizar essa fibra sendo, nesse aspecto, inferior aos ruminantes e, inclusive, aos suínos. Por outro lado, a fibra, apesar de seu escasso valor nutritivo, apresenta valor lastre, sendo importante, pois, na regulação do trânsito da digesta e na prevenção de distúrbios digestivos. Assim, o objetivo deste artigo é revisar alguns aspectos da composição química da fibra e de sua digestão pelos coelhos, bem como a sua relação com outros nutrientes da dieta, como proteína e energia.Rabbits are monogastric herbivorous that intake quantity significative of fibrous feed. However they not show efficiency to degrate this fibre, being less capacity, in this aspect, that ruminants and inclusively, of the swine. For other hand, the fibre have ballast value, being important in the transit digestive regulation and prevention of digestive disturb. Thus, the objetive of this paper is to review some aspects of chemistry composition of fibre and it's digestion for rabbits and it's relation with other components of diet like protein and energy.

  16. Neurobiology of anorexia and bulimia nervosa.

    Science.gov (United States)

    Kaye, Walter

    2008-04-22

    Anorexia nervosa (AN) and bulimia nervosa (BN) are related disorders of unknown etiology that most commonly begin during adolescence in women. AN and BN have unique and puzzling symptoms, such as restricted eating or binge-purge behaviors, body image distortions, denial of emaciation, and resistance to treatment. These are often chronic and relapsing disorders, and AN has the highest death rate of any psychiatric disorder. The lack of understanding of the pathogenesis of this illness has hindered the development of effective interventions, particularly for AN. Individuals with AN and BN are consistently characterized by perfectionism, obsessive-compulsiveness, and dysphoric mood. Individuals with AN tend to have high constraint, constriction of affect and emotional expressiveness, ahendonia and asceticism, whereas individuals with BN tend to be more impulsive and sensation seeking. Such symptoms often begin in childhood, before the onset of an eating disorder, and persist after recovery, suggesting they are traits that create a vulnerability for developing an ED. There is growing acknowledgement that neurobiological vulnerabilities make a substantial contribution to the pathogenesis of AN and BN. Considerable evidence suggests that altered brain serotonin (5-HT) function contributes to dysregulation of appetite, mood, and impulse control in AN and BN. Brain imaging studies, using 5-HT specific ligands, show that disturbances of 5-HT function occur when people are ill, and persist after recovery from AN and BN. It is possible that a trait-related disturbance of 5-HT neuronal modulation predates the onset of AN and contributes to premorbid symptoms of anxiety, obsessionality, and inhibition. This dysphoric temperament may involve an inherent dysregulation of emotional and reward pathways which also mediate the hedonic aspects of feeding, thus making these individuals vulnerable to disturbed appetitive behaviors. Restricting food intake may become powerfully

  17. Comportamiento a tracción de cementos reforzados con fibras de vidrio

    Directory of Open Access Journals (Sweden)

    Sánchez Paradela, M. Laura

    1991-06-01

    Full Text Available Glassfibre Reinforced Cement (GRC is a composite material widely used in the field of building construction. It offers multiple applications due to its high strength as well as fire and corrosoón resistance. However, it degradates with time, affecting its mechanical properties, mainly its ductility, becoming progressively brittle and cracking under low deformations. Therefore, with the aim of predicting the mechanical behaviour of the material, both at short time and long time, a wide experimental program has been carried out, testing fresh material as well as aged material. A high number of tensile tests have been performed, using GRC specimens with different kind of fibres and different manufacturing processes for comparison of results. It must be pointed out that it is the first time that tensile tests of GRC specimens have been carried out in Spain.

    El cemento reforzado con fibras de vidrio (GRC es un material compuesto que se viene utilizando ampliamente en el campo de la Construcción. Presenta múltiples aplicaciones debido a sus buenas propiedades resistentes y de protección frente al fuego y la corrosión. Sin embargo, sufre un deterioro con el tiempo, que afecta a sus propiedades mecánicas, principalmente a su ductilidad, volviéndose frágil y agrietándose bajo pequeñas deformaciones. Por tal motivo y con el fin de predecir el comportamiento mecánico del material a corto y a largo plazo, se ha desarrollado un extenso programa experimental, empleando tanto material joven como envejecido. Se han realizado numerosos ensayos de tracción directa, utilizando probetas de GRC con diversos tipos de fibras y empleando distintos métodos de fabricación para una comparación de resultados. Es la primera vez que se realizan ensayos de tracción directa en España sobre probetas de GRC.

  18. Perceived Personality Traits of Individuals with Anorexia Nervosa

    Science.gov (United States)

    Watters, Jessica E.; Malouff, John M.

    2012-01-01

    Background: Prior research has found evidence of a general negative personality stereotype for individuals who have anorexia nervosa (AN). Methods: This study examined the expected personality characteristics of individuals with AN using the Five-Factor Model of personality to allow identification of specific personality traits that are part of…

  19. Nutritional adequacy of dietary intake in women with anorexia nervosa

    Science.gov (United States)

    Background: Understanding nutrient intake of anorexia nervosa (AN) patients is essential for the establishment of dietary treatment. Design: Women, aged 19 to 30 years, with both restricting and binge purge types of AN, participating in an ecological momentary assessment study, completed three nonc...

  20. Anorexia Nervosa in Adolescence and Maudsley Family-Based Treatment

    Science.gov (United States)

    Hurst, Kim; Read, Shelly; Wallis, Andrew

    2012-01-01

    Anorexia nervosa is a serious psychiatric disorder that usually occurs in adolescence. The course of the illness can be protracted. Current empirical evidence suggests that the Maudsley Family-Based Treatment (MFBT) is efficacious for adolescents. MFBT empowers parents as a crucial treatment resource to assist in their child's recovery. The…

  1. The Role of Body Weight on Bone in Anorexia Nervosa

    DEFF Research Database (Denmark)

    Frølich, Jacob; Hansen, Stinus; Winkler, Laura Al-Dakhiel

    2017-01-01

    Anorexia nervosa (AN) is associated with decreased bone mineral density and increased risk of fracture. The aim of this study was to assess bone geometry, volumetric bone mineral density (vBMD), trabecular microarchitecture and estimated failure load in weight-bearing vs. non-weight-bearing bones...

  2. Cognitive Profile of Children and Adolescents with Anorexia Nervosa

    DEFF Research Database (Denmark)

    Kjaersdam Telléus, Gry; Jepsen, Jens Richardt; Bentz, Mette

    2014-01-01

    OBJECTIVE: Few studies of cognitive functioning in children and adolescents with anorexia nervosa (AN) have been conducted. The aim of this study was to examine the neurocognitive and intelligence profile of this clinical group. METHOD: The study was a matched case-control (N = 188), multi...

  3. Anorexia nervosa with massive pulmonary air leak and extraordinary propagation

    DEFF Research Database (Denmark)

    Jensen, V. M.; Støving, R. K.; Andersen, Poul Erik

    2017-01-01

    A rare case combining pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, pneumorrhachis, air in retroperitoneum and extensive subcutaneous emphysema simultaneously in a severely anorectic male with BMI 9.2 (22.8 kg) and multiple vomitings is presented. This unusual condition wa...... was treated successfully with conservative medical approach in a specialized somatic unit for anorexia nervosa....

  4. Directives in anorexia nervosa: use of the "Ulysses Agreement".

    Science.gov (United States)

    Davidson, H; Birmingham, C L

    2003-09-01

    The course of anorexia nervosa frequently has episodes of exacerbation during which motivation and insight are reduced, cognition is impaired and treatment resistance is increased. Formalizing a directive to be used during these episodes when the patient has greater motivation and insight is one way of reducing treatment resistance. We describe a form of directive, called the "Ulysses Agreement".

  5. The validity and utility of subtyping bulimia nervosa

    NARCIS (Netherlands)

    van Hoeken, Daphne; Veling, Wim; Sinke, Sjoukje; Mitchell, James E.; Hoek, Hans W.

    Objective: To review the evidence for the validity and utility of subtyping bulimia nervosa (BN) into a purging (BN-P) and a nonpurging subtype (BN-NP), and of distinguishing BN-NP from binge eating disorder (BED), by comparing course, complications, and treatment. Method: A literature search of

  6. Weight Suppression Predicts Time to Remission from Bulimia Nervosa

    Science.gov (United States)

    Lowe, Michael R.; Berner, Laura A.; Swanson, Sonja A.; Clark, Vicki L.; Eddy, Kamryn T.; Franko, Debra L.; Shaw, Jena A.; Ross, Stephanie; Herzog, David B.

    2011-01-01

    Objective: To investigate whether, at study entry, (a) weight suppression (WS), the difference between highest past adult weight and current weight, prospectively predicts time to first full remission from bulimia nervosa (BN) over a follow-up period of 8 years, and (b) weight change over time mediates the relationship between WS and time to first…

  7. Treatment of Bulimia Nervosa: Psychological and Psychopharmacologic Considerations.

    Science.gov (United States)

    Phillips, Elaine L.; Greydanus, Donald E.; Pratt, Helen D.; Patel, Dilip R.

    2003-01-01

    Reviews the current literature on psychological and psychopharmacologic treatments for bulimia nervosa in the adolescent population. Describes the two most researched psychological treatments--cognitive behavior therapy and interpersonal therapy--in terms of treatment protocols and outcome research. Reviews psychopharmacologic treatment, including…

  8. Bulimia and Anorexia Nervosa in Dental and Dental Hygiene Curricula.

    Science.gov (United States)

    Gross, Karen B. W.; And Others

    1990-01-01

    Dentists and dental hygienists are in a unique position to identify an eating disorder patient from observed oral manifestations and to refer the patient for psychological therapy. The inclusion of information on general and oral complications of bulimia and anorexia nervosa in dental and dental hygiene curriculum was examined. (MLW)

  9. The validity and utility of subtyping bulimia nervosa

    NARCIS (Netherlands)

    van Hoeken, Daphne; Veling, Wim; Sinke, Sjoukje; Mitchell, James E.; Hoek, Hans W.

    2009-01-01

    Objective: To review the evidence for the validity and utility of subtyping bulimia nervosa (BN) into a purging (BN-P) and a nonpurging subtype (BN-NP), and of distinguishing BN-NP from binge eating disorder (BED), by comparing course, complications, and treatment. Method: A literature search of

  10. Heightened attentional capture by visual food stimuli in Anorexia Nervosa

    NARCIS (Netherlands)

    Neimeijer, Renate A.M.; Roefs, Anne; de Jong, Peter J.

    The present study was designed to test the hypothesis that anorexia nervosa (AN) patients are relatively insensitive to the attentional capture of visual food stimuli. Attentional avoidance of food might help AN patients to prevent more elaborate processing of food stimuli and the subsequent

  11. Depression and Anorexia Nervosa of Persons with Down Syndrome.

    Science.gov (United States)

    Szymanski, Ludwik S.; Biederman, Joseph

    1984-01-01

    Manifestations of depression in three adults wth Down syndrome, one of whom also exhibited anorexia nervosa, are described. Overall findings indicate that major depression in Down syndrome may be more frequent than previously assumed and that it can be diagnosed with standard diagnostic criteria, modified according to the patient's developmental…

  12. [Thyroid function in patients with anorexia nervosa and depression].

    Science.gov (United States)

    Natori, Y; Yamaguchi, N; Koike, S; Aoyama, A; Tsuchibuchi, S; Kojyo, K; Demura, R

    1994-12-01

    Thyroid hormone levels were measured in 21 patients with anorexia nervosa, 15 patients with depression and 16 patients with severe depression and were compared with those in 53 normal subjects. In anorexia nervosa and severe depressed patients, serum T3, T4, fT3, fT4 and T3/T4 ratio showed significantly lower values than those in normal subjects. However there was no difference between depressed patients and normal subjects. The serum TSH levels were within normal range in all of the studied subjects. Thus, thyroid hormone levels in severe depressed patients were similar to those in anorexia nervosa and the changes were inversely related to disease conditions. The supplementation of thyroid hormones to antidepressant relieved clinical symptoms in some of the severe depressed patients. These results suggested that the changes in thyroid hormone levels in anorexia nervosa and severe depression were mainly due to impaired conversion of T4 to T3 by increased cortisol secretion through emotional stress.

  13. Achalasia as a complication of bulimia nervosa: A case report ...

    African Journals Online (AJOL)

    Objective: Oesophageal achalasia is a medical condition characterised by oesophageal aperistalsis, an increased resting pressure with partial or incomplete relaxation of the lower oesophageal sphincter. Bulimia nervosa (BN) is an eating disorder manifested by binge eating attacks followed by recurrent inappropriate ...

  14. Anorexia nervosa in Kenya | Njenga | East African Medical Journal

    African Journals Online (AJOL)

    Background: Anorexia nervosa is a rare disorder in Africans, inspite of posing a serious public health hazard in the West. Whereas it is possible that African psychiatrists lack the skills to diagnose the disorder, other possible explanations for its apparent rarity must be sought in view of emerging evidence, which suggests a ...

  15. Anorectal dysfunction in constipated women with anorexia nervosa.

    Science.gov (United States)

    Chiarioni, G; Bassotti, G; Monsignori, A; Menegotti, M; Salandini, L; Di Matteo, G; Vantini, I; Whitehead, W E

    2000-10-01

    To evaluate anorectal and colonic function in a group of patients with anorexia nervosa complaining of chronic constipation. Twelve women (age range, 19-29 years) meeting the criteria for anorexia nervosa and complaining of chronic constipation were recruited for the study. A group of 12 healthy women served as controls. Colonic transit time was measured by a radiopaque marker technique. Anorectal manometry and a test of rectal sensation were carried out with use of standard techniques to measure pelvic floor dysfunction. A subgroup of 8 patients was retested after an adequate refeeding program was completed. Eight (66.7%) of 12 patients with anorexia nervosa had slow colonic transit times, while 5 (41.7%) had pelvic floor dysfunction. Colonic transit time normalized in the 8 patients who completed the 4-week refeeding program. However, pelvic floor dysfunction did not normalize in these patients. Patients with anorexia nervosa who complain of constipation have anorectal motor abnormalities. Delayed colonic transit time is probably due to abnormal eating behavior.

  16. Nurse evaluation of hyperactivity in anorexia nervosa : A comparative study

    NARCIS (Netherlands)

    van Elburg, Annemarie A.; Hoek, Hans W.; Kas, Martien J.H.; van Engeland, Herman

    2007-01-01

    Up to 80% of patients with anorexia nervosa (AN) manifest elevated levels of physical activity or hyperactivity. A variety of methods have been used to evaluate activity levels, mostly questionnaires but also expensive and invasive methods such as actometry or other measurements of energy

  17. A Psychoeducational Group Approach for Individuals Recovering from Anorexia Nervosa.

    Science.gov (United States)

    Kapp, Lisa

    Although in-depth, long-term group psychotherapy is a beneficial therapeutic experience for adolescent females suffering from anorexia nervosa, these clients are notoriously resistant to treatment and to long-term, open-ended group settings. This dissidence may stem from a motivational deficiency toward changing their eating patterns and…

  18. Psychiatric Comorbidities among Female Adolescents with Anorexia Nervosa

    Science.gov (United States)

    Salbach-Andrae, Harriet; Lenz, Klaus; Simmendinger, Nicole; Klinkowski, Nora; Lehmkuhl, Ulrike; Pfeiffer, Ernst

    2008-01-01

    This study investigated current comorbid Axis I diagnoses associated with Anorexia Nervosa (AN) in adolescents. The sample included 101 female adolescents treated at a psychiatric unit for primary DSM-IV diagnoses of AN. 73.3% of the AN patients were diagnosed as having a current comorbidity of at least one comorbid Axis I diagnosis, with no…

  19. Epidemiology and course of anorexia nervosa in the community

    NARCIS (Netherlands)

    Keski-Rahkonen, Anna; Hoek, Hans W.; Susser, Ezra S.; Linna, Milla S.; Sihvola, Elina; Raevuori, Anu; Bulik, Cynthia M.; Kaprio, Jaakko; Rissanen, Aila

    Objective: Most previous studies of the prevalence, incidence, and outcome of anorexia nervosa have been limited to cases detected through the health care system, which may bias our understanding of the disorder's incidence and natural course. The authors sought to describe the onset and outcomes of

  20. Humanistic Approaches to the Understanding and Treatment of Anorexia Nervosa.

    Science.gov (United States)

    Dittmar, Helga; Bates, Brian

    1987-01-01

    Summarizes some attempts to understand the causes and consequent treatments of anorexia nervosa from the viewpoints of psychoanalytically informed, family, existential and feminist psychology. These perspectives, which focus on the individual experience of the anorexic, leave many questions unanswered, but provide fresh frameworks from which to…

  1. A Primary Prevention Program to Reduce Bulimia and Anorexia Nervosa.

    Science.gov (United States)

    Cullari, Salvatore; Redmon, William K.

    This paper presents a theoretical model for a primary prevention program for bulimia and anorexia nervosa to be used with adolescents and young women considered most at risk of developing these eating disorders. Characteristics of potential anorexics and bulimics are identified to aid in the selection of target groups for the program. It is…

  2. An Outcome Study of Anorexia Nervosa in an Adolescent Unit.

    Science.gov (United States)

    Jenkins, M. E.

    1987-01-01

    Adolescent girls (N=21) treated for anorexia nervosa in a hospital operating a strict refeeding program were examined 3 years after treatment. Outcome was considered good for 10 girls, intermediate for 4 girls, and poor for 5 girls. Found lack of separation from parents at follow-up. Discusses relevance of findings to treatment approach and to…

  3. Reduced Automatic Motivational Orientation Towards Food in Restricting Anorexia Nervosa

    NARCIS (Netherlands)

    Veenstra, Esther M.; de Jong, Peter J.

    A striking and characteristic feature of the restricting subtype of anorexia nervosa (AN) is that they are extremely successful in regulating their food intake in a destructive manner. A possible explanation for the persistent character of their restricted food intake could be a loss of the

  4. A Naturalistic Investigation of Eating Behavior in Bulimia Nervosa.

    Science.gov (United States)

    Davis, Ron; And Others

    1988-01-01

    Investigated parameters of eating behavior in subjects with bulimia nervosa (BN). BN and female comparison (FC) subjects monitored hourly over several days their food intake, mood, hunger, social circumstances, and experiences of unpleasant events. BN subjects reported more positive moods prior to consuming a meal, and more negative moods prior to…

  5. Exposure Plus Response-Prevention Treatment of Bulimia Nervosa.

    Science.gov (United States)

    Leitenberg, Harold; And Others

    1988-01-01

    Evaluated exposure plus response-prevention treatment of bulimia nervosa among 47 women. Subjects were assigned to either exposure plus response-prevention in one setting, exposure plus response-prevention in multiple settings, cognitive-behavioral therapy, or waiting-list control conditions. Found three treatment groups improved significantly on…

  6. An investigation of habit learning in Anorexia Nervosa

    NARCIS (Netherlands)

    Godier, L.R.; de Wit, S.; Pinto, A.; Steinglass, J.E.; Greene, A.L.; Scaife, J.; Gillan, C.M.; Walsh, B.T.; Simpson, H.-B.; Park, R.J.

    2016-01-01

    Anorexia Nervosa (AN) is a disorder characterised by compulsive behaviour, such as self-starvation and excessive exercise, which develop in the pursuit of weight-loss. Recent theory suggests that once established, compulsive weight-loss behaviours in AN may become habitual. In two parallel studies,

  7. Heightened sensitivity to punishment and reward in anorexia nervosa

    NARCIS (Netherlands)

    Glashouwer, Klaske A; Bloot, Lotte; Veenstra, Esther M; Franken, Ingmar H A; de Jong, Peter J

    OBJECTIVE: The aim of this study was to investigate reinforcement sensitivity in anorexia nervosa (AN). It was tested whether self-reported punishment (PS) and reward sensitivity (RS) differed between adolescents with AN and healthy controls, and/or between AN-subtypes. In addition, the predictive

  8. A Psychoeducational Approach in the Treatment of Anorexia Nervosa.

    Science.gov (United States)

    Cotugno, Albert J.

    1980-01-01

    Anorexia nervosa exists as a clinical entity with significant ego disturbances which appear as primary features. Noneating and accompanying weight loss are often secondary features of the disturbance. The psychoeducational approach is most valuable because it integrates the psychological view with educational goals. (Author)

  9. Outpatient Treatment of Primary Anorexia Nervosa in Adult Males.

    Science.gov (United States)

    Ziesat, Harold A., Jr.; Ferguson, James M.

    1984-01-01

    Describes three cases of adult-onset primary anorexia nervosa in males. For each case, the history and diagnostic patterns are considered, followed by a discussion of the course of outpatient treatment. The therapy was multimodal and included elements of behavioral contingency management, cognitive therapy, and dynamic psychotherapy. (JAC)

  10. Increased Capacity to Delay Reward in Anorexia Nervosa

    NARCIS (Netherlands)

    Steinglass, J.E.; Figner, B.; Berkowitz, S.; Simpson, H.B.; Weber, E.U.; Walsh, B.T.

    2012-01-01

    Individuals with anorexia nervosa (AN) are often characterized as possessing excessive self-control and are unusual in their ability to reduce or avoid the consumption of palatable foods. This behavior promotes potentially life-threatening weight loss and suggests disturbances in reward processing.

  11. Anorexia Nervosa and Bulimia: Questions and Answers for School Personnel.

    Science.gov (United States)

    Mallick, M. Joan

    1984-01-01

    School personnel can have a vital role in the early detection and treatment of anorexia nervosa and bulimia by understanding certain signs and symptoms. This article provides specific information about early detection, approaches to use when confronting the student, and methods to facilitate treatment. (Author/DF)

  12. Schizophrenia and anorexia nervosa - reciprocal relationships. A literature review.

    Science.gov (United States)

    Morylowska-Topolska, Justyna; Ziemiński, Rafał; Molas, Agnieszka; Gajewski, Jacek; Flis, Marta; Stelmach, Ewa; Karakuła-Juchnowicz, Hanna

    2017-04-30

    Although schizophrenia and anorexia nervosa are seemingly very distinct psychiatric disorders, their symptoms are connected by various types of relationships. The present article reviews the literature and recapitulates the views of various authors on the links between these two disorders. Symptoms of anorexia may 1) precede the onset of psychosis; 2) evolve in its active phase or more rarely manifest in remission; and, conversely, 3) psychotic symptoms may occur transiently in the course of anorexia nervosa. When anorexia precedes the manifestation of psychosis, symptoms of anorexia can be treated as a component of the prodromal phase of schizophrenia. Another possibility of co-existence of a psychosis (e.g., schizophrenia) with anorexia is when the eating disorder syndrome manifests at the same time as the full-blown psychotic syndrome. In such cases, when the symptoms of the two disorders occur simultaneously, it is often difficult to say whether the patient is suffering from schizophrenia, in the course of which anorexia has arisen secondary to psychotic symptoms or whether he/she is suffering from anorexia during which he/she has developed psychotic symptoms, usually thematically associated with eating. Studies published so far, mainly case reports, point to the complex nature of the interrelationships between schizophrenia and anorexia nervosa. Further research is needed to conclusively explain the relationships between psychotic disorders and anorexia nervosa, which would allow physicians to use more effective methods of treatment in this group of patients.

  13. Determinants of Adolescent Obesity: A Comparison with Anorexia Nervosa.

    Science.gov (United States)

    Brone, Ronald J.; Fisher, Celia B.

    1988-01-01

    Comparison of childhood and adolescent obesity and anorexia nervosa reveals etiological similarities between the two conditions, particularly regarding family interactional patterns. In both cases, family enmeshment and overprotectiveness resulted in a poor sense of identity and effectiveness. Some children, while compliant and dependent in…

  14. Prevalence of orthorexia nervosa among Turkish performance artists.

    Science.gov (United States)

    Aksoydan, E; Camci, N

    2009-03-01

    The aim of the study was to determine the prevalence of orthorexia nervosa among the performance artists in the State Opera and Ballet and in the Bilkent University Symphony Orchestra. The study population consisted of 39 men and 55 women for a total of 94 artists with mean age of 33 years. The ORTO-15 test was used to determine the prevalence of orthorexia nervosa. Those subjects who scored below 40 in the ORTO-15 test were classified as having orthorexia nervosa. Mean score of the participants in the ORTO-15 test was 37.9+/-4.46. A total of 56.4% of the artists involved in the research scored below 40 in the ORTO-15 test. While the highest prevalence of orthorexia nervosa was recorded among opera singers (81.8%), it was 32.1% among ballet dancers and 36.4% among symphony orchestra musicians. The differences between the three groups were statistically significant. No difference was noted between mean ORTO-15 score by baseline characteristics as gender, age, educational level, work experience, body mass index, smoking and alcohol consumption. The research group have a higher socio-economic and education level than the majority of the general public in Turkey. Additionally, being an artist in Turkey means being a role model for the general public both in terms one's physical appearance and lifestyle. These may be the reason why artists are more sensitive to this issue.

  15. [Neurofeedback in the Treatment of Anorexia Nervosa: a Case Report].

    Science.gov (United States)

    Lackner, N; Unterrainer, H F; Skliris, D; Wood, G; Dunitz-Scheer, M; Wallner-Liebmann, S J; Scheer, P J Z; Neuper, C

    2016-02-01

    Anorexia nervosa has been related to alterations in brain activity in terms of hyperactive EEG patterns. This case report illustrates the principles and results of a five-week neurofeedback treatment in a 29-year-old woman suffering from anorexia nervosa. A neurofeedback protocol to enhance alpha activity (8 - 12 Hz) was developed and conducted additionally to the standardized treatment for eating disorders in training sessions twice a week. Pre- and post-test measurements included resting state EEG measurements and a psychological test battery. The results show improvements from pre- to post-test in eating disorder psychopathology including psychological wellbeing, emotional competence, and eating behavior traits. In addition, a decrease in theta power (4 - 7 Hz), a well-known trait marker of anorexia nervosa, was measured. However, our data should be interpreted with caution because this is a single case study. Nevertheless, this report documents the practicability and method of neurofeedback as treatment adjunct in eating disorders from the clinical perspective. Although the use of neurofeedback in the treatment of anorexia nervosa is recommended in literature, empirical studies are still lacking. Randomized controlled trials to evaluate short- and long-term effects of neurofeedback are needed. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Gait analysis in anorexia and bulimia nervosa.

    Science.gov (United States)

    Cimolin, Veronica; Galli, Manuela; Vismara, Luca; Vimercati, Sara Laura; Precilios, Helmer; Cattani, Laila; Fabris De Souza, Shirley; Petroni, Maria Letizia; Capodaglio, Paolo

    2013-09-13

    Anorexia (AN) and Bulimia Nervosa (BN) are two common eating disorders, which appear to share some reduced motor capacities, such as a reduced balance. The presence and the extent of other motor disorders have not been investigated in a comprehensive way. The aim of this study was to quantify gait pattern in AN and BN individuals in order to ascertain possible differences from the normality range and provide novel data for developing some evidence-based rehabilitation strategies. Nineteen AN patients (age 30.16+9.73) and 20 BN patients (age 26.8+8.41) were assessed with quantitative 3D computerized Gait Analysis. Results were compared with a group of healthy controls (CG; 30.7+5.6). AN and BN patients were characterized by different gait strategies compared to CG. Spatio-temporal parameters indicated shorter step length, with AN showing the shortest values. AN walked slower than BN and CG. As for kinematics, AN and BN showed a nonphysiologic pattern at pelvis and hip level on the sagittal and frontal plane, with BN yielding the most abnormal values. Both AN and BN patients were characterized by high ankle plantar flexion capacity at toe-off when compared to CG. As for ankle kinetics, both AN and BN showed physiologic patterns. Stiffness at hip level was close to CG in both pathologic groups; at the ankle level, stiffness was significantly decreased in both groups, with AN displaying lower values. Both AN and BN were characterized by an altered gait pattern compared to CG. Biomechanical differences were evident mainly at pelvis and hip level. Loss of lean mass may lead to musculoskeletal adaptation, ultimately causing alterations in the gait pattern.

  17. Molecular bases of anorexia nervosa, bulimia nervosa and binge eating disorder: shedding light on the darkness.

    Science.gov (United States)

    Cuesto, Germán; Everaerts, Claude; León, Leticia G; Acebes, Angel

    2017-12-01

    Eating-disorders (EDs) consequences to human health are devastating, involving social, mental, emotional, physical and life-threatening aspects, concluding on impairment and death in cases of extreme anorexia nervosa. It also implies that people suffering an ED need to find psychiatric and psychological help as soon as possible to achieve a fully physical and emotional recovery. Unfortunately, to date, there is a crucial lack of efficient clinical treatment to these disorders. In this review, we present an overview concerning the actual pharmacological and psychological treatments, the knowledge of cells, circuits, neuropeptides, neuromodulators and hormones in the human brain- and other organs- underlying these disorders, the studies in animal models and, finally, the genetic approaches devoted to face this challenge. We will also discuss the need for new perspectives, avenues and strategies to be developed in order to pave the way to novel and more efficient therapeutics.

  18. State self-esteem ratings in women with bulimia nervosa and bulimia nervosa in remission.

    Science.gov (United States)

    Daley, Karen A; Jimerson, David C; Heatherton, Todd F; Metzger, Eran D; Wolfe, Barbara E

    2008-03-01

    Bulimia nervosa (BN) is associated with low self-esteem. This study was designed to assess whether low self-esteem persists in nondepressed individuals who have recovered from BN (BN-R). Study groups included BN (n = 22), BN-R (n = 20), and healthy controls (n = 42). Participants were medication-free, and none met criteria for current major depression. Assessment instruments included the State Self-Esteem Scale (SSES), a self-rating scale designed to measure state-related changes in self-esteem. Consistent with previous reports, SSES scores for BN were lower than for controls (p p p p low self-esteem following recovery from BN. Follow-up studies are needed to assess whether low self-esteem contributes to recurrent dieting and risk for relapse.

  19. Rússia: o que vivenciou e o que tem pela frente?

    Directory of Open Access Journals (Sweden)

    Tatiana Zaslavskaia

    2003-12-01

    Full Text Available O ARTIGO constitui a versão escrita de uma apresentação feita pela autora, em 2003, em mesa-redonda organizada no âmbito do Simpósio realizado anualmente pela Escola Superior de Moscou de Estudos Econômicos e Sociais, sob o grande tema Para onde vai a Rússia? Trata-se de uma polêmica com o cientista político Vladimir Mau, atualmente reitor da referida Escola, a propósito dos resultados da transformação sistêmica que teve lugar na Rússia, a partir do início dos anos de 1990, sugerindo, a partir dos mesmos, um caminho para delineamento de um futuro distinto para o país.THE ARTICLE is a written version of the exposition done by the autor in 2003, in a Round Table organized within the symposium Whiter Russia?, that takes place annually under the auspices of the Moscow School of Social and Economic Studies. In the article she disputes with Vladimir Mau, a political scientist, now Rector of the referred School, about the results of the Russian systemic transformation of the 90's and suggests, on the basis of these results, a different path for the future development of the country.

  20. Characterization and correlates of exercise among adolescents with anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Nagata, Jason M; Carlson, Jennifer L; Kao, Jessica M; Golden, Neville H; Murray, Stuart B; Peebles, Rebecka

    2017-12-01

    To characterize exercise behaviors among adolescents with anorexia nervosa (AN), atypical AN, or bulimia nervosa (BN), and determine associations between exercise and medical risk. Cross-sectional electronic medical records of all patients evaluated by the Eating Disorder Program at Stanford between January 1997 and February 2011 were retrospectively reviewed. 1,083 subjects (961 females, 122 males; mean age 15.6) met eligibility criteria. Most patients (89.7%) reported exercise (mean 7.0 h per week over mean 5.4 days per week) prior to presentation. Running (49.9%), calisthenics (40.7%), walking (23.4%), soccer (20.9%), and swimming (18.2%) were the most common exercises; a majority (60.6%) reported team sport participation. Males were less likely to report team exercise (p = .005). Bradycardia (heart rate <50) at presentation was associated with team sport participation (adjusted odds ratio [AOR] 1.66, 95% confidence interval [CI] 1.02-2.72) and hours of exercise per week (AOR 1.05, 95% CI 1.02-1.09), controlling for diagnosis, sex, age, duration of illness, rate of weight loss, and percent median body mass index (%mBMI). Adolescents with AN, atypical AN, and BN reported high levels of exercise. Females reported more team sport participation. Greater exercise frequency and team sport participation were associated with bradycardia. Further studies assessing the relationship between exercise and bradycardia may help inform the medical management of adolescents with these eating disorders who are more physically active. © 2017 Wiley Periodicals, Inc.

  1. A psychological typology of females diagnosed with anorexia nervosa, bulimia nervosa or binge eating disorder

    Directory of Open Access Journals (Sweden)

    Bernadetta Izydorczyk

    2015-11-01

    Full Text Available Background The present paper reports the results of research aimed at identifying intra-group differences among females suffering from different eating disorders (anorexia nervosa, bulimia nervosa or binge eating disorder in terms of the subjects’ psychological traits, adoption of socio-cultural norms (through media pressure, internationalization of norms, and exposure to information concerning body image standards, and the level of body dissatisfaction. The following research question was asked: is it possible to distinguish specific profiles of psychological characteristics, as well as levels of body dissatisfaction, social pressure, media exposure and internalization of common standards of body image? Participants and procedure The clinical population consisted of 121 females aged 20-26. The research was conducted in the years 2007-2012. The following research methods and procedures were applied: 1 a clinical interview, 2 the Contour Drawing Rating Scale, 3 the Eating Disorder Inventory (EDI, 4 a Polish translation of the Socio-cultural Attitudes Towards Appearance Questionnaire (SATAQ-3. Results Cluster analysis of the research data allowed four significantly different clusters to be distinguished in the group of 121 examined females suffering from eating disorders. In the next step, analysis of variance (the ANOVA test was used to compare the differences between the examined clusters in terms of the investigated variables and their indicators. Conclusions Due to significant differences between the examined females in terms of the strength levels and the configuration of psychological and socio-cultural variables investigated in the present study, the females were classified into four different psychological types referred to as neurotic, perfectionist, impulsive and adolescent-narcissistic.

  2. Anorexia nervosa versus hyperinsulinism: therapeutic effects of neuropharmacological manipulation

    Science.gov (United States)

    Lechin, Fuad; van der Dijs, Bertha; Pardey-Maldonado, Betty; Baez, Scarlet; Lechin, Marcel E

    2011-01-01

    Background: We have demonstrated that anorexia nervosa is underpinned by overwhelming adrenal sympathetic activity which abolishes the neural sympathetic branch of the peripheral autonomic nervous system. This physiological disorder is responsible for gastrointestinal hypomotility, hyperglycemia, raised systolic blood pressure, raised heart rate, and other neuroendocrine disorders. Therefore, we prescribed neuropharmacological therapy to reverse this central and autonomic nervous system disorder, in order to normalize the clinical and neuroendocrine profile. Methods: The study included 22 female patients with anorexia nervosa (10 restricted type, 12 binge-eating type) who received three months of treatment with amantadine 100 mg/day. We measured blood pressure, heart rate, and circulating neurotransmitters, (noradrenaline, adrenaline, dopamine, platelet serotonin, free plasma serotonin) during supine resting, one minute of orthostasis, and a five-minute exercise test before and after one, two, and three months of treatment with amantadine, a drug which abrogates adrenal sympathetic activity by acting at the C1(Ad) medullary nuclei responsible for this branch of the peripheral sympathetic activity. Results: We found the amantadine abolished symptoms of anorexia nervosa from the first oral dose onwards. Normalization of autonomic and cardiovascular parameters was demonstrated within the early days of therapy. Abrupt and sustained increases in the plasma noradrenaline:adrenaline ratio and disappearance of abnormal plasma glucose elevation were registered throughout the three-month duration of the trial. Significant and sustained increases in body weight were documented in all cases. No relapses were observed. Conclusion: We have confirmed our previously published findings showing that the anorexia nervosa syndrome depends on the hypomotility of the gastrointestinal tract plus hyperglycemia, both of which are triggered by adrenal sympathetic hyperactivity. The above

  3. Position of the American Dietetic Association: Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders.

    Science.gov (United States)

    2006-12-01

    It is the position of the American Dietetic Association that nutrition intervention, including nutritional counseling, by a registered dietitian (RD) is an essential component of the team treatment of patients with anorexia nervosa, bulimia nervosa, and other eating disorders during assessment and treatment across the continuum of care. Diagnostic criteria for eating disorders provide important guidelines for identification and treatment. However, it is thought that a continuum of disordered eating may exist that ranges from persistent dieting to subthreshold conditions and then to defined eating disorders, which include anorexia nervosa, bulimia nervosa, and binge eating disorder. Understanding the complexities of eating disorders, such as influencing factors, comorbid illness, medical and psychological complications, and boundary issues, is critical in the effective treatment of eating disorders. The nature of eating disorders requires a collaborative approach by an interdisciplinary team of psychological, nutritional, and medical specialists. The RD is an integral member of the treatment team and is uniquely qualified to provide medical nutrition therapy for the normalization of eating patterns and nutritional status. RDs provide nutritional counseling, recognize clinical signs related to eating disorders, and assist with medical monitoring while cognizant of psychotherapy and pharmacotherapy that are cornerstones of eating disorder treatment. Specialized resources are available for RDs to advance their level of expertise in the field of eating disorders. Further efforts with evidenced-based research must continue for improved treatment outcomes related to eating disorders along with identification of effective primary and secondary interventions.

  4. Increased P-wave dispersion a risk for atrial fibrillation in adolescents with anorexia nervosa.

    Science.gov (United States)

    Ertuğrul, İlker; Akgül, Sinem; Derman, Orhan; Karagöz, Tevfik; Kanbur, Nuray

    2016-01-01

    Studies have shown that a prolonged P-wave dispersion is a risk factor for the development of atrial fibrillation. The aim of this study was to evaluate P-wave dispersion in adolescents with anorexia nervosa at diagnosis. We evaluated electrocardiographic findings, particularly the P-wave dispersion, at initial assessment in 47 adolescents with anorexia nervosa. Comparison of P-wave dispersion between adolescents with anorexia nervosa and controls showed a statistically significant higher P-wave dispersion in patients with anorexia nervosa (72 ± 16.3 msec) when compared to the control group (43.8 ± 9.5 msec). Percent of body weight lost, lower body mass index, and higher weight loss rate in the patients with anorexia nervosa had no effect on P-wave dispersion. Due to the fact that anorexia nervosa has a high mortality rate we believe that cardiac pathologies such as atrial fibrillation must also be considered in the medical evaluation.

  5. Osteopenia and bone fractures in a man with anorexia nervosa and hypogonadism

    International Nuclear Information System (INIS)

    Rigotti, N.A.; Neer, R.M.; Jameson, L.

    1986-01-01

    Women with anorexia nervosa have reduced skeletal mass. Both anorexia and osteopenia are less common in men. We describe a 22-year-old man with anorexia nervosa and severe osteopenia involving both cortical and trabecular bone who developed a pelvic fracture and multiple vertebral compression fractures. He was found to have secondary hypogonadotropic hypogonadism that was reversible with weight gain. This case illustrates the need to consider osteopenia as a potential complication of anorexia nervosa in males as well as females

  6. Simulating Category Learning and Set Shifting Deficits in Patients Weight-Restored from Anorexia Nervosa

    Science.gov (United States)

    2014-01-01

    Neuropsychology, in press     Simulating Category Learning and Set Shifting Deficits in Patients Weight-Restored from Anorexia Nervosa J...University   Objective: To examine set shifting in a group of women previously diagnosed with anorexia nervosa (AN) who are now weight-restored (AN-WR...participant fails to switch to the new rule but rather persists with the previously correct rule. Adult patients with Anorexia Nervosa (AN) are often impaired

  7. Prevalence and predictive factors for regional osteopenia in women with anorexia nervosa.

    Science.gov (United States)

    Grinspoon, S; Thomas, E; Pitts, S; Gross, E; Mickley, D; Miller, K; Herzog, D; Klibanski, A

    2000-11-21

    Anorexia nervosa is highly prevalent among young women. To determine prevalence and predictive factors for regional bone loss. Prospective cohort analysis. University hospital. 130 women with anorexia nervosa. Dual-energy x-ray absorptiometry. The prevalence of osteopenia (-1.0 SD >/= T-score > -2.5 SD) and osteoporosis (T-score anorexia nervosa. Weight, but not estrogen use, is a significant predictor of BMD in this population at all skeletal sites.

  8. Osteopenia and bone fractures in a man with anorexia nervosa and hypogonadism

    Energy Technology Data Exchange (ETDEWEB)

    Rigotti, N.A.; Neer, R.M.; Jameson, L.

    1986-07-18

    Women with anorexia nervosa have reduced skeletal mass. Both anorexia and osteopenia are less common in men. We describe a 22-year-old man with anorexia nervosa and severe osteopenia involving both cortical and trabecular bone who developed a pelvic fracture and multiple vertebral compression fractures. He was found to have secondary hypogonadotropic hypogonadism that was reversible with weight gain. This case illustrates the need to consider osteopenia as a potential complication of anorexia nervosa in males as well as females.

  9. Interpersonal motives in anorexia nervosa: the fear of losing one's autonomy.

    OpenAIRE

    Brockmeyer Timo; Grosse Holtforth Martin; Bents Hinrich; Kämmerer Annette; Herzog Wolfgang; Friederich Hans-Christoph

    2013-01-01

    OBJECTIVE This study examined the widely held but insufficiently studied hypothesis of autonomy disturbances in anorexia nervosa. METHOD A total sample of 112 participants comprising patients with acute anorexia nervosa (AN) women recovered from anorexia nervosa (REC) clinical controls (CC) and healthy controls (HC) completed measures of dependency and intimacy strivings as well as measures of frustrations of these same strivings. RESULTS In comparison to HC and CC AN showed a stronger motiva...

  10. Aplicações de fibras vegetais na secagem de concretos refratários Use of natural fibers to speed up the drying step of refractory castables

    Directory of Open Access Journals (Sweden)

    C. S. Isaac

    2004-06-01

    Full Text Available A secagem de concretos refratários é uma etapa crítica em seu processamento devido aos riscos de explosão durante a saída de água contida em sua estrutura. Para minimizar esses problemas e aumentar a velocidade de secagem, fibras poliméricas têm sido adicionadas às formulações de concreto. Uma variável importante a ser considerada no desempenho desse aditivo é o tipo de fibra utilizada. Trabalhos do grupo de pesquisa indicaram que fibras vegetais podem apresentar bom desempenho na geração de canais permeáveis. Esse fato, aliado à sua grande disponibilidade e baixo custo, sugere que estas fibras sejam uma alternativa interessante às fibras sintéticas utilizadas atualmente. Neste trabalho, comparou-se o desempenho de fibras vegetais com o do polipropileno utilizados como aditivos de secagem. Foram realizadas medidas de permeabilidade utilizando a Equação de Forchheimer, ensaios de permeametria em alta temperatura e análise termogravimétrica do concreto. As fibras foram caracterizadas por calorimetria exploratória diferencial e termogravimetria.The drying of refractory castables is a critical step during application due to the possibility of spalling. In order to decrease these risks and improve the drying rate, polymeric fibers have been added to the castables' formulation. The type of fiber is an important aspect to be studied. Authors' previous works indicated that vegetable fibers can be good candidates. This fact, associated with its wide availability and low cost, suggests that these fibers can be interesting substitutes to synthetic ones. In this work, vegetable and polypropylene fibers had their performance evaluated as drying agents. The results of permeability measurements and hot air permeametry were related with the thermogravimety of the fiber-containing castables. The fibers were characterized by differential scanning calorimetry and thermogravimetry.

  11. Diagnosed Anxiety Disorders and the Risk of Subsequent Anorexia Nervosa: A Danish Population Register Study.

    Science.gov (United States)

    Meier, Sandra M; Bulik, Cynthia M; Thornton, Laura M; Mattheisen, Manuel; Mortensen, Preben B; Petersen, Liselotte

    2015-11-01

    Anxiety disorders and anorexia nervosa are frequently acknowledged to be highly comorbid conditions, but still, little is known about the clinical and aetiological cohesion of specific anxiety diagnoses and anorexia nervosa. Using the comprehensive Danish population registers, we aimed to determine the risk of anorexia nervosa in patients with register-detected severe anxiety disorders. We also explored whether parental psychopathology was associated with offspring's anorexia nervosa. Anxiety disorders increased the risk of subsequent anorexia nervosa, with the highest risk observed in obsessive-compulsive disorder. Especially, male anxiety patients were at an increased risk for anorexia nervosa. Furthermore, an increased risk was observed in offspring of fathers with panic disorder. A diagnosis of an anxiety disorder, specifically obsessive-compulsive disorder, constitutes a risk factor for subsequent diagnosis of anorexia nervosa. These observations support the notion that anxiety disorders and anorexia nervosa share etiological mechanisms and/or that anxiety represents one developmental pathway to anorexia nervosa. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  12. Medical complications of anorexia nervosa and their treatments: an update on some critical aspects.

    Science.gov (United States)

    Brown, Carrie; Mehler, Philip S

    2015-12-01

    Anorexia nervosa has the highest mortality rate of any psychiatric disorder. Many of the deaths are attributable to medical complications which arise as the malnutrition and weight loss worsens. Every body system may be adversely affected by anorexia nervosa. Yet, remarkably, most of the medical complications of anorexia nervosa are treatable and reversible with optimal medical care, as part of a multidisciplinary team who are often involved in the care of these patients. Herein, we will describe the medical complications of anorexia nervosa and their treatments.

  13. Grey matter correlates of autistic traits in women with anorexia nervosa.

    Science.gov (United States)

    Björnsdotter, Malin; Davidovic, Monika; Karjalainen, Louise; Starck, Göran; Olausson, Håkan; Wentz, Elisabet

    2018-03-01

    Patients with anorexia nervosa exhibit higher levels of behaviours typically associated with autism-spectrum disorder (ASD), but the neural basis is unclear. We sought to determine whether elevated autistic traits in women with anorexia nervosa may be reflected in cortical morphology. We used voxel-based morphometry (VBM) to examine regional grey matter volumes in high-resolution MRI structural brain scans in women with anorexia nervosa and matched healthy controls. The Autism-spectrum Quotient (AQ) scale was used to assess autistic traits. Women with anorexia nervosa ( n = 25) had higher AQ scores and lower bilateral superior temporal sulcus (STS) grey matter volumes than the control group ( n = 25). The AQ scores correlated negatively with average left STS grey matter volume in women with anorexia nervosa. We did not control for cognitive ability and examined only women with ongoing anorexia nervosa. Elevated autistic traits in women with anorexia nervosa are associated with morphometric alterations of brain areas linked to social cognition. This finding provides neurobiological support for the behavioural link between anorexia nervosa and ASD and emphasizes the importance of recognizing autistic traits in preventing and treating anorexia nervosa.

  14. Grey matter correlates of autistic traits in women with anorexia nervosa

    Science.gov (United States)

    Davidovic, Monika; Karjalainen, Louise; Starck, Göran; Olausson, Håkan; Wentz, Elisabet

    2018-01-01

    Background Patients with anorexia nervosa exhibit higher levels of behaviours typically associated with autism-spectrum disorder (ASD), but the neural basis is unclear. We sought to determine whether elevated autistic traits in women with anorexia nervosa may be reflected in cortical morphology. Methods We used voxel-based morphometry (VBM) to examine regional grey matter volumes in high-resolution MRI structural brain scans in women with anorexia nervosa and matched healthy controls. The Autism-spectrum Quotient (AQ) scale was used to assess autistic traits. Results Women with anorexia nervosa (n = 25) had higher AQ scores and lower bilateral superior temporal sulcus (STS) grey matter volumes than the control group (n = 25). The AQ scores correlated negatively with average left STS grey matter volume in women with anorexia nervosa. Limitations We did not control for cognitive ability and examined only women with ongoing anorexia nervosa. Conclusion Elevated autistic traits in women with anorexia nervosa are associated with morphometric alterations of brain areas linked to social cognition. This finding provides neurobiological support for the behavioural link between anorexia nervosa and ASD and emphasizes the importance of recognizing autistic traits in preventing and treating anorexia nervosa. PMID:29481315

  15. Desempenho de telhas de escória de alto forno e fibras vegetais em protótipos de galpões Performance of tiles composed of blast furnace slag and vegetable fiber in prototype barns

    Directory of Open Access Journals (Sweden)

    Maristela N. da Conceição

    2008-10-01

    Full Text Available Busca-se, em todo o mundo, a substituição do cimento amianto por alternativas seguras para o ambiente e para a saúde do trabalhador, além de econômicas, razão por que o uso de fibras vegetais como aglomerado em países tropicais onde estes resíduos são abundantes, tem-se mostrado bastante viável. No presente experimento foram comparadas telhas de cimento amianto pintadas com tinta reflexiva, telhas cerâmicas e telhas compostas de uma matriz à base de cimento Portland CPII 32Z (ABNT NBR-5735, escória de alto-forno (EAF e sílica ativa, reforçadas com fibras de polpa celulósica de sisal (Agave sisalana. Utilizaram-se protótipos de galpões avícolas nos quais o calor produzido pelas aves foi simulado por lâmpadas incandescentes. Para caracterização do ambiente térmico lançou-se mão dos índices de conforto: ITU (índice de temperatura e umidade, ITGU (índice de temperatura de globo e umidade, CTR (carga térmica radiante e entalpia (H em que os resultados demonstraram que as telhas compostas apresentaram comportamento térmico semelhante ao das telhas cerâmicas, podendo ser utilizadas em substituição às telhas de cimento amianto.The substitution of cement asbestos by safer and equally economical alternatives has being searched for throughout the world. The usage of vegetal staple fiber as agglomerate in tropical countries where these residues are abundant has shown it self to be viable. In this study, roofing tiles fabricated with cement base Portland CPII 32Z (ABNT NBR-5735, blast furnace slag (EAF, active silica reinforced with cellulose pulp staple fibers of sisal (Agave sisalana were compared with cement asbestos roofing tiles with white paint and ceramic roofing tiles. Prototypes of poultry facilities were used and lamps simulated the heat produced by the birds. Indices ITU, ITGU, CTR and entalpy (H were employed for the characterization of the thermal atmospheric comfort and the results showed that the alternative

  16. Fat Attenuation at CT in Anorexia Nervosa

    Science.gov (United States)

    Gill, Corey M.; Torriani, Martin; Murphy, Rachel; Harris, Tamara B.; Miller, Karen K.; Klibanski, Anne

    2016-01-01

    Purpose To investigate the composition, cross-sectional area (CSA), and hormonal correlates of different fat depots in women with anorexia nervosa (AN) and control subjects with normal weights to find out whether patients with AN have lower fat CSA but higher attenuation than did control subjects and whether these changes may be mediated by gonadal steroids, cortisol, and thyroid hormones. Materials and Methods This study was institutional review board approved and HIPAA compliant. Written informed consent was obtained. Forty premenopausal women with AN and 40 normal-weight women of comparable age (mean age ± standard deviation, 26 years ± 5) were studied. All individuals underwent computed tomography of the abdomen and thigh with a calibration phantom. Abdominal subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), thigh SAT, and thigh intermuscular adipose tissue CSA and attenuation were quantified. Serum estradiol, thyroid hormones, and urinary free cortisol levels were assessed. Variables were compared by using analysis of variance. Associations were examined by using linear regression analysis. Results Women with AN had higher fat attenuation than did control subjects (−100.1 to −46.7 HU vs −117.6 to −61.8 HU, P < .0001), despite lower fat CSA (2.0–62.8 cm2 vs 5.5–185.9 cm2, P < .0001). VAT attenuation but not CSA was inversely associated with lowest prior lifetime body mass index in AN (r = −0.71, P = .006). Serum estradiol levels were inversely associated with fat attenuation (r = −0.34 to −0.61, P = .03 to <.0001) and were positively associated with fat CSA of all compartments (r = 0.42–0.64, P = .007 to <.0001). Thyroxine levels and urinary free cortisol levels were positively associated with thigh SAT attenuation (r = 0.64 [P = .006] and r = 0.68 [P = .0004], respectively) and were inversely associated with abdominal SAT and VAT CSA (r = −0.44 to −0.58, P = .04 to .02). Conclusion Women with AN have differences in fat

  17. Substituição da silagem de milho pela silagem de rama de mandioca na alimentação de vacas leiteiras: consumo e digestibilidade dos nutrientes = Replacing corn silage with cassava foliage silage as feed for dairy cattle: intake and nutrient digestibility

    Directory of Open Access Journals (Sweden)

    Elisa Cristina Modesto

    2007-10-01

    Full Text Available O objetivo do experimento foi estudar os efeitos da substituição da silagem de milho (SML pela silagem do terço superior da rama de mandioca (SRM no consumo e digestibilidade dos nutrientes de vacas em lactação. Doze vacas em lactação foram alocadas em um delineamento em blocos casualizados. Os níveis de substituição da SML pela SRMforam 0, 20, 40 e 60%. Os parâmetros analisados foram: consumo de matéria seca (CMS, matéria orgânica (CMO, fibra em detergente neutro (CFDN, fibra em detergente neutro indigestível (CFDNi, digestibilidade aparente da matéria seca (DAMS, matéria orgânica(DAMO, proteína bruta (DAPB, fibra detergente neutro (DAFDN, carboidratos totais (DACT, carboidratos não fibrosos (DACNF. Foi observado que o nível de substituição da SML pela SRM não teve efeito significativo para a maioria das variáveis avaliadas (p > 0,05. No entanto, a DAPB (p The objective of the experiment was to study the effects of replacing corn silage (CS with cassava foliage silage (CFS – using the upperthird of the foliage – on intake and nutrient digestibility. Twelve lactating dairy cows were used in a randomized block design to evaluated intake and digestibility. The levels of replacement of CS with CFS were 0, 20, 40 and 60%. The parameters studied were: drymatter intake (DMI, organic matter intake (OMI, neutral detergent fiber intake (NDFI, indigestible neutral detergent fiber intake (INDFI, apparent digestibility of dry matter (ADDM, apparent digestibility of organic matter (ADOM, apparent digestibility of crude protein (ADCP, apparent digestibility of neutral detergent fiber (ADNDF, apparent digestibility of total carbohydrates (ADTC and apparent digestibility of non-fiber carbohydrates (ADNFC. The replacement of CS with different levels of the upper third ofcassava foliage silage (CFS had no effect in practically any of evaluated variables (p > 0.05. However, ADCP (p < 0.01 decreased as the levels of replacement were

  18. Dual-energy CT (DECT) imaging of tophi and monosodium urate deposits in a patient with longstanding anorexia nervosa

    DEFF Research Database (Denmark)

    Weihe, Johan Petur; Birger Morillon, Melanie; Lambrechtsen, Jess

    Dual-energy CT (DECT) imaging of tophi and monosodium urate deposits in a patient with longstanding anorexia nervosa......Dual-energy CT (DECT) imaging of tophi and monosodium urate deposits in a patient with longstanding anorexia nervosa...

  19. Anorexia nervosa versus hyperinsulinism: therapeutic effects of neuropharmacological manipulation

    Directory of Open Access Journals (Sweden)

    Fuad Lechin

    2011-02-01

    Full Text Available Fuad Lechin1,2, Bertha van der Dijs1,2, Betty Pardey-Maldonado1, Scarlet Baez1, Marcel E Lechin31Sections of Neuroendocrinology, Neuropharmacology, and Neurochemistry, Department of Pathophysiology, Institute of Experimental Medicine, Faculty of Medicine, Universidad Central de Venezuela, Caracas; 2Instituto de Vias Digestivas Caracas, Centro Clínico Profesional Caracas, Venezuela; 3Department of Internal Medicine, Texas A & M Health Science Center, College of Medicine, Texas, USABackground: We have demonstrated that anorexia nervosa is underpinned by overwhelming adrenal sympathetic activity which abolishes the neural sympathetic branch of the peripheral autonomic nervous system. This physiological disorder is responsible for gastrointestinal hypomotility, hyperglycemia, raised systolic blood pressure, raised heart rate, and other neuroendocrine disorders. Therefore, we prescribed neuropharmacological therapy to reverse this central and autonomic nervous system disorder, in order to normalize the clinical and neuroendocrine profile.Methods: The study included 22 female patients with anorexia nervosa (10 restricted type, 12 binge-eating type who received three months of treatment with amantadine 100 mg/day. We measured blood pressure, heart rate, and circulating neurotransmitters, (noradrenaline, adrenaline, dopamine, platelet serotonin, free plasma serotonin during supine resting, one minute of orthostasis, and a five-minute exercise test before and after one, two, and three months of treatment with amantadine, a drug which abrogates adrenal sympathetic activity by acting at the C1(Ad medullary nuclei responsible for this branch of the peripheral sympathetic activity.Results: We found the amantadine abolished symptoms of anorexia nervosa from the first oral dose onwards. Normalization of autonomic and cardiovascular parameters was demonstrated within the early days of therapy. Abrupt and sustained increases in the plasma noradrenaline

  20. [Management of anorexia nervosa in a Tunisian case].

    Science.gov (United States)

    Ahlem, Harrathi; Soumeyya, Halayem; Nadia, Janhani; Sami, Othman; Ines, Lahmar; Samira, Blouza; Ahlem, Belhadj; Asma, Bouden; Halayem, Mohamed B

    2014-07-01

    Anorexia nervosa is a complex psychiatric illness that can lead to severe physical complications. This work aimed to study the approach taken by the child psychiatry service of Razi hospital in the management of anorexia nervosa and to compare it with international recommendation. We propose to illustrate by a case report and review international recommendations on this topic while undertaking a review of the literature based on a Medline search using the following keywords: anorexia, nervosa adolescence, management, guidelines. Case report: AS, 16 years old, addressed to us by the school doctor for management of anorexia nervosa evolving for two years without improvement through outpatient care. His condition was considered precarious requiring urgent care in a medical hospital. She was then hospitalized at the Institute of Nutrition with a weight contract to achieve, She received a gradual refueling strongly denied. We have provided a psychological support by moving on site three times a week to help establish a good therapeutic alliance. After three weeks, the teenager has reached an acceptable weight for its output to the hospital and additional support at the outpatient child psychiatry with supportive psychotherapy. Two months later, she developed depression because of the weight gain. The appointment at the dietician was continued three months after hospitalization. At 10 months of the hospitalization, the girl had good grades and was not amenorrheic. However, on the psychological level she kept the same traits and intrafamilial relationships were marked by the seal of the manipulation. Subsequently, the teenager has spaced the consultations then lost sight. Currently, at 15 months of the hospitalization, parents describe a relapse, with a dietary restriction without amenorrhea ad a refusal to take weight. In management of this patient, we followed the recommendations of the literature namely those of the High Authority of Health and NICE (National Institute

  1. PROPIEDADES TÉCNICO-FUNCIONALES DE LA FIBRA DIETARIA DE CÁSCARAS DE MANGO VARIEDADHILACHA (Mangifera indica L.: EFECTO DEL SECADO POR CONVECCIÓN

    Directory of Open Access Journals (Sweden)

    GUSTAVO ADOLFO HINCAPIÉ LL.

    2014-06-01

    Full Text Available Un subproducto de la obtención del jugo de mango es su cáscara; la cual contiene niveles considerables de fibra dietaria que podrían ser utilizados en la elaboración de productos alimenticios, sin embargo, actualmente no es muy aprovechado. El proceso de secado prolonga la vida útil de la cascara y permite que pueda ser adicionada a otros alimentos. En este estudio, se caracterizó fisicoquímicamente la Cáscara de Mango Hilacha (CMH y se evaluó el efecto de cinco temperaturas de secado sobre las propiedades técnico-funcionales de la fibra dietaria; Capacidad de Hinchamiento (CH, Capacidad de Retención de Agua (CRA y Capacidad de Adsorción de Lípidos (CAL, características que determinan en gran medida la calidad de la fibra dietaria (FD. Los resultados obtenidos indican que la CMH tiene un contenido de fibra dietaria total, proteína, extracto etéreo, carbohidratos y fibra cruda similar al de otras variedades de mango. La cáscara de mango hilacha seca y molida (CSMH obtenida, es una promisoria fuente de FD, ya que su calidad no se vio afectada significativamente por el proceso de secado empleado en este trabajo.

  2. Bone size and volumetric density in women with anorexia nervosa receiving estrogen replacement therapy and in women recovered from anorexia nervosa.

    Science.gov (United States)

    Karlsson, M K; Weigall, S J; Duan, Y; Seeman, E

    2000-09-01

    Anorexia nervosa is associated with bone loss during adulthood, but may also delay skeletal growth and mineral accrual during growth. We asked the following questions. 1) Is anorexia nervosa associated with reduced bone size and reduced volumetric bone mineral density (vBMD)? 2) Is estrogen replacement therapy (ERT) or recovery from anorexia nervosa associated with normal bone size and vBMD? Using dual-energy x-ray absorptiometry, we measured bone size and vBMD of the third lumbar vertebra and femoral neck in a cross-sectional study of 161 female patients: 77 with untreated anorexia nervosa, 58 with anorexia nervosa receiving ERT, 26 recovered from anorexia nervosa, and 205 healthy age-matched controls. Results were expressed as the SD or z-score (mean +/- SEM). Deficits in vertebral body and femoral neck width in untreated women were -1.0 +/- 0.1 and -0.3 +/- 0.1 SD (P anorexia nervosa is due to reduced bone size and reduced vBMD. Although causality cannot be inferred in cross-sectional studies, the data are consistent with the view that malnutrition may contribute to reduced bone size, whereas estrogen deficiency may reduce vBMD. The use of ERT early in disease is a reasonable component of management if the chance of recovery appears remote.

  3. Unusual Presentation of Uncommon Disease: Anorexia Nervosa Presenting as Wernicke-Korsakoff Syndrome—A Case Report from Southeast Asia

    OpenAIRE

    Mushtaq, Raheel; Shoib, Sheikh; Shah, Tabindah; Bhat, Mudasir; Singh, Randhir; Mushtaq, Sahil

    2014-01-01

    Anorexia nervosa presenting as Wernicke-Korsakoff syndrome is rare. The causes of Wernicke-Korsakoff syndrome are multiple like alcohol abuse, thyrotoxicosis, haemodialysis, severe malnutrition because of gastric carcinoma and pyloric obstruction, hyperemesis gravidarum, and prolonged parenteral feeding. We report a case of anorexia nervosa, who presented with Wernicke's encephalopathy and progressed to Korsakoff's syndrome. Knowledge, awareness, and early intervention of anorexia nervosa...

  4. Prevalence of obesity, sarcopenic obesity and associated factors: A FIBRA Network study

    Directory of Open Access Journals (Sweden)

    Carla Moura Santos

    Full Text Available Abstract Introduction: Sarcopenic obesity in older adults may lead to an inability to use muscles efficiently and has been associated with functional deficits and disabilities. Objective: To identify the prevalence of obesity and sarcopenic obesity (SO among community-dwelling older adults, and to characterize associated sociodemographics, health conditions and functional performance. Methods: Study data are from the FIBRA Network database of the Federal University of Minas Gerais. There were 1,373 older adult participants, subdivided into three groups: 1 non-obese; 2 non-sarcopenic obese; and 3 sarcopenic obese (SO. The latter is defined as a BMI ≥30 kg/m2 and weak palmar grip strength (PGS. Results: The overall prevalence of obesity and SO among older adults was 25.85% and 4.44%, respectively, with levels of frailty and pre-frailty among at 36.1% and 59%, respectively. Gait speed (GS was lower in the SO group as well, compared to the other groups. An average increase in GS of 0.1 m/sec reduced the likelihood of SO by 85.1%, in average. Sarcopenic obese older adults were 14.2 times more likely to be pre-fragile and 112.9 times more likely to be fragile than the other groups. Conclusion: The prevalence of obesity found in this study was higher than that in the general population, but similar to national statistics for the sample’s mean age and gender. SO was directly associated with frailty in advanced and instrumental activities of daily living as well as gait speed and significantly increased the likelihood of being pre-frail and frail. GS may be an extremely useful tool for monitoring the progress of SO in older adults.

  5. Postes prefabricados de fibra: Consideraciones para su uso clínico

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    Hugo Calabria Díaz

    Full Text Available En la década de los 90 los Postes Prefabricados de Fibra (PPF se introdujeron al mercado como alternativa a los sistemas metálicos o cerámicos. Hasta la fecha se mantienen en uso, modificando de manera constante sus presentaciones comerciales y estrategias de fijación. Sus cualidades mecánicas como su bajo Módulo Elástico (ME similar al dentinario, introducen un nuevo paradigma en la rehabilitación del Diente Endodonticamente Tratado (DET: .ldquo;el poste debe acompañar en forma solidaria la flexión de los tejidos dentarios frente a las cargas.rdquo;. Sus actuales cualidades estéticas, la fácil remoción y la posibilidad de su cementado adhesivo, los han convertido en una alternativa válida a las soluciones convencionales. Sin embargo, algunos resultados contradictorios junto con la importante dificultad de lograr hibridación en la dentina radicular, mantienen interrogantes a resolver en el futuro. Se indican en casos en donde se prevea retratamiento, en pacientes jóvenes, de alta exigencia estética y toda vez que se quiera y pueda eludir los costos de aleaciones nobles. En el presente artículo se analizan los fundamentos clínicos y experimentales de distintos autores, extrapolándose consideraciones prácticas para su uso. Los mismos se ilustran en un caso clínico para un paciente joven, con antecedente de traumatismo y con altas expectativas estéticas

  6. Espalhamento e secagem de filme de amido-glicerol-fibra preparado por "tape-casting"

    Directory of Open Access Journals (Sweden)

    Jaqueline Oliveira de Moraes

    2014-02-01

    Full Text Available O objetivo deste trabalho foi avaliar processos de espalhamento e secagem de filme de amido-glicerol-fibras de celulose, preparado por "tape-casting". O espalhamento da suspensão foi avaliado a 50, 150 e 250 cm min-1, seguido de secagem em estufa com circulação forçada de ar, a 40 ou 70ºC; avaliou-se também o espalhamento da suspensão a 150 cm min-1, seguido da secagem do filme sobre suporte de "tape-casting" a 22ºC e 60% de umidade relativa, com velocidades do ar de 4, 6 e 8 m s-1 no túnel de secagem. Ensaios reológicos mostraram que o espalhamento das suspensões a temperaturas inferiores a 50ºC apresentou módulo de elasticidade superior ao módulo viscoso, em todo o espectro de frequências de oscilação. As microscopias mostraram filmes secos a 40 e 70ºC sem defeitos de formação, e cujas propriedades mecânicas não diferiam. A velocidade de espalhamento e a do ar não modificam o tempo de secagem nem as propriedades dos filmes. O tempo de secagem pode ser reduzido para aproximadamente duas horas, o que é importante para a produção dos filmes em larga escala.

  7. Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

    International Nuclear Information System (INIS)

    Okamoto, K.; Ito, J.; Tokiguchi, S.; Kuwabara, G.; Nishihara, M.

    1995-01-01

    We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs

  8. The Disjointed Historical Trajectory of Anorexia Nervosa Before 1970.

    Science.gov (United States)

    Court, John P M; Kaplan, Allan S

    2016-01-01

    Responses in pre-modern eras to anorexia nervosa (as now understood) varied widely, from religious piety and sanctity through fear and superstition. While noting briefly the limited conceptualizations from pre-modern history this article is primarily focused from the late 19th century, commencing with helpful but tentative formulations of anorexia nervosa for early-modern medicine that were laid out, consistently between themselves, by Lesègue, Gull and Osler. Yet that promising biomedical advent was superseded for more than a half-century by deep, internal divisions and bitter rifts that festered between three medical disciplines: neurology; Freudian psychotherapy; and Kraepelinian biological psychiatry. Mid-20th century developments preceded the 1960-1980s' improved understanding of suffering and movement toward effective remediation introduced by Dr. Hilde Bruch.

  9. Blood-letting in anorexia nervosa: a case study.

    Science.gov (United States)

    Morgan, J F; Lacey, J H

    2000-05-01

    Deliberate blood-letting has been characterized as an alternative to purging behavior in bulimia. We describe a female healthcare worker with an 8-year history of restrictive anorexia nervosa, who initially presented with anemia, using blood-letting, cold baths, and starvation to control her mental state. In contrast with the previous cases of bulimia, the aim of blood-letting in this case of anorexia nervosa was to achieve anemia. She compared the psychic correlates of anemia to emaciation, rather than to deliberate self-harm or purging. We note that mainstream 19th century psychiatry prescribed "baths, blood-letting and diet" as a treatment of "madness." Copyright 2000 by John Wiley & Sons, Inc.

  10. Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Okamoto, K. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Ito, J. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Tokiguchi, S. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Kuwabara, G. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan); Nishihara, M. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan)

    1995-11-01

    We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs.

  11. Bulimia nervosa in adolescents: prevalence and treatment challenges

    Science.gov (United States)

    Hail, Lisa; Le Grange, Daniel

    2018-01-01

    Bulimia nervosa (BN) is a serious psychiatric illness that typically develops during adolescence or young adulthood, rendering adolescents a target for early intervention. Despite the increasing research devoted to the treatment of youth with anorexia nervosa (AN) and adults with BN, there remains a dearth of evidence for treating younger individuals with BN. To date, there have been four published randomized controlled trials comparing psychosocial treatments, leaving significant room to improve treatment outcomes. Family-based treatment is the leading treatment for youth with AN, while cognitive-behavioral therapy is the leading intervention for adults with BN. Involving caregivers in treatment shows promising results, however, additional research is needed to investigate ways in which this treatment can be adapted further to achieve higher rates of recovery. PMID:29379324

  12. [Etiology and therapy in anorexia nervosa (author's transl)].

    Science.gov (United States)

    Wurst, E

    1976-01-01

    ASPERGER (1963) mentioned as a very important etiological aspect of anorexia nervosa a desintegration of intellectual and thymical functions causing the fact, that these patients are not able to accept the role of an adult, especially that one of a woman. We discuss that statment in connexion with ERIKSON'S (1974) concept about "ego-identity" ("Ich-Identitat") and "negative-identity" ("negative Identitat"). The pathological family-structure seems to reinforce the situation and the existence of inadequate behavior of patients with anorexia nervosa, who are often introverted and predestinated for conditioning. The therapy of these patients should focuse on the development of ego-identity, including the treatment of the family members, the modification of the inadapted behavior and a special endocrinological therapy.

  13. Raynaud's phenomenon and nailfold capillaroscopic findings in anorexia nervosa.

    Science.gov (United States)

    De Martinis, Massimo; Sirufo, Maria Maddalena; Ginaldi, Lia

    2018-03-01

    Peripheral vascular abnormalities caused by a dysregulation between peripheral vasoconstriction and vasodilatation, clinically appearing with Raynaud's phenomenon, have been described in anorexia nervosa but specific characteristics of microcirculation in anorexic patients have not yet been studied. We performed nailfold videocapillaroscopy to assess microcirculatory alteration in anorexic patients and found three different patterns: normal, aspecific and early scleroderma pattern. We also evaluated several laboratory and clinical parameters to better assess our capillaroscopic findings. None of the clinical parameters examined correlated with specific capillaroscopic findings. An increased risk of autoimmune diseases in eating disorder patients has been described. Our results evidenced an association between early scleroderma capillaroscopic pattern and Raynaud's phenomenon that occurs in anorexia nervosa patients, whereas no significant association was found between all three capillaroscopic patterns and the presence of autoantibodies, as well as ESR and CRP values. Our study reveals that patients with AN suffering from RP exhibit NVC findings typical of connective tissue diseases.

  14. MRI demonstration of orbital lipolysis in anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Demaerel, Philippe; Dekimpe, Piet; Wilms, Guy [Department of Radiology, University Hospitals, Herestraat 49, 3000 Leuven (Belgium); Muls, Erik [Department of Endocrinology, University Hospitals, Herestraat 49, 3000 Leuven (Belgium)

    2002-07-01

    The purpose of this article is to describe the orbital changes due to lipolysis in anorexia nervosa. We examined a cachectic patient with MR imaging using T1-weighted images before and after contrast enhancement. Orbital fat edema has been observed in extreme forms of cachexia and the CT and MR findings have recently been reported. The imaging appearances have been explained by the disappearance of the fat tissue and the appearance of edema due to a disturbance in the electrolyte fluid balance. In the recent literature particular attention has been paid to the increased lipid peroxidation and lipolysis in anorexia nervosa. These metabolic processes result in an increased permeability of the vessel wall endothelium, which can explain the extravasation of the contrast agent in the orbital fat on MR imaging. (orig.)

  15. MRI demonstration of orbital lipolysis in anorexia nervosa

    International Nuclear Information System (INIS)

    Demaerel, Philippe; Dekimpe, Piet; Wilms, Guy; Muls, Erik

    2002-01-01

    The purpose of this article is to describe the orbital changes due to lipolysis in anorexia nervosa. We examined a cachectic patient with MR imaging using T1-weighted images before and after contrast enhancement. Orbital fat edema has been observed in extreme forms of cachexia and the CT and MR findings have recently been reported. The imaging appearances have been explained by the disappearance of the fat tissue and the appearance of edema due to a disturbance in the electrolyte fluid balance. In the recent literature particular attention has been paid to the increased lipid peroxidation and lipolysis in anorexia nervosa. These metabolic processes result in an increased permeability of the vessel wall endothelium, which can explain the extravasation of the contrast agent in the orbital fat on MR imaging. (orig.)

  16. Desenvolvimento e qualidade nutricional de mudas de mangabeiras cultivadas em substratos contendo fibra de coco e adubação fosfatada Development and nutritional quality of hancornia speciosa seedlings cultivated in mixture containing coconut fiber and fertilized with phosphorus

    Directory of Open Access Journals (Sweden)

    Thiago Jardelino Dias

    2009-06-01

    Full Text Available Para a produção de mudas de qualidade, é necessária a utilização de substratos com propriedades físicas, químicas e biológicas que condicionem a germinação adequada das sementes e o estabelecimento das mudas. Neste sentido, foi realizado um experimento no Centro de Ciências Agrárias, da Universidade Federal da Paraíba, com o objetivo de avaliar o crescimento e a composição mineral de mudas de mangabeiras (Hancornia speciosa em substratos compostos por diferentes proporções de fibra de coco (0% a 40%, esterco bovino (0% a 25%, terra vegetal (25% a 70% e 15% de areia, fertilizados com superfosfato triplo (0; 5,5 e 11 g dm-3. A terra vegetal e a fibra de coco exerceram efeitos benéficos às mudas com o aumento de suas proporções no substrato. A adição do esterco e do superfosfato triplo inibiu a produção de matéria seca e a área foliar das mudas. Houve aumento dos teores de nutrientes nas mudas com o aumento da concentração de esterco nos substratos. Pela estimativa dos resultados, o substrato que proporciona maior crescimento e composição mineral mais equilibrada nas mudas de mangabeira deve ser constituído por 14% de esterco, 56% de terra vegetal, 15% de fibra de coco, 15% de areia e 4 g dm-3 de superfosfato triplo.In order to produce good quality seedlings it is necessary to use a mixture that presents appropriate physical, chemical and biological properties, which supplies the necessary conditions for the germination and the seedling's establishment. This experiment was carried out at the Agricultural Sciences Center, Paraíba Federal University (Brazil, whose objective was to evaluate the growth and the mineral composition of Hancornia speciosa seedlings in substrata composed by concentrations of coconut fiber from 0% to 40%, manure bovine from 0% to 25%, soil from 25% to 70%, sand 15% and triple superphosphate between 0 and 11 g dm-3. The soil and coconut fiber had beneficial effects on the H. speciosa

  17. The occupational roles of women with anorexia nervosa Los papeles ocupacionales de mujeres con anorexia nervosa Os papéis ocupacionais de mulheres com anorexia nervosa

    Directory of Open Access Journals (Sweden)

    Leila Maria Quiles-Cestari

    2012-04-01

    Full Text Available This study’s objective was to understand how occupational roles of individuals with anorexia nervosa are configured. The sample was composed of a control group and 11 adult women with anorexia nervosa being cared for by the Eating Disorders Care Group in a hospital in Ribeirão Preto, SP, Brazil. Socio-demographic and anthropometric data were collected and the Role Checklist was applied. The results revealed a significant loss of roles for women with anorexia nervosa in relation to the performance of the roles worker, friend, and amateur/hobbyist, supporting the idea that psychosocial harm may arise from this eating disorder. The evaluation of occupational roles in the treatment of eating disorders is an important strategy for planning Occupational Therapy activities and supporting the creation of healthier spaces to enable individuals to resume occupational roles, and acquire independence and autonomy.El objetivo es entender como figuran los papeles ocupacionales de las personas con anorexia nervosa. La casuística fue compuesta por 11 personas diagnosticadas en tratamiento en el Grupo de Asistencia en Trastornos Alimentares de un Hospital de Ribeirão Preto-Brasil y un grupo control. Se recogieron variables sociodemográficas, antropométricas y por la “Lista de Identificación de Papeles Ocupacionales”. Los resultados muestran hubo cambio, con pérdida de papeles debido a la anorexia nerviosa, con pérdida de los papeles de trabajador, voluntario, amigo y pasatiempo amador, corroborando los perjuicios psicosociales derivados de este trastorno. La evaluación de los papeles ocupacionales en el tratamiento de los trastornos alimentares es una estrategia importante para la planificación de la terapia ocupacional por la concesión de subvenciones para crear ambientes más saludables, donde las posibilidades de crear el rescate de los papeles ocupacionales, la independencia y autonomía.O objetivo desta pesquisa foi compreender como se

  18. Impact of exercise on energy metabolism in anorexia nervosa

    OpenAIRE

    Zipfel, Stephan; Mack, Isabelle; Baur, Louise A; Hebebrand, Johannes; Touyz, Stephen; Herzog, Wolfgang; Abraham, Suzanne; Davies, Peter SW; Russell, Janice

    2013-01-01

    Background Excessive physical activity is one of the most paradoxical features of anorexia nervosa (AN). However, there is individual variation in the degree of physical activity found in AN-patients. As a result, marked differences in energy expenditure may be expected. Furthermore, exercise has a positive impact on a variety of psychological disorders and the psychopathology may be different in AN displaying high exercise levels versus AN displaying low exercise levels. We analyzed the ener...

  19. Outcome of anorexia nervosa: eating attitudes, personality, and parental bonding.

    Science.gov (United States)

    Bulik, C M; Sullivan, P F; Fear, J L; Pickering, A

    2000-09-01

    We examined eating attitudes, personality, and parental bonding in women with a history of anorexia nervosa stratified by degree of recovery in comparison to randomly selected controls. We were interested in the distinguishing characteristics of recovery and of chronic anorexia nervosa. All female new referrals to an eating disorders service between January 1, 1981 and December 31, 1984 with probable or definite anorexia nervosa were eligible for inclusion. 86.4% of these women ("cases") were located and agreed to participate. The control group was a random community sample. All subjects were interviewed with a structured diagnostic instrument and completed a battery of psychological inventories including the Eating Disorder Inventory (EDI), the Three-Factor Eating Questionnaire (TFEQ), the Temperament and Character Inventory (TCI), and the Parental Bonding Instrument (PBI). We divided the anorexia follow-up sample into full recovery (n = 21), partial recovery (n = 34), and chronically ill (n = 15) and compared them to community controls (n = 98). The chronically ill group was distinguished by a lower desired body mass index (BMI), higher cognitive restraint on the TFEQ, higher Drive for Thinness and Bulimia on the EDI, lower maternal and paternal care on the PBI, and high harm avoidance and low self-directedness on the TCI. The full recovery group scored high on self-directedness and cooperativeness on the TCI. The domains of personality, character, and parental bonding differ among categories of recovery in anorexia nervosa. Whether these differences contribute to recovery or emerge during recovery or lack thereof remains an unanswered question. Copyright 2000 by John Wiley & Sons, Inc.

  20. Cognitive specificity in the treatment of Bulimia nervosa

    OpenAIRE

    2014-01-01

    M.A. (Clinical Psychology) The relatively rapid development of cognitive-behavioural approaches to various psychological conditions, has prompted clinicians and researchers to investigate the effects of this therapeutic modality on Bulimia Nervosa sufferers more closely. Research has evidenced the complexity and uniqueness of this disorder and much speculation still remains with regard to the etiology, description and treatment of Bulimia. Of the various treatments proposed, the cognitive~...

  1. Assessment of anorexia nervosa in children and adolescents.

    Science.gov (United States)

    Weaver, Laurel; Liebman, Ronald

    2011-04-01

    Anorexia nervosa is a debilitating illness that affects mostly females and their families. Multiple physiologic disturbances are present and can be life-threatening. Nutritional rehabilitation is the foremost initial treatment goal. Assessment skills include understanding the physiologic, developmental, and psychiatric status of the individual as well as engagement of the family system. A comprehensive assessment that stimulates patient and family to successfully engage in treatment is the cornerstone of good clinical care for this highly disabling disorder.

  2. Dysregulated behaviors in bulimia nervosa: a case-control study

    OpenAIRE

    Gonçalves, Sónia; Machado, Bárbara Freire Brito César; Martins, C.; Brandão, Isabel; Torres, António Roma; Machado, Paulo P. P.

    2014-01-01

    Background: Bulimia nervosa (BN) is often related to self-control difficulties and to dysregulated behaviours. This study aimed to evaluate the frequency of self-injurious behaviour, suicide attempts, and other dysregulated behaviours in BN, using two control groups (a healthy group and a general psychiatric group), and also to examine the association between these behaviours and alleged sexual abuse in BN.Method: Women (N = 233) aged between 13 and 38 years old were evaluated using a semi-st...

  3. Orthorexia nervosa: An integrative literature review of a lifestyle syndrome

    OpenAIRE

    Håman, Linn; Barker-Ruchti, Natalie; Patriksson, Göran; Lindgren, Eva-Carin

    2015-01-01

    Bratman first proposed orthorexia nervosa in the late 1990s, defining it an obsession with eating healthy food to achieve, for instance, improved health. Today, in the Swedish media, excessive exercising plays a central role in relation to orthorexia. A few review articles on orthorexia have been conducted; however, these have not focused on aspects of food and eating, sport, exercise, or a societal perspective. The overall aim of this study was to provide an overview and synthesis of what ph...

  4. The clinical basis of orthorexia nervosa: emerging perspectives

    OpenAIRE

    Koven, Nancy; Abry,Alexandra

    2015-01-01

    Nancy S Koven, Alexandra W Abry Department of Psychology, Bates College, Lewiston, ME, USA Abstract: Orthorexia nervosa describes a pathological obsession with proper nutrition that is characterized by a restrictive diet, ritualized patterns of eating, and rigid avoidance of foods believed to be unhealthy or impure. Although prompted by a desire to achieve optimum health, orthorexia may lead to nutritional deficiencies, medical complications, and poor quality of life. Despite its being a di...

  5. The stigma of clean dieting and orthorexia nervosa

    OpenAIRE

    Nevin, Suzanne M.; Vartanian, Lenny R.

    2017-01-01

    Background Although the stigma of eating disorders such as anorexia has been well established, little is known about the social consequences of ?clean dieting? and orthorexia nervosa. In two studies, we examined the social stigma of clean dieting and orthorexia. Method In Study 1, participants read a vignette describing a woman following a ?clean? diet, a woman with anorexia, or a control target (minimal information about the individual). In Study 2, participants read a vignette describing a ...

  6. EVALUACIÓN QUIMICA DE LA FIBRA EN SEMILLA, PULPA Y CÁSCARA DE TRES VARIEDADES DE AGUACATE

    Directory of Open Access Journals (Sweden)

    ADELA MARÍA CEBALLOS P

    Full Text Available El sector agropecuario colombiano requiere integrarse al sector agroindustrial para aumentarle valor a sus productos y residuos. Utilizar residuos agrícolas y agroindustriales como materias primas para obtener metabolitos secundarios es tema de interés en investigación y busca dar respuestas al uso de esos residuos, mediante desarrollo de tecnologías aplicables al entorno colombiano. Se valoraron cáscara, semilla y pulpa de aguacate variedades Booth8, Trinidad y Papelillo en estados de madurez fisiológica (MF y consumo (MC. Se hizo caracterización bromatológica, contenido de fibra como carbohidratos solubles (CHOS, lignina LG, celulosa y hemicelulosa (CEL y HEMICEL y fibra bruta (FB según (Tappi Methods 1993, 1998, AOAC, 2001. Los resultados fueron analizados mediante ANOVA (P < 0,05 utilizando SAS V9.1. Los CHOS en los dos estados de madurez y para las tres variedades variaron entre 12-38% cáscara, 20-35% pulpa y 17-35% semilla; CEL y HEMICEL 8-50% cáscara, 7-26% pulpa, 1-5% semilla, los cuales pueden ser útiles como complementos de procesos biotecnológicos. La pulpa de las tres variedades tiene alto valor nutricional por sus contenidos de proteína, fibra y minerales. La composición de la cáscara y semilla podrían ser importantes para suplementos de dieta animal o como recuperador de suelos para la producción agrícola

  7. La fibra óptica y el fenómeno no lineal mezcla de cuarta onda

    Directory of Open Access Journals (Sweden)

    Fabián Gómez López

    2015-12-01

    Full Text Available RESUMEN Para aprovechar de mejor manera el ancho de banda que tiene la fibra óptica, los sistemas de comunicaciones ópticos han tenido que aumentar la potencia de transmisión de las señales para poder transportar a grandes distancias la información. Debido a lo anterior, comienzan a producirse ciertos fenómenos ópticos no lineales como la mezcla de cuarta onda (Four Wave Mixing, FWM, que degradan la señal de información. En este documento se realiza un estado del arte de la fibra óptica y un estudio del fenómeno no lineal FWM, que se genera cuando dos o más señales ópticas se propagan en la fibra, lo cual conlleva a una mezcla de señales que puede generar nuevos componentes de interferencia de la señal óptica transmitida. ABSTRACT To make better use of the bandwidth that has the optical fiber, optical communications systems have had to increase the transmission power of signals to transport information over long distances. Because of this, certain nonlinear optical phenomena such as four wave mixing (Four Wave Mixing, FWM, which degrade the information signal begin to occur. Herein a state of the art of optical fiber and a study of the nonlinear FWM phenomenon, which is generated when two or more optical signals propagating in the fiber takes place, which leads to a mixture of signals that can generate new components interference of the transmitted optical signal.

  8. Neuropsychological and Cognitive Correlates of Recovery in Anorexia Nervosa.

    Science.gov (United States)

    Harper, Jessica A; Brodrick, Brooks; Van Enkevort, Erin; McAdams, Carrie J

    2017-11-01

    To identify clinical or cognitive measures either predictive of illness trajectory or altered with sustained weight recovery in adult women with anorexia nervosa. Participants were recruited from prior studies of women with anorexia nervosa (AN-C) and in weight-recovery following anorexia nervosa (AN-WR). Participants completed a neuropsychological battery at baseline and clinical assessments at both baseline and follow-up. Groups based on clinical outcome (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WR) were compared by using one-way ANOVAs with Bonferroni-corrected post hoc comparisons. Women with continued eating disorder had poorer neuropsychological function and self-competence at baseline than AN-CR. AN-CR showed changes in depression and externalizing bias, a measure of self-related attributions. AN-WR differed from both AN-CC and AN-CR at baseline in externalizing bias, but only from AN-CC at outcome. Neuropsychological function when recently ill may be a prognostic factor, while externalizing bias may provide a clinical target for recovery. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

  9. Anorexia Nervosa and Body Fat Distribution: A Systematic Review

    Science.gov (United States)

    El Ghoch, Marwan; Calugi, Simona; Lamburghini, Silvia; Dalle Grave, Riccardo

    2014-01-01

    The aim of this paper was to conduct a systematic review of body fat distribution before and after partial and complete weight restoration in individuals with anorexia nervosa. Literature searches, study selection, method development and quality appraisal were performed independently by two authors, and data was synthesized using a narrative approach. Twenty studies met the inclusion criteria and were consequently analyzed. The review had five main findings. First, during anorexia nervosa adolescent females lose more central body fat, while adult females more peripheral fat. Second, partial weight restoration leads to greater fat mass deposition in the trunk region than other body regions in adolescent females. Third, after short-term weight restoration, whether partial or complete, adults show a central adiposity phenotype with respect to healthy age-matched controls. Fourth, central fat distribution is associated with increased insulin resistance, but does not adversely affect eating disorder psychopathology or cause psychological distress in female adults. Fifth, the abnormal central fat distribution seems to normalize after long-term maintenance of complete weight restoration, indicating that preferential central distribution of body fat is a transitory phenomenon. However, a discrepancy in the findings has been noted, especially between adolescents and adults; besides age and gender, these appear to be related to differences in the methodology and time of body composition assessments. The PROSPERO Registry—Anorexia Nervosa and Body Fat Distribution: A Systematic Review (CRD42014008738). PMID:25251296

  10. Anorexia Nervosa and Body Fat Distribution: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Marwan El Ghoch

    2014-09-01

    Full Text Available The aim of this paper was to conduct a systematic review of body fat distribution before and after partial and complete weight restoration in individuals with anorexia nervosa. Literature searches, study selection, method development and quality appraisal were performed independently by two authors, and data was synthesized using a narrative approach. Twenty studies met the inclusion criteria and were consequently analyzed. The review had five main findings. First, during anorexia nervosa adolescent females lose more central body fat, while adult females more peripheral fat. Second, partial weight restoration leads to greater fat mass deposition in the trunk region than other body regions in adolescent females. Third, after short-term weight restoration, whether partial or complete, adults show a central adiposity phenotype with respect to healthy age-matched controls. Fourth, central fat distribution is associated with increased insulin resistance, but does not adversely affect eating disorder psychopathology or cause psychological distress in female adults. Fifth, the abnormal central fat distribution seems to normalize after long-term maintenance of complete weight restoration, indicating that preferential central distribution of body fat is a transitory phenomenon. However, a discrepancy in the findings has been noted, especially between adolescents and adults; besides age and gender, these appear to be related to differences in the methodology and time of body composition assessments. The PROSPERO Registry—Anorexia Nervosa and Body Fat Distribution: A Systematic Review (CRD42014008738.

  11. Refeeding hypophosphatemia in adolescents with anorexia nervosa: a systematic review.

    Science.gov (United States)

    O'Connor, Graeme; Nicholls, Dasha

    2013-06-01

    The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125-1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R (2) = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake.

  12. Impact of hospitalisation on the outcome of adolescent anorexia nervosa.

    Science.gov (United States)

    Gowers, S G; Weetman, J; Shore, A; Hossain, F; Elvins, R

    2000-02-01

    Owing to the lack of controlled trials of treatment setting in adolescent anorexia nervosa, the benefits and costs of in-patient treatment are not established. To clarify the relationship between a range of presenting features, treatment received and medium- to long-term outcome in adolescent anorexia nervosa. A range of presenting variables were rated for 75 cases of DSM-III-R anorexia nervosa at presentation to an adolescent service, including the Morgan-Russell Global Assessment Score. Cases were followed up at 2-7 years and outcome rated according to reliable methods. Setting of treatment received was also recorded. Two out of 75 cases had died by the time of follow-up. Adequate data for 72 enabled an outcome category to be assigned. The 21 who had received inpatient treatment had a significantly worse outcome than the 51 never admitted to hospital. Multivariate analysis suggests admission to be the major predictor of poor outcome. The benefits and costs of admission to hospital require further investigation, ideally in a randomised-controlled trial. The negative consequences of in-patient treatment are neglected in research.

  13. Bone density of women who have recovered from anorexia nervosa.

    Science.gov (United States)

    Hartman, D; Crisp, A; Rooney, B; Rackow, C; Atkinson, R; Patel, S

    2000-07-01

    To examine bone density in 19 women who had previously experienced classical anorexia nervosa from which they had been fully recovered for a mean of 21 years (current characteristics: median age 40.2 years; Eating Attitudes Test [EAT] score 2; body mass index [BMI] 21.1; average 1.8 offspring). Probands were compared, blindly, in respect of bone density, with 13 control subjects matched for age and sex and with no history of eating disorders. Dual energy X-ray absorptiometry (DXA) was used to evaluate the bone mineral density (BMD) of the lumbar spine and the head of the femur. Femur BMD was still significantly less among ex-anorectic sufferers. Two subjects had experienced pathological fractures while anorectic, both having been strenuous exercisers. None appeared to have suffered post illness fractures. BMD at follow-up did not relate to the severity or chronicity of previous anorexia nervosa. Full clinical recovery from anorexia nervosa does not quite confer full establishment of normal bone density. However, pathological fractures are not a feature thereafter, within middle life. Copyright 2000 John Wiley & Sons, Inc.

  14. Orthorexia nervosa in a sample of Italian university population.

    Science.gov (United States)

    Dell'Osso, Liliana; Abelli, Marianna; Carpita, Barbara; Massimetti, Gabriele; Pini, Stefano; Rivetti, Luigi; Gorrasi, Federica; Tognetti, Rosalba; Ricca, Valdo; Carmassi, Claudia

    2016-01-01

    To investigate frequency and characteristics of orthorexic behaviours in a large university population. A total of 2826 individuals volunteered to complete an on-line anonymous form of ORTO-15 questionnaire, a self-administered questionnaire designed and validated to evaluate orthorexic symptomatology. As made in previous studies, an ORTO-15 total score lower than 35 has been used as an optimal threshold to detect a tendency to orthorexia nervosa. A specifically designed form was also used to collect socio-demographic variables. Overall, 2130 students and 696 university employees belonging to University of Pisa (Italy) were assessed. Orthorexic features had a frequency of 32.7%. Females showed a significantly higher rate of over-threshold scores on ORTO-15, a lower BMI, a higher rate of underweight condition and of vegan/vegetarian nutrition style than males. Orthorexia nervosa defined as a “fixation on healthy food”, is not formally present in DSM-5. The emergence of this condition as a new, possible prodromal of a psychological syndrome, has been recently emphasized by an increasing number of scientific articles. From our sample of university population emerged that being vegetarian or vegan, under-weight, female, student and being interested in the present study were significantly predictive of orthorexic tendency. Our data contribute to define the new conceptualization of orthorexia nervosa. Further studies are warranted in order to explore the diagnostic boundaries of this syndrome, its course and outcome, and possible clinical implications.

  15. Risk factors in the development of anorexia nervosa

    Directory of Open Access Journals (Sweden)

    Lazarević Jovana

    2013-01-01

    Full Text Available Anorexia nervosa is a complex eating disorder characterized by the voluntary reduction, and subsequent maintenance, of body weight at a level below 85% of optimal body weight, a pathological fear of food and weight gain, and disturbance of experience of weight and body shape. Development, sustainability and complexity of symptoms depend upon different biological, psychological and social factors. The aim of the paper is to present risk factors that can significantly contribute to the development and severity of the symptoms of anorexia nervosa. This review paper presents the key factors in the development of the disorder. Attachment styles, perfectionism and concerns about body shape, as core psychological factors for development and severity of symptoms, are the principle areas discussed. Lack of self-esteem and self-confidence, unresolved emotional issues, high, unrealistic standards and ideals of physical appearance to which people rigidly hold and which they persistently and consistently attempt to reach, dissatisfaction with body shape, and significant discrepancy between perceived and ideal body image are all associated with maladaptive behavior and attitudes towards food, and often precede the diagnosis of the disorder. The review of research indicates that insecure emotional attachment styles, perfectionism and concern about body shape significantly correlate with symptoms of anorexia nervosa and represent risk and maintaining factors of the disorder. Focus on these problems can significantly contribute to more comprehensive prevention and treatment of the disorder.

  16. Plasma homovanillic acid in adolescents with bulimia nervosa.

    Science.gov (United States)

    Castro-Fornieles, Josefina; Deulofeu, Ramón; Martínez-Mallen, Esteve; Baeza, Immaculada; Fernández, Lorena; Lázaro, Luisa; Toro, Josep; Vila, Montserrat; Bernardo, Miquel

    2009-12-30

    Dopaminergic abnormalities in bulimia nervosa have been reported in some studies, but results are not consistent across studies. In the present study, clinical characteristics, plasma level of homovanillic acid (pHVA) and two scales - the Eating Attitudes Test (EAT) and the Beck Depression Inventory (BDI) - were assessed in 36 adolescent bulimia nervosa patients (mean age16.3 years, S.D. 1.1) who were consecutively seen on an Eating Disorder Unit. Levels of pHVA were also measured in 16 healthy control adolescents from the general population. Patients had significantly higher mean pHVA than controls. Eighteen patients (50%) had a pHVA level equal to or higher than the mean of control subjects plus one standard deviation, and this group of patients had significantly higher mean BDI scores and non-significantly higher mean EAT scores, although they did not differ from the other patients in age, time elapsed since the onset of disorder, body mass index and number of binges or vomits. Moreover, in logistic regression analysis the BDI score proved to be an independent predictor of high pHVA. The level of pHVA is increased in bulimia nervosa patients with high scores on measures of depressive and eating symptomatology.

  17. Caracterización de morteros de yeso reforzados con fibras recuperadas de eslingas textiles de un solo uso.

    OpenAIRE

    Tasán Cruz, Dany Marcelo

    2012-01-01

    Este trabajo estudia el comportamiento de conglomerantes a base de yeso agregados con Residuos de Construcción y demolición (RCD) como fibras recuperadas de eslingas textiles de un solo uso, incorporadas en tres porcentajes y comparando con una muestra de referencia.Las eslingas textiles de un solo uso, tienen como origen, dos obras situadas en la Comunidad de Madrid (Centro de Neurociencias Ramón y Cajal) y la Comunidad de Castilla la Mancha (Nuevo Hospital de Cuenca). Han sido estudiadas...

  18. Estudo do comportamento fotofísico de prepregs de fibra de vidro e resina fenólica.

    OpenAIRE

    Rogério da Silva Rosa

    2007-01-01

    O objetivo desse trabalho é a aplicação da Espectroscopia de Luminescência em modo estacionário para o estudo do processo de cura de pré-impregnados (prepregs) de fibra de vidro e resina fenólica, tratadas termicamente em três diferentes temperaturas 90, 120 e 150 C. O processo de cura dos prepregs também foi monitorado por Espectroscopia de absorção na região do Infravermelho com transformada de Fourier (FT-IR). Os espectros de luminescência dos prepregs mostram mudanças significativas atrib...

  19. Medición de microdeformaciones en losas viales usando sensores de redes de Bragg en fibras ópticas

    OpenAIRE

    Vélez-Hoyos, Francisco Javier; Serpa-Imbet, Claudia Milena; Gómez-Cardona, Nelson Darío

    2010-01-01

    En este trabajo se presenta un método no invasivo para la medición de microdeformaciones en estructuras de concreto usando sensores de redes de Bragg en fibras ópticas adheridos a su superficie. Se realizan mediciones en losas viales de concreto bajo una carga estática de 10 kN, encontrándose una relación aproximada de 2 : 1 entre la deformación registrada por los sensores y los valores arrojados por una simulación computacional con el método de elementos finitos. Se propone el uso de estos s...

  20. Comportamiento del hormigón con áridos siderúrgicos (EAF) reforzado con fibras

    OpenAIRE

    Fuente Alonso, José Antonio de la

    2016-01-01

    La investigación que recoge la presente Tesis Doctoral desarrolla un estudio experimental para obtener hormigones destinados a pavimentos y/o soleras utilizando como áridos los residuos generados en la fabricación de acero en hornos eléctricos de arco, escoria negra EAF, y reforzándolo con fibras metálicas o sintéticas. El objetivo principal es la elaboración de un hormigón siderúrgico, utilizando escoria negra de horno eléctrico de arco EAF como sustitución de los áridos naturales en un 7...

  1. Incremento de productividad en la producción de fibras acrílicas mediante la mejora de procesos.

    OpenAIRE

    Zabarburu Chuquizuta, Segundo Jose; Zabarburu Chuquizuta, Segundo Jose; Zabarburu Chuquizuta, Segundo Jose

    2012-01-01

    Vivimos en la época de la globalización, en donde no existen fronteras económicas, con mercados altamente competitivos, los cuales obligan a las empresas a realizar innovaciones tecnológicas, mejorar sus procesos, reducir sus costos y mejorar su calidad para lograr precisamente ser más competitivos. En este sentido la empresa Sudamericana de Fibras S.A. busca optimizar sus procesos y el uso de sus recursos. El siguiente trabajo de tesis está basado en la modificación de procesos que tra...

  2. Resistência à compressão de argamassas em função da adição de fibra de coco

    OpenAIRE

    Silva,Everton J. da; Silva,Paola D. da; Marques,Maria L.; Fornari Junior,Celso C. M.; Garcia,Fermin C.; Luzardo,Francisco H. M.

    2014-01-01

    Neste trabalho se propôs analisar a influência que a variação do comprimento da fibra de coco exerce na resistência à compressão da argamassa, em busca de se determinar, experimentalmente, o comprimento mais próximo ao tamanho crítico. Foram confeccionadas argamassas com adição (0,3% em relação ao volume total da mistura) de 6 comprimentos diferentes de fibras de coco: 12,5; 25,0; 37,5; 50,0; 62,5 e 75,0 mm, além de uma argamassa de referência sem adição de fibra de coco. Para a avaliação do ...

  3. Estado del arte sobre el comportamiento físico-mecánico de la escayola reforzada con fibras de vidrio E

    Directory of Open Access Journals (Sweden)

    Comino Almenara, Pablo

    2004-10-01

    Full Text Available This article contains a discussion of the results and conclusions obtained in different studies to determine the physical and mechanical performance of fibre-reinforced plaster/scagliola specimens. The reinforcement used in this case is short filaments of fibreglass-E, the type of fibre most widely used at this time in Spain to reinforce prefabricated plaster/scagliola.En este artículo se presentan los resultados y las conclusiones obtenidas en diferentes estudios, sobre el comportamiento físico y mecánico, realizados en probetas de yeso/escayola reforzadas mediante la incorporación de fibras, y, en concreto, de fibras de vidrio E, en formato de hilos cortados. Este tipo de fibras son las más utilizadas en la actualidad para el refuerzo en prefabricados de yeso/ escayola, en España.

  4. A new service model for the treatment of severe anorexia nervosa in the community: the Anorexia Nervosa Intensive Treatment Team

    Science.gov (United States)

    Munro, Calum; Thomson, Victoria; Corr, Jean; Randell, Louise; Davies, Jennie E.; Gittoes, Claire; Honeyman, Vicky; Freeman, Chris P.

    2014-01-01

    Aims and method A community intensive treatment service for severe anorexia nervosa is described. The service is multidisciplinary but driven by a focus on psychological formulation. Psychological and dietetic interventions are grounded in a process of active risk management. Evaluations of safety, cost and acceptability of the service are described. Results Patients are highly satisfied with their care. A relatively low mortality rate for such a high-risk population was observed. In-patient bed use and costs were substantially reduced. Clinical implications There is a case for greater use of intensive community care for patients with severe anorexia nervosa, as it can be acceptable to patients, relatively safe and cost less than admission. PMID:25285220

  5. Adolescents with anorexia nervosa have their say: a review of qualitative studies on treatment and recovery from anorexia nervosa.

    Science.gov (United States)

    Bezance, Jessica; Holliday, Joanna

    2013-09-01

    Anorexia nervosa often begins in adolescence, and there is a growing body of quantitative literature looking at the efficacy of treatment for adolescents. However, qualitative research has a valuable contribution to make to the understanding of treatment and recovery. This paper aims to review qualitative studies on the experience of treatment and recovery for adolescents with anorexia nervosa. Key themes from the 11 studies identified the role of family, peers and professionals, family therapy, the inpatient setting, emphasis on physical versus psychological and conceptualisation of recovery. Future studies would benefit from relating their findings to adolescent theory and considering reflexivity. Implications for clinical practice are also discussed. Copyright © 2013 John Wiley & Sons, Ltd and Eating Disorders Association.

  6. Coming Together to Calm the Hunger: Group Therapy Program for Adults Diagnosed with Anorexia Nervosa

    Science.gov (United States)

    Ponech, Heather; McBride, Dawn Lorraine

    2012-01-01

    This project provides a comprehensive overview of the research literature on anorexia nervosa in female adults and concludes by offering 14 group therapy lesson plans for anorexia nervosa that therapists may use in their practice. There is a remarkable lack of research on the efficacy of treatment designed for individuals diagnosed with anorexia…

  7. Nutritional Therapy Leads To Complete Recovery of Left Ventricular Dysfunction in Anorexia Nervosa: A Case Report

    Directory of Open Access Journals (Sweden)

    Karan Wats

    2016-01-01

    Full Text Available This case highlights the cardiac complications associated with anorexia nervosa and how early recognition and treatment significantly affects overall prognosis. A few cases have been reported in literature where cardiomyopathy associated with anorexia nervosa was reported but this is the first case where adequate medical management and metabolic support lead to complete recovery.

  8. Has food lost its attraction in anorexia nervosa? : A cognitive approach

    NARCIS (Netherlands)

    Neimeijer, Renate Antonia Maria

    2018-01-01

    De aantrekkingskracht van voedsel in Anorexia Nervosa Veel mensen doen aan de lijn, maar een dieet vol houden is voor de meesten van ons niet gemakkelijk. Dit ligt heel anders voor mensen met anorexia nervosa. In dit onderzoek wilden we beter begrijpen hoe het kan dat mensen met anorexia zo “goed

  9. Incidence and outcomes of bulimia nervosa : a nationwide population-based study

    NARCIS (Netherlands)

    Keski-Rahkonen, A.; Hoek, H. W.; Linna, M. S.; Raevuori, A.; Sihvola, E.; Bulik, C. M.; Rissanen, A.; Kaprio, J.

    Background. Little is known about the epidemiology of bulimia nervosa outside clinical settings. We report the incidence, prevalence and outcomes of bulimia nervosa using for the first time a nationwide Study design. Method. To assess the incidence and natural course and outcomes of DSM-IV bulimia

  10. A Pilot Study of a Functional Contextual Treatment for Bulimia Nervosa

    Science.gov (United States)

    Anderson, Drew A.; Simmons, Angela M.

    2008-01-01

    This paper describes the initial development of a treatment for bulimia nervosa using a functional contextual treatment approach. Seven women (6 with a diagnosis of bulimia nervosa and 1 with a diagnosis of eating disorder not otherwise specified) completed 12 sessions of functional contextual treatment. Participants were assessed with the Eating…

  11. Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior.

    Science.gov (United States)

    Halmi, K A; Sunday, S R; Strober, M; Kaplan, A; Woodside, D B; Fichter, M; Treasure, J; Berrettini, W H; Kaye, W H

    2000-11-01

    The purpose of this study was to examine the role of perfectionism as a phenotypic trait in anorexia nervosa and its relevance across clinical subtypes of this illness. The Multidimensional Perfectionism Scale and the perfectionism subscale of the Eating Disorder Inventory were administered to 322 women with a history of anorexia nervosa who were participating in an international, multicenter genetic study of anorexia nervosa. All participants were additionally interviewed with the Yale-Brown Obsessive Compulsive Scale and the Yale-Brown-Cornell Eating Disorder Scale. Mean differences on dependent measures among women with anorexia nervosa and comparison subjects were examined by using generalized estimating equations. Persons who had had anorexia nervosa had significantly higher total scores on the Multidimensional Perfectionism Scale than did the healthy comparison subjects. In addition, scores of the anorexia subjects on the Eating Disorder Inventory-2 perfectionism subscale exceeded Eating Disorder Inventory-2 normative data. For the anorexia nervosa participants, the total score on the Multidimensional Perfectionism Scale and the Eating Disorder Inventory-2 perfectionism subscale score were highly correlated. Total score on the Multidimensional Perfectionism Scale was also significantly related to the total score and the motivation-for-change subscale score of the Yale-Brown-Cornell Eating Disorder Scale. These data show that perfectionism is a robust, discriminating characteristic of anorexia nervosa. Perfectionism is likely to be one of a cluster of phenotypic trait variables associated with a genetic diathesis for anorexia nervosa.

  12. Readiness to Recover in Adolescent Anorexia Nervosa: Prediction of Hospital Admission

    Science.gov (United States)

    Ametller, L.; Castro, J.; Serrano, E.; Martinez, E.; Toro, J.

    2005-01-01

    Objectives: To determine if motivation to change in anorexia nervosa during treatment is a predictor of hospitalisation in adolescent patients. Method: The Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), the Eating Disorders Inventory-2 (EDI-2) and the Beck Depression Inventory (BDI) were administered to a group of 70 anorexia nervosa…

  13. Testing the Hypothesis of the Multidimensional Model of Anorexia Nervosa in Adolescents.

    Science.gov (United States)

    Lyon, Maureen; Chatoor, Irene; Atkins, Darlene; Silber, Tomas; Mosimann, James; Gray, James

    1997-01-01

    Tested six hypothesized risk factors of a model for anorexia nervosa. Results confirmed three of the risk factors: family history of depression, feelings of ineffectiveness, and poor interceptive awareness. Alcohol and drug abuse also figured prominently in the family history of patients with anorexia nervosa. (RJM)

  14. A Comparison of Short- And Long-Term Family Therapy for Adolescent Anorexia Nervosa.

    Science.gov (United States)

    Lock, James; Agras, W. Stewart; Bryson, Susan; Kraemer, Helena C.

    2005-01-01

    Objective: Research suggests that family treatment for adolescents with anorexia nervosa may be effective. This study was designed to determine the optimal length of such family therapy. Method: Eighty-six adolescents (12-18 years of age) diagnosed with anorexia nervosa were allocated at random to either a short-term (10 sessions over 6 months) or…

  15. Recovery of Normal Body Weight in Adolescents with Anorexia Nervosa: The Nurses’ Perspective on Effective Interventions

    NARCIS (Netherlands)

    Annemarie van Elburg; prof Berno van Meijel; Esther Meerwijk; Laura Beukers; Joyce van Ommen; René Bakker

    2011-01-01

    Little is known about effective nursing interventions for adolescents with anorexia nervosa. The purpose of this study was to discover which aspects of nursing care are most effective, according to nurses, in recovery of normal body weight in adolescents with anorexia nervosa. METHODS: A qualitative

  16. Locus of Control, Psychopathology, and Weight Gain in Juvenile Anorexia Nervosa.

    Science.gov (United States)

    Strober, Michael

    1982-01-01

    Based on a hypothesized disturbance in personal control and efficacy in anorexia nervosa, locus of control score in female adolescents with anorexia nervosa was compared to scores obtained from depressed and conduct-disordered controls and to adolescent female standardization norms. (Author/CL)

  17. A Comparison of Behavioral and Cognitive-Behavioral Interventions for Bulimia Nervosa.

    Science.gov (United States)

    Thackwray, Donna E.; And Others

    1993-01-01

    Examined the relative efficacy of different treatment approaches for bulimia nervosa. Follow-up of a study using cognitive-behavioral, behavioral, and placebo groups show six-month abstinence highest in the cognitive behavioral group. Results support conceptualization of bulimia nervosa as a multifaceted disorder best treated with an approach that…

  18. Validity of the Eating Attitudes Test and the Eating Disorders Inventory in Bulimia Nervosa.

    Science.gov (United States)

    Gross, Janet; And Others

    1986-01-01

    Assessed criterion and concurrent validity of the Eating Attitudes Test and the Eating Disorder Inventory in 82 women with bulimia nervosa. Both tests demonstrated criterion validity by discriminating bulimia nervosa subjects from normals. Only weak support was found for concurrent validity within bulimia subjects. Recommends combination of…

  19. Resolving bulimia nervosa using an innovative neural therapy approach: two case reports

    OpenAIRE

    Gurevich, Michael I.; Chung, Myung Kyu; LaRiccia, Patrick J.

    2017-01-01

    Key Clinical Message Conventional treatment of Bulimia Nervosa is long term, expensive, and often ineffective. Neural therapy holds promise for treating Bulimia Nervosa in a shorter term, lower cost, and more effective manner. Much of neural therapy involves the superficial injection of local anesthetic injections. Implementation into current practice would be feasible.

  20. Resolving bulimia nervosa using an innovative neural therapy approach: two case reports.

    Science.gov (United States)

    Gurevich, Michael I; Chung, Myung Kyu; LaRiccia, Patrick J

    2018-02-01

    Conventional treatment of Bulimia Nervosa is long term, expensive, and often ineffective. Neural therapy holds promise for treating Bulimia Nervosa in a shorter term, lower cost, and more effective manner. Much of neural therapy involves the superficial injection of local anesthetic injections. Implementation into current practice would be feasible.

  1. The DSM-5 diagnostic criteria for anorexia nervosa may change its population prevalence and prognostic value

    NARCIS (Netherlands)

    Mustelin, Linda; Silen, Yasmina; Raevuori, Anu; Hoek, Hans W.; Kaprio, Jaakko; Keski-Rahkonen, Anna

    The definition of anorexia nervosa was revised for the Fifth Edition of the Diagnostic and Statistical Manual (DSM-5). We examined the impact of these changes on the prevalence and prognosis of anorexia nervosa. In a nationwide longitudinal study of Finnish twins born 1975-1979, the women (N = 2825)

  2. The Relationship between Body Image Satisfaction and Bulimia Nervosa among King Saud University Students

    Science.gov (United States)

    Aljomaa, Suliman Saleh

    2018-01-01

    The study aimed at examining the relationship between body image satisfaction and bulimia nervosa among the students of education faculty at king said university students. The author used the tests of bulimia nervosa and body image test. The researcher verified tests reliability. Students from King Saud University randomly selected (No. 337)…

  3. Anorexia Nervosa/Bulimia. LC Science Tracer Bullet, TB 85-8.

    Science.gov (United States)

    Halasz, Hisako, Comp.

    This bibliography is intended to help readers locate material on anorexia nervosa and bulimia in the collections of the Library of Congress. A scope note briefly defines the terms "anorexia nervosa" and "bulimia" and discusses similarities and differences between the two eating disorders. Four references are included as introductions to the topic…

  4. Bulimics with and without Prior Anorexia Nervosa: A Comparison of Personality Characteristics.

    Science.gov (United States)

    Katzman, Melanie A.; Wolchik, Sharlene A.

    A controversial issue in the literature on eating disorders is whether or not bulimia is a disorder distinct from anorexia nervosa. To compare the personality and behavioral characteristics of bulimic women with and without prior anorexia nervosa, 14 female college students (mean age 19.6 years, 86 percent white) were divided into two groups…

  5. Translational neuroscience of anorexia nervosa: A genetic and environmental interplay underlying behavioural hyperactivity in mice

    NARCIS (Netherlands)

    Pjetri, E.

    2012-01-01

    Anorexia Nervosa is a severe mental illness, affecting young females more than males. Anorexia nervosa runs a chronic, relapsing course and is associated with high disability and mortality rates. The hallmark of the disease is keeping a low body weight, less than 85% of what is expected. The

  6. Mental capacity to consent to treatment in anorexia nervosa : explorative study

    NARCIS (Netherlands)

    Elzakkers, Isis F F M; Danner, Unna N; Hoek, Hans W; van Elburg, Annemarie A

    2016-01-01

    BACKGROUND: Mental capacity to consent to treatment in anorexia nervosa is a neglected area in clinical decision-making. AIMS: To examine clinical and neuropsychological parameters associated with diminished mental capacity in anorexia nervosa. METHOD: An explorative study was conducted in 70 adult

  7. Dialectical Behavior Therapy of Anorexia and Bulimia Nervosa among Adolescents: A Case Series

    Science.gov (United States)

    Salbach-Andrae, Harriet; Bohnekamp, Inga; Pfeiffer, Ernst; Lehmkuhl, Ulrike; Miller, Alec L.

    2008-01-01

    The aim of this study was to describe a case series of adolescents (mean age = 16.5 years, SD = 1.0) with anorexia nervosa (AN) and bulimia nervosa (BN) who received dialectical behavior therapy (DBT). Twelve outpatients with AN and BN took part in 25 weeks of twice weekly therapy consisting of individual therapy and a skills training group.…

  8. Manualized Family-Based Treatment for Anorexia Nervosa: A Case Series.

    Science.gov (United States)

    Le Grange, Daniel; Binford, Roslyn; Loeb, Katharine L.

    2005-01-01

    Objective: The purpose of this study was to describe a case series of children and adolescents (mean age = 14.5 years, SD = 2.3; range 9-18) with anorexia nervosa who received manualized family-based treatment for their eating disorder. Method: Forty-five patients with anorexia nervosa were compared pre- and post-treatment on weight and menstrual…

  9. Comportamiento mecánico y dinámico de una mezcla asfáltica con adición de fibras

    Directory of Open Access Journals (Sweden)

    Oscar Javier Reyes Ortiz

    2005-01-01

    Full Text Available El artículo refiere el análisis experimental en el laboratorio, del efecto de la adición de fibras de polipropileno por vía seca (reemplazo de material granular por fibra sobre las propiedades mecánicas y dinámicas de una mezcla. Inicialmente se caracteriza el material granular y asfalto CA60/70, se realiza el diseño de la mezcla asfáltica de granulometría 0/10 (IDU RSV 2002 y asfalto de acuerdo con la metodología Marshall; se evalúa el efecto de fibras sobre las propiedades mecánicas mediante la evaluación de la estabilidad y fluencia, y dinámicamente por su valor de deformación permanente y modulo dinámico. Los resultados muestran un efecto positivo de las fibras en la modificación de la mezcla asfáltica. El modulo dinámico aumenta en un 45% promedio en un porcentaje de adición de 0.60%; la deformación permanente disminuye en 27.6% para una adición de fibras de 0.60% y 48.8% para la adición de fibras de 0.75%, respectivamente. Este comportamiento refleja otra alternativa eficaz para mejorar la mezcla asfáltica, aumentando la resistencia a la disgregación por efecto abrasivo del tráfico y retardando el inicio y propagación del agrietamiento por ahuellamiento

  10. Evaluation of potential of adsorption of U, Th, Pb, Zn and Ni by coconut fibers; Avaliacao do potencial de adsorcao de U, Th, Pb, Zn e Ni pelas fibras de coco

    Energy Technology Data Exchange (ETDEWEB)

    Monteiro, Raquel Almeida

    2009-07-01

    The residual biomass from agricultural activities has been evaluated as biosorbent for metals and organic composts from aqueous solutions, because of its adsorptive properties, low cost, abundance and to be a renewable resource. In this work, the efficiency of coir pith as biosorbent for the removal of U, Th, Pb, Zn e Ni ions from the aqueous solutions is presented. The coir pith is a by-product of the harvest of the coconut, a renewable natural source. The study was conducted by batch method. The influence of pH from 1 to 8, the dosage of the coir pith and the equilibrium time were studied. The adsorption of metal ions increased with the increase of pH and the dose. The Langmuir and Freundlich models were applied to describe the adsorption equilibrium isotherm. The kinetic process was studied using the pseudo-first order and pseudo-second order models. The Gibbs free energy was calculated. In the concentration range of 100 mg.L{sup -1} - 500 mg.L{sup -1}, the adsorption process was described better by the Langmuir equation for Pb{sup 2+} and Zn{sup 2+} ions and the Freundlich equation for UO{sub 2} 2{sup +}, Th{sup 4+} and Ni{sup 2+} ions, and represented by the pseudo-second order model. The biosorption process for removal of metal ions from the solutions was considered spontaneous. The results were promising, showing perspectives of application of coir pith as biosorbent of U, Th, Pb, Zn and Ni ions in wastewater treatment processes. (author)

  11. Consumo de fibra alimentar e de macronutrientes por crianças com constipação crônica funcional Fiber and nutrients intake in constipated children

    Directory of Open Access Journals (Sweden)

    Rosane C. Gomes

    2003-09-01

    Full Text Available OBJETIVOS: Estimar o consumo de fibra alimentar e de macronutrientes por crianças com constipação crônica funcional atendidas em ambulatório especializado. CASUÍSTICA E MÉTODOS: O estudo caso-controle foi desenvolvido no Hospital de Pediatria da Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil. Foram analisadas 54 crianças na faixa etária de 2 a 12 anos com constipação crônica funcional, pareadas por sexo e faixa etária com 50 crianças sem constipação (grupo-controle. A avaliação do consumo alimentar foi feita através do registro alimentar de 3 dias e a análise e adequação das dietas foram realizadas por programa informatizado. RESULTADOS: Em 59,3% dos casos a constipação teve início nos dois primeiros anos de vida. Não houve diferença quanto ao sexo no grupo com constipação, nem associação entre constipação e desnutrição nas crianças estudadas. A quantidade de alimentos ingerida por crianças com constipação foi menor quando comparada à do grupo-controle. O consumo médio diário de energia, proteínas, carboidratos e lipídios foi significativamente menor no grupo de crianças com constipação, assim como os percentuais de adequação calórica e protéica. A ingestão média de fibra alimentar total (g/dia foi estatisticamente menor no grupo com constipação (6,9 + 3,4 do que no grupo controle (8,6 + 4,2. A proporção de crianças consumindo menos fibra alimentar em relação ao mínimo recomendado pela Fundação Americana de Saúde (idade + 5 g foi maior no grupo com constipação (83,3% do que no grupo controle (66,0%. A odds ratio foi igual a 2,6. CONCLUSÕES: Houve menor consumo de fibra alimentar, de energia, proteínas, carboidratos e lipídios por crianças com constipação, assim como menor percentual de adequação calórica e protéica. O baixo consumo de fibra alimentar foi considerado como fator de risco para o desenvolvimento de constipação crônica funcional

  12. An Integrative Bio-Psycho-Social Theory of Anorexia Nervosa.

    Science.gov (United States)

    Munro, Calum; Randell, Louise; Lawrie, Stephen M

    2017-01-01

    The need for novel approaches to understanding and treating anorexia nervosa (AN) is well recognized. The aim of this paper is to describe an integrative bio-psycho-social theory of maintaining factors in AN. We took a triangulation approach to develop a clinically relevant theory with face validity and internal consistency. We developed theoretical ideas from our clinical practice and reviewed theoretical ideas within the eating disorders and wider bio-psycho-social literature. The synthesis of these ideas and concepts into a clinically meaningful framework is described here. We suggest eight key factors central to understanding the maintenance and treatment resistance of anorexia nervosa: genetic or experiential predisposing factors; dysfunctional feelings processing and regulation systems; excessive vulnerable feelings; 'feared self' beliefs; starvation as a maladaptive physiological feelings regulation mechanism; maladaptive psychological coping modes; maladaptive social behaviour; and unmet physical and psychological core needs. Each of these factors serves to maintain the disorder. The concept of universal physical and psychological core needs can provide an underpinning integrative framework for working with this distinctly physical and psychological disorder. This framework could be used within any treatment model. We suggest that treatments which help address the profound lack of trust, emotional security and self-acceptance in this patient group will in turn address unmet needs and improve well-being. Copyright © 2016 John Wiley & Sons, Ltd. The concept of unmet physical and psychological needs can be used as an underlying integrative framework for understanding and working with this patient group, alongside any treatment model. A functional understanding of the neuro-biological, physiological and psychological mechanisms involved in anorexia nervosa can help patients reduce self-criticism and shame. Fears about being or becoming fat, greedy, needy

  13. Autism and anorexia nervosa: Two facets of the same disease?

    Science.gov (United States)

    Odent, Michel

    2010-07-01

    We compiled data included in the Primal Health Research Database (www.primalhealthresearch.com) to test the hypothesis that when two pathological conditions or personality traits share the same critical period for gene-environment interaction, we should expect further similarities, particularly from clinical and pathophysiological perspectives. The keywords 'autism' and 'anorexia nervosa' (but not bulimia nervosa) lead to studies suggesting that for both conditions the perinatal period is critical. We take this example to look at other possible links between these pathological entities. From a clinical perspective, several teams have independently emphasized the importance of autistic traits in anorexia nervosa. Deficits in the processing of oxytocin have been demonstrated in both cases. Autistic groups have significantly lower blood oxytocin levels than normal groups, and oxytocin levels increase with age in the normal group only. In autistic groups there is a high ratio of intermediates of oxytocin synthesis (OX-T) to the nonapeptide oxytocin (OT). On the other hand, it has been reported that the level of oxytocin in the cerebrospinal fluid of anorexic women is significantly lower than the level of oxytocin in bulimic and control subjects. Scanning data reveal similar asymmetric functions with left hemisphere preponderance in autistic spectrum disorders and anorexia. A comparative study of the mirror neurons systems is another promising avenue for research. Such an accumulation of similarities from a great diversity of perspectives suggests that anorexia nervosa might be considered a female variant of the autistic spectrum. A plausible interpretation is that prenatal exposure to male hormones might protect against the expression of this disease: girls who have a twin brother are at low risk for anorexia nervosa, compared with girls who have a twin sister, and with controls; furthermore genetic linkage analyses do not detect change on the X chromosome. From an

  14. Dyscontrol evoked by erotic and food images in women with bulimia nervosa.

    Science.gov (United States)

    Rodríguez, Sonia; Mata, José L; Lameiras, María; Fernández, M Carmen; Vila, Jaime

    2007-05-01

    The present study examined the emotional reactivity to erotic and food images of women with and without bulimia nervosa using the picture-viewing paradigm. A non-clinical student sample made up of 48 women, 24 diagnosed with bulimia nervosa and 24 healthy controls, aged between 18 and 27 years (M=21.79), participated in the study. Diagnosis was based on questionnaires and a structured interview following DSM-IV criteria. Participants assessed a set of food, erotic, neutral and unpleasant pictures using the Self-Assessment Manikin scales of valence, arousal and control. The women with bulimia nervosa rated as less pleasant the erotic and food pictures, which evoked greater dyscontrol, in comparison with the women without bulimia nervosa. No significant differences were found in the ratings for the remaining pictures. These results suggest that women with bulimia nervosa experience reduced pleasure and control over both food and sexual impulses. 2006 John Wiley & Sons, Ltd and Eating Disorders Association

  15. On the uses of history in psychiatry: diagnostic implications for anorexia nervosa.

    Science.gov (United States)

    Habermas, Tilmann

    2005-09-01

    The current study demonstrates that recent attempts to equate anorexia nervosa with any form of voluntary self-starvation are not justified. Three arguments are critically reconsidered: That weight phobia was not part of early case reports on anorexia nervosa, that weight phobia should be eliminated from the diagnosis of anorexia nervosa, and that there is a continuity of forms of extreme fasting since the late Middle Ages. A critical approach to the history of eating disorders by interpreting historical sources makes the emergence of anorexia with weight phobia in the middle of the 19th century probable. The criteria for establishing psychiatric diagnoses and the differences between historical types of extreme fasting also support the historical novelty of anorexia nervosa. The etiologic implications of the historical specificity of anorexia nervosa are limited. Research should be directed to better understand self-starvation without weight phobia. 2005 by Wiley Periodicals, Inc.

  16. Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive-compulsive spectrum

    Directory of Open Access Journals (Sweden)

    Dell'Osso L

    2016-07-01

    Full Text Available Liliana Dell’Osso,1 Marianna Abelli,1 Barbara Carpita,1 Stefano Pini,1 Giovanni Castellini,2 Claudia Carmassi,1 Valdo Ricca2 1Psychiatry Section, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, 2Department of Neuroscience, Psychology, Drug Research and Child Health (NEUROFARBA, University of Florence, Florence, Italy Abstract: Eating disorders have been defined as “characterized by persistence disturbance of eating or eating-related behavior that results in the altered consumption or absorption of food and that significantly impairs health or psychosocial functioning”. The psychopathology of eating disorders changed across time under the influence of environmental factors, determining the emergence of new phenotypes. Some of these conditions are still under investigation and are not clearly identified as independent diagnostic entities. In this review, the historic evolution of the eating disorder concept up to the recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, has been evaluated. We also examined literature supporting the inclusion of new emergent eating behaviors within the eating disorder spectrum, and their relationship with anorexia, autism, and obsessive–compulsive disorder. In particular, we focused on what is known about the symptoms, epidemiology, assessment, and diagnostic boundaries of a new problematic eating pattern called orthorexia nervosa that could be accepted as a new psychological syndrome, as emphasized by an increasing number of scientific articles in the last few years. Keywords: anorexia nervosa, autism spectrum disorders, eating disorders spectrum, obsessive–compulsive spectrum, orthorexia nervosa, DSM-5

  17. Produção de biscoitos extrusados de polvilho azedo com fibras: efeito de parâmetros operacionais sobre as propriedades físicas

    OpenAIRE

    Camargo,Karina Fernandes de; Leonel,Magali; Mischan,Martha Maria

    2008-01-01

    Neste trabalho buscou-se avaliar o efeito de parâmetros operacionais do processo de extrusão no desenvolvimento de biscoitos de polvilho com fibras, utilizando como matérias-primas o polvilho azedo e o farelo de mandioca. O processamento foi realizado em um extrusor mono-rosca, sendo considerados parâmetros variáveis: temperatura na 3ª zona de extrusão, umidade e porcentagem de fibras na mistura. Para analisar o efeito combinado das variáveis independentes nas características tecnológicas dos...

  18. Consumo de fibra dietética en lactantes menores de 2 años y estreñimiento funcional

    OpenAIRE

    Velasco Benítez, Carlos Alberto; Giraldo Lora, Sandra Carolina

    2015-01-01

    Antecedentes. La inclusión de la fibra dietética (FD), tiene múltiples beneficios sobre la salud del ser humano; sin embargo, en pediatría, existen grandes brechas concernientes a la relación de fibra y estreñimiento. Objetivo. Describir el hábito intestinal en lactantes . Se tuvo en cuenta la alimentación con leche materna, el tiempo de inicio de alimentación complementaria y el antecedente de madre o cuidador con EF. Los resultados son expresados como promedio ± desviación estándar. El anál...

  19. Elaboración y caracterización estructural de fibras de tereftalato de polietileno (PET) dopadas con nanocobre (0) utilizando proceso de extrusión

    OpenAIRE

    Guzman, A.; Cárcamo, H.; León, O.

    2015-01-01

    El presente estudio describe la elaboración y caracterización de una fibra sintética bactericida compuesta por Tereftalato de Polietileno reciclado (rPET) y nanopartículas de cobre (0), mediante un proceso de extrusión utilizando una extrusora monohusillo. Las nanopartículas empleadas fueron elaboradas utilizando radiación microondas y ultrasonido. Para la elaboración de la fibra se produce un masterbatch de rPET con polvo de cobre nanométrico empleando un solvente de alto punto de fusión (tr...

  20. Metodología para el diseño óptimo de dovelas de hormigón reforzado con fibras

    OpenAIRE

    Fuente Antequera, Albert de la; Pujadas Álvarez, Pablo; Blanco Álvarez, Ana; Aguado de Cea, Antonio

    2012-01-01

    En este trabajo se presentan una de las experiencias más relevantes relativas al uso de fibras estructurales como refuerzo del hormigón substitución prácticamente toda la armadura pasiva tradicional en dovelas para anillos de revestimiento en el área metropolitana de Barcelona. Es conocido, que la adición de fibras estructurales mejora, por una parte, la respuesta estructural del elemento durante su construcción, especialmente durante la acción del empuje de los gatos, y, por otra parte, cond...