WorldWideScience

Sample records for plateau border bulimia

  1. Parhelic-like circle from light scattering in Plateau borders

    Energy Technology Data Exchange (ETDEWEB)

    Tufaile, A., E-mail: tufaile@usp.br; Tufaile, A.P.B.

    2015-03-06

    We are reporting a new simple optical element to generate halos. We have observed interesting patterns of light scattering in Plateau borders in foams. In analogy to the atmospheric phenomena known as parhelic circle, sun dogs, and sun pillars, we have named the features of the patterns observed as parlaseric circle, laser dogs, and laser pillars. The triangular symmetry of the Plateau borders is analogous to the hexagonal symmetry of ice crystals which produce these atmospheric phenomena. Working with one Plateau border at a time, we have observed wave optics phenomena that are not perceived in the atmospheric phenomena, such as diffraction and interference. - Highlights: • We obtained halo formation from light scattering in a Plateau border using an experiment. • We explained halo formation using geometrical theory of diffraction. • An optical element based on a Plateau border is proposed. • We compared some aspects of the parhelic circle with the parlaseric circle.

  2. Bulimia

    Science.gov (United States)

    ... talk therapy and nutritional therapy are the first treatments for bulimia that does not respond to support groups. Medicines that also treat depression, known as selective serotonin-reuptake inhibitors (SSRIs) are ...

  3. Rise and Demise of a Southern Laramide Hinterland Plateau, US-Mexico Border Region

    Science.gov (United States)

    Lawton, T. F.; Clinkscales, C. A.; Jennings, G. R.

    2011-12-01

    -west normal faults are occupied by regionally widespread granitic and rhyolitic dikes ranging 34-27 Ma, yet the Oligocene volcaniclastic rocks are cut by the faults, indicating that the fault system was active during earliest-early late Oligocene magmatism. From the newly assembled data, we infer the presence of a high-standing plateau along the US-Mexico border that was backed by a magmatic arc in northern Mexico. The plateau was supported by lithosphere thickened during backarc contraction, which began in the interval 97-75 Ma. Although the depositional elevation of the Laramide lakes is not yet known, rivers flowed northward from the hinterland plateau toward the Uinta Basin as early as 80 Ma and corroborate the existence of a southern source area. The plateau was thus a long-lived feature with a longevity of as much as 40-50 m.y. It collapsed during Paleogene N-S extension triggered by some combination of thermal weakening by Oligocene magmatism, gravitational failure, and/or retrograde motion of the Farallon slab. The southern Laramide plateau was evidently linked both geographically and temporally to the Cordilleran hinterland plateau ("Nevadaplano") of Nevada and western Utah and thus constituted an important component of the greater Laramide orogen.

  4. Bulimia nerviosa

    Science.gov (United States)

    ... el embarazo. La bulimia eleva tu riesgo de: Aborto espontáneo (pérdida del embarazo) 14 Nacimiento prematuro (también ... H., Chung, E. (2006). Riesgo de depresión posparto, aborto espontáneo y nacimiento prematuro en la bulimia nerviosa: ...

  5. Bulimia nervosa

    National Research Council Canada - National Science Library

    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...

  6. [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.

  7. Aepyosciurinae -- a new subfamily of Sciuridae (Rodentia, Mammalia) from basal loess deposits at the northeastern border of Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Aepyosciurinae, a new subfamily of Sciuridae, were found at the base of the early Pleistocene loess deposits in Dongxiang County, Gansu Province. Its unilaterally hypsodont and lophodont cheek teeth are unique among the sciurids so far known all over the world. Certain degree of similarity can be observed between the cheek teeth of the new subfamily and the Anomalurinae living in tropical and subtropical forests in central and western Africa. Aepyosciuris orientalis gen. et sp. nov. might have lived in montaneous woodland or grassland and lived on harder leaves, barks, or even grass. This tends to show that the northeastern border area of the Tibetan Plateau had been lifted considerably high in early Pleistocene (ca. 2 Ma), with drier climate, becoming a suitable habitat for Aepyosciurus orientalis.

  8. 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

  9. Understanding bulimia.

    Science.gov (United States)

    Hay, Phillipa J

    2007-09-01

    Bulimia nervosa (BN) and related eating disorders such as binge eating disorder are common. General practitioners can play a key role in the identification and management of BN and related eating disorders. This article describes the presenting and associated features of BN and overviews evidence based treatment approaches. Key features are recurrent episodes of binge eating, extreme weight control behaviours and over concern about weight and shape issues. By definition people are not underweight. Risk factors include being from a western culture, obesity, exposure to a restrictive dieting environment and low self esteem. People are more likely to present asking for help in weight control or a physical problem secondary to the eating disorder. Evidenced based therapies with good outcomes in current use are cognitive behaviour therapy (in full or guided self help forms), high dose fluoxetine, and interpersonal psychotherapy. It is important to convey optimism about treatment efficacy and outcomes.

  10. Bulimia Nervosa - medical complications.

    Science.gov (United States)

    Mehler, Philip S; Rylander, Melanie

    2015-01-01

    As with anorexia nervosa, there are many medical complications associated with bulimia nervosa. In bulimia nervosa, these complications are a direct result of both the mode and the frequency of purging behaviours. For the purposes of this article, we will review in detail the many complications of the two major modes of purging, namely, self-induced vomiting and laxative abuse; these two account for more than 90% of purging behaviours in bulimia nervosa. Some of these complications are potentially extremely dangerous and need to be well understood to effectively treat patients with bulimia nervosa. Other methods of purging, such as diuretic abuse, are much less frequently utilized and will only be mentioned briefly. In a subsequent article, the treatments of these medical complications will be presented.

  11. Bulimia nervosa: online interventions

    National Research Council Canada - National Science Library

    Hay, Phillipa J; Claudino, Angélica Medeiros

    2015-01-01

    Up to 1% of people in the community may have bulimia nervosa, characterised by an intense preoccupation with body weight, binge-eating episodes, and use of extreme measures to counteract the feared effects of overeating...

  12. [Bulimia during adolescence].

    Science.gov (United States)

    de Tournemire, R

    2013-11-01

    Binge eating, bulimia nervosa, binge eating disorder, anorexia-bulimia are terms often used without really knowing what precisely one is referring to. Otherwise, there are many articles concerning anorexia nervosa in medical literature, a disease, which can be seen and fascinates. These eating disorders are frequent in today's society; medical, psychological and social consequences are important. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  13. The Group Treatment of Bulimia.

    Science.gov (United States)

    Weinstein, Harvey M.; Richman, Ann

    1984-01-01

    Bulimia has become an increasing problem in the college population. This article describes a group psychotherapeutic treatment approach to the problem. A theoretical formulation of the psychodynamics that may underlie the development of bulimia is offered. (Author/DF)

  14. La bulimia y la anorexia

    OpenAIRE

    Bersh, Sonia; Fundación Valle de Lili

    2001-01-01

    Trastornos de la conducta alimentaria / El auge de la anorexia y la bulimia / Complicaciones médicas de los trastornos de la alimentación / Otros problemas emocionales / Tratamiento / Complicaciones de la anorexia y la bulimia nerviosa.

  15. The Group Treatment of Bulimia.

    Science.gov (United States)

    Weinstein, Harvey M.; Richman, Ann

    1984-01-01

    Bulimia has become an increasing problem in the college population. This article describes a group psychotherapeutic treatment approach to the problem. A theoretical formulation of the psychodynamics that may underlie the development of bulimia is offered. (Author/DF)

  16. Cognitive hypnotherapy with bulimia.

    Science.gov (United States)

    Barabasz, Marianne

    2012-04-01

    Research on the efficacy of hypnosis in the treatment of bulimia nervosa has produced mixed findings. This is due in part to the interplay between the characteristics of people with bulimia and the wide variety of hypnosis interventions that have been employed. Several authors have noted that methodological limitations in hypnosis research often make evaluation of treatment efficacy difficult. Many of the studies extant provide insufficient information regarding the specifics of participants' hypnotizability, the hypnotic induction, or the hypnotic suggestion(s) employed. Such limitations preclude replication and clinical implementation. This article reviews the literature with replicable methodologies and discusses the implications for evaluating treatment efficacy.

  17. 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…

  18. Bulimia: The Transgenerational View.

    Science.gov (United States)

    Roberto, Laura Giat

    1986-01-01

    Within families with bulimia, certain interactional patterns enable and perpetuate the patient's binge-eating and purging symptoms. A transgenerational treatment method is proposed, which intervenes in ongoing dysfunctional patterns, and provides a frame for creating a therapeutic metaphor ("legacy") to direct the therapy. Rationale and stages of…

  19. Bulimia: A Medical Portrait.

    Science.gov (United States)

    Santomango, Gloria Jean

    There are three known diseases of eating disorders: compulsive overeating, anorexia nervosa, and bulimia. All three affect various body systems, are pathological in nature, and are addictive behaviors that mainly affect females. All can be fatal if not treated or under-treated. Compulsive overeating is the most known of the three disorders. The…

  20. 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…

  1. Bulimia: A Medical Portrait.

    Science.gov (United States)

    Santomango, Gloria Jean

    There are three known diseases of eating disorders: compulsive overeating, anorexia nervosa, and bulimia. All three affect various body systems, are pathological in nature, and are addictive behaviors that mainly affect females. All can be fatal if not treated or under-treated. Compulsive overeating is the most known of the three disorders. The…

  2. Bulimia and Interpersonal Relationships: A Longitudinal Study.

    Science.gov (United States)

    Thelen, Mark H.; And Others

    1990-01-01

    Assessed changes in bulimia in female college students (N=44) and in relation between bulimia and interpersonal relationships over time. Found (1) stable symptomology for normals and bulimics; (2) strong negative correlations between bulimia measures and interpersonal relationships with men; and (3) improvement in symptomology and relationships…

  3. Physiological Bases of Bulimia, and Antidepressant Treatment.

    Science.gov (United States)

    Getzfeld, Andrew R.

    This paper reviews the literature on the physiological causes of bulimia and investigates the rationale behind the usage of antidepressant medication in the treatment of bulimia nervosa. No definite conclusions can be stated regarding the physiology of bulimia, but a number of hypotheses are suggested. It appears that the hypothalamus is involved…

  4. Bulimia and Interpersonal Relationships: A Longitudinal Study.

    Science.gov (United States)

    Thelen, Mark H.; And Others

    1990-01-01

    Assessed changes in bulimia in female college students (N=44) and in relation between bulimia and interpersonal relationships over time. Found (1) stable symptomology for normals and bulimics; (2) strong negative correlations between bulimia measures and interpersonal relationships with men; and (3) improvement in symptomology and relationships…

  5. [The nosological entity bulimia nerviosa].

    Science.gov (United States)

    López-Ibor Aliño, J J; Cervera Enguix, S

    1991-01-01

    Anorexia nervosa and bulimia nervosa are at the present moment, two well defined clinical entities among the group of the eating disorders. The psychopathological differentiation of both syndromes has a great importance for diagnosis and therapy. The authors make a phenomenological description, based on case histories of patients with diagnostics of anorexia and bulimia nervosa, and try to establish an approach to the essential symptomatology of those disorders. The presence of affective symptomatology--depressive, but not exclusively--in the eating behaviour disorders in general and particularly in bulimia nervosa, is nowadays interpreted as an unspecific emotional lability as a response to stressing situations. That is to say, it is a secondary depressive symptomatology, more than a primary mood disorder preceding or underlying bulimia. There is strong evidence in favour of a dysregulation of serotonin metabolism in patients with bulimia nervosa, in the sense of a reduced activity, which manifest itself clinically by binges with food with a high content in carbohydrates. High levels of 5-HT seem to induce increasing feelings of safety, fullness and lead to an interruption of eating. Fluoxetine and this active metabolite are selective inhibitors of the reuptake of 5-HT and their antibulimic effect could be mediated by this mechanism.

  6. Psychotherapeutic strategies for bulimia nervosa.

    Science.gov (United States)

    Yager, J

    1992-01-01

    Psychotherapeutic strategies for bulimia nervosa have included behavioral, cognitive-behavioral, psychodynamic, and educational treatments used in individual, family, and group settings. Controlled studies have demonstrated the efficacy of behavioral and cognitive-behavioral approaches for these disorders, and extensive clinical experience suggests a role for individual psychodynamic and family approaches as well, particularly in the treatment of frequently encountered complex clinical conditions in which bulimia nervosa coexists with other mood, anxiety, personality, and interpersonal disorders. Guidelines for clinical management have emerged from both research studies and the cumulative experiences of specialists.

  7. Psychotherapeutic Strategies for Bulimia Nervosa

    OpenAIRE

    Yager, Joel

    1992-01-01

    Psychotherapeutic strategies for bulimia nervosa have included behavioral, cognitive-behavioral, psychodynamic, and educational treatments used in individual, family, and group settings. Controlled studies have demonstrated the efficacy of behavioral and cognitive-behavioral approaches for these disorders, and extensive clinical experience suggests a role for individual psychodynamic and family approaches as well, particularly in the treatment of frequently encountered ...

  8. The Bulimia Test--Revised: Validation with "DSM-IV" Criteria for Bulimia Nervosa.

    Science.gov (United States)

    Thelen, Mark H.; And Others

    1996-01-01

    The Bulimia Test--Revised (BULIT-R) was given to 23 female subjects who met the criteria for bulimia in the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV) and 124 female controls. The BULIT-R appears to be a valid instruction for identifying individuals who meet DSM-IV criteria for bulimia. (SLD)

  9. The Bulimia Test--Revised: Validation with "DSM-IV" Criteria for Bulimia Nervosa.

    Science.gov (United States)

    Thelen, Mark H.; And Others

    1996-01-01

    The Bulimia Test--Revised (BULIT-R) was given to 23 female subjects who met the criteria for bulimia in the "Diagnostic and Statistical Manual of Mental Disorders" (DSM-IV) and 124 female controls. The BULIT-R appears to be a valid instruction for identifying individuals who meet DSM-IV criteria for bulimia. (SLD)

  10. La bulimia nerviosa y sus subtipos

    OpenAIRE

    Myriam Sierra Puentes

    2005-01-01

    En este artículo se realiza una reseña sobre los trastornos de la alimentación, anorexia y bulimia, la relación que hacen los individuos con este comportamiento y la prevalencia, características y tratamientos más efectivos empleados en la bulimia nerviosa. Además, algunas aproximaciones para establecer subtipos de bulimia diferentes a los del DSM-IV e investigaciones sobre este trastorno del comportamiento alimentario, como la bulimia nerviosa.

  11. 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.

  12. 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…

  13. 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…

  14. Bulimia: disturbed patterns of solitude.

    Science.gov (United States)

    Larson, R; Johnson, C

    1985-01-01

    This research suggests that daily solitude has a central role in bulimia. A sample of 15 bulimic patients and 24 normal controls carried electronic pagers for one week and filled out self-reports on their experience in response to randomly timed signals. The bulimics reported the lowest mood states when alone at home, the context in which their symptomatic behavior usually takes place. Further, those who reported the worst experiences in this context were the one's showing the most severe behavioral and affective manifestations of the disorder.

  15. 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

  16. Border markets

    DEFF Research Database (Denmark)

    Walther, Olivier

    2014-01-01

    The objective of this issue of Articulo – Journal of Urban Research is to examine the characteristics of border markets in a comparative perspective. In this introductory paper, I first discuss what makes African border markets different from other markets, and examine several factors that explain...... their unequal economic development: the presence of a trade community, the combination of trading and productive activities, and the relative porosity of borders. In a second part, I examine how border markets on the U.S.-Mexico border must simultaneously guarantee the security of the state while favoring...... regional trade. The last part of the paper argues that more policy attention should be paid to border markets which, despite being at the margin of states, are a vital component of their economy. Fifty years after most West African states became independent and just as NAFTA turns 20, it is high time...

  17. Border markets

    DEFF Research Database (Denmark)

    Walther, Olivier

    2014-01-01

    The objective of this issue of Articulo – Journal of Urban Research is to examine the characteristics of border markets in a comparative perspective. In this introductory paper, I first discuss what makes African border markets different from other markets, and examine several factors that explain...... their unequal economic development: the presence of a trade community, the combination of trading and productive activities, and the relative porosity of borders. In a second part, I examine how border markets on the U.S.-Mexico border must simultaneously guarantee the security of the state while favoring...... regional trade. The last part of the paper argues that more policy attention should be paid to border markets which, despite being at the margin of states, are a vital component of their economy. Fifty years after most West African states became independent and just as NAFTA turns 20, it is high time...

  18. 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)

  19. 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)

  20. Understanding Eating Disorders, Anorexia, Bulimia, and Binge-Eating

    Science.gov (United States)

    ... Javascript on. Photo: iStock Eating disorders, such as anorexia nervosa, bulimia nervosa, and binge eating , are among ... There are three main types of eating disorders: anorexia nervosa, bulimia nervosa, and binge-eating disorder. People ...

  1. Fad Bulimia: A Serious and Separate Counseling Issue.

    Science.gov (United States)

    Cesari, Joan P.

    1986-01-01

    Differences between fad bulimia and clinical bulimia are presented using Diagnostic and Statistical Manual of Mental Disorders (DSM-III) criteria, personality assessment measures, and responses to counseling. (Author)

  2. Bulimia: Estimate of Incidence and Relationship of Shyness.

    Science.gov (United States)

    Segal, Shirley Ann; Figley, Charles R.

    1985-01-01

    Surveyed 160 college women to examine the incidence of bulimia and its relationship to shyness. Results indicated 23 percent of the participants were bulimic. A significant relationship was found between bulimia and fear of rejection (private shyness). (JAC)

  3. Group Work for Bulimia: A Review of Outcomes.

    Science.gov (United States)

    Zimpfer, David G.

    1990-01-01

    Reviews descriptive and experimental research relating to the eating disorder known as bulimia nervosa. Reviews outcome studies of group treatment of bulimia to examine the effectiveness of group intervention. Provides recommendations for practice and future research. (Author/PVV)

  4. Treating Women with Bulimia from a Sociocultural Perspective.

    Science.gov (United States)

    Hotelling, Kathy

    1986-01-01

    Outlines a sociocultural perspective of bulimia. Notes that since bulimia occurs in a sociocultural context, which includes a socialized developmental path with concomittant norms and values, effective treatment must address those norms and values. Recommends group therapy. (ABB)

  5. Fad Bulimia: A Serious and Separate Counseling Issue.

    Science.gov (United States)

    Cesari, Joan P.

    1986-01-01

    Differences between fad bulimia and clinical bulimia are presented using Diagnostic and Statistical Manual of Mental Disorders (DSM-III) criteria, personality assessment measures, and responses to counseling. (Author)

  6. Treating Women with Bulimia from a Sociocultural Perspective.

    Science.gov (United States)

    Hotelling, Kathy

    1986-01-01

    Outlines a sociocultural perspective of bulimia. Notes that since bulimia occurs in a sociocultural context, which includes a socialized developmental path with concomittant norms and values, effective treatment must address those norms and values. Recommends group therapy. (ABB)

  7. Group Work for Bulimia: A Review of Outcomes.

    Science.gov (United States)

    Zimpfer, David G.

    1990-01-01

    Reviews descriptive and experimental research relating to the eating disorder known as bulimia nervosa. Reviews outcome studies of group treatment of bulimia to examine the effectiveness of group intervention. Provides recommendations for practice and future research. (Author/PVV)

  8. Bulimia: Estimate of Incidence and Relationship of Shyness.

    Science.gov (United States)

    Segal, Shirley Ann; Figley, Charles R.

    1985-01-01

    Surveyed 160 college women to examine the incidence of bulimia and its relationship to shyness. Results indicated 23 percent of the participants were bulimic. A significant relationship was found between bulimia and fear of rejection (private shyness). (JAC)

  9. Using the Health Belief Model for Bulimia Prevention.

    Science.gov (United States)

    Grodner, Michele

    1991-01-01

    Discusses application of the Health Belief Model to the prevention of bulimia, describing each model component. The article considers the individual's beliefs about bulimia and bulimic-like behaviors as a means of predicting the likelihood of behavior change to prevent clinically diagnosable bulimia. (SM)

  10. Body and Bulimia Revisited: Reflections on "A Secret Life"

    Science.gov (United States)

    Tillmann, Lisa M.

    2009-01-01

    In 1996, the author published "A Secret Life in a Culture of Thinness: Reflections on Body, Food, and Bulimia" (Tillmann-Healy, 1996), an account of her struggle with binging and purging from ages 15 to 25. She came to understand bulimia as a communicative act, expressing fear, anxiety, and grief. From 25 to 35, her recovery from bulimia involved…

  11. Body and Bulimia Revisited: Reflections on "A Secret Life"

    Science.gov (United States)

    Tillmann, Lisa M.

    2009-01-01

    In 1996, the author published "A Secret Life in a Culture of Thinness: Reflections on Body, Food, and Bulimia" (Tillmann-Healy, 1996), an account of her struggle with binging and purging from ages 15 to 25. She came to understand bulimia as a communicative act, expressing fear, anxiety, and grief. From 25 to 35, her recovery from bulimia involved…

  12. Using the Health Belief Model for Bulimia Prevention.

    Science.gov (United States)

    Grodner, Michele

    1991-01-01

    Discusses application of the Health Belief Model to the prevention of bulimia, describing each model component. The article considers the individual's beliefs about bulimia and bulimic-like behaviors as a means of predicting the likelihood of behavior change to prevent clinically diagnosable bulimia. (SM)

  13. [Pharmacotherapy for anorexia nervosa and bulimia nervosa].

    Science.gov (United States)

    Greetfeld, M; Cuntz, U; Voderholzer, U

    2012-01-01

    Psychotherapy is the treatment of choice for both anorexia nervosa and for bulimia nervosa. However, many patients are also treated by pharmaceutical drugs. For the clinician it is difficult to choose pharmacotherapy, because the drugs may not be licensed, because of pharmacodynamic problems due to underweight or purging behaviour, or because of comorbidity. The present review summarises the current knowledge on pharmacotherapy for anorexia nervosa and bulimia nervosa considering the available guidelines. In general, the knowledge based on studies is insufficient for anorexia nervosa. Up to now, there is no proof of efficacy for any antidepressant or atypical antipsychotic with respect to weight gain; atypical antipsychotics may be helpful for ruminating or excessive motor hyperactivity. For bulimia nervosa antidepressants are the pharmacotherapy of first choice. Long-term effects, however, are still unknown.

  14. [Bulimia nervosa, a pathology with multiple complications].

    Science.gov (United States)

    Mignot-Bedetti, Mathilde; Blanchet-Collet, Corinne; Moro, Marie Rose

    2015-01-01

    Bulimia nervosa is an eating disorder associating binge eating with inappropriate compensatory methods. Patients suffer from multiple organic, psychological and social complications. Of these, the somatic consequences are numerous and of varying degrees of seriousness. Regular monitoring is therefore essential in order to identify them and treat them.

  15. Bulimia: A Model for Group Therapy.

    Science.gov (United States)

    Bauer, Barbara G.

    Bulimia, an eating disorder characterized by binge eating followed by purging and intense feelings of guilt and failure, is increasing among young women. The eating behavior is only a symptom of more complex underlying problems such as feelings of inadequacy, social isolation, depression, rigid thinking, self-defeating thoughts, and perfectionism.…

  16. Interpersonal Group Therapy for Women Experiencing Bulimia

    Science.gov (United States)

    Choate, Laura

    2010-01-01

    Bulimia Nervosa (BN) is a chronic disorder that results in a high degree of psychological impairment for many women. This article presents a description of Interpersonal Therapy for Group (IPT-G), an evidence-based approach for the treatment of BN. The author presents a rationale for the use of IPT-G, an outline of the group model, and provides…

  17. Efficiency Biliopancreatic bypass surgery in bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Yu I Yashkov

    2008-06-01

    Full Text Available A clinical significance in the treatment of bulimia nervosa patients with morbid obesity had already been raised [10, 13], but we did not find publications on the effectiveness of bariatric surgery in these cases. There is also information about the possibility of applying the operation bilio-pancreatic bypass, effective in patients with morbid obesity with uncontrolled eating behavior for the treatment of patients with anorexia BILIM not suffering from morbid obesity. In this article the data of clinical observation of a small sample of patients. As a result, the treatment of these patients found that severe nervous BILIM can be seen as a latent form of morbid obesity. The choice of treatment should depend not only on the initial body weight of the patient, but also on the severity of the nervous BILIM. Unsuccessful attempts at organized-balanced, conservative treatment of patients with severe bulimia nervosa may be considered a variant of surgical treatment, while bilio-pancreatic bypass surgery is considered as the most preferred operation, compared with the installation of the gastric balloon and others. All candidates for surgical treatment of obesity must identify clinical signs of bulimia nervosa, as this may influence the choice of method of operation. Further study of the role of hyperinsulinemia, secretion of ghrelin, leptin, intestinal peptide may contribute to the elucidation of the true causes of bulimia nervosa, probably has a similar origin with morbid obesity.

  18. Interpersonal Group Therapy for Women Experiencing Bulimia

    Science.gov (United States)

    Choate, Laura

    2010-01-01

    Bulimia Nervosa (BN) is a chronic disorder that results in a high degree of psychological impairment for many women. This article presents a description of Interpersonal Therapy for Group (IPT-G), an evidence-based approach for the treatment of BN. The author presents a rationale for the use of IPT-G, an outline of the group model, and provides…

  19. Subclinical bulimia predicts conduct disorder in middle adolescent girls.

    Science.gov (United States)

    Viinamäki, Anni; Marttunen, Mauri; Fröjd, Sari; Ruuska, Jaana; Kaltiala-Heino, Riittakerttu

    2013-01-01

    This study investigates the comorbidity and longitudinal associations between self-reported conduct disorder and subclinical bulimia in a community-based sample of Finnish adolescents in a 2-year prospective follow-up study. There are 2070 adolescents who participated in the survey as ninth graders (mean age 15.5) and followed-up 2 years later. The Youth Self-Report Externalizing scale was used to measure conduct disorder and DSM-IV-based questionnaire to measure bulimia. Co-occurrence of female conduct disorder and subclinical bulimia was found at ages 15 and 17. Subclinical bulimia among girls at age 15 was a risk factor for conduct disorder at age 17, but conduct disorder at age 15 was not predictive of subclinical bulimia at age 17. The pathway from bulimia to conduct disorder may be suggestive of an association with future borderline personality disorder among girls. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.

  20. 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.

  1. [Bulimia, bulimia-anorexia and nocturnal secretion of melatonin and cortisol].

    Science.gov (United States)

    Parienti, V; Kennedy, S H; Brown, G M; Costa, D

    1988-01-01

    The authors compared nocturnal variations of melatonin (MT) and cortisol levels in subjects with bulimia (n = 12), 6 with a normal body weight and 6 with anorexia nervosa, as well as 6 control subjects. The hypothesis, formulated for anorexia nervosa, that a decrease of noradrenergic activity induces a decrease of pineal activity, therefore a decrease of melatonin secretion, was not confirmed by our study. Moreover, in subjects with bulimia in the absence of anorexia nervosa, no significant decrease of nocturnal melatonin secretion was reported. Significant differences were due to cortisol variations when comparing MTmax/Cmin ratios. Melatonin did not add any complementary biological cue for diagnostic assessment for subjects with eating disorder and depression. The results of this study suggest that melatonin does not appear to be a useful biological marker in bulimia.

  2. Recurrent acute pancreatitis in anorexia and bulimia.

    Science.gov (United States)

    Morris, Luc G; Stephenson, Kathryn E; Herring, Sharon; Marti, Jennifer L

    2004-07-01

    Mild pancreatitis has been reported as a consequence of anorexia nervosa, bulimia nervosa, or what has been termed the "dietary chaos syndrome". Either chronic malnutrition, or refeeding after periods of malnutrition, may precipitate acute pancreatitis through several pathogenetic mechanisms. A 26-year-old woman with a ten-year history of anorexia and bulimia presented with a third episode of acute pancreatitis in three months. The patient had been abstinent from alcohol for many years. Imaging studies during all three admissions failed to identify any biliary disease, including gallstones or biliary sludge. A cholecystectomy was performed, with a normal intraoperative cholangiogram, and no abnormalities on pathologic examination of the gallbladder and bile. The patient was discharged on hospital day 10 with no pain, and she has begun to return to regular eating habits. Pancreatitis has not recurred after 6 months of follow up. We have identified 14 cases in the literature of acute pancreatitis associated with anorexia or bulimia. In the absence of evidence for gallstone, alcohol or metabolic etiologies, eating disorders may contribute to the pathophysiology of some idiopathic cases of pancreatitis.

  3. Border poetics

    Directory of Open Access Journals (Sweden)

    Liv Lundberg

    2014-07-01

    Full Text Available The language of poetry is a language of inquiry, not the language of a genre. Poetry has the capacity of entering those zones known as borderlands, where you meet strange things and foreign people. In this poetic world view, the border is not an edge along the fringe of lands, societies and experiences, but rather their very middle – and their in-between. The structures of language are social structures in which meanings and intentions are already in place, always fighting for power and dominance, with rhetorical figures and more violent weapons.

  4. Choosing Assessment Instruments for Bulimia Practice and Outcome Research

    Science.gov (United States)

    Sandberg, Katie; Erford, Bradley T.

    2013-01-01

    Six commonly used instruments for assessment of eating disorders were analyzed. Effect size results from Erford et al.'s (2013) meta-analysis for the treatment of bulimia nervosa were used to compare each scale's ability to measure treatment outcomes for bulimia nervosa. Effect size comparisons indicated higher overall effect sizes using the…

  5. Treatment of Body Image Dissatisfaction among Women with Bulimia Nervosa.

    Science.gov (United States)

    Brouwers, Mariette

    1990-01-01

    Sees body image dissatisfaction as contributing to development and maintenance of bulimia nervosa and bulimic's desire for thinness breeding low self-esteem, feelings of inadequacy, and resistance to recovery. Offers treatment suggestions for body image dissatisfaction as it relates to bulimia. Advises counselors to be satisfied with their own…

  6. Adolescent Eating Disorders: Anorexia and Bulimia. Publication 352-004.

    Science.gov (United States)

    Bayer, Alan E.; Baker, Daniel H.

    This document presents an overview of anorexia nervosa and bulimia in adolescents. A brief review of the historical background of these eating disorders is included. Causes of anorexia and bulimia are discussed and physical, behavioral, emotional, and perceptual characteristics of the disorders are listed in a section on symptoms. The need for a…

  7. Choosing Assessment Instruments for Bulimia Practice and Outcome Research

    Science.gov (United States)

    Sandberg, Katie; Erford, Bradley T.

    2013-01-01

    Six commonly used instruments for assessment of eating disorders were analyzed. Effect size results from Erford et al.'s (2013) meta-analysis for the treatment of bulimia nervosa were used to compare each scale's ability to measure treatment outcomes for bulimia nervosa. Effect size comparisons indicated higher overall effect sizes using the…

  8. Assessing motivation to change in bulimia nervosa: the Bulimia Nervosa Stages of Change Questionnaire.

    Science.gov (United States)

    Martinez, Esteve; Castro, Josefina; Bigorra, Aitana; Morer, Astrid; Calvo, Rosa; Vila, Montserrat; Toro, Josep; Rieger, Elisabeth

    2007-01-01

    To assess motivation to change in adolescent patients with bulimia nervosa through the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ), an instrument adapted from the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) already validated in anorexic patients. Subjects were 30 bulimia nervosa patients (mean age = 16.3 years) who were receiving treatment at an eating disorders unit. The evaluation instruments were: the BNSOCQ, the Eating Disorders Inventory (EDI-2) and the Beck Depression Inventory (BDI). The BNSOCQ was re-administered 1 week later to evaluate test-retest reliability. The BNSOCQ demonstrated good internal consistency (Cronbach's alpha = 0.94) and one week test-retest reliability (Pearson's r = 0.93). Negative significant correlations were found between the BNSOCQ and several EDI-2 scales (Pearson's r between -0.51 and -0.84) and the BDI (r = -0.74). The study provides initial support for the reliability and validity of the BNSOCQ as a self-report instrument for assessing motivation to change in adolescents with bulimia nervosa. 2006 John Wiley & Sons, Ltd and Eating Disorders Association

  9. Chemical erosion and hydrologic budget for the Susure karst plateau

    Directory of Open Access Journals (Sweden)

    Nikić Zoran

    2010-01-01

    Full Text Available The karst plateau of Susure, about 4.5 km2 in surface area, is situated on the Jadovnik eastern offset, western Serbia. The plateau is a morphologic unit higher 15 m to 30 m than the surrounding terrain. The unit consists of crushed and karstified Middle Triassic limestones. Numerous hydrogeological and geomorphologic features of the plateau are attractive for visitors in this economically underdeveloped country. Rocks building up the surrounding terrain are largely peridotites. Surface streams flow neither into nor off the plateau. Atmospheric precipitations discharge to evapotanspiration and filtration underground. More than eighteen constant springs at the limestone/peridotite tectonic contact drain fracture aquifers on the karst plateau border. Measured precipitations and springflows were the input and output data for accounting water budget of an aquifer of Middle Triassic limestones in the Susure plateau.

  10. 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.

  11. A case of hyperemesis in bulimia nervosa.

    Science.gov (United States)

    Pedrolli, Carlo; Sacchi, Manuela C; Togni, Michele; Cereda, Emanuele

    2015-05-01

    Bulimia nervosa is an eating disorder defined by recurrent episodes of binge eating followed by compensatory behaviors, primarily self-induced vomiting. Most common complications are due to purge behaviors and are frequently responsible for hospitalization. These include electrolyte disturbances, dehydration, hypovolemia, stomatitis, esophageal diseases, and functional impairment of the colon. However, an obstruction-like syndrome has never been reported. We report the case of a middle-age woman suffering from bulimia nervosa and referring at the emergency department with a 7-day story of hyperemesis responsible for an acute renal failure. During hospitalization, after the most important and common medical causes of hyperemesis were excluded, an upper gastrointestinal endoscopy was performed. The endoscopist reported the presence of an impressive bezoar, which underwent to mechanical fragmentation and biopsy sampling, revealing it was made up exclusively of liquorice wheels. An endoscopy performed few days after showed the complete dissolution of the bezoar, and the patient was discharged without any further gastrointestinal complaint. © 2014 Wiley Periodicals, Inc.

  12. Comorbidity of Anxiety Disorders With Anorexia and Bulimia Nervosa

    National Research Council Canada - National Science Library

    Kaye, Walter H; Bulik, Cynthia M; Thornton, Laura; Barbarich, Nicole; Masters, Kim

    2004-01-01

    OBJECTIVE: A large and well-characterized sample of individuals with anorexia nervosa and bulimia nervosa from the Price Foundation collaborative genetics study was used to determine the frequency of anxiety...

  13. Increased Mortality in Bulimia Nervosa and Other Eating Disorders

    National Research Council Canada - National Science Library

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

    2009-01-01

    .... 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. Method...

  14. Medical complications of bulimia nervosa and their treatments.

    Science.gov (United States)

    Sachs, Katherine; Mehler, Philip S

    2016-03-01

    The purpose of this article is to thoroughly review the medical complications associated with bulimia nervosa and their evidenced-based or typical treatments. A thorough review of medical literature to cull pertinent and best articles which guide the diagnosis and treatment of the medical complications of bulimia nervosa was performed. There are many different medical complications of bulimia nervosa which are caused by the mode and frequency of purging. Some are fluid and electrolyte alterations from the utilized mode of purging and some are due to the local damaging effects of purging behaviors on those body sites. Bulimia nervosa is a serious mental health disorder which has many medical complications associated with it. Most are reversible with treatment.

  15. 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.

  16. 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.

  17. Dimensions of emotion dysregulation in bulimia nervosa.

    Science.gov (United States)

    Lavender, Jason M; Wonderlich, Stephen A; Peterson, Carol B; Crosby, Ross D; Engel, Scott G; Mitchell, James E; Crow, Scott J; Smith, Tracey L; Klein, Marjorie H; Goldschmidt, Andrea B; Berg, Kelly C

    2014-05-01

    The goal of this study was to examine associations between dimensions of emotion dysregulation and eating disorder (ED) symptoms in bulimia nervosa (BN). This investigation used baseline data from a BN treatment study that included 80 adults (90% women) with full or subthreshold BN. Participants completed the Difficulties in Emotion Regulation Scale (DERS) and the Eating Disorders Examination interview. The Eating Disorders Examination global score was significantly correlated with the DERS total score, as well as several DERS subscales: nonacceptance, impulse and strategies. Further, the DERS goals subscale was found to be uniquely associated with frequency of purging and driven exercise, although none of the subscales were associated with frequency of objective binge eating. Findings indicate that emotion dysregulation is associated with ED symptoms in BN, suggesting the utility of interventions that address emotion regulation skills deficits in the treatment of the disorder.

  18. The body in anorexia and bulimia

    Directory of Open Access Journals (Sweden)

    Maria Helena Fernandes

    2012-09-01

    Full Text Available The psychoanalytic clinic for anorexia and bulimia puts us into immediate contact with the question of the body, as well as with aspects typical of adolescence. These aspects especially include difficulties in early relationships with the mother regarding the management of the drives, and relationships with primary identification. Consequently, we are dealing with ideals, differentiation, autonomy, time and death. Here hypotheses that were drawn up on the basis of metapsychology are discussed, with the objective of contributing to a broader understanding of the construction of the bodily image. This process includes the perception, representation and internal experience of the patients' own bodies. The impasses experienced in the analytic situation also indicate particularities in managing the transference in these cases.

  19. [ANOREXIA AND BULIMIA: IMPACT ON NETWORK SOCIETY].

    Science.gov (United States)

    Alex Sánchez, María Dolores

    2015-01-01

    The Information and Communication Technologies (ICT) have an increasing influence on the way we relate and in shaping personal identity. The phenomenon of online social networking emerges strongly and contributes to the development of new spaces breaking with the official discourse that marks the scientific evidence on health. This paper analyzes the impact of ICT in relation to the identity of the digital natives and eating disorders (ED). Particular attention to how the network society determines the response of young people in situations of social tension is dedicated. To do this, provides a perspective on the concept of interaction from the analysis of the discourse on anorexia and bulimia in the network, and how to care nurses should consider these factors to improve efficiency and quality in clinical care and patient care.

  20. Ningwu——An Ancient Pass On The Plateau

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    <正>Ningwu situated on the Loess Plateau in north of Shanxi Province is one of the three passes along the Great Wall. The other two are the Pian Pass in the west and the Yanmen Pass in the east. In the ancient times, it had been a key military town in the northern Chinese borders.

  1. Innovations in the Treatment of Bulimia: Transpersonal Psychology, Relaxation, Imagination, Hypnosis, Myth, and Ritual.

    Science.gov (United States)

    Brown, Michael H.

    1991-01-01

    Written for counselors who must help clients deal with bulimia, this article reviews bulimia's most obvious physical signs and symptoms, etiology, and behavioral characteristics. Considers innovative counseling approaches including Transpersonal Psychology, relaxation training, imagination, fantasy, hypnosis, myths, and rituals. (Author)

  2. Innovations in the Treatment of Bulimia: Transpersonal Psychology, Relaxation, Imagination, Hypnosis, Myth, and Ritual.

    Science.gov (United States)

    Brown, Michael H.

    1991-01-01

    Written for counselors who must help clients deal with bulimia, this article reviews bulimia's most obvious physical signs and symptoms, etiology, and behavioral characteristics. Considers innovative counseling approaches including Transpersonal Psychology, relaxation training, imagination, fantasy, hypnosis, myths, and rituals. (Author)

  3. Client attachment security predicts alliance in a randomized controlled trial of two psychotherapies for bulimia nervosa

    DEFF Research Database (Denmark)

    Folke, Sofie; Daniel, Sarah Ingrid Franksdatter; Poulsen, Stig Bernt

    2016-01-01

    Objective: This study investigated the relation between clients’ attachment patterns and the therapeutic alliance in two psychotherapies for bulimia nervosa. Method: Data derive from a randomized clinical trial comparing cognitive-behavioral therapy and psychoanalytic psychotherapy for bulimia...

  4. Border Crossings (National)

    Data.gov (United States)

    Department of Transportation — Border Crossing Ports (NTAD 2015) are points of entry for land modes along the U.S. - Canadian and U.S.- Mexcian borders. The ports of entry are located in 15 states...

  5. 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.

    2009-01-01

    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 n

  6. 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…

  7. 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…

  8. 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…

  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. The role of pharmacotherapy in anorexia nervosa and bulimia.

    Science.gov (United States)

    Tolstoi, L G

    1989-11-01

    The purpose of this article is to review the basic pharmacology and the role of drugs that are used to treat anorexia nervosa and bulimia. The pharmacological treatment of eating disorders is based upon theoretical principles. The theoretical models include: (a) an illness secondary to other psychiatric disorders, (b) a disorder in the hypothalamic control of food intake, (c) a disorder of hypothalamic endocrine regulation, (d) a syndrome secondary to depressive illness, and (e) a disorder in the hypothalamic regulation of food intake. Theoretical models a, b, and c govern the choice of drug therapy for anorexia nervosa, and models d and e govern the choice of drug therapy for bulimia. Drugs used to treat anorexia nervosa and bulimia include tricyclic antidepressants and lithium carbonate. Chlorpromazine, metoclopramide, cyproheptadine, and clomiphene citrate have also been prescribed for the treatment of anorexia nervosa. Monoamine oxidase inhibitors are commonly prescribed to treat bulimia. Fenfluramine has the potential to be of therapeutic value in patients with bulimia. Although drug therapy plays a limited role in the treatment of eating disorders, drugs are commonly prescribed. Therefore, the nutritionist should be familiar with the basic pharmacology and the side effects related to drug therapy.

  11. Genetic findings in anorexia and bulimia nervosa.

    Science.gov (United States)

    Hinney, Anke; Scherag, Susann; Hebebrand, Johannes

    2010-01-01

    Anorexia nervosa (AN) and bulimia nervosa (BN) are complex disorders associated with disordered eating behavior. Heritability estimates derived from twin and family studies are high, so that substantial genetic influences on the etiology can be assumed for both. As the monoaminergic neurotransmitter systems are involved in eating disorders (EDs), candidate gene studies have centered on related genes; additionally, genes relevant for body weight regulation have been considered as candidates. Unfortunately, this approach has yielded very few positive results; confirmed associations or findings substantiated in meta-analyses are scant. None of these associations can be considered unequivocally validated. Systematic genome-wide approaches have been performed to identify genes with no a priori evidence for their relevance in EDs. Family-based scans revealed linkage peaks in single chromosomal regions for AN and BN. Analyses of candidate genes in one of these regions led to the identification of genetic variants associated with AN. Currently, an international consortium is conducting a genome-wide association study for AN, which will hopefully lead to the identification of the first genome-wide significant markers.

  12. Predictors of rapid relapse in bulimia nervosa.

    Science.gov (United States)

    Olmsted, Marion P; MacDonald, Danielle E; McFarlane, Traci; Trottier, Kathryn; Colton, Patricia

    2015-04-01

    Relapse remains a significant concern in bulimia nervosa, with some patients relapsing within months of treatment completion. The purpose of the study was to identify predictors of relapse within the first 6 months following treatment. The 116 participants were bingeing and/or vomiting ≥ 8 times per month before day hospital (DH), and had ≤ 2 episodes per month in the last month of DH and the first month after DH. Rapid relapse was defined as ≥ 8 episodes per month for 3 months starting within 6 months. The rate of rapid relapse was 27.6%. Patients who relapsed soon after DH had higher frequencies of bingeing and vomiting before treatment, engaged in less body avoidance before treatment and were more likely to be slow responders to treatment. Weight and shape concerns and body checking were not significant predictors. More frequent bulimic symptoms accompanied by less body avoidance may indicate an entrenchment in the illness which in turn augurs a labored and transient response to DH treatment that is difficult to sustain after intensive treatment ends. © 2014 Wiley Periodicals, Inc.

  13. [Bulimia and anorexia among the teenagers].

    Science.gov (United States)

    Ben Salem, Hela; Gaigi, Imene; El Fray, Hamouda; Gaigi, Sadok; El Ati, Jalila

    2011-11-01

    The disturbances related to the feeding behavior are increasing in Tunisia. To evaluate the impact of an adapted and personalized therapeutic program, including dietetic advises and practice of yoga in Tunisian teenagers suffering from bulimia or anorexia. Our study was carried out on 31 teenagers, old 16 to 19 years, 10 were anorexics (9 girls and 1 boy) and 21 were bulimics (14 girls and 7 boys). After twelve weeks of program application a clear improvement of the physical and mental state of our subjects was recorded. Indeed, an average fall of 7.3% of the body weight of the compulsive eaters and an increase of 6.6% of that of the anorexics were obtained. On the mental level, the frequency of the subjects which make daily crises passed from 29% to 19%. More half of the subjects (54.8%) paid more not to vomit but occasionally (less than one once out of two crises). These results show that an assumption of responsibility targeted of the teenagers suffering from food behavioral problems can help them to be left there.

  14. Dysthymia in anorexia nervosa and bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Mercedes Borda-Más

    2008-01-01

    Full Text Available Este estudio ex post facto analiza la presencia de distimia en 155 mujeres. Noventa y tres pacientes cumplían los criterios diagnósticos para un trastorno de la conducta alimentaria (TCA: 31 con anorexia nerviosa restrictiva (ANr, 31 con anorexia nerviosa purgativa/bulímica (ANp y 31 con bulimia nerviosa purgativa (BNp; y 62 mujeres constituían los dos grupos comparativos: 31 con alto riesgo de padecer un TCA (grupo comparativo sintomático: GC-S y 31 sin patología conocida (grupo comparativo no sintomático: GC-NS. Todas ellas cumplimentaron la versión española del MCMI-II. En los resultados encontramos diferencias significativas en las medias obtenidas por los grupos con TCA respecto a los dos grupos comparativos, y que presentaban el posible síndrome distímico [puntuaciones Tasa Base (TB > 74] el 50% de las pacientes con ANr, el 60% con ANp y el 63,30% de las pacientes con BNp. Sólo el 16,70% de las mujeres de alto riesgo y el 5,70% de las mujeres sin patología lo presentaban. Estos hallazgos indican que el síndrome distímico es frecuente en las mujeres con TCA, y en aquellas que presentan conductas purgativas aumenta levemente la severidad del mismo.

  15. 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.

  16. Borders, Violence, Law

    Directory of Open Access Journals (Sweden)

    JAVIER DE LUCAS

    2014-06-01

    Full Text Available This article explores the relationship between violence, law and borders by analyzing both the violence at the borders and the violence of the borders. In both cases, the author states that violence exerted by means of law, as well as migratory and asylum policies, threaten the universal human rights of the most vulnerable people and cannot be seen as exercising the legitimate monopoly of force, resulting in the destruction of the Rule of Law.

  17. Magnetic Susceptibility of Glacial Deposits and the Impacting Factors in the Eastern Bordering Mountains of the Tibetan Plateau%青藏高原东缘山地古冰川沉积物磁化率特点及其影响因素分析

    Institute of Scientific and Technical Information of China (English)

    张威; 李媛媛; 冯骥; 毕伟力; 刘鸽

    2012-01-01

    Magnetic susceptibility value of the continuous sediment samples from lakes,loess and paleosol,and deep sea are widely used as an alternative indicator of environmental change.However,magnetic susceptibility measurement has yet to be involved in the research on the non-continuous deposits that reflect the climate change in a specific time period,such as the glacial deposits.This paper reports the study of the magnetic susceptibility of eight typical profiles of glacial deposits in the eastern bordering mountains of the Tibetan Plateau and the comparison of the data to those of deposits from the lake,loess,deep sea and the surface soil.Based on the mass susceptibility and frequency susceptibility data,the magnetic susceptibility of the glacial deposits is characterized and the impacting factors are analyzed.The results are as follows.(1) The magnetic susceptibilitydata of the glacial deposits in the bordering mountains to the east of the Tibetan Plateau show a large amplitude of fluctuation between 3.01×10-8 m3.kg-1and 1808.80×10-8 m3.kg-1,with a mean value of 147.84×10-8 m3.kg-1,while the frequency magnetic susceptibility values are small and fluctuated between 0 and 6.89%,with a mean value of 1.37%.(2) The temporal and spatial data of the magnetic susceptibility show different characteristics.In other words,the change of magnetic susceptibility in the different glacial stages of the same region is minimal,while the change of that in different regions of the same glacial stage is dramatic.(3) Parent rock lithology is the major factor affecting the magnetic susceptibility of the glacial deposits,while climate conditions havecomplex impact.%湖泊、黄土与古土壤、深海沉积物等连续沉积体的磁化率变化作为环境变化的替代性指标被广泛应用,然而对于非连续、能够反映特定时段气候变化的沉积体,如冰川沉积物的磁化率却较少涉及。本文通过对青藏高原东缘8个典型冰川发育山地冰碛物磁

  18. [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.

  19. 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…

  20. 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…

  1. The Treatment of Bulimia Nervosa through Adventure Therapy.

    Science.gov (United States)

    Maguire, Rebecca; Priest, Simon

    1994-01-01

    Describes how adventure therapy can be adapted to help individuals suffering from bulimia develop effective coping mechanisms, increase self-esteem, and gain appreciation for their bodies. Goal is for participants to recognize compulsive behavior in relation to their attitudes and to understand underlying processes that lead to those behaviors and…

  2. Correlates of Bulimia Nervosa: Early Family Mealtime Experiences.

    Science.gov (United States)

    Miller, Debra A. F.; And Others

    1993-01-01

    Examined relationship of early mealtime experiences to later bulimia in 128 female college students. Found significant group differences among bulimics, nonbulimics, and repeat dieters on early meal experience questionnaire, with bulimic group reporting most negative and unusual experiences. Found significant differences among groups on depression…

  3. 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 psy

  4. 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)

  5. 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)

  6. 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…

  7. 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…

  8. 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…

  9. 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)

  10. 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…

  11. 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)

  12. 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

  13. 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…

  14. Comorbidity of anxiety disorders with anorexia and bulimia nervosa.

    Science.gov (United States)

    Kaye, Walter H; Bulik, Cynthia M; Thornton, Laura; Barbarich, Nicole; Masters, Kim

    2004-12-01

    A large and well-characterized sample of individuals with anorexia nervosa and bulimia nervosa from the Price Foundation collaborative genetics study was used to determine the frequency of anxiety disorders and to understand how anxiety disorders are related to state of eating disorder illness and age at onset. Ninety-seven individuals with anorexia nervosa, 282 with bulimia nervosa, and 293 with anorexia nervosa and bulimia were given the Structured Clinical Interview for DSM-IV Axis I Disorders and standardized measures of anxiety, perfectionism, and obsessionality. Their ratings on these measures were compared with those of a nonclinical group of women in the community. The rates of most anxiety disorders were similar in all three subtypes of eating disorders. About two-thirds of the individuals with eating disorders had one or more lifetime anxiety disorder; the most common were obsessive-compulsive disorder (OCD) (N=277 [41%]) and social phobia (N=134 [20%]). A majority of the participants reported the onset of OCD, social phobia, specific phobia, and generalized anxiety disorder in childhood, before they developed an eating disorder. People with a history of an eating disorder who were not currently ill and never had a lifetime anxiety disorder diagnosis still tended to be anxious, perfectionistic, and harm avoidant. The presence of either an anxiety disorder or an eating disorder tended to exacerbate these symptoms. The prevalence of anxiety disorders in general and OCD in particular was much higher in people with anorexia nervosa and bulimia nervosa than in a nonclinical group of women in the community. Anxiety disorders commonly had their onset in childhood before the onset of an eating disorder, supporting the possibility they are a vulnerability factor for developing anorexia nervosa or bulimia nervosa.

  15. Business, brokers and borders

    DEFF Research Database (Denmark)

    Walther, Olivier

    Using social network analysis, this paper studies the structure of trade networks that developed across West African borders. The first part aims to understand the centralization of cross-border trade networks. In a business environment where transaction costs are extremely high, we find that dec......Using social network analysis, this paper studies the structure of trade networks that developed across West African borders. The first part aims to understand the centralization of cross-border trade networks. In a business environment where transaction costs are extremely high, we find...... developed with foreign partners from a different origin, religion or culture. In the second part, we study the spatial structure of trade networks and the influence of national borders on the development of social ties. The paper shows that the spatial form of trade networks is constrained by the historical...

  16. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  17. The efficacy of a brief group CBT program in treating patients diagnosed with bulimia nervosa: a brief report.

    Science.gov (United States)

    Jones, Allan; Clausen, Loa

    2013-09-01

    The aim of the study was to evaluate the efficacy of a brief group cognitive behavior therapy (CBT) program in treating a large cohort of patients diagnosed with bulimia nervosa. Treatment outcome defined as reductions in bulimia related behavioral symptoms and bulimia related distress was examined in 205 consecutive new patients enrolled in an eight-session group CBT program. Significant reductions in eating disorder pathology were found on all measures of bulimia related behavioral symptoms, as well as on all measures of bulimia related distress. There is strong evidence for the efficacy of brief group CBT in treating patients with bulimia nervosa. © 2013 Wiley Periodicals, Inc.

  18. The efficacy of a brief group CBT program in treating patients diagnosed with bulimia nervosa: a brief report

    DEFF Research Database (Denmark)

    Jones, A.; Clausen, Loa

    2013-01-01

    OBJECTIVE: The aim of the study was to evaluate the efficacy of a brief group cognitive behavior therapy (CBT) program in treating a large cohort of patients diagnosed with bulimia nervosa. METHOD: Treatment outcome defined as reductions in bulimia related behavioral symptoms and bulimia related...... distress was examined in 205 consecutive new patients enrolled in an eight-session group CBT program. RESULTS: Significant reductions in eating disorder pathology were found on all measures of bulimia related behavioral symptoms, as well as on all measures of bulimia related distress. DISCUSSION......: There is strong evidence for the efficacy of brief group CBT in treating patients with bulimia nervosa....

  19. 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

  20. Celiac disease diagnosed after uncomplicated pregnancy in a patient with history of bulimia nervosa.

    Science.gov (United States)

    Milisavljević, Nemanja; Cvetković, Mirjana; Nikolić, Goran; Filipović, Branka; Milinić, Nikola

    2013-01-01

    The association between celiac disease and eating disorders has been very rarely reported. This is the first report on celiac disease associated with bulimia in this part of Europe. An adult female patient with history of bulimia and one uncomplicated pregnancy was admitted to the Gastroenterology Department, due to long lasting dyspeptic symptoms, constipation, major weight loss and fatigue. After positive serological screening, the diagnosis of celiac disease was confirmed with histopathology examination of duodenal biopsy specimen. Complicated interactions between celiac disease and bulimia can make them difficult to diagnose and treat. It is important to consider the presence of celiac disease in patients with bulimia and gastrointestinal symptoms.

  1. Border cells versus border-like cells: are they alike?

    Science.gov (United States)

    Driouich, Azeddine; Durand, Caroline; Cannesan, Marc-Antoine; Percoco, Giuseppe; Vicré-Gibouin, Maité

    2010-09-01

    Roots of many plants are known to produce large numbers of 'border' cells that play a central role in root protection and the interaction of the root with the rhizosphere. Unlike border cells, border-like cells were described only recently in the model plant Arabidopsis thaliana and other Brassicaceae species and very little is known about the functional properties of border-like cells as compared with 'classical' border cells. To stimulate discussion and future research on this topic, the function of border cells and the way border-like cells are organized, maintained, and possibly involved in plant protection is discussed here.

  2. Cross border relationships

    DEFF Research Database (Denmark)

    Singla, Rashmi; Sriram, Sujata

    2010-01-01

    the borders in the context of modernity such as will also be discussed. In the backdrop of polarisation of populations into us and them, still there are increasing trends towards intermarriage, which challenge the idea of who belongs together and earlier taboos against such mixing. The symposia will explore...... dynamics of these relations - in the intimate partnerships, friendships across the borders, children of mixed parentage...

  3. CENTRAL PLATEAU REMEDIATION

    Energy Technology Data Exchange (ETDEWEB)

    ROMINE, L.D.

    2006-02-01

    A systematic approach to closure planning is being implemented at the Hanford Site's Central Plateau to help achieve the goal of closure by the year 2035. The overall objective of Central Plateau remediation is to protect human health and the environment from the significant quantity of contaminated material that resulted from decades of plutonium production in support of the nation's defense. This goal will be achieved either by removing contaminants or placing the residual contaminated materials in a secure configuration that minimizes further migration to the groundwater and reduces the potential for inadvertent intrusion into contaminated sites. The approach to Central Plateau cleanup used three key concepts--closure zones, closure elements, and closure process steps--to create an organized picture of actions required to complete remediation. These actions were merged with logic ties, constraints, and required resources to produce an integrated time-phased schedule and cost profile for Central Plateau closure. Programmatic risks associated with implementation of Central Plateau closure were identified and analyzed. Actions to mitigate the most significant risks are underway while high priority remediation projects continue to make progress.

  4. Radiative plateau inflation

    CERN Document Server

    Ballesteros, Guillermo

    2016-01-01

    We describe how monomial chaotic inflation becomes compatible with the latest CMB data thanks to radiative corrections producing a plateau. The interactions of the inflation with other fields, required for reheating, can flatten the potential and moderate the production of primordial gravitational waves, keeping these below the current upper bound. We show that the appearance of a plateau requires that the inflaton couples to fermions and to another scalar or a gauge group. We give concrete examples of minimal particle physics models leading to plateaus for quadratic and quartic chaotic inflation. We also provide a three-parameter model-independent description of radiatively corrected inflation that is amenable to CMB analyses.

  5. Plateau Indian Ways with Words

    Science.gov (United States)

    Monroe, Barbara

    2009-01-01

    The indigenous rhetoric of the Plateau Indians continues to exert a discursive influence on student writing in reservation schools today. Plateau students score low on state-mandated tests and on college writing assignments, in large part because the pervasive personalization of Plateau rhetoric runs counter to the depersonalization of academic…

  6. Borders, Risks, Exclusions

    Directory of Open Access Journals (Sweden)

    Benjamin Muller

    2009-10-01

    Full Text Available In this paper the border is evaluated as a fold of power relations in which sovereign capacity and competence is marshaled in the furtherance of illiberal practices. Drawing from interview data of officials in various agencies engaged in the US-Canada and particularly the Windsor-Detroit corridor, the argument is made that the border is a site for both negative and positive power, for insertion and subtraction, and that surveillance and compliance regimes are ‘run’ not so much in the furtherance of a precautionary or preemptive end-state, but as intermediate values that are sufficiently malleable by an invigorated sovereign, expressed in the residue of discretion in and between the many border agencies.

  7. Greening the Plateau

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Located on the world’s largest plateau, Tibet Autonomous Region in China’s southwest has an average elevation of 4,000 meters. Tibet’s diverse natural landscapes, including snow-capped mountains, vast pastures and virgin forests, combined with its

  8. Use of the MMPI and MMPI-2 with Persons with Bulimia.

    Science.gov (United States)

    Geslak, Lisa

    The use of the MMPI and MMPI-2 to assist in the understanding of individuals with bulimia nervosa is examined. DSM-IV criteria for diagnosis of bulimia nervosa are reviewed. It is also important to understand the personality variables or psychological correlates associated with this disorder. The structure and history of the MMPI and MMPI-2 are…

  9. 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…

  10. Fearing Fat: A Literature Review of Family Systems Understandings and Treatments of Anorexia and Bulimia.

    Science.gov (United States)

    Killian, Kyle D.

    1994-01-01

    Reviews literature examining family variables associated with anorexia nervosa and bulimia nervosa and family systems treatments for these eating disorders. Presents definitions of and diagnostic criteria for anorexia and bulimia, and discusses prevalence of these disorders. Reviews role played by psychopathological, sociological, and…

  11. 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…

  12. Fearing Fat: A Literature Review of Family Systems Understandings and Treatments of Anorexia and Bulimia.

    Science.gov (United States)

    Killian, Kyle D.

    1994-01-01

    Reviews literature examining family variables associated with anorexia nervosa and bulimia nervosa and family systems treatments for these eating disorders. Presents definitions of and diagnostic criteria for anorexia and bulimia, and discusses prevalence of these disorders. Reviews role played by psychopathological, sociological, and…

  13. Meal-induced compositional changes in blood and saliva in persons with bulimia nervosa

    DEFF Research Database (Denmark)

    Dynesen, Anja Weirsøe; Jensen, Allan Bardow; Astrup, Arne

    2008-01-01

    Background: Binge eating episodes in persons with bulimia nervosa may to some extent be a result of disturbed sensations of hunger and satiety. It has been hypothesized that abnormal appetite sensations may be due to bulimia nervosa-related alterations in the release of hormones that are known...

  14. 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…

  15. Cross border relationships

    DEFF Research Database (Denmark)

    Singla, Rashmi; Sriram, Sujata

    2010-01-01

    in which they were born. These movements also imply human relationships across the borders in different contexts with various cultural, psychological consequences. Relationships of members of migrant groups with each other, and also with the host community have important implications on the health and well......-being of not just the migrant population, but also the host communities. These relationships represent the microcosm of societal and cultural integration and cohesion at the broader levels. Studies of how and how well migrants, especially youth handle migration indicate transformations in paradigms as both...... dynamics of these relations - in the intimate partnerships, friendships across the borders, children of mixed parentage...

  16. Border region studies

    DEFF Research Database (Denmark)

    Makkonen, Teemu; Williams, Allan

    2016-01-01

    The contemporary conditions of academic capitalism exert pressures on researchers to avoid ‘peripheral’ journals and ‘unfashionable’ topics. Here an attempt is made to shed light onto the structure of one such ‘offbeat’ field, namely ‘border region studies’, by discussing its geographical...... distribution, key themes, significance and impact. The review suggests that border region studies can be considered a significant and important ‘branch’ of regional studies, which accounts for a small but increasing proportion of regional studies research particularly in Europe and North America. Four main...

  17. 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

  18. Institute of Tibetan Plateau Research

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ The Tibetan Plateau (Qinghai-Xizang Plateau)is a unique geological-geographical unit on Earth, an ideal region for studies into the formation and evolution of the lithosphere and the dynamic mechanism of the earth crust. The uplifting of the Plateau exerts profound influence upon the evolution and differentiation of the natural environment of the plateau itself, its adjacent regions and the Northern Hemisphere. As a unique natural geographical unit, the Plateau holds a special status in the whole globe due to its special natural environment and ecosystems, which is also in close relation to global environmental change.The significance of the Plateau research should be recognized not only in the fundamental research fields of geo-sciences and biology, but also in its application to resource exploitation, environmental protection and sustainable development of the Plateau region.

  19. From Borders to Margins

    DEFF Research Database (Denmark)

    Parker, Noel

    2009-01-01

    upon Deleuze's philosophy to set out an ontology in which the continual reformulation of entities in play in ‘post-international' society can be grasped.  This entails a strategic shift from speaking about the ‘borders' between sovereign states to referring instead to the ‘margins' between a plethora...

  20. Biometric Borders and Counterterrorism

    Science.gov (United States)

    2010-12-01

    34Transforming Travel and Border Controls: Checkpoints in the Open Society," Government Information Quarterly 22, no. 4 (01 October 2005), 594-625, http...the Open Society." Government Information Quarterly 22, no. 4 (1 October 2005): 594– 625. Hsu, Spencer S. "U.S. Preparing to Drop Tracking of

  1. Borders of Discourse?

    DEFF Research Database (Denmark)

    Hermansen, Janni Berthou

    2015-01-01

    This article aims to discuss a fundamentally different approach to discourse analysis by using a pragmatic point of departure for understanding use of language. Using an empirical example from a construction project it is discussed how material as well as societal dimensions of collaboration...... functions as borders for transformations of discourse – and these dimensions are most often intertwined...

  2. Crossing borders for creativity

    NARCIS (Netherlands)

    D. Jacobs; Ewan Lentjes

    2012-01-01

    The Organza project was proud to present "Crossing Borders for Creativity". This publication is a reflective record of the Organza project. The second chapter examines What Organza was all about. It is a concise analysis of the process, starting from the regional profile descriptions, it points at

  3. Border cell release

    DEFF Research Database (Denmark)

    Mravec, Jozef

    2017-01-01

    Plant border cells are specialised cells derived from the root cap with roles in the biomechanics of root growth and in forming a barrier against pathogens. The mechanism of highly localised cell separation which is essential for their release to the environment is little understood. Here I present...

  4. Canada and Mexico Border Crossings

    Data.gov (United States)

    Department of Homeland Security — Border Crossing Ports are points of entry for land modes along the U.S. - Canadian and U.S.- Mexcian borders. The ports of entry are located in 15 states along the...

  5. Anorexia y Bulimia: problemas de la sociedad desarrollada

    OpenAIRE

    Asensio Aller, Marta

    2014-01-01

    Según el Instituto Nacional de la Salud de Estados Unidos un trastorno de la alimentación es una enfermedad que causa graves perturbaciones en la dieta diaria, tales como comer cantidades muy pequeñas o comer en exceso. Los trastornos de la alimentación generalmente aparecen durante la adolescencia o adultez temprana, pero también se pueden dar durante la niñez o la adultez avanzada. Los trastornos de la alimentación más comunes son la anorexia nerviosa, bulimia nerviosa y e...

  6. Anorexia y Bulimia: problemas de la sociedad desarrollada

    OpenAIRE

    Asensio Aller, Marta

    2014-01-01

    Según el Instituto Nacional de la Salud de Estados Unidos un trastorno de la alimentación es una enfermedad que causa graves perturbaciones en la dieta diaria, tales como comer cantidades muy pequeñas o comer en exceso. Los trastornos de la alimentación generalmente aparecen durante la adolescencia o adultez temprana, pero también se pueden dar durante la niñez o la adultez avanzada. Los trastornos de la alimentación más comunes son la anorexia nerviosa, bulimia nerviosa y e...

  7. Bulimia nerviosa, estilos de afrontamiento y situaciones estresantes

    OpenAIRE

    Echeverría Serrano, Elizabeth

    2006-01-01

    La presente investigación tuvo como objetivo estudiar la relación entre bulimia nerviosa, estilos de afrontamiento y situaciones estresantes. Se realizó una investigación no experimental, participaron 345 mujeres universitarias y la selección fue por disponibilidad. Los instrumentos utilizados fueron el Inventario de Trastornos de la Conducta Alimentaria (EDI-2), Test de Escalas de Afrontamiento para adolescentes (ACS) y la Escala de Apreciación General del Estrés (EAE). El ...

  8. The Changing “Weightscape” of Bulimia Nervosa

    Science.gov (United States)

    Bulik, Cynthia M.; Marcus, Marsha D.; Zerwas, Stephanie; Levine, Michele D.; Via, Maria La

    2014-01-01

    Case Ms. Z, a 35-year-old African-American single woman with a body mass index (BMI) of 37.8 kg/m2 (height 5 feet, 5.5 inches, weight 238 lb.), presents for an evaluation for bulimia nervosa. She was referred to the eating disorders program by her primary care physician who knew about her eating disorder, but was primarily concerned about her weight and blood pressure. Ms. Z has an advanced degree and is employed full time. She has struggled with her eating, weight, and body image since childhood and began binge eating regularly (1–2× week) at age 15. Fasting and self-induced vomiting began in her early twenties, when she achieved her lowest adult BMI of 21.6 kg (weight 130 lb. at age 23). She gained 100 pounds in the past 7 years and currently binges and purges 1–2 times a day. A typical binge consists of a box of cookies, a pint of ice cream, 7 oz. of cheese, two bowls of cereal with 2 cups of milk, and 4 pickles. Ms. Z has seen five therapists to address her eating behaviors and weight concerns and participated in numerous commercial weight loss programs. She states binge eating has always served a self-soothing purpose for her. Ms. Z has a demanding university-related job that absorbs most of her time. She has few friends and has not been in a romantic relationship for the past five years believing that no one would be interested in a woman of her size. She also claimed that food is more reliable than any man because “it’s always there when you need it and you don’t have to take care of it or stoke its ego.” She spends evenings at home working until she is completely exhausted, heads to the kitchen for an all-out binge, vomits everything up, and then cries herself to sleep. She has never smoked and does not drink alcohol. Current medications prescribed by her primary care physician include Fluoxetine (20 mg), Norvasc (5 mg), and Clonazepam (prn). What are Ms. Z’s treatment goals? What are her primary care physician’s? Is her medication for

  9. Tratamiento periodontal en un paciente con bulimia y anorexia

    OpenAIRE

    Dolonguevich, Evelyn Ruth; Boero López, Edgardo

    2009-01-01

    En el caso clínico se trató periodontalmente a la paciente C. J., con diagnóstico de bulimia y anorexia nerviosa purgativa. Se destacó el importante trabajo de motivación, que dio como resultado una respuesta excelente en su salud bucal. Se contó con la posibilidad de colocar implantes dentales con buen resultado postoperatorio, lo cual es promisorio en cuanto a lograr rehabilitarla con una solución fija, que no sufrirán de patología...

  10. Healthy Border 2020 Embassy Launch

    Science.gov (United States)

    The U.S.-Mexico Border Health Commission launched the Healthy Border 2020 at the Mexican Embassy in the United States on June 24, 2015. This new initiative aims to strengthening what was accomplished on the previous plan of action entitled Healthy Border 2010.

  11. A abordagem familiar no tratamento da anorexia e bulimia nervosa Family assessment in the treatment of anorexia and bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Alicia Weisz Cobelo

    2004-01-01

    Full Text Available O final do século XX enfatiza a inclusão da família no tratamento de pacientes portadores de anorexia e bulimia nervosa. Pesquisas (Castro et al.,2000; Webster et al.,2000 colocam como relevante considerar a estrutura familiar, as práticas conversacionais e os legados transgeracionais como elementos que podem estar contribuindo, de modo significativo, no desenvolvimento ou na manutenção dos transtornos alimentares. No Ambulatório de Bulimia e Transtornos Alimentares e no Projeto de Atendimento a Crianças e Adolescentes do IPQ, o grande desafio dos terapeutas de família tem sido compartilhar com famílias e pacientes suas histórias repletas de inseguranças e angústias e construir uma ponte de união entre a família e a equipe multidisciplinar, para que a compreensão dos significados, refletida por todos, possa ser agilizada e transformada em novas contribuições de vida para as pacientes e seus familiares.The end of the 20th century emphasizes the inclusion of the family in the treatment of the patients with anorexia and bulimia nervosa. Researches (Castro et al.,2000; Webster et al.,2000 determine as relevant to consider the family structure, the interaction pattern, and the "transgeneration bequest" - the legacy that goes from one generation to the next - as elements that might contribute in a significant way to the development or maintenance of the eating disorders. At the Bulimia and Eating Disorders Ambulatory and in the IPQ's Project for Attendance of Children and Adolescents, the great challenge for the family therapists has been to share with the families and patients their histories full of insecurity and anguish. The therapists must also overcome the difficulties of building a bridge that brings together the family and the multidisciplinary team so that the comprehension of the meanings, reflected by all, might be quickly transformed into new life contributions to these patients and their families.

  12. Identifying Persuasive Public Health Messages to Change Community Knowledge and Attitudes About Bulimia Nervosa.

    Science.gov (United States)

    McLean, Siân A; Paxton, Susan J; Massey, Robin; Hay, Phillipa J; Mond, Jonathan M; Rodgers, Bryan

    2016-01-01

    Addressing stigma through social marketing campaigns has the potential to enhance currently low rates of treatment seeking and improve the well-being of individuals with the eating disorder bulimia nervosa. This study aimed to evaluate the persuasiveness of health messages designed to reduce stigma and improve mental health literacy about this disorder. A community sample of 1,936 adults (48.2% male, 51.8% female) from Victoria, Australia, provided (a) self-report information on knowledge and stigma about bulimia nervosa and (b) ratings of the persuasiveness of 9 brief health messages on dimensions of convincingness and likelihood of changing attitudes. Messages were rated moderately to very convincing and a little to moderately likely to change attitudes toward bulimia nervosa. The most persuasive messages were those that emphasized that bulimia nervosa is a serious mental illness and is not attributable to personal failings. Higher ratings of convincingness were associated with being female, with having more knowledge about bulimia nervosa, and with lower levels of stigma about bulimia nervosa. Higher ratings for likelihood of changing attitudes were associated with being female and with ratings of the convincingness of the corresponding message. This study provides direction for persuasive content to be included in social marketing campaigns to reduce stigma toward bulimia nervosa.

  13. Altered intrinsic functional brain architecture in female patients with bulimia nervosa.

    Science.gov (United States)

    Wang, Li; Kong, Qing-Mei; Li, Ke; Li, Xue-Ni; Zeng, Ya-Wei; Chen, Chao; Qian, Ying; Feng, Shi-Jie; Li, Ji-Tao; Su, Yun'Ai; Correll, Christoph U; Mitchell, Philip B; Yan, Chao-Gan; Zhang, Da-Rong; Si, Tian-Mei

    2017-09-26

    Bulimia nervosa is a severe psychiatric syndrome with uncertain pathogenesis. Neural systems involved in sensorimotor and visual processing, reward and impulsive control may contribute to the binge eating and purging behaviours characterizing bulimia nervosa. However, little is known about the alterations of functional organization of whole brain networks in individuals with this disorder. We used resting-state functional MRI and graph theory to characterize functional brain networks of unmedicated women with bulimia nervosa and healthy women. We included 44 unmedicated women with bulimia nervosa and 44 healthy women in our analyses. Women with bulimia nervosa showed increased clustering coefficient and path length compared with control women. The nodal strength in patients with the disorder was higher in the sensorimotor and visual regions as well as the precuneus, but lower in several subcortical regions, such as the hippocampus, parahippocampal gyrus and orbitofrontal cortex. Patients also showed hyperconnectivity primarily involving sensorimotor and unimodal visual association regions, but hypoconnectivity involving subcortical (striatum, thalamus), limbic (amygdala, hippocampus) and paralimbic (orbitofrontal cortex, parahippocampal gyrus) regions. The topological aberrations correlated significantly with scores of bulimia and drive for thinness and with body mass index. We reruited patients with only acute bulimia nervosa, so it is unclear whether the topological abnormalities comprise vulnerability markers for the disorder developing or the changes associated with illness state. Our findings show altered intrinsic functional brain architecture, specifically abnormal global and local efficiency, as well as nodal- and network-level connectivity across sensorimotor, visual, subcortical and limbic systems in women with bulimia nervosa, suggesting that it is a disorder of dysfunctional integration among large-scale distributed brain regions. These abnormalities

  14. [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.

  15. Symptoms of psychosis in anorexia and bulimia nervosa.

    Science.gov (United States)

    Miotto, Paola; Pollini, Barbara; Restaneo, Antonietta; Favaretto, Gerardo; Sisti, Davide; Rocchi, Marco B L; Preti, Antonio

    2010-02-28

    Despite evidence from case series, the comorbidity of eating disorders with psychosis is less investigated than their comorbidity with anxiety and mood disorders. We investigated the occurrence of symptoms of psychosis in 112 female patients diagnosed with DSM-IV eating disorders (anorexia nervosa=61, bulimia nervosa=51) and 631 high school girls in the same health district as the patients: the items of the SCL-90R symptom dimensions "paranoid ideation" and "psychoticism" were specifically examined. No case of co-morbid schizophrenia was observed among patients. Compared with controls, the patients with anorexia nervosa were more likely to endorse the item "Never feeling close to another person"; the patients with bulimia nervosa were more likely to endorse the item "Feeling others are to blame for your troubles". Both groups of patients were more likely than controls to endorse the item "Idea that something is wrong with your mind". The students who were identified by the EAT and the BITE as being "at risk" for eating disorders were more likely to assign their body a causative role in their problems. Symptoms of psychosis can be observed in patients with eating disorders, but these could be better explained within the psychopathology of the disorders rather than by assuming a link with schizophrenia.

  16. Body image, binge eating, and bulimia nervosa in male bodybuilders.

    Science.gov (United States)

    Goldfield, Gary S; Blouin, Arthur G; Woodside, D Blake

    2006-03-01

    Male bodybuilders (MBB) exhibit more severe body dissatisfaction, bulimic eating behaviour, and negative psychological characteristics, compared with male athletic and nonathletic control subjects, but few studies have directly compared MBB and men with eating disorders. This study compared men with bulimia nervosa (MBN), competitive male bodybuilders (CMBB), and recreational male bodybuilders (RMBB) on a broad range of eating attitudes and behaviours and psychological characteristics to more accurately determine similarities and differences among these groups. Anonymous questionnaires, designed to assess eating attitudes, body image, weight and shape preoccupation, prevalence of binge eating, weight loss practices, lifetime rates of eating disorders, anabolic androgenic steroid (AAS) use, and general psychological factors, were completed by 22 MBN, 27 CMBB, and 25 RMBB. High rates of weight and shape preoccupation, extreme body modification practices, binge eating, and bulimia nervosa (BN) were reported among MBB, especially among those who competed. CMBB reported higher rates of binge eating, BN, and AAS use compared with RMBB, but exhibited less eating-related and general psychopathology compared with MBN. Few psychological differences were found between CMBB and RMBB. MBB, especially competitors, and MBN appear to share many eating-related features but few general psychological ones. Longitudinal research is needed to determine whether men with a history of disordered eating or BN disproportionately gravitate to competitive bodybuildin and (or) whether competitive bodybuilding fosters disordered eating, BN, and AAS use.

  17. [Therapeutic itineraries of individuals with symptoms of anorexia and bulimia].

    Science.gov (United States)

    Carvalho, Maria Bernadete de; Val, Alexandre Costa; Ribeiro, Maria Mônica Freitas; Santos, Lúcia Grossi Dos

    2016-08-01

    The scope of this study is to identify and contextualize aspects of the therapeutic itineraries of patients treated at a university medical clinic specialized in nervous anorexia and bulimia. For this purpose, an attempt was made to reconstitute the succession of events triggered in 20 respondents and their families with the classification of anorexia and bulimia as "health problems." The narratives were analyzed in order to link the individual experiences and the social context of their occurrence (organization of health services, characteristics of treatment and medical knowledge and characteristics of contemporary subjectivity), in light of the theoretical studies of Public Health and Psychoanalysis. Data analysis revealed that these itineraries arise from connections and disconnections between two distinct approaches: one that organizes the management of patients and the other governing the conduct of health institutions and families. If the latter presuppose a quest for health, this is not what primarily concerns the individuals in question. Their refusal to moderate their own eating disorders is notable on their itineraries, and indicates the functionality of those practices. Such practices play a part in the reconstruction of their self-images.

  18. Distance, Borders, and Time

    DEFF Research Database (Denmark)

    Skillicorn, David; Walther, Olivier; Zheng, Quan

    is a combination of the physical geography of the target environment, and the mental and physical cost of following a seemingly random pattern of attacks. Focusing on the distance and time between attacks and taking into consideration the transaction costs that state boundaries impose, we wish to understand what......” of North and West Africa that depicts the permeability to violence. A better understanding of how location, time, and borders condition attacks enables planning, prepositioning, and response....

  19. Metrics for border management systems.

    Energy Technology Data Exchange (ETDEWEB)

    Duggan, Ruth Ann

    2009-07-01

    There are as many unique and disparate manifestations of border systems as there are borders to protect. Border Security is a highly complex system analysis problem with global, regional, national, sector, and border element dimensions for land, water, and air domains. The complexity increases with the multiple, and sometimes conflicting, missions for regulating the flow of people and goods across borders, while securing them for national security. These systems include frontier border surveillance, immigration management and customs functions that must operate in a variety of weather, terrain, operational conditions, cultural constraints, and geopolitical contexts. As part of a Laboratory Directed Research and Development Project 08-684 (Year 1), the team developed a reference framework to decompose this complex system into international/regional, national, and border elements levels covering customs, immigration, and border policing functions. This generalized architecture is relevant to both domestic and international borders. As part of year two of this project (09-1204), the team determined relevant relative measures to better understand border management performance. This paper describes those relative metrics and how they can be used to improve border management systems.

  20. Management of bulimia nervosa: a case study with the Roy adaptation model.

    Science.gov (United States)

    Seah, Xin Yi; Tham, Xiang Cong

    2015-04-01

    Bulimia nervosa is a crippling and chronic disorder, with individuals experiencing repeated binge-purge episodes. It is not widely understood by society. The use of the Roy adaptation model for the management of bulimia nervosa is examined in this article. Nursing models are utilized to provide a structure for planning and implementation of patient management. The Roy adaptation model focuses on the importance of individuals as able to adapt well to their changing surrounding environments. This model can be useful in managing patients with bulimia nervosa.

  1. Uncontrollable behavior or mental illness? Exploring constructions of bulimia using Q methodology.

    Science.gov (United States)

    Churruca, Kate; Perz, Janette; Ussher, Jane M

    2014-01-01

    In medical and psychological literature bulimia is commonly described as a mental illness. However, from a social constructionist perspective the meaning of bulimia will always be socially and historically situated and multiple. Thus, there is always the possibility for other understandings or constructions of bulimia to circulate in our culture, with each having distinct real-world implications for those engaging in bulimic behaviors; for instance, they might potentially influence likelihood of help-seeking and the success of treatment. This study used Q methodology to explore culturally-available constructions of bulimia nervosa. Seventy-seven adults with varying experience of eating disorders took part in this Q methodological study. Online, they were asked to rank-order 42 statements about bulimia, and then answer a series of questions about the task and their knowledge of bulimia. A by-person factor analysis was then conducted, with factors extracted using the centroid technique and a varimax rotation. Six factors satisfied selection criteria and were subsequently interpreted. Factor A, "bulimia as uncontrolled behavior", positions bulimia as a behavioral rather than psychological issue. Factor B, entitled "bulimia is a distressing mental illness", reflects an understanding of bulimic behaviors as a dysfunctional coping mechanism, which is often found in psychological literature. Other perspectives position bulimia as about "self-medicating with food" (Factor C), "the pathological pursuit of thinness" (Factor D), "being the best at being thin" (Factor E), or as "extreme behavior vs. mentally ill" (Factor F). These constructions have distinct implications for the subjective experience and behavior of those engaged in bulimic behaviors, with some constructions possibly being more useful in terms of help-seeking (Factor B), while others position these individuals in ways that may be distressing, for instance as shallow (Factor D) or to blame (Factor E). This

  2. Preliminary Evidence for the Off-Label Treatment of Bulimia Nervosa With Psychostimulants: Six Case Reports.

    Science.gov (United States)

    Keshen, Aaron; Helson, Thomas

    2017-07-01

    Psychostimulants have been assessed in bulimia nervosa patients with comorbid attention deficit/hyperactivity disorder (ADHD), but few studies have examined the impact of psychostimulants on bulimia nervosa patients without comorbid ADHD. The aim of this study was to examine psychostimulants as a potential treatment for bulimia nervosa and to assess the concern of weight loss, given the medication's appetite-suppressing effects. This retrospective study describes 6 case reports of outpatients who were prescribed a psychostimulant specifically for their bulimia nervosa. The number of binge/purge days per months and body mass index were assessed. All patients demonstrated reductions in the number of binge/purge days per month, and 1 patient experienced total remission of bulimic symptoms. Minor fluctuations in weight were observed, but no clinically significant reductions in weight were noted. These findings support the need for clinical trials to examine the efficacy and safety of this potential treatment. © 2017, The American College of Clinical Pharmacology.

  3. Celiac disease diagnosed after uncomplicated pregnancy in a patient with history of bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Milisavljević Nemanja

    2013-01-01

    Full Text Available Introduction. The association between celiac disease and eating disorders has been very rarely reported. This is the first report on celiac disease associated with bulimia in this part of Europe. Case report. An adult female patient with history of bulimia and one uncomplicated pregnancy was admitted to the Gastroenterology Department, due to long lasting dyspeptic symptoms, constipation, major weight loss and fatigue. After positive serological screening, the diagnosis of celiac disease was confirmed with histopathology examination of duodenal biopsy specimen. Conclusion. Complicated interactions between celiac disease and bulimia can make them difficult to diagnose and treat. It is important to consider the presence of celiac disease in patients with bulimia and gastrointestinal symptoms.

  4. 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.

  5. Atmospheric Science Without Borders

    Science.gov (United States)

    Panday, Arnico; Praveen, Ps; Adhikary, Bhupesh; Bhave, Prakash; Surapipith, Vanisa; Pradhan, Bidya; Karki, Anita; Ghimire, Shreta; Thapa, Alpha; Shrestha, Sujan

    2016-04-01

    The Indo-Gangetic Plains (IGP) in northern South Asia are among the most polluted and most densely populated places in the world, and they are upwind of vulnerable ecosystems in the Himalaya mountains. They are also fragmented across 5 countries between which movement of people, data, instruments and scientific understanding have been very limited. ICIMOD's Atmosphere Initiative has for the past three years been working on filling data gaps in the region, while facilitating collaborations across borders. It has established several atmospheric observatories at low and mid elevations in Bhutan and Nepal that provide new data on the inflow of pollutants from the IGP towards the mountains, as well as quantify the effects of local emissions on air quality in mountain cities. EGU will be the first international conference where these data will be presented. ICIMOD is in the process of setting up data servers through which data from the region will be shared with scientists and the general public across borders. Meanwhile, to promote cross-border collaboration among scientists in the region, while addressing an atmospheric phenomenon that affects the lives of the several hundred million people, ICIMOD' Atmosphere Initiative has been coordinating an interdisciplinary multi-year study of persistent winter fog over the Indo-Gangetic Plains, with participation by researchers from Pakistan, India, China, Nepal, Bhutan and Bangladesh. Using a combination of in-situ measurements and sample collection, remote sensing, modeling and community based research, the researchers are studying how changing moisture availability and air pollution have led to increases in fog frequency and duration, as well as the fog's impacts on local communities and energy demand that may affect air pollution emissions. Preliminary results of the Winter 2015-2016 field campaign will be shown.

  6. Collaborating Across Borders

    Science.gov (United States)

    Flatten, Amy

    Physicists transcend national boundaries, ethnic differences, and scientific disciplines to address globally shared problems and questions. This talk will highlight how scientists have collaborated across borders - both geographic and scientific - to achieve ground-breaking discoveries through international scientific cooperation. The speaker also will address how international collaborations will be even more crucial for addressing future challenges faced by the physics community, such as building large-scale research facilities, strengthening scientific capacity in developing countries, fostering ''science for diplomacy'' in times of political tensions and other critical issues.

  7. Cardiology without borders

    Institute of Scientific and Technical Information of China (English)

    Michael Wolk

    2004-01-01

    @@ Cardiovascular disease takes place in a border-free world. The challenge at the American College of Cardiology (ACC) and anywhere else in the world is to hold patient care above the artificial barriers raised by geopolitical issues. Fundamentally, the goal of ACC members or of any cardiology societies in the world is to provide excellent patient care. Cardiovascular disease is essentially the same throughout the world. Where there are minor variations among individuals, as clinicians we find priceless opportunity to learn. Expanding- rather contracting -our experience base helps us as individuals to realize our best potential as practitioners.

  8. Business, brokers and borders

    DEFF Research Database (Denmark)

    Walther, Olivier

    2015-01-01

    in two border regions between Niger, Nigeria, and Benin. In a business environment where transaction costs are extremely high, we find that decentralized networks are well adapted to the various uncertainties induced by long-distance trade. We also find that long-distance trade relies both on the trust...... and cooperation shared among local traders, and on the distant ties developed with foreign partners from a different origin, religion or culture. Studying the spatial structure of trade networks, we find that in those markets where trade is recent and where most of the traders are not native of the region...

  9. Oral health considerations in anorexia and bulimia nervosa. 1. Symptomatology and diagnosis.

    Science.gov (United States)

    Bassiouny, Mohamed A

    2017-01-01

    Eating disorders have captured the attention of medical and dental professionals as well as the public for decades and continue to raise concern today. The literature devoted to anorexia and bulimia highlights myriad psychological, systemic, and dental health complications. Dental practitioners are in a unique position to discover early manifestations of these disorders. The present article reviews anorexia and bulimia, summarizing telltale behavioral traits, systemic manifestations, and dental features to facilitate recognition and enable accurate diagnosis.

  10. Family perception of anorexia and bulimia: a systematic review.

    Science.gov (United States)

    Espíndola, Cybele Ribeiro; Blay, Sérgio Luís

    2009-08-01

    A systematic literature review published between 1990 and 2006 using a qualitative approach was conducted to explore family members' perception of anorexia and bulimia nervosa patients. Articles were critically reviewed and a meta-synthesis analysis was carried out based on a meta-ethnographic method to analyze and summarize data. Of a total of 3,415 studies, nine met the study inclusion and exclusion criteria. Reciprocal translation was used for data interpretation allowing to identifying two concepts: disease awareness and disease impacts. Feelings of impotence were often described in family reorganization. The study results point to distortions in the concept of disease associated with family involvement, resulting in changes in communication, attitudes, and behaviors in a context of impotence.

  11. [Affective disorders in patients with anorexia nervosa and bulimia nervosa].

    Science.gov (United States)

    Briukhin, A E; Onegina, E Iu

    2011-01-01

    Authors studied 109 patients with eating disorders, including 49 with anorexia nervosa (AN) and 60 with bulimia nervosa (BN), using psychopathological and experimental/psychological methods, psychometric scales and follow-up. Four variants (2 AN and 2 BN) of clinical presentations and dynamics of affective disorders were singled out. It has been shown that many features of their symptoms and responses of patients to the complex therapy (diet-, psycho- and pharmacotherapy) depend on the belonging of AN or BN to a group of borderline mental disorders or to endogenous diseases. Taking into account the revealed features of affective disorders, the authors have formulated recommendations for treatment tactics and prevention measures for these groups of patients.

  12. 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.

  13. Meal patterning in the treatment of bulimia nervosa.

    Science.gov (United States)

    Ellison, Jo M; Simonich, Heather K; Wonderlich, Stephen A; Crosby, Ross D; Cao, Li; Mitchell, James E; Smith, Tracey L; Klein, Marjorie H; Crow, Scott J; Peterson, Carol B

    2016-01-01

    This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. [Nurses and clientele with anorexia and bulimia: a case study].

    Science.gov (United States)

    Martins, Claudia Regina Carvalho; Caccavo, Paulo Vaccari

    2012-01-01

    The research aimed to identify the interaction of nurses and clients suffering from bulimia and anorexia. We use the case study as a resource in which we collect clinical data and did interviews with eight of fourteen nurses, who have been our subject-object. According to the nurses, clients are isolated from the world living in a world without hunger and mirrors reflecting a body always above the "ideal weight", they were lonely people, personnel who have lost their shine, sending signals that could extinguish their lives at any time. In the study, was possible to identify the manner in which nurses interacted and perceived customers and, as a result, we elucidate a peculiar practice in nursing.

  15. Anatomical characteristics of the cerebral surface in bulimia nervosa.

    Science.gov (United States)

    Marsh, Rachel; Stefan, Mihaela; Bansal, Ravi; Hao, Xuejun; Walsh, B Timothy; Peterson, Bradley S

    2015-04-01

    The aim of this study was to examine morphometric features of the cerebral surface in adolescent and adult female subjects with bulimia nervosa (BN). Anatomical magnetic resonance images were acquired from 34 adolescent and adult female subjects with BN and 34 healthy age-matched control subjects. We compared the groups in the morphological characteristics of their cerebral surfaces while controlling for age and illness duration. Significant reductions of local volumes on the brain surface were detected in frontal and temporoparietal areas in the BN compared with control participants. Reductions in inferior frontal regions correlated inversely with symptom severity, age, and Stroop interference scores in the BN group. These findings suggest that local volumes of inferior frontal regions are smaller in individuals with BN compared with healthy individuals. These reductions along the cerebral surface might contribute to functional deficits in self-regulation and to the persistence of these deficits over development in BN. © 2014 Society of Biological Psychiatry.

  16. Social support in patients with anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Tiller, J M; Sloane, G; Schmidt, U; Troop, N; Power, M; Treasure, J L

    1997-01-01

    To investigate the social support networks of patients with anorexia nervosa (AN) and bulimia nervosa (BN). Social support was measured using the Significant Others Scale for 44 patients with AN, 81 patients with BN, and 86 polytechnic students. Eating disorder patients had smaller social networks than the students. AN patients were significantly less likely than BN patients to have a spouse or partner as a support figure. Both AN and BN patients reported less actual emotional and practical support than students. AN patients perceived their social support to be adequate, whereas BN patients were dissatisfied with their support. Patients set lower ideals for support than the students. Social support was not correlated with duration of illness. AN and BN patients have deficient social networks. In BN patients there is disturbance in both the size and perceived adequacy of social relationships.

  17. Total energy expenditure as measured by doubly-labeled water in outpatients with bulimia nervosa.

    Science.gov (United States)

    Kotler, L A; Devlin, M J; Matthews, D E; Walsh, B T

    2001-05-01

    This study measured total energy expenditure (TEE) in symptomatic outpatient women with bulimia nervosa and normal controls. The study aimed to test the conceptual model of bulimia nervosa as an illness characterized by a physiological state of starvation, despite normal weight. Total fat and fat-free mass were measured using hydrodensitometry and total energy expenditure was assessed via the doubly-labeled water method, in nine normal weight outpatient females with DSM-III-R bulimia nervosa and ten healthy female controls. Patients and controls were similar in age, body mass index, weight, lean body mass, and levels of exercise and general activity. Patients had an average baseline binge frequency of 14.7 episodes per week and purge frequency of 16.8 times per week, and had been ill for an average of 11.9 years. Group mean TEE did not differ between patients and controls (patients 2380 +/- 482 kcal/day, controls 2368 +/- 515 kcal day). Observed TEE in the bulimic subjects did not differ significantly from TEE predicted on the basis of data from the controls. This finding of normal TEE in symptomatic outpatients with bulimia nervosa is consistent with a previous study that found no difference in TEE in a sample of symptomatic inpatients with bulimia nervosa. These data suggest that the energy conserving metabolic adaptations characteristic of semi-starvation do not occur in patients with bulimia nervosa. Copyright 2001 by John Wiley & Sons, Inc.

  18. 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

  19. [Nutrition and behavioral eating disorders: anorexia and bulimia nervosa].

    Science.gov (United States)

    Miján de la Torre, A; Velasco Vallejo, J L

    1999-05-01

    Behavioral eating disorders (BED's) have shown an intense growth in the last years. They are considered to be caused by multiple factors, showing a bio-psycho-socio-cultural etiology. Although there are clinical signs that could alert the physician and allow an early diagnosis, their final diagnosis must meet certain criteria set in the DSM-IV (1994). Despite the fact that anorexia nervosa and bulimia nervosa in their typical forms, are the most known, there are atypical or incomplete forms of both that should be kept in mind when making the diagnosis. Anorexia nervosa is accompanied by somatic-nutritional problems that may condition the patient's life, requiring specific nutritional care. Bulimia nervosa is often accompanied by medical complications that require an exhaustive assessment. As for the nutritional support in anorexia nervosa, this must be proportional to the nutritional status of the patient and there should be no hesitation to resort to artificial nutrition using enteral nutrition through a tube in the case of severe malnutrition. In these cases there must be careful monitoring for the appearance of the re-nutrition syndrome, and this can be avoided by the slow and progressive administration of energetic nutrients, with special precautions in the supply of carbohydrates, and administering an adequate supplement of vitamins and electrolytes. Patients with a BED require a multi-disciplinary care with the simultaneous and coordinated action of a team of professionals. This type of care coupled with the experience of the team with regard to BED's and their treatment, and together with other actions and situations, may favor the final prognosis of a patient with a BED.

  20. Effect of eating rate on binge size in Bulimia Nervosa

    Science.gov (United States)

    Kissileff, Harry R; Zimmerli, Ellen J; Torres, Migdalia I; Devlin, Michael J; Walsh, B Timothy

    2008-01-01

    Effect of eating rate on binge size in bulimia nervosa. Bulimia Nervosa (BN) is an eating disorder characterized by recurrent episodes of binge eating. During binge eating episodes, patients often describe the rapid consumption of food, and laboratory studies have shown that during binges patients with BN eat faster than normal controls (NC), but the hypothesis that a rapid rate of eating contributes to the excessive intake of binge meals has not yet been experimentally tested. The aim of this study was to assess the effect of eating rate on binge size in BN, in order to determine whether binge size is mediated, in part, by rate of eating. Thirteen BN and 14 NC subjects were asked to binge eat a yogurt shake that was served at a fast rate (140g/min) on one occasion and at a slow rate (70g/min) on another. NC subjects consumed 169 g more when eating at the fast rate than when eating at the slow rate. In contrast, consumption rates failed to influence binge size in patients with BN (fast: 1205 g; slow: 1195 g). Consequently, there was a significant group by rate interaction. As expected, patients with BN consumed more overall than NC subjects (1200 g vs. 740 g). When instructed to binge in the eating laboratory, patients with BN ate equally large amounts of food at a slow rate as at a fast rate. NC subjects ate less at a slow rate. These findings indicate that in a structured laboratory meal paradigm binge size is not affected by rate of eating. PMID:17996257

  1. The economic effect of Planet Health on preventing bulimia nervosa.

    Science.gov (United States)

    Wang, Li Yan; Nichols, Lauren P; Austin, S Bryn

    2011-08-01

    To assess the economic effect of the school-based obesity prevention program Planet Health on preventing disordered weight control behaviors and to determine the cost-effectiveness of the intervention in terms of its combined effect on prevention of obesity and disordered weight control behaviors. On the basis of the intervention's short-term effect on disordered weight control behaviors prevention, we projected the number of girls who were prevented from developing bulimia nervosa by age 17 years. We further estimated medical costs saved and quality-adjusted life years gained by the intervention over 10 years. As a final step, we compared the intervention costs with the combined intervention benefits from both obesity prevention (reported previously) and prevention of disordered weight control behaviors to determine the overall cost-effectiveness of the intervention. Middle schools. A sample of 254 intervention girls aged 10 to 14 years. The Planet Health program was implemented during the school years from 1995 to 1997 and was designed to promote healthful nutrition and physical activity among youth. Intervention costs, medical costs saved, quality-adjusted life years gained, and cost-effectiveness ratio. An estimated 1 case of bulimia nervosa would have been prevented. As a result, an estimated $33 999 in medical costs and 0.7 quality-adjusted life years would be saved. At an intervention cost of $46 803, the combined prevention of obesity and disordered weight control behaviors would yield a net savings of $14 238 and a gain of 4.8 quality-adjusted life years. Primary prevention programs, such as Planet Health, warrant careful consideration by policy makers and program planners. The findings of this study provide additional argument for integrated prevention of obesity and eating disorders.

  2. Stretching the Border

    DEFF Research Database (Denmark)

    Horstmann, Alexander

    2014-01-01

    In this paper, I hope to add a complementary perspective to James Scott’s recent work on avoidance strategies of subaltern mountain people by focusing on what I call the refugee public. The educated Karen elite uses the space of exile in the Thai borderland to reconstitute resources and to re......-enter Karen state in Eastern Burma as humanitarians, providing medical, educational resources and help to document human rights violations and do advocacy work. In addition, local missionaries and faith-based groups also use the corridor to spread the word of God. I argue that Karen humanitarian community......-based organizations succeed to stretch the border by establishing a firm presence that is supported by the international humanitarian economy in the refugee camps in Northwestern Thailand....

  3. Borders in Library

    Directory of Open Access Journals (Sweden)

    N. Toshmakova

    2015-09-01

    Full Text Available Libraries are fundamental institutions for the life under socialism in Bulgaria (1944-1989. They provide studies and readings for big part of society. This is time when television was very rare in Bulgarian homes and the newspapers were totally controlled by Communist party. This way a library served as the main source of information. Seemingly ordinary cultural centers, they become a powerful tool in the hands of the communist state. They are the ones who are actively worked to impose new socialist thinking trough setting limits on access to readers and therefore control the flow of information. The aim of this article is to trace the influence of restricted by communist censorship institution Glavlit literature. Or to put it another way – what was the role of censorship in the process of establishment of borders created by prohibited access to scientific information.

  4. Border mythology: Turner and modernity

    Directory of Open Access Journals (Sweden)

    Jorge E. Brenna B.

    2011-07-01

    Full Text Available Modernity has been creating spaces, new boundaries and borders, as metaphysical, mythological and symbolic marks of physical and imaginary territories. Modern space and its borders are metaphors, boundaries that are created, walls that rise to identify with some and categorize others. In this short paper we want to approach the problem of the transformation of the idea of border (geographical, cultural, symbolic, etc., for a reflection on the transformations of that civilized obsession called border. The border has always been a reference in facing the identities, names, symbols, different imaginary: it is more confrontational line between two otherness. From the previous framework, we reflect on Turnerian mythology, as we believe that behind the creation of the imagination of the northern border is the mythical vision of the American frontier as ideological canon that explains and confirms the presence of the white race in a border re–made in the image and likeness of the “American Dream”. Frederick Turner’s reflection on the role of the frontier in American history is not only the study of the importance of progress towards the West but –even more so, is the analysis of meaning that had the American frontier as a historical process that ended in 1893, as Turner said, but rather extended into the twentieth century and continues to constantly shaping the process of territorialization of the border.

  5. Geographical, Sociological and Metaphysical Borders

    Directory of Open Access Journals (Sweden)

    Jacinto Choza Armenta

    2008-09-01

    Full Text Available During the different ages of history and prehistory, borders have possessed different kinds of natures. Sometimes they did not exist, at other times they have been very diffuse, while at others they have been impassable. There were no borders in the Paleolithic age, or during Greece’s Heroic Age. It was not until the creation of the city-states and the empires that borders began to be consolidated. Territorial demarcations were not very strict during the Middle Ages, either. It was in the modern age that borders acquired an impassable nature, following the birth of the modern State, and they began to weaken with the crisis of the modern State that began in the 20th century. Thus, the author claims, the construction of borders is not a fundamentally political-administrative event. Instead, it seems to be primarily a phenomenon of a cultural nature and, more specifically, of a metaphysical nature.

  6. The relationship between Internet addiction and bulimia in a sample of Chinese college students: depression as partial mediator between Internet addiction and bulimia.

    Science.gov (United States)

    Tao, ZhuoLi

    2013-09-01

    It has been reported that Internet addiction is associated with substance dependence. Eating disorders have high rates of co-morbidity with substance use disorders. The relationship between Internet addiction and eating disorders was reported in a previous study. To examine the hypothesis that Internet addiction is closely associated with bulimia. The hypothesis that depression mediates the relationship between Internet addiction and bulimia symptoms was also tested. 2,036 Chinese college students were assessed on Internet addiction, eating behaviors and depression. Binge eating, compensatory behaviors, weight concern, menarche and weight change were also reported. Multiple regression analysis was used to test the mediating effect of depression. Internet addicts showed significantly higher scores on most subscales on EDI-1 than the controls. They reported significantly more binge eating, weight concern and weight change than the controls. Among all of the participants, depression was found to be a partial mediator in the relationship between Internet addiction and bulimia. This survey provides evidence of the co-morbidity of Internet addiction and bulimia.

  7. CENTRAL PLATEAU REMEDIATION OPTIMIZATION STUDY

    Energy Technology Data Exchange (ETDEWEB)

    BERGMAN, T. B.; STEFANSKI, L. D.; SEELEY, P. N.; ZINSLI, L. C.; CUSACK, L. J.

    2012-09-19

    THE CENTRAL PLATEAU REMEDIATION OPTIMIZATION STUDY WAS CONDUCTED TO DEVELOP AN OPTIMAL SEQUENCE OF REMEDIATION ACTIVITIES IMPLEMENTING THE CERCLA DECISION ON THE CENTRAL PLATEAU. THE STUDY DEFINES A SEQUENCE OF ACTIVITIES THAT RESULT IN AN EFFECTIVE USE OF RESOURCES FROM A STRATEGIC PERSPECTIVE WHEN CONSIDERING EQUIPMENT PROCUREMENT AND STAGING, WORKFORCE MOBILIZATION/DEMOBILIZATION, WORKFORCE LEVELING, WORKFORCE SKILL-MIX, AND OTHER REMEDIATION/DISPOSITION PROJECT EXECUTION PARAMETERS.

  8. Posterior bicondylar tibial plateau fractures.

    Science.gov (United States)

    Carlson, DuWayne A

    2005-02-01

    To present a case series of patients with posterior bicondylar tibial plateau fractures treated by direct fracture exposure and fixation through dual incisions. Retrospective clinical study. Level 1 trauma centers. Eight patients were identified that had posterior bicondylar tibial plateau fractures. Two patients had depressed posterolateral tibial plateau fractures with contained defects and did not have direct fracture exposure. One patient died of medical problems leaving 5 patients who underwent direct fracture exposure, reduction, and fixation. Posteromedial followed by posterolateral open reduction and internal fixation of posterior bicondylar tibial plateau fractures. At 6 to 24 months follow-up (mean 13 months), all patients returned to near full activities, each with aching after prolonged standing (8-hour shift). Range of motion averaged 2 degrees to 121 degrees of flexion. Three of 5 returned to manual labor jobs; the others were not employed at the time of injury. Posterior bicondylar tibial plateau fractures have a high association with lateral meniscal pathology and can be associated with anterior cruciate ligament injury. Reduction of the posterior plateau condyles is easiest with the knee in full extension. Flexion contractures can be a problem, and patients should be encouraged to regain/maintain knee extension. The dual-incision approach to these challenging fractures can result in good to excellent knee function for these patients.

  9. Childhood Sexual and Physical Abuse as Risk Factors for the Development of Bulimia Nervosa: A Community-Based Case Control Study.

    Science.gov (United States)

    Welch, Sarah L.; Fairburn, Christopher G.

    1996-01-01

    Young women (n=102) with bulimia nervosa were compared with 204 control subjects without an eating disorder and with 102 subjects with other psychiatric disorders. Results suggest that sexual and physical abuse are both risk factors for psychiatric disorders in general, including bulimia nervosa, but are not specific risk factors for bulimia. (DB)

  10. Cigarette smoking is associated with body shape concerns and bulimia symptoms among young adult females.

    Science.gov (United States)

    Kendzor, Darla E; Adams, Claire E; Stewart, Diana W; Baillie, Lauren E; Copeland, Amy L

    2009-01-01

    Elevated rates of cigarette smoking have been reported among individuals with Bulimia Nervosa. However, little is known about eating disorder symptoms within non-clinical samples of smokers. The purpose of the present study was to compare the eating disorder symptoms of young adult female smokers (n=184) and non-smokers (n=56), to determine whether smokers were more likely to endorse bulimic symptoms and report greater body shape concern than non-smokers. Analyses indicated that smokers scored significantly higher than non-smokers on the Body Shape Questionnaire, p=.03, and the Bulimia Test-Revised, p=.006. In addition, a higher proportion of smokers than non-smokers scored > or = 85 on the Bulimia Test-Revised, p=.05, suggesting the possibility that Bulimia Nervosa diagnoses were more prevalent among smokers. No differences were found between smokers and non-smokers on other measures of eating behavior. Overall, findings suggest that smoking is specifically associated with symptoms of Bulimia Nervosa and body shape concern among young adult females.

  11. Psychometric characteristics of Spanish adaptation of a Test for Bulimia (BULIT).

    Science.gov (United States)

    Vázquez Morejón, A J; García-Bóveda, R Jiménez; Vázquez-Morejón Jiménez, R

    2007-01-01

    The high prevalence of bulimia nervosa among eating disorders and limited repertoire of assessment tools available for these disorders in Spanish have resulted in special interest regarding the adaptation of a specific instrument such as the Bulimia Test (BULIT). A total of 119 outpatients, most of them women (97.5%) seen in a community mental health center, were assessed with the Spanish adaptation of the Bulimia Test (BULIT) and by Eating Attitudes Test (EAT-40). Reliability (internal consistency and temporal reliability) and validity (convergent and discriminant) were studied. Cronbach's alpha coefficient (alpha: 0.93) shows high internal consistency while the temporal reliability is supported by the high correlation observed (r=0.83) between applications conducted in an interval of 8-10 weeks. In relationship with convergent validity, moderate correlations were observed with the global score on EAT (r=0.38) and substantial correlation with the EAT Bulimia subscale (r=0.69). By using an 88 cutoff on the BULIT, the test properly classified 90% of the bulimic subjects and 100% of those without eating disorder. The results firmly supported the reliability and validity of this Spanish adaptation, stressing its utility as a screening device to detect current or incipient cases of bulimia and to assess severity of bulimic symptoms.

  12. 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.

  13. De-stabilization of the positive vago-vagal reflex in bulimia nervosa.

    Science.gov (United States)

    Faris, Patricia L; Hofbauer, Randall D; Daughters, Randall; Vandenlangenberg, Erin; Iversen, Laureen; Goodale, Robert L; Maxwell, Robert; Eckert, Elke D; Hartman, Boyd K

    2008-04-22

    Bulimia nervosa is characterized by consuming large amounts of food over a defined period with a loss of control over the eating. This is followed by a compensatory behavior directed at eliminating the consumed calories, usually vomiting. Current treatments include antidepressants and/or behavioral therapies. Consensus exists that these treatments are not very effective and are associated with high relapse rates. We review evidence from literature and present original data to evaluate the hypothesis that bulimia involves alterations in vago-vagal function. Evidence in support of this include (1) laboratory studies consistently illustrate deficits in meal size, meal termination, and satiety in bulimia; (2) basic science studies indicate that meal size and satiation are under vagal influences; (3) anatomical, behavioral and physiological data suggest that achieving satiety and the initiation of emesis involve common neural substrates; (4) abnormal vagal and vago-vagal reflexive functions extend to non-eating activational stimuli; and (5) studies from our laboratory modulating vagal activation have shown significant effects on binge/vomit frequencies and suggest a return of normal satiation. We propose a model for the pathophysiology of bulimia based upon de-stabilization of a bi-stable positive vago-vagal feedback loop. This model is not meant to be complete, but rather to stimulate anatomical, psychobiological, and translational neuroscience experiments aimed at elucidating the pathophysiology of bulimia and developing novel treatment strategies.

  14. Crossing borders via mental bridges

    DEFF Research Database (Denmark)

    Keil, Dirk

    The project studies cross-border regional integration in Europe drawing on the example of the emerging Danish-German Femern Belt Region. It focuses on cross-border networking within public administration as part of regional integra- tion. My central question is how national-cultural differences...... influence coopera- tion, coordination and collaboration in administrative cross-border networks. In this connection the project asks after the perception of regional integration seen from the different national backgrounds. The research concentrates on the group of decision makers within the field of public...

  15. Firemen without borders

    CERN Multimedia

    2005-01-01

    Fire knows no borders and neither should the tools for fighting it. It was with this aim in mind that delegates from 14 different countries came to CERN at the beginning of April to take part in the twentieth of a series of twice-yearly international conferences organised by the Federation of European Union Fire Officer Associations (FEU). This latest conference allowed participants to keep abreast of new developments with a view to improving the safety techniques used in their own countries. The first in the series was held in Tampere, Finland, in 1994. The FEU network's objective is to harmonise safety policies and modernise the fire-fighting programme. In particular, it aims to develop an international system for testing hotels' fire alarm systems and to improve language learning in all countries' fire-fighting services. "We want authorities throughout Europe to be aware of the importance of a good joint fire-prevention policy in order to avoid catastrophes such as the fire that destroyed Madrid's Winds...

  16. Distance, Borders, and Time

    DEFF Research Database (Denmark)

    Skillicorn, David; Walther, Olivier; Zheng, Quan

    This paper explores the spatial and temporal diffusion of political violence in North and West Africa. It does so by endeavoring to represent the mental landscape that lives in the back of a group leader’s mind as he contemplates strategic targeting. We assume that this representation is a combin......This paper explores the spatial and temporal diffusion of political violence in North and West Africa. It does so by endeavoring to represent the mental landscape that lives in the back of a group leader’s mind as he contemplates strategic targeting. We assume that this representation...... constrains a group leader to attack at a location other than the one that would seem to yield the greatest overt payoff. By its very nature, the research problem defies the collection of a full set of structural data. Instead, we leverage functional data from the Armed Conflict Location and Event Data......” of North and West Africa that depicts the permeability to violence. A better understanding of how location, time, and borders condition attacks enables planning, prepositioning, and response....

  17. Prevalence of Disordered Eating Behaviors and Bulimia Nervosa in a Sample of Mexican American Female College Students.

    Science.gov (United States)

    Lester, Regan; Petrie, Trent A.

    1998-01-01

    Disordered eating behaviors and bulimia nervosa were examined in a sample of female Mexican Americans. Results showed that 1.45% to 4.3% could be classified with bulimia. Just over 11% indicated regular binge eating. Dieting and exercising were the primary techniques used for weight control. Implications for intervention are briefly discussed.…

  18. Dying on the Inside: What Every Teacher Needs to Know About Anorexia Nervosa, Bulimia, and the Individual Child.

    Science.gov (United States)

    Zimmer, Marc

    This document provides teachers with information on the identifying features of anorexia nervosa and bulimia and suggests steps which teachers can take to encourage individual children in more positive behavior. The paper makes clear distinctions between anorexia nervosa, bulimia, and bulimarexia, describing the symptoms of each disorder. It is…

  19. Dying on the Inside: What Every Teacher Needs to Know About Anorexia Nervosa, Bulimia, and the Individual Child.

    Science.gov (United States)

    Zimmer, Marc

    This document provides teachers with information on the identifying features of anorexia nervosa and bulimia and suggests steps which teachers can take to encourage individual children in more positive behavior. The paper makes clear distinctions between anorexia nervosa, bulimia, and bulimarexia, describing the symptoms of each disorder. It is…

  20. Study Ties Girls’ Bulimia To Arrival Of TV In Fiji

    Institute of Scientific and Technical Information of China (English)

    Leslie; Gevirtz; 张式昌

    1999-01-01

    斐济,南太平洋的一个美丽岛国,在1985年尚不通电。但是,随着通电而来的电视,给这个岛国带来了意料不到的变化!昔日,该国的少男少女均以强健和肌肉发达为美,为追求。而今,小小的电视荧屏让他们看到了外面的世界,知道了Western ideals of beauty。从此,少女们开始diet(节食减肥),孰料,少女减肥不当,减出了bulimia(易饿病)and anorexia(厌食)。电视的出现是祸是福?作者意味深长地“重温”了19世纪的历史:When the British came to Fiji andbrought the measles 【医】麻疹)with them.接着,作者写道:in the 20th century,television is another pathogen(病原体)exporting Western images and values.】

  1. Normal interoceptive accuracy in women with bulimia nervosa.

    Science.gov (United States)

    Pollatos, Olga; Georgiou, Eleana

    2016-06-30

    Previous studies suggest that patients suffering from bulimia nervosa (BN) have difficulties in perceiving internal bodily signals, mostly assessed by self-report questionnaires. Whether interoception is, in this case, attenuated or not remains an open question. Therefore, interoceptive processes were examined in twenty-three patients with current BN and were compared to healthy participants. We investigated Interoceptive Accuracy (IAc) assessed by the heartbeat detection task and Interoceptive Awareness (IA) assessed by the Eating Disorder Inventory-2. Patients with BN and healthy participants did not differ in terms of IAc when controlling for BMI, depression and anxiety, whereas IA among BN patients was found to have decreased. Although IAc and IA were not related among controls, we observed an inverse correlation in BN, suggesting that an abnormal overlap between these two levels of interoceptive signal processing is present in BN. The current study introduces a new perspective concerning the role of interoceptive processes in BN and generates further questions regarding the therapeutic utility of methods targeting the interaction between different levels of interoception in the treatment of BN.

  2. Neuropsychological correlates of decision making in patients with bulimia nervosa.

    Science.gov (United States)

    Brand, Matthias; Franke-Sievert, Christiane; Jacoby, Georg E; Markowitsch, Hans J; Tuschen-Caffier, Brunna

    2007-11-01

    In addition to the core psychopathology of bulimia nervosa (BN), patients with BN often show impulsive behavior that has been related to decision making deficits in other patient groups, such as individuals with anorexia nervosa and pathological gamblers. However, it remains unclear whether BN patients also show difficulties in decision making. In this study, 14 patients with BN and 14 healthy comparison subjects, matched for age, gender, education, body mass index, and intelligence, were examined with the Game of Dice Task (M. Brand, E. Fujiwara, et al., 2005), a gambling task that has fixed winning probabilities and explicit rules for gains and losses, as well as with a neuropsychological test battery and personality questionnaires. On the task, the patients with BN chose the disadvantageous alternatives more frequently than did the comparison subjects. Performance on the Game of Dice Task was related to executive functioning but not to other neuropsychological functions, personality, or disease-specific variables in the BN group. Thus, in patients with BN, decision making abnormalities and executive reductions can be demonstrated and might be neuropsychological correlates of the patients' dysfunctional everyday-life decision making behavior. Neurocognitive functions should be considered in the treatment of BN.

  3. Imaging techniques in the management of anorexia and bulimia nervosa.

    Science.gov (United States)

    Mazzetti di Pietralata, G

    2002-06-01

    This paper discusses the contribution offered by radiological techniques to the diagnosis of the medical and surgical complications of anorexia nervosa (AN) and bulimia (BN) with the aim of providing general indications as to their use and suggesting the best-suited techniques. In the broad field of the complications of malnourishment, the use of magnetic resonance (MR) instead of computed tomography (CT) in the assessment of brain atrophy provides much more information at a better cost-benefit ratio. Like brain atrophy, other complications may be chance radiographic findings, such as cathartic colon and colon ptosis. Pulmonary tuberculosis and the presence of bronchopneumonia in conditions of malnutrition demand that conventional X-rays be supplemented by high-resolution CT scans, MR and echotomography. When checking for parotidomegaly and polycystic ovary, the best imaging technique is echotomography. Radiologists are also called upon to express their view in the case of emergencies such as the rupture of the esophagus and osteoporosis-induced fractures.

  4. [Assessment of emotional reactivity to food images in bulimia nervosa].

    Science.gov (United States)

    Gómez Martínez, Ma Angeles; Bernabé, José Ramon Yela; Ruiz, Alfonso Salgado; Rodríguez, María Cortés

    2011-11-01

    The aim of the study was to assess the influence on reactivity to food images of the following variables: craving-trait, positive or negative mood state, and food restriction. Emotional modulation of the defense startle reflex (RMS) was assessed in 26 women at risk of suffering from bulimia nervosa; they were assigned one of to two groups: high craving-trait and low craving-trait. Before the test, positive or negative mood and restriction vs. non-restriction states were induced in each of the groups. Skin conductance response (SCR) and electromyogram activity from the orbiculari oculi region were recorded after the auditory stimuli; questionnaires such as Food Craving Trait Questionnaire (FCQ-T) and the Self-assessment Manikin (SAM) were used. Results showed that negative affect produced a negative valence of food images, more arousal, and more loss of control, as well as higher SCRs. Subjects with low FCQ-T levels reduced their RMS to food images as a consequence of experiencing positive emotions; when emotions were negative, their RMS increased.

  5. The validity and utility of subtyping bulimia nervosa.

    Science.gov (United States)

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

    2009-11-01

    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. A literature search of psychiatry databases for studies published in peer-reviewed journals that used the DSM-definitions of BN and BED, and included both individuals with BN-NP and individuals with BN-P and/or BED. Twenty-three studies compared individuals with BN-NP (N = 671) to individuals with BN-P (N = 1795) and/or individuals with BED (N = 1921), two of which reported on course, 12 on comorbidity and none on treatment response-the indicators for validity and clinical utility. The differences found were mainly quantitative rather than qualitative, suggesting a gradual difference in severity from BN-P (most severe) through BN-NP to BED (least severe). None of the comparisons provided convincing evidence for the validity or utility of the BN-NP diagnosis. Three options for the position of BN-NP in DSM-V were suggested: (1) maintaining the BN-NP subtype, (2) dropping nonpurging compensatory behavior as a criterion for BN, so that individuals currently designated as having BN-NP would be designated as having BED, and (3) including BN-NP in a broad BN category.

  6. Frontostriatal circuits and the development of bulimia nervosa.

    Science.gov (United States)

    Berner, Laura A; Marsh, Rachel

    2014-01-01

    Bulimia nervosa (BN) is characterized by both recurrent episodes of binge eating that are, in part, defined by a sense of loss of control and compensatory behaviors to avoid weight gain. Impulsive behaviors are also common in individuals with BN, indicating more pervasive difficulties in behavioral self-regulation. Findings from functional and anatomical neuroimaging studies of individuals with BN suggest dysfunction in the dorsal frontostriatal circuits that support self-regulatory capacities and habit learning and in overlapping ventral circuits that support reward processing and reward-based learning. In this review, we describe the normal development of frontostriatal circuits and then present behavioral and neuroimaging data from adolescents and adults with BN. These data suggest that the abnormal maturation of frontostriatal circuits may contribute to the habitual binge-eating and purging behaviors of BN. Future longitudinal imaging studies will improve understanding of how these circuits contribute to the developmental trajectory of BN and will inform novel interventions that could target or prevent the impulsive and habit-like features of this disorder.

  7. Central coherence in adolescents with bulimia nervosa spectrum eating disorders.

    Science.gov (United States)

    Darcy, Alison M; Fitzpatrick, Kathleen Kara; Manasse, Stephanie M; Datta, Nandini; Klabunde, Megan; Colborn, Danielle; Aspen, Vandana; Stiles-Shields, Colleen; Labuschagne, Zandre; Le Grange, Daniel; Lock, James

    2015-07-01

    Weak central coherence-a tendency to process details at the expense of the gestalt-has been observed among adults with bulimia nervosa (BN) and is a potential candidate endophenotype for eating disorders (EDs). However, as BN behaviors typically onset during adolescence it is important to assess central coherence in this younger age group to determine whether the findings in adults are likely a result of BN or present earlier in the evolution of the disorder. This study examines whether the detail-oriented and fragmented cognitive inefficiency observed among adults with BN is observable among adolescents with shorter illness duration, relative to healthy controls. The Rey-Osterrieth Complex Figure Test (RCFT) was administered to a total of 47 adolescents with DSM5 BN, 42 with purging disorder (PD), and 25 healthy controls (HC). Performance on this measure was compared across the three groups. Those with BN and PD demonstrated significantly worse accuracy scores compared to controls in the copy and delayed recall condition with a moderate effect size. These findings were exacerbated when symptoms of BN increased. Poorer accuracy scores reflect a fragmented and piecemeal strategy that interferes with visual-spatial integration in BN spectrum disorders. This cognitive inefficiency likely contributes to broad difficulties in executive functioning in this population especially in the context of worsening bulimic symptoms. The findings of this study support the hypothesis that poor global integration may constitute a cognitive endophenotype for BN. © 2014 Wiley Periodicals, Inc.

  8. 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.

  9. Bulimia nervosa in overweight and normal-weight women.

    Science.gov (United States)

    Masheb, Robin; White, Marney A

    2012-02-01

    The aim of the present study was to examine overweight bulimia nervosa (BN) in a community sample of women. Volunteers (n = 1964) completed self-report questionnaires of weight, binge eating, purging, and cognitive features. Participants were classified as overweight (body mass index ≥25) or normal weight (body mass index <25). Rates of BN within the overweight and normal-weight classes did not differ (6.4% vs 7.9%). Of the 131 participants identified as BN, 64% (n = 84) were classified as overweight BN and 36% (n = 47) as normal-weight BN. The overweight BN group had a greater proportion of ethnic minorities and reported significantly less restraint than the normal-weight BN group. Otherwise, the 2 groups reported similarly, even in terms of purging and depression. In summary, rates of BN did not differ between overweight and normal-weight women. Among BN participants, the majority (two thirds) were overweight. Differences in ethnicity and restraint, but little else, were found between overweight and normal-weight BN. Findings from the present study should serve to increase awareness of the weight range and ethnic diversity of BN, and highlight the need to address weight and cultural sensitivity in the identification and treatment of eating disorders. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Bulimia nervosa in overweight and normal weight women

    Science.gov (United States)

    Masheb, R. M.; White, M. A.

    2011-01-01

    The aim of the present study was to examine overweight bulimia nervosa (BN) in a community sample of women. Volunteers (N=1,964) completed self-report questionnaires of weight, binge eating, purging, and cognitive features. Participants were classified as overweight (BMI>=25) or normal weight (BMI<25). Rates of BN within the overweight and normal weight classes did not differ (6.4% vs.7.9%). Of the 131 participants identified as BN, 64% (n=84) were classified as overweight BN (OBN) and 36% (n=47) as normal weight BN. The OBN group had a greater proportion of ethnic minorities, and reported significantly less restraint than the normal weight BN group. Otherwise, the two groups reported similarly, even in terms of purging and depression. In summary, rates of BN did not differ between overweight and normal weight women. Among BN participants, the majority (two-thirds) were overweight. Differences in ethnicity and restraint, but little else, were found between overweight and normal weight BN. Findings from the present study should serve to increase awareness of the weight range and ethnic diversity of BN, and highlight the need to address weight and cultural sensitivity in the identification and treatment of eating disorders. PMID:21550028

  11. Evaluation of the DSM-5 severity indicator for bulimia nervosa.

    Science.gov (United States)

    Grilo, Carlos M; Ivezaj, Valentina; White, Marney A

    2015-04-01

    This study examined the DSM-5 severity criterion for bulimia nervosa (BN) based on the frequency of inappropriate weight compensatory behaviors. 199 community volunteers classified with BN were categorized using DSM-5 severity levels and compared on demographic and clinical variables. 77 (39%) participants were categorized as mild, 68 (34%) as moderate, 32 (16%) as severe, and 22 (11%) as extreme. The severity groups did not differ significantly in demographic variables or body mass index. Shape and Weight concerns did not differ significantly across severity groups. Binge eating differed with the extreme group having significantly higher frequency than the severe, moderate, and mild groups, which did not differ from each other. Restraint differed with the extreme group having significantly higher levels than the mild group. Eating concerns differed with the extreme group having significantly higher levels than moderate and mild groups. Depression differed with the extreme group having significantly higher levels than severe, moderate, and mild groups, which did not differ from each other. Findings from this non-clinical group provide new, albeit modest, support for DSM-5 severity rating for BN based on frequency of inappropriate weight compensatory behaviors. Statistical findings indicate that differences in collateral clinical variables associated with the DSM-5 severity ratings reflect small effect sizes. Further research is needed with treatment-seeking patient groups with BN to establish the validity of the DSM-5 severity specifier and should include broader clinical and functional validators. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Experiences of Enhanced Cognitive Behaviour Therapy for Bulimia Nervosa.

    Science.gov (United States)

    Onslow, Louise; Woodward, Debbie; Hoefkens, Toni; Waddington, Louise

    2016-03-01

    Recent quantitative studies provide support for an "enhanced" transdiagnostic approach of Cognitive Behaviour Therapy (CBT-E) for eating disorders; however it is not yet known how recipients of CBT-E experience therapy. The current study used a qualitative approach to explore service users' experiences of CBT-E. Individuals with a diagnosis of bulimia nervosa and who had completed CBT-E from one service in Wales were invited to participate. Semi-structured interviews were completed with eight individuals and analysed using Interpretative Phenomenological Analysis (IPA). Participants valued both specific and non-specific elements of CBT-E. Therapist specialism in eating disorders was considered to enhance therapist empathy. The most helpful aspects specific to CBT-E were gaining insight into maintenance cycles and experiential learning. The most challenging aspects of CBT-E were changing behaviours and cognitions "in the moment" and in the longer-term. The implication of therapist specialism and empathy is further discussed, as well as the difficulty for CBT-E in changing service users' long-standing core beliefs.

  13. Relacionamentos Afetivo-Familiares em Mulheres com Anorexia e Bulimia

    Directory of Open Access Journals (Sweden)

    Carolina Leonidas

    Full Text Available RESUMOEste estudo teve por objetivo investigar a rede social de apoio de mulheres com anorexia e bulimia, com ênfase em suas relações afetivo-familiares. A amostra foi composta por 12 participantes atendidas em hospital universitário. Os instrumentos utilizados foram: roteiro de entrevista semiestruturada, Mapa de Rede e Genograma. Os resultados indicaram que as redes sociais das participantes têm configuração restrita, com proeminência de membros da família em sua composição. Os relacionamentos familiares oscilam, contudo, entre turbulência e distanciamento afetivo. As relações de afeto mantidas com pais, cônjuges e namorados são marcadas por divergências e insatisfações. A baixa densidade da rede de amizades e o empobrecimento da vida social resultam em isolamento e dificuldades de dar início e/ou manter relacionamentos afetivos duradouros.

  14. Frontostriatal circuits and the development of bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Laura A. Berner

    2014-11-01

    Full Text Available Bulimia nervosa (BN is characterized by both recurrent episodes of binge eating that are, in part, defined by a sense of loss of control and compensatory behaviors to avoid weight gain. Impulsive behaviors are also common in individuals with BN, indicating more pervasive difficulties in behavioral self-regulation. Findings from functional and anatomical neuroimaging studies of individuals with BN suggest dysfunction in the dorsal frontostriatal circuits that support self-regulatory capacities and habit learning and in overlapping ventral circuits that support reward processing and reward-based learning. In this review, we describe the normal development of frontostriatal circuits and then present behavioral and neuroimaging data from adolescents and adults with BN. These data suggest that the abnormal maturation of frontostriatal circuits may contribute to the habitual binge-eating and purging behaviors of BN. Future longitudinal imaging studies will improve understanding of how these circuits contribute to the developmental trajectory of BN and will inform novel interventions that could target or prevent the impulsive and habit-like features of this disorder.

  15. IMPACT OF TOURISM ON LIVELIHOOD OF COMMUNITIES ADJOINING ECODESTINATIONS IN PLATEAU STATE, NIGERIA

    OpenAIRE

    Mm aduabuchi Ijeomah, Henry

    2015-01-01

     The purpose of this study is to analyse various prevailing impacts of different tourism sites and activities on communities adjoining eco-destinations in Plateau State, Nigeria. The study was designed to collect data on impacts of tourism using structured questionnaire, field observations and interviews. A total of 410 questionnaires were administered at random to household heads from ten selected communities bordering five surveyed ecotourism centres. Data obtained were analyzed using Chi s...

  16. 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....

  17. 神经性贪食症的心理干预%Psychotherapy for Bulimia Nervosa

    Institute of Scientific and Technical Information of China (English)

    刘勇; 陈健芷; 姜梦

    2013-01-01

    神经性贪食症(Bulimia Nervosa,BN)的治疗中,常采用心理干预的方法.本文对BN的心理干预研究进行系统的回顾,以确定不同干预方法的有效性、安全性及相关影响因素,并结合国内研究现状对其进行评价和展望.%In the treatment of bulimia nervosa,psychotherapy is a frequently-used method,which has certain effect.To evaluate the efficacy,security and influence factors of psychotherapy methods,we have reviewed the bulimia nervosa current research and put forward evaluations and prospects.

  18. Greater left cerebral hemispheric metabolism in bulimia assessed by positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Wu, J.C.; Hagman, J.; Buchsbaum, M.S.; Blinder, B.; Derrfler, M.; Tai, W.Y.; Hazlett, E.; Sicotte, N. (Univ. of California, Irvine (USA))

    1990-03-01

    Eight women with bulimia and eight age- and sex-matched normal control subjects were studied with positron emission tomography using (18F)-fluorodeoxyglucose (FDG) as a tracer of brain metabolic rate. Subjects performed a visual vigilance task during FDG uptake. In control subjects, the metabolic rate was higher in the right hemisphere than in the left, but patients with bulimia did not have this normal asymmetry. Lower metabolic rates in the basal ganglia, found in studies of depressed subjects, and higher rates in the basal ganglia, reported in a study of anorexia nervosa, were not found. This is consistent with the suggestion that bulimia is a diagnostic grouping distinct from these disorders.

  19. Stressful task increases drive for thinness and bulimia: a laboratory study.

    Directory of Open Access Journals (Sweden)

    Sandra eSassaroli

    2015-05-01

    Full Text Available The scientific literature has suggested that stress undergirds the development of eating disorders (ED. Therefore, this study explored whether laboratory induced stress increases self-reported drive for thinness and bulimic symptoms measured via self-report. The relationship between control, perfectionism, stress, and cognition related to ED was examined using correlational methodology. 86 participants completed an experimental task using a personal computer. All individuals completed a battery of tests before and after the stressful task. Analyses showed a significant statistical increase in average scores on the drive for thinness and bulimia measured before and after a stressful task, and path analysis revealed two different cognitive models for the mechanism leading to drive for thinness and bulimia. These findings suggest that stress is an important factor in the development of the drive for thinness and bulimia.

  20. [Oral symptoms and signs in patients with bulimia and anorexia nervosa].

    Science.gov (United States)

    Panico, René L

    2006-01-01

    There are numerous general clinical manifestations in eating disorders, such as anorexia and nervous bulimia, which are fully described in the reading material. The objective of this study is to demonstrate that patients suffering from anorexia and nervous bulimia present manifestations in the oral mucosa and a proper anamnesis can lead to an early disease diagnosis. The clinical cases presented show some of the oral manifestations in patients suffering from these disorders. Abrasion of teeth enamel is a typical sign of this disease, specially in patients with nervous bulimia, caused by self-induced vomit acids. However, this sign does not help to make an early disease diagnosis, since the acid takes a long time to produce demineralization.

  1. Stressful task increases drive for thinness and bulimia: a laboratory study

    Science.gov (United States)

    Sassaroli, Sandra; Fiore, Francesca; Mezzaluna, Clarice; Ruggiero, Giovanni Maria

    2015-01-01

    The scientific literature has suggested that stress undergirds the development of eating disorders (ED). Therefore, this study explored whether laboratory induced stress increases self-reported drive for thinness and bulimic symptoms measured via self-report. The relationship between control, perfectionism, stress, and cognition related to ED was examined using correlational methodology. Eighty-six participants completed an experimental task using a personal computer (PC). All individuals completed a battery of tests before and after the stressful task. Analyses showed a significant statistical increase in average scores on the drive for thinness and bulimia measured before and after a stressful task, and path analysis revealed two different cognitive models for the mechanism leading to drive for thinness and bulimia. These findings suggest that stress is an important factor in the development of the drive for thinness and bulimia. PMID:25999901

  2. 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.

  3. Treating bulimia with hypnosis and low-level light therapy: a case report

    Science.gov (United States)

    Laser, Eleanor; Sassack, Michael

    2012-03-01

    This case report describes an effort to control bulimia nervosa by combining low-level laser therapy (LLLT)-the application of red and near-infrared light to specific body points-and hypnosis. A 29-year old female with a 14-year history of bulimia received one session of LLLT combined with hypnosis. Two weeks later, following a measurable decrease in bulimic episodes (purging), a session of psychotherapy and hypnosis was administered. Six months post-treatment, the patient has experienced a complete cessation of purging activities without recurrence. LLLT, when used in conjunction with hypnosis and psychotherapy, was effective in managing bulimia and may prove useful in treating other eating disorders.

  4. 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....

  5. A qualitative study of young women's experiences of recovery from bulimia nervosa.

    Science.gov (United States)

    Lindgren, Britt-Marie; Enmark, Annika; Bohman, Anna; Lundström, Mats

    2015-04-01

    To describe experiences of recovery from bulimia nervosa among young adult women. Most studies into recovery from eating disorders focus on anorexia nervosa, although some include both anorexia and bulimia nervosa. Recovery has been described as beginning with renewed self-esteem. Qualitative interview study. Fourteen women were invited to participate; five women, between 23-26 years of age, who assessed themselves as healthy for at least 2 years agreed to take part in narrative interviews. Tape-recorded interviews lasting 45-60 minutes (median 49 minutes) were conducted from February-April 2010 and transcribed verbatim. Data were analysed using qualitative content analysis. The interviews revealed four themes in recovery from bulimia nervosa: feeling stuck in bulimia nervosa, getting ready to change, breaking free of bulimia nervosa and grasping a new reality, each comprising two or more subthemes. The process of recovery was not linear, but rather went back and forth between progress and relapse. The women expressed strong ambivalence about leaving the illness behind. An important part of their recovery was their ability to accept themselves. It was essential for their recovery to be supported in developing a unique explanation of the cause of their illness. Women's ability to recover from bulimia nervosa and take control over their lives is based on their self-efficacy. Effective care should therefore strive to strengthen women's beliefs in their own abilities, to instil hope for recovery and thus to bolster their self-efficacy. © 2014 John Wiley & Sons Ltd.

  6. Neural responses during social and self-knowledge tasks in bulimia nervosa

    Directory of Open Access Journals (Sweden)

    Carrie J Mcadams

    2013-09-01

    Full Text Available Self-evaluation closely dependent upon body shape and weight is one of the defining criteria for bulimia nervosa. We studied 53 adult women, 17 with bulimia nervosa, 18 with a recent history of anorexia nervosa, and 18 healthy comparison women, using three different fMRI tasks that required thinking about self-knowledge and social interactions: the Social Identity task, the Physical Identity task, and the Social Attribution task. Previously, we identified regions of interest (ROI in the same tasks using whole brain voxel-wise comparisons of the healthy comparison women and women with a recent history of anorexia nervosa. Here, we report on the neural activations in those ROIs in subjects with bulimia nervosa. In the Social Attribution task, we examined activity in the right temporoparietal junction, an area frequently associated with mentalization. In the Social Identity task, we examined activity in the precuneus and dorsal anterior cingulate. In the Physical Identity task, we examined activity in a ventral region of the dorsal anterior cingulate. Interestingly, in all tested regions, the average activation in subjects with bulimia was more than the average activation levels seen in the subjects with a history of anorexia but less than that seen in healthy subjects. In three regions, the right temporoparietal junction, the precuneus, and the dorsal anterior cingulate, group responses in the subjects with bulimia were significantly different from healthy subjects but not subjects with anorexia. The neural activations of people with bulimia nervosa performing fMRI tasks engaging social processing are more similar to people with anorexia nervosa than healthy people. This suggests biological measures of social processes may be helpful in characterizing individuals with eating disorders.

  7. Propuesta de atención grupal para adolescentes: bulimia como síntoma

    OpenAIRE

    Villalobos Pérez, Fabiola

    2013-01-01

    En este informe final de investigación aplicada se realizó una psicoterapia grupal de 16 sesiones para mujeres adolescentes con bulimia en el hospital San Rafael de Alajuela. El marco teórico y metodológico, a partir del cual se conceptualizó este trabajo, es el Psicoanálisis, por lo que la adolescencia es considerada como un momento de reestructuración subjetiva; la bulimia, de forma contraria a la posición médico-psiquiátrica, se considera como un síntoma, es decir, como una manifestación d...

  8. [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.

  9. 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.

  10. [Eating disorders in childhood and adolescence. Anorexia nervosa, bulimia nervosa, binge eating disorder].

    Science.gov (United States)

    Gerlinghoff, M; Backmund, H

    2004-03-01

    The most important eating disorders are anorexia and bulimia, which most frequently occur for the first time during adolescence and continue into adulthood. Medical complications and accompanying psychological disturbances cause a significant mortality rate of up to 6% in anorexia and up to 3% in bulimia. The pathogenesis of eating disorders is still unclear. Current etiological concepts are multidimensional including biological, individual, familial, and sociocultural factors. In spite of a great variety of therapeutic possibilities, the prognosis for eating disorders is quite poor. In the long term, only about 50% of the persons affected overcome their illness. Preventive measures are therefore indispensable.

  11. Therapist adherence is associated with outcome in cognitive-behavioral therapy for bulimia nervosa

    DEFF Research Database (Denmark)

    Folke, Sofie; Daniel, Sarah Ingrid Franksdatter; Gondan, Matthias

    2017-01-01

    Studies of therapist adherence in relation to treatment outcome have produced mixed results. The aim of the present study was to investigate change in therapist adherence to cognitive–behavioral therapy (CBT) for bulimia nervosa over time, and to investigate the relationship between adherence...... and client outcome in early, middle, and late phases of treatment. Thirty-six clients received the focused form of “enhanced” CBT (CBT-E) for bulimia nervosa. Trained observers rated audiotapes of 92 full-length therapy sessions from early (Session 3), middle (Session 11), and late phases (Session 20...

  12. Border Security: A Journey Without a Destination

    Science.gov (United States)

    2013-12-01

    immigrants include “ undocumented immigrants ,” “ undocumented migrants,” “ undocumented aliens,” and “illegal aliens.”12 7. Border Security Border... Undocumented Immigrants : Facts and Figures.” Urban Institute, January 12, 2004. http://www.urban.org/UploadedPDF...the future. 14. SUBJECT TERMS Border, Border Security, Secure Border, DHS, CBP, USBP, Immigration , Measures, Project Management, Project

  13. Mood spectrum comorbidity in patients with anorexia and bulimia nervosa.

    Science.gov (United States)

    Miniati, Mario; Benvenuti, Antonella; Bologna, Elena; Maglio, Alessandra; Cotugno, Biagio; Massimetti, Gabriele; Calugi, Simona; Mauri, Mauro; Dell'Osso, Liliana

    2016-10-20

    To investigate the presence of mood spectrum signs and symptoms in patients with anorexia nervosa, restricting subtype (AN-R) or bulimia nervosa (BN). 55 consecutive female patients meeting DSM-IV criteria for eating disorders (EDs) not satisfying DSM-IV criteria for Axis I mood disorders were evaluated with the Lifetime Mood Spectrum Self-Report (MOODS-SR) and the Mini-International Neuropsychiatric Interview (MINI). The MOODS-SR explored the subthreshold comorbidity for mood spectrum symptoms in patients not reaching the threshold for a mood disorder Axis I diagnosis. MOODS-SR included 161 items. Separate factor analyses of MOODS-SR identified 6 'depressive factors' and 9 'manic-hypomanic factors'. The mean total score of MOODS-SR was significantly higher in BN than in AN-R patients (97.5 ± 25.4 vs 61.1 ± 38.5, respectively; p = 0.0001). 63.6 % of the sample (n = 35) endorsed the threshold of ≥61 items, with a statistically significant difference between AN-R and BN (39.3 % vs 88.9 %; χ (2) = 14.6; df = 1; p = 0.0001). Patients with BN scored significantly higher than AN-R patients on several MOODS-SR factors: (a) MOODS-SR depressive component: 'depressive mood' (11.2 ± 7.4 vs 16.0 ± 5.8; p self-esteem' (1.1 ± 1.4 vs 2.1 ± 1.6; p definition of clinical phenotypes.

  14. Interhemispheric functional connectivity in anorexia and bulimia nervosa.

    Science.gov (United States)

    Canna, Antonietta; Prinster, Anna; Monteleone, Alessio Maria; Cantone, Elena; Monteleone, Palmiero; Volpe, Umberto; Maj, Mario; Di Salle, Francesco; Esposito, Fabrizio

    2017-05-01

    The functional interplay between hemispheres is fundamental for behavioral, cognitive, and emotional control. Anorexia nervosa (AN) and bulimia nervosa (BN) have been largely studied with brain magnetic resonance imaging (MRI) in relation to the functional mechanisms of high-level processing, but not in terms of possible inter-hemispheric functional connectivity anomalies. Using resting-state functional MRI (fMRI), voxel-mirrored homotopic connectivity (VMHC) and regional inter-hemispheric spectral coherence (IHSC) were studied in 15 AN and 13 BN patients and 16 healthy controls (HC). Using T1-weighted and diffusion tensor imaging MRI scans, regional VMHC values were correlated with the left-right asymmetry of corresponding homotopic gray matter volumes and with the white matter callosal fractional anisotropy (FA). Compared to HC, AN patients exhibited reduced VMHC in cerebellum, insula, and precuneus, while BN patients showed reduced VMHC in dorso-lateral prefrontal and orbito-frontal cortices. The regional IHSC analysis highlighted that the inter-hemispheric functional connectivity was higher in the 'Slow-5' band in all regions except the insula. No group differences in left-right structural asymmetries and in VMHC vs. callosal FA correlations were significant in the comparisons between cohorts. These anomalies, not explained by structural changes, indicate that AN and BN, at least in their acute phase, are associated with a loss of inter-hemispheric connectivity in regions implicated in self-referential, cognitive control and reward processing. These findings may thus gather novel functional markers to explore aberrant features of these eating disorders. © 2016 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

  15. CCK response in bulimia nervosa and following remission.

    Science.gov (United States)

    Hannon-Engel, Sandra L; Filin, Evgeniy E; Wolfe, Barbara E

    2013-10-02

    The core defining features of bulimia nervosa (BN) are repeated binge eating episodes and inappropriate compensatory (e.g., purging) behavior. Previous studies suggest an abnormal post-prandial response in the satiety-signaling peptide cholecystokinin (CCK) in persons with BN. It is unknown whether this altered response persists following remission or if it may be a potential target for the development of clinical treatment strategies. To examine the nature of this altered response, this study assessed whether CCK normalizes following remission from BN (RBN). This study prospectively evaluated the plasma CCK response and corresponding eating behavior-related ratings (e.g., satiety, fullness, hunger, urge to binge and vomit) in individuals with BN-purging subtype (n=10), RBN-purging subtype (n=14), and healthy controls (CON, n=13) at baseline, +15, +30, and +60 min following the ingestion of a standardized liquid test meal. Subject groups did not significantly differ in CCK response to the test meal. A significant relationship between CCK response and satiety ratings was observed in the RBN group (r=.59, p<.05 two-tailed). A new and unanticipated finding in the BN group was a significant relationship between CCK response and ratings of "urge to vomit" (r=.86, p<.01, two-tailed). Unlike previous investigations, CCK response did not differ in BN and CON groups. Thus the role of symptom severity remains an area of further investigation. Additionally, findings suggest that in this sample, CCK functioning following remission from BN-purging subtype is not different from controls. It remains unknown whether or not CCK functioning may be a protective or liability factor in the stabilization and recovery process. Replication studies utilizing a larger sample size are needed to further elucidate the role of CCK in recovery from BN and its potential target of related novel treatment strategies. © 2013 Elsevier Inc. All rights reserved.

  16. Therapeutic alliance in a randomized clinical trial for bulimia nervosa.

    Science.gov (United States)

    Accurso, Erin C; Fitzsimmons-Craft, Ellen E; Ciao, Anna; Cao, Li; Crosby, Ross D; Smith, Tracey L; Klein, Marjorie H; Mitchell, James E; Crow, Scott J; Wonderlich, Stephen A; Peterson, Carol B

    2015-06-01

    This study examined the temporal relation between therapeutic alliance and outcome in two treatments for bulimia nervosa (BN). Eighty adults with BN symptoms were randomized to 21 sessions of integrative cognitive-affective therapy (ICAT) or enhanced cognitive-behavioral therapy (CBT-E). Bulimic symptoms (i.e., frequency of binge eating and purging) were assessed at each session and posttreatment. Therapeutic alliance (Working Alliance Inventory) was assessed at Sessions 2, 8, 14, and posttreatment. Repeated-measures analyses using linear mixed models with random intercepts were conducted to determine differences in alliance growth by treatment and patient characteristics. Mixed-effects models examined the relation between alliance and symptom improvement. Overall, patients in both treatments reported strong therapeutic alliances. Regardless of treatment, greater therapeutic alliance between (but not within) subjects predicted greater reductions in bulimic behavior; reductions in bulimic behavior also predicted improved alliance. Patients with higher depression, anxiety, or emotion dysregulation had a stronger therapeutic alliance in CBT-E than ICAT, while those with more intimacy problems had greater improvement in therapeutic alliance in ICAT compared to CBT-E. Therapeutic alliance has a unique impact on outcome, independent of the impact of symptom improvement on alliance. Within- and between-subjects effects revealed that changes in alliance over time did not predict symptom improvement, but rather that individuals who had a stronger alliance overall had better bulimic symptom outcomes. These findings indicate that therapeutic alliance is an important predictor of outcome in the treatment of BN. (c) 2015 APA, all rights reserved).

  17. Bulimia nervosa-nonpurging subtype: closer to the bulimia nervosa-purging subtype or to binge eating disorder?

    Science.gov (United States)

    Jordan, Jennifer; McIntosh, Virginia V W; Carter, Janet D; Rowe, Sarah; Taylor, Kathryn; Frampton, Christopher M A; McKenzie, Janice M; Latner, Janet; Joyce, Peter R

    2014-04-01

    DSM-5 has dropped subtyping of bulimia nervosa (BN), opting to continue inclusion of the somewhat contentious diagnosis of BN-nonpurging subtype (BN-NP) within a broad BN category. Some contend however that BN-NP is more like binge eating disorder (BED) than BN-P. This study examines clinical characteristics, eating disorder symptomatology, and Axis I comorbidity in BN-NP, BN-P, and BED groups to establish whether BN-NP more closely resembles BN-P or BED. Women with BN-P (n = 29), BN-NP (n = 29), and BED (n = 54) were assessed at baseline in an outpatient psychotherapy trial for those with binge eating. Measures included the Structured Clinical Interviews for DSM-IV, Eating Disorder Examination, and Eating Disorder Inventory-2. The BN-NP subtype had BMIs between those with BN-P and BED. Both BN subtypes had higher Restraint and Drive for Thinness scores than BED. Body Dissatisfaction was highest in BN-NP and predicted BN-NP compared to BN-P. Higher Restraint and lower BMI predicted BN-NP relative to BED. BN-NP resembled BED with higher lifetime BMIs; and weight-loss clinic than eating disorder clinic attendances relative to the BN-P subtype. Psychiatric comorbidity was comparable except for higher lifetime cannabis use disorder in the BN-NP than BN-P subtype These results suggest that BN-NP sits between BN-P and BED however the high distress driving inappropriate compensatory behaviors in BN-P requires specialist eating disorder treatment. These results support retaining the BN-NP group within the BN category. Further research is needed to determine whether there are meaningful differences in outcome over follow-up. Copyright © 2013 Wiley Periodicals, Inc.

  18. Impact of fasting on food craving, mood and consumption in bulimia nervosa and healthy women participants.

    Science.gov (United States)

    Moreno-Domínguez, Silvia; Rodríguez-Ruiz, Sonia; Fernández-Santaella, M Carmen; Ortega-Roldán, Blanca; Cepeda-Benito, Antonio

    2012-11-01

    Researchers have found that dietary restraint increases food cravings and may contribute to loss of control over eating. Negative mood states often precede food cravings and binge eating. In the present study, we tested the influence of a prolonged food deprivation period over emotional states and food cravings. Twenty-one bulimia nervosa participants and 20 healthy women participants were asked to refrain from any eating for 20 hours and reported, at baseline, after 6 hours and at the end of the fasting period, their mood and craving states. Food consumption was also measured. Fasting increased food cravings in both groups but increased negative mood in healthy women only. Bulimia nervosa participants reported improved mood following food deprivation. Whereas Bulimia nervosa and healthy women participants ate moderate and similar amounts of food following the 20-hour fasting period, food cravings were significantly associated with the number of calories ingested. These findings are congruent with self-regulation theories that predict that prolonged fasting may reduce negative emotions in women with bulimia nervosa.

  19. 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.…

  20. When Dieting Becomes Dangerous: A Guide to Understanding and Treating Anorexia and Bulimia.

    Science.gov (United States)

    Michel, Deborah Marcontell; Willard, Susan G.

    This book about anorexia and bulimia is written for patients and the people who care about them. It describes the symptoms and warning signs of eating disorders, explains their presumed causes and complexities, and suggests effective treatments. The book emphasizes the critical role of psychotherapy and family therapy in recovery, explains how…

  1. 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.

    2016-01-01

    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 A case-co

  2. 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…

  3. Low Self-Esteem as a Treatment Issue in the Psychotherapy of Anorexia and Bulimia.

    Science.gov (United States)

    Baird, Pryor; Sights, Judith R.

    1986-01-01

    Observation has indicated that low self-esteem is pervasive in clients with anorexia and bulimia. Possible origins of the self-esteem deficit, its relationship to eating problems, and psychotherapeutic strategies to counteract the deficits are explored. (Author/BL)

  4. Predictors and Moderators of Outcome in Family-Based Treatment for Adolescent Bulimia Nervosa

    Science.gov (United States)

    Le Grange, Daniel; Crosby, Ross D.; Lock, James

    2008-01-01

    The predictors and moderators of treatment outcome for adolescents with bulimia nervosa (BN) are explored among those who participated in family based treatment or individual supportive psychotherapy. It is concluded that family-based treatment of BN may be most effective in those cases with low levels of eating disorder psychopathology.

  5. Emotion Awareness and Identification Skills in Adolescent Girls with Bulimia Nervosa

    Science.gov (United States)

    Sim, Leslie; Zeman, Janice

    2004-01-01

    This study examined emotion-identification skills in 19 adolescent girls (M age = 16 years, 8 months) diagnosed with a Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV], American Psychiatric Association, 1994) diagnosis of bulimia nervosa or eating disorder not otherwise specified in the bulimic spectrum, 19 age-matched girls…

  6. Cognitive Behavior Therapy with Body Image Exposure for Bulimia Nervosa: A Case Example

    Science.gov (United States)

    Delinsky, Sherrie S.; Wilson, G. Terence

    2010-01-01

    Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more…

  7. Coping Strategies in Bulimia Nervosa Treatment: Impact on Outcome in Group Cognitive-Behavioral Therapy

    Science.gov (United States)

    Binford, Roslyn B.; Mussell, Melissa Pederson; Crosby, Ross D.; Peterson, Carol B.; Crow, Scott J.; Mitchell, James E.

    2005-01-01

    This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1-and 6-month follow-up. Frequency of…

  8. An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa

    Science.gov (United States)

    Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

    2004-01-01

    Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

  9. Comparison of Six- and Eight-Session Cognitive Guided Self-Help for Bulimia Nervosa

    Science.gov (United States)

    Furber, Gareth; Steele, Anna; Wade, Tracey D.

    2004-01-01

    A previous case-series evaluation of a six-session guided self-help (GSH) approach with 15 people with bulimia nervosa (BN) showed significant reductions across all measures, including binge eating, self-induced vomiting, weight concern, shape concern and dietary restraint. However, the reduction of binge eating and self-induced vomiting was…

  10. Client Pretreatment Characteristics as Predictors of Outcome in Brief Therapy for Bulimia.

    Science.gov (United States)

    Guiffrida, Douglas A.; Barnes, Kristin L.; Hoskins, Christine M.; Roman, Lisa L.

    2001-01-01

    Presents an overview for college counselors of the literature on bulimia treatment outcomes for purposes of screening, treatment, and referral. Outlines pretreatment characteristics that seem amenable to success in brief therapy, as well as those that do not lead to a positive outcome. (Contains 37 references and 2 tables.) (Author/GCP)

  11. How Schools Can Help Combat Student Eating Disorders. Anorexia Nervosa and Bulimia.

    Science.gov (United States)

    Levine, Michael P.

    This book presents a comprehensive review of anorexia nervosa and bulimia and the roles that schools can have in preventing, identifying, and treating these disorders. Chapter 1 provides an overview of student eating disorders and presents a case study of a high school student with an eating disorder. Chapter 2 discusses the nature of anorexia…

  12. 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.…

  13. When Dieting Becomes Dangerous: A Guide to Understanding and Treating Anorexia and Bulimia.

    Science.gov (United States)

    Michel, Deborah Marcontell; Willard, Susan G.

    This book about anorexia and bulimia is written for patients and the people who care about them. It describes the symptoms and warning signs of eating disorders, explains their presumed causes and complexities, and suggests effective treatments. The book emphasizes the critical role of psychotherapy and family therapy in recovery, explains how…

  14. Eating Disorders. What Parents Need to Know About Anorexia and Bulimia.

    Science.gov (United States)

    Our Children, 1998

    1998-01-01

    Examines facts about eating disorders, which typically affect females in their teens, discussing the causes of anorexia and bulimia, describing their effects on the body, and explaining available treatment. Though eating disorders are very serious and potentially fatal, they are treatable. Treatment includes physician evaluation, possible…

  15. The Clinical Features of Binge Eating Disorder and Bulimia Nervosa: What Are the Differences?

    Science.gov (United States)

    Sullivan, Keri A.

    2001-01-01

    Compares the clinical characteristics of binge eating disorder (BED) and the related syndrome bulimia nervosa (BN). Findings suggest individuals with BED are distinguishable from those with BN on a number of traits, including higher rates of obesity and lower levels of eating concern and dietary restraint. (Contains 29 references and 2 tables.)…

  16. Depression and Drive for Thinness are Associated with Persistent Bulimia Nervosa in the Community

    NARCIS (Netherlands)

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

    2013-01-01

    Objective To examine psychiatric comorbidity and factors that influence the outcome of bulimia nervosa (BN) in the general population. Method Women from the nationwide birth cohorts of Finnish twins were screened for lifetime BN (N=59) by using questionnaires and the Structured Clinical Interview fo

  17. Familial Contributions to the Etiology and Course of Anorexia Nervosa and Bulimia.

    Science.gov (United States)

    Strober, Michael; Humphrey, Laura Lynn

    1987-01-01

    Discusses familial influences in anorexia nervosa and bulimia. Reviews descriptions of family interaction, familial correlates of course and phenomenology of symptoms, and studies of familial transmission. Concludes that certain personality factors, possibly genetically determined, predispose the individual to greater sensitivity and vulnerability…

  18. Assessment and Treatment of Anorexia Nervosa and Bulimia in School Age Children.

    Science.gov (United States)

    Peters, Carole; And Others

    1984-01-01

    Anorexia nervosa and bulimia are major concerns for high school students, especially females. These syndromes interfere with normal functioning and social development and can be life-threatening. Definitions, characteristics, symptoms, and treatment approaches for these two eating disorders are discussed, and suggestions for involvement of the…

  19. Health services use in women with a history of bulimia nervosa or binge eating disorder

    NARCIS (Netherlands)

    Striegel-Moore, RH; Dohm, FA; Kraemer, HC; Schreiber, GB; Crawford, PB; Daniels, [No Value

    2005-01-01

    Objective: The current study examined health services use during the past 12 months in a sample of young women with a history of an adolescent eating disorder (bulimia nervosa [BN] or binge eating disorder [BED]). Method: A community sample of 1,582 young women (mean age = 21.5 years) was classified

  20. 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…

  1. Comparison of Six- and Eight-Session Cognitive Guided Self-Help for Bulimia Nervosa

    Science.gov (United States)

    Furber, Gareth; Steele, Anna; Wade, Tracey D.

    2004-01-01

    A previous case-series evaluation of a six-session guided self-help (GSH) approach with 15 people with bulimia nervosa (BN) showed significant reductions across all measures, including binge eating, self-induced vomiting, weight concern, shape concern and dietary restraint. However, the reduction of binge eating and self-induced vomiting was…

  2. Emotion Awareness and Identification Skills in Adolescent Girls with Bulimia Nervosa

    Science.gov (United States)

    Sim, Leslie; Zeman, Janice

    2004-01-01

    This study examined emotion-identification skills in 19 adolescent girls (M age = 16 years, 8 months) diagnosed with a Diagnostic and Statistical Manual of Mental Disorders (4th ed. [DSM-IV], American Psychiatric Association, 1994) diagnosis of bulimia nervosa or eating disorder not otherwise specified in the bulimic spectrum, 19 age-matched girls…

  3. An Examination of the Mechanisms of Action in Cognitive Behavioral Therapy for Bulimia Nervosa

    Science.gov (United States)

    Spangler, Diane L.; Baldwin, Scott A.; Agras, W. Stewart

    2004-01-01

    Cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) has received considerable empirical support for its efficacy. However, few investigators have examined the mechanisms proposed to account for the reduction of BN symptoms during CBT. The current study examined the associations between therapist interventions, client mechanisms, and…

  4. Client Pretreatment Characteristics as Predictors of Outcome in Brief Therapy for Bulimia.

    Science.gov (United States)

    Guiffrida, Douglas A.; Barnes, Kristin L.; Hoskins, Christine M.; Roman, Lisa L.

    2001-01-01

    Presents an overview for college counselors of the literature on bulimia treatment outcomes for purposes of screening, treatment, and referral. Outlines pretreatment characteristics that seem amenable to success in brief therapy, as well as those that do not lead to a positive outcome. (Contains 37 references and 2 tables.) (Author/GCP)

  5. Reward Abnormalities Among Women with Full and Subthreshold Bulimia Nervosa: A Functional Magnetic Resonance Imaging Study

    Science.gov (United States)

    Bohon, Cara; Stice, Eric

    2010-01-01

    Objective To test the hypothesis that women with full and subthreshold bulimia nervosa show abnormal neural activation in response to food intake and anticipated food intake relative to healthy control women. Method Females with and without full/subthreshold bulimia nervosa recruited from the community (N = 26) underwent functional magnetic resonance imaging (fMRI) during receipt and anticipated receipt of chocolate milkshake and a tasteless control solution. Results Women with bulimia nervosa showed trends for less activation than healthy controls in the right anterior insula in response to anticipated receipt of chocolate milkshake (versus tasteless solution) and in the left middle frontal gyrus, right posterior insula, right precentral gyrus, and right mid dorsal insula in response to consumptions of milkshake (versus tasteless solution). Discussion Bulimia nervosa may be related to potential hypo-functioning of the brain reward system, which may lead these individuals to binge eat to compensate for this reward deficit, though the hypo-responsivity might be a result of a history of binge eating highly palatable foods. PMID:21997421

  6. Coping Strategies in Bulimia Nervosa Treatment: Impact on Outcome in Group Cognitive-Behavioral Therapy

    Science.gov (United States)

    Binford, Roslyn B.; Mussell, Melissa Pederson; Crosby, Ross D.; Peterson, Carol B.; Crow, Scott J.; Mitchell, James E.

    2005-01-01

    This study's purpose was to examine the extent to which participants (N = 143) receiving cognitive-behavioral therapy for bulimia nervosa (BN) reported implementing therapeutic strategies to abstain from BN behaviors, and to assess whether use of specific strategies predicts outcome at treatment end and 1-and 6-month follow-up. Frequency of…

  7. 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; Lavender, Jason M

    2017-08-26

    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.

  8. Predictors and Moderators of Outcome in Family-Based Treatment for Adolescent Bulimia Nervosa

    Science.gov (United States)

    Le Grange, Daniel; Crosby, Ross D.; Lock, James

    2008-01-01

    The predictors and moderators of treatment outcome for adolescents with bulimia nervosa (BN) are explored among those who participated in family based treatment or individual supportive psychotherapy. It is concluded that family-based treatment of BN may be most effective in those cases with low levels of eating disorder psychopathology.

  9. Eating Disorders. What Parents Need to Know About Anorexia and Bulimia.

    Science.gov (United States)

    Our Children, 1998

    1998-01-01

    Examines facts about eating disorders, which typically affect females in their teens, discussing the causes of anorexia and bulimia, describing their effects on the body, and explaining available treatment. Though eating disorders are very serious and potentially fatal, they are treatable. Treatment includes physician evaluation, possible…

  10. Anorexia and Bulimia: An Inventory of Public Awareness and Popular Questions.

    Science.gov (United States)

    Zimmer, Marc A.

    Prevention and early intervention in cases of anorexia and bulimia require that both professionals and the general public have knowledge about these eating disorders. A study was conducted to identify the questions about these disorders most often asked by the general public and to develop a guide to answer those questions for individuals of…

  11. Familial Contributions to the Etiology and Course of Anorexia Nervosa and Bulimia.

    Science.gov (United States)

    Strober, Michael; Humphrey, Laura Lynn

    1987-01-01

    Discusses familial influences in anorexia nervosa and bulimia. Reviews descriptions of family interaction, familial correlates of course and phenomenology of symptoms, and studies of familial transmission. Concludes that certain personality factors, possibly genetically determined, predispose the individual to greater sensitivity and vulnerability…

  12. Assessment and Treatment of Anorexia Nervosa and Bulimia in School Age Children.

    Science.gov (United States)

    Peters, Carole; And Others

    1984-01-01

    Anorexia nervosa and bulimia are major concerns for high school students, especially females. These syndromes interfere with normal functioning and social development and can be life-threatening. Definitions, characteristics, symptoms, and treatment approaches for these two eating disorders are discussed, and suggestions for involvement of the…

  13. Time trends in age at onset of anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Favaro, Angela; Caregaro, Lorenza; Tenconi, Elena; Bosello, Romina; Santonastaso, Paolo

    2009-12-01

    This study aims to explore the time trends in age at onset of anorexia nervosa and bulimia nervosa. The sample was composed of 1,666 anorexia nervosa subjects and 793 bulimia nervosa subjects (according to DSM-IV criteria) without previous anorexia nervosa consecutively referred to our outpatient unit in the period between 1985 and 2008. Time trends in illness onset were analyzed according to the year of birth of subjects. In both anorexia nervosa and bulimia nervosa, age at onset showed a significant decrease according to year of birth. A regression model showed a significant independent effect of socioeconomic status, age at menarche, and number of siblings in predicting age at onset lower than 16 years. Age at onset of anorexia nervosa and bulimia nervosa is decreasing in younger generations. The implications of our findings in terms of long-term outcome remain to be understood. Biologic and sociocultural factors explaining this phenomenon need to be explored in future studies. Copyright 2009 Physicians Postgraduate Press, Inc.

  14. Low Self-Esteem as a Treatment Issue in the Psychotherapy of Anorexia and Bulimia.

    Science.gov (United States)

    Baird, Pryor; Sights, Judith R.

    1986-01-01

    Observation has indicated that low self-esteem is pervasive in clients with anorexia and bulimia. Possible origins of the self-esteem deficit, its relationship to eating problems, and psychotherapeutic strategies to counteract the deficits are explored. (Author/BL)

  15. Anorexia and Bulimia: An Inventory of Public Awareness and Popular Questions.

    Science.gov (United States)

    Zimmer, Marc A.

    Prevention and early intervention in cases of anorexia and bulimia require that both professionals and the general public have knowledge about these eating disorders. A study was conducted to identify the questions about these disorders most often asked by the general public and to develop a guide to answer those questions for individuals of…

  16. Cognitive Behavior Therapy with Body Image Exposure for Bulimia Nervosa: A Case Example

    Science.gov (United States)

    Delinsky, Sherrie S.; Wilson, G. Terence

    2010-01-01

    Cognitive behavior therapy (CBT) is an effective treatment for bulimia nervosa (BN). However, among patients with BN, symptom improvement is more pronounced for behavioral eating symptoms (i.e., bingeing and purging) than for body image disturbance, and the persistence of body image disturbance is associated with relapse. The need for more…

  17. Cognitive-behavioral therapy for subthreshold bulimia nervosa: A case series.

    Science.gov (United States)

    Peterson, C B; Miller, K B; Willer, M G; Ziesmer, J; Durkin, N; Arikian, A; Crow, S J

    2011-09-01

    The extent to which cognitive-behavioral therapy (CBT) is helpful in treating individuals with bulimic symptoms who do not meet full criteria for bulimia nervosa is unclear. The purpose of this investigation was to examine the potential efficacy of CBT for eating disorder individuals with bulimic symptoms who do not meet full criteria for bulimia nervosa. Twelve participants with subthreshold bulimia nervosa were treated in a case series with 20 sessions of CBT. Ten of the 12 participants (83.3%) completed treatment. Intent-to-treat abstinent percentages were 75.0% for objectively large episodes of binge eating (OBEs), 33.3% for subjectively large episodes of binge eating (SBEs), and 50% for purging at end of treatment. At one year follow-up, 66.7% were abstinent for OBEs, 41.7% for SBEs, and 50.0% for purging. The majority also reported improvements in associated symptoms. This case series provides support for the use of CBT with individuals with subthreshold bulimia nervosa.

  18. The role of BDNF, leptin, and catecholamines in reward learning in bulimia nervosa.

    Science.gov (United States)

    Homan, Philipp; Grob, Simona; Milos, Gabriella; Schnyder, Ulrich; Eckert, Anne; Lang, Undine; Hasler, Gregor

    2014-12-07

    A relationship between bulimia nervosa and reward-related behavior is supported by several lines of evidence. The dopaminergic dysfunctions in the processing of reward-related stimuli have been shown to be modulated by the neurotrophin brain derived neurotrophic factor (BDNF) and the hormone leptin. Using a randomized, double-blind, placebo-controlled, crossover design, a reward learning task was applied to study the behavior of 20 female subjects with remitted bulimia nervosa and 27 female healthy controls under placebo and catecholamine depletion with alpha-methyl-para-tyrosine (AMPT). The plasma levels of BDNF and leptin were measured twice during the placebo and the AMPT condition, immediately before and 1 hour after a standardized breakfast. AMPT-induced differences in plasma BDNF levels were positively correlated with the AMPT-induced differences in reward learning in the whole sample (P=.05). Across conditions, plasma brain derived neurotrophic factor levels were higher in remitted bulimia nervosa subjects compared with controls (diagnosis effect; P=.001). Plasma BDNF and leptin levels were higher in the morning before compared with after a standardized breakfast across groups and conditions (time effect; Pbulimia nervosa and controls. A role of leptin in reward learning is not supported by this study. However, leptin levels were sensitive to a depletion of catecholamine stores in both remitted bulimia nervosa and controls. © The Author 2015. Published by Oxford University Press on behalf of CINP.

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

    Directory of Open Access Journals (Sweden)

    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.

  20. 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

  1. 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.

  2. The 'border within': inhabiting the border in Trieste

    NARCIS (Netherlands)

    Bialasiewicz, L.; Minca, C.

    2010-01-01

    In this paper we look to the Italian border city of Trieste-at various points in its past, a cosmopolitan port, Austria's urbs europeissima, but also a battleground for competing understandings of territoriality, identity, and belonging and a paragon of the violent application of an ethnoterritorial

  3. Border Security: Barriers Along the U.S. International Border

    Science.gov (United States)

    2006-10-30

    Congressional Research Service ˜ The Library of Congress CRS Report for Congress Received through the CRS Web Order Code RL33659 Border Security...Presidencia,” May 12, 2005. Translation by CRS. Available at [http://www.presidencia.gob.mx/actividades/crecimiento/?contenido=18195& pagina =31]. Last

  4. Bulimia nervosa – its prevalence, symptoms and treatment with special attention to oral health

    Directory of Open Access Journals (Sweden)

    Agata Osińska

    2016-09-01

    Full Text Available Bulimia nervosa is a serious and complex health problem encountered by many professionals, including general practitioners and dentists. The aim of the study was to describe the problem of bulimia (its prevalence, symptoms, special situations, treatment, with particular emphasis on the aspect of the oral health. The paper presents the causes and factors contributing to the disease, diagnostic criteria, the onset and the possible course of the disease, dental and oral mucosa pathologies due to bulimia as well as other comorbidities (including diabetes. The paper is of descriptive nature. The research method was based on the analysis of the available literature on bulimia nervosa supplemented by our own experience. It was concluded based on the analysed sources that appropriate diagnosis and treatment of bulimia nervosa is possible only with the cooperation of many specialists: psychiatrists or paediatric psychiatrists, dentists and general practitioners as well as other doctors if necessary. Psychotherapy is a necessary and integral aspect of treatment. Early treatment onset is essential for good treatment outcomes. Due to the low sense of illness, some patients would never meet a psychiatrist if not for the intervention of a family doctor or a dentist.

  5. Neural response to catecholamine depletion in remitted bulimia nervosa: Relation to depression and relapse.

    Science.gov (United States)

    Mueller, Stefanie Verena; Mihov, Yoan; Federspiel, Andrea; Wiest, Roland; Hasler, Gregor

    2017-07-01

    Bulimia nervosa has been associated with a dysregulated catecholamine system. Nevertheless, the influence of this dysregulation on bulimic symptoms, on neural activity, and on the course of the illness is not clear yet. An instructive paradigm for directly investigating the relationship between catecholaminergic functioning and bulimia nervosa has involved the behavioral and neural responses to experimental catecholamine depletion. The purpose of this study was to examine the neural substrate of catecholaminergic dysfunction in bulimia nervosa and its relationship to relapse. In a randomized, double-blind and crossover study design, catecholamine depletion was achieved by using the oral administration of alpha-methyl-paratyrosine (AMPT) over 24 h in 18 remitted bulimic (rBN) and 22 healthy (HC) female participants. Cerebral blood flow (CBF) was measured using a pseudo continuous arterial spin labeling (pCASL) sequence. In a follow-up telephone interview, bulimic relapse was assessed. Following AMPT, rBN participants revealed an increased vigor reduction and CBF decreases in the pallidum and posterior midcingulate cortex (pMCC) relative to HC participants showing no CBF changes in these regions. These results indicated that the pallidum and the pMCC are the functional neural correlates of the dysregulated catecholamine system in bulimia nervosa. Bulimic relapse was associated with increased depressive symptoms and CBF reduction in the hippocampus/parahippocampal gyrus following catecholamine depletion. AMPT-induced increased CBF in this region predicted staying in remission. These findings demonstrated the importance of depressive symptoms and the stress system in the course of bulimia nervosa. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  6. 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.

    2014-01-01

    Objective 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. Method Subjects recovered from anorexia and bulimia were studied to avoid confounding effects of altered nutritional state. Functional magnetic resonance imaging measured brain response to repeated tastes of sucrose and sucralose to disentangle neural processing of caloric and non-caloric sweet tastes. Whole-brain functional analysis was constrained to anatomical regions of interest. Results Compared to matched control women (n=14), women recovered from anorexia (n=14) had diminished (F(1,27)=7.79, p=0.01) and women recovered from bulimia (n=14) had exaggerated (F(1,27)=6.12, p=0.02) right anterior insula hemodynamic response to tastes of sucrose. Furthermore, anterior insula responses to sucrose compared to sucralose was exaggerated in recovered subjects (lower in women recovered from anorexia and higher in women recovered from bulimia). Conclusions The anterior insula integrates sensory/reward aspects of taste in the service of nutritional homeostasis. For example, 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. PMID:23732817

  7. Cross-border innovation cooperation

    DEFF Research Database (Denmark)

    Hjaltadóttir, Rannveig Edda; Makkonen, Teemu; Sørensen, Nils Karl

    2014-01-01

    Finding a suitable partner is paramount for the success of innovation cooperation. Thus, this paper sets out to analyse the determinants of cross-border innovation cooperation in Denmark focusing on partner selection. The aim of the article is to investigate determinants of partner selection taking...

  8. Cross-border innovation cooperation

    DEFF Research Database (Denmark)

    Hjaltadóttir, Rannveig Edda; Makkonen, Teemu; Sørensen, Nils Karl

    2014-01-01

    Finding a suitable partner is paramount for the success of innovation cooperation. Thus, this paper sets out to analyse the determinants of cross-border innovation cooperation in Denmark focusing on partner selection. The aim of the article is to investigate determinants of partner selection taki...... of choosing a foreign partner while the decision between foreign partners from different locations is not. The results do however not provide support for the theory of knowledge bases influencing the location of innovation partners....... the location of the partners into account. In particular, the discussion is tied to the notion of varying knowledge bases firms utilize in their innovation creation processes. Firm level data from the 2010 Community Innovation Survey in Denmark was used to analyse cross-border innovation cooperation patterns...... of cross-border innovation cooperation. Accordingly, geographical proximity to international borders is found to have a significant, positive effect on choosing partners within EU. The multivariate probit model shows that the decision of choosing a domestic innovation partner is independent of the choice...

  9. Características morfofuncionais do trânsito orofaríngeo na bulimia: revisão de literatura Morphofunctional characteristics of the oropharyngeal tract in bulimia: review of literature

    Directory of Open Access Journals (Sweden)

    Catarina Matos Brito Santos

    2010-04-01

    Full Text Available TEMA: deglutição e bulimia. OBJETIVO: apresentar e discutir os achados científicos descritos na literatura quanto às características orofaríngeas relacionadas à deglutição em portadores de bulimia nervosa do tipo purgativa. CONCLUSÃO: a bulimia nervosa acarreta uma série de alterações em estruturas e funções que compõem o trânsito orofaríngeo, como erosão dentária, hipersensibilidade, enfraquecimento e fratura dos dentes, problemas de oclusão, cáries, doenças periodontais, dessensibilização intra-oral, hipogeusia, úlceras, granulomas, queilite angular, hipertrofia das glândulas parótidas, tosse e odinofagia. Existe um predomínio na literatura científica de relatos sobre alterações morfológicas em detrimento das funcionais. Poucos relatos abordaram diretamente a relação entre a bulimia e deglutição, apenas mencionando superficialmente as possibilidades de desencadeamento da disfagia orofaríngea.BACKGROUND: deglutition and bulimia. PURPOSE: to submit and discuss the scientific research concerning oropharyngeal characteristics related to deglutition in patients with purging type bulimia nervosa. CONCLUSIONS: bulimia nervosa entails a series of changes in structures and functions that compose the oropharyngeal tract, such as dental erosion, hypersensitivity, weakness and fracture of the teeth, occlusion problems, caries, periodontal diseases, intraoral desensitization, hypogeusia, ulceration, granulomas, angular cheilitis, enlargement of the parotid glands, coughs and odynophagia. There is a prevalence in the scientific literature of reports about morphologic alterations on the detriment of the functional ones. Few reports discussed the relationship between bulimia and deglutition, superficially mentioning the possibilities for triggering oropharyngeal dysphagia.

  10. Border governance in Mozambique : The intersection of international border controls, regional integration and cross-border regions

    NARCIS (Netherlands)

    F.L.M. Seda (Fulgêncio)

    2015-01-01

    markdownabstractA tension exists between the interests of states in protecting national security through border controls and those of communities in cross-border regions, to whom frequent border crossing is part of daily life – a necessary part of achieving their own wellbeing. The interplay between

  11. Psychosocial factors associated with broadly defined bulimia nervosa during early pregnancy: findings from the Norwegian Mother and Child Cohort Study.

    Science.gov (United States)

    Knoph Berg, Cecilie; Bulik, Cynthia M; Von Holle, Ann; Torgersen, Leila; Hamer, Robert; Sullivan, Patrick; Reichborn-Kjennerud, Ted

    2008-05-01

    The purpose of the present study was to investigate the relationship between psychosocial characteristics and broadly defined bulimia nervosa during early pregnancy, including factors associated with continuation, incidence and remission. A total of 41 157 women completed questionnaires at approximately gestation week 18, including items on eating disorders and psychosocial characteristics as a part of Norwegian Mother and Child Cohort Study conducted by the Norwegian Institute of Public Health. Incident bulimia nervosa during the first trimester was significantly associated with symptoms of anxiety and depression and low self-esteem and life satisfaction, whereas remission was significantly associated with higher self-esteem and life satisfaction. Continuation was not significantly related to any of the psychosocial variables tested. Onset of bulimia nervosa during pregnancy is associated with mood and anxiety symptoms. Remission of bulimic symptoms and new onset of bulimia nervosa are associated with opposite profiles of self-esteem, and life satisfaction measures.

  12. The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

    NARCIS (Netherlands)

    De Jonge, PV; Van Furth, EF; Lacey, JH; Waller, G

    2003-01-01

    Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality

  13. Bulimia nervosa patient diagnosed with previously unsuspected ADHD in adulthood: clinical case report, literature review, and diagnostic challenges.

    Science.gov (United States)

    Ioannidis, Konstantinos; Serfontein, Jaco; Müller, Ulrich

    2014-05-01

    There is increasing literature suggesting a link between attention-deficit hyperactivity disorder (ADHD) and eating disorders (EDs), especially bulimia nervosa. ADHD is under-diagnosed in girls and children of high intelligence are typically missed. We identified a case of a 23-year-old woman suffering from severe bulimia nervosa and previously unsuspected ADHD in adulthood; we diagnosed and treated her with extended-release methylphenidate. We performed a literature review on the ADHD and bulimia nervosa comorbidity. We discuss the reasons why her ADHD remained undiagnosed and the difficulties in diagnosing ADHD in patients with EDs. We suggest that identifying comorbid ADHD is crucial for these patients and argue for the use of a structured interview, collateral history and investigation of onset of symptoms to establish a diagnosis of ADHD in adults with bulimia nervosa. Comorbidities and overlap of symptomatology need to be taken into account. Copyright © 2013 Wiley Periodicals, Inc.

  14. Border Crossing/Entry Data - Boarder Crossing

    Data.gov (United States)

    Department of Transportation — Border Crossing/Entry Data provides summary statistics for incoming crossings at the U.S.-Canadian and the U.S.-Mexican border at the port level. Data are available...

  15. The Pajarito Plateau: a bibliography

    Science.gov (United States)

    Mathien, Frances Joan; Steen, Charlie R.; Allen, Craig D.

    1993-01-01

    This bibliography is the result of two initially independent projects. As the consulting archaeologist at Los Alamos National Laboratory (LANL), Charlie R. Steen collected entries at the suggestion of the staff of the Environmental Surveillance Group of the Health, Safety, and Environmental Division, HSE-8. The primary purpose was to aid the staff in evaluating cultural resources on LANL lands. In addition to works that related to the archaeology and history of the area, Steen included notations of a few books and articles in other fields such as geology and natural history. It was hoped that they also would be of value to other organizations and to students of past human activities on the Pajarito Plateau.At the same time, the National Park Service (NPS) was planning a major survey of Bandelier National Monument (BNM). As part of this plan, the author was asked to prepare a background document that described research previously carried out in the area, including an annotated bibliography. Although the survey would be limited to the park boundaries, the larger Pajarito Plateau is a more logical study area from physiographic, environmental, and cultural perspectives; hence the focus was on this larger region. Mathien (1986) also included some references to natural resources studies, particularly those initiated by NPS within Bandelier National Monument.Both bibliographies were made available to Colleen Olinger and Beverly Larson of the Health and Environmental Services Group at Los Alamos. They realized that while neither was complete, each included entries missing from the other. Larson suggested the two bibliographies be combined. (At this time, Craig Allen was studying the landscape of the Jemez Mountains [Allen 1984c, 1989]. His investigations included much detailed information on natural resource studies and were added in 1991 and 1992.)To limit the scope of their work, Steen and Mathien had chosen their parameter: the Pajarito Plateau. Geographically, the

  16. Monuments of the Giza Plateau

    Science.gov (United States)

    Ruggles, Clive L. N.

    The colossal pyramids of the pharaohs Khufu (Cheops), Khafre (Chephren), and Menkaure (Mycerinus) have attracted a huge amount of astronomical interest over the years, both scholarly and popular. Less attention is usually given to the broader context of structures on the Giza Plateau. One of the most notorious ideas connecting the Giza Plateau with astronomy is that the three large pyramids are laid out on the ground so as to reflect the appearance of the three stars of Orion's Belt in the sky. This idea is unsupportable for several reasons but has succeeded in generating huge public interest. Of much greater serious interest is the fact that the three main pyramids were oriented cardinally to extraordinary precision, which raises the questions of why this was important and how it was achieved. Another idea that has attracted serious attention but also some confusion is that the orientations of some narrow shafts within Khufu's pyramid might have been deliberately aligned upon particular stars. The overall layout of monuments on the plateau may certainly have been designed so as to emphasize certain solar phenomena, for symbolic and ideological reasons relating to a dominant sun cult. It is also possible that it formed part of a wider cosmological "master plan" extending to other pyramids and temples up to 20 km distant.

  17. Cross-Border Exposures and Financial Contagion

    NARCIS (Netherlands)

    Degryse, H.A.; Elahi, M.A.; Penas, M.F.

    2009-01-01

    Integrated financial markets provide opportunities for expansion and improved risk sharing, but also pose threats of contagion risk through cross-border exposures. This paper examines cross-border contagion risk over the period 1999-2006. To that purpose we use aggregate cross-border exposures of

  18. Recent trends in cross-border banking

    NARCIS (Netherlands)

    De Haas, Ralph; van Horen, Neeltje; Beck, Thorsten; Casu, Barbara

    2017-01-01

    This chapter identifies a number of recent trends in European cross-border banking. The authors first distinguish between two main modes of international banking: cross-border versus multinational banking. Cross-border banking occurs when a bank in country A lends directly to a borrower in country

  19. The impact of Border policy effect on cross-border ethnic areas

    Science.gov (United States)

    Bie, Q. L.; Zhou, S. Y.; Li, C. S.

    2013-11-01

    Boundary effect analysis is related to border policy making in the cross-border ethnic area. The border effect literatures show that geographic boundaries have obvious impacts on economic, social and cultural relations in both sides of a nation border. Particularly in cross-border ethnic areas, each ethnic group has strong internal spatial structure relevance, and the boundary effect is more obvious. However, most of China's border areas are cross-border ethnic areas, each of border issues is unique. Under this perspective, we analyze the border effects of various boundaries can provide basis for formulating border management policies. For small scale of cross-border ethnic minority areas, how to formulate the boundary management policy is a good question to explore. This paper is demonstrated by a study of the impact of border management policies in Dehong Dai and Jingpo Autonomous Prefecture in Yunnan Province at the border area to Burma. The comparative method is used to analysis the border management policies in past 50 decades for the border area of Yunnan Province .This research aims to define trends within border policy and its influences to national security. This paper also examines Wendy Brown's liberal theory of border management policy. We found that it is not suitable for Sino-Burma border area. The conclusion is that the changes or instability of international economic and political situation has more influence to this cross-border ethnic area, and only innovative policy will be effective in cross-border ethnic area. So the border management policies should reflect the change of international context.

  20. Late Cretaceous tectonic framework of the Tibetan Plateau

    Science.gov (United States)

    Wu, Zhenhan; Barosh, Patrick J.; Ye, Peisheng; Hu, Daogong

    2015-12-01

    New research, coupled with previous data, reveals the Late Cretaceous paleo-geography, and related paleo-tectonic movement of the Tibetan Plateau. A vast ocean, the Neo-Tethys Ocean, perhaps as wide as ∼7000 km, existed between the Indian and Eurasian Continental Plates in the early Late Cretaceous. In addition, a Himalaya Marginal Sea lay along the border of the Indian Plate and other marginal seas were present to the north in both the southern Lhasa and southwestern Tarim Blocks. Northward subduction of the Neo-Tethys Oceanic Plate along the Yalung-Zangbu Suture closed most of the ocean and led to intensive thrusting, tight folding, magmatic plutonism and volcanic eruptions in the central plateau to the north. A magmatic arc up to 500 km wide formed across the southern margin of the continental plate in central Tibet and its varying granitic composition appears to reflect the depth to the subducted plate and define its geometry. A series of large, chiefly north-dipping thrust systems also developed across central Tibet. These include thrusts along the Yalung-Zangbu and Bangong-Nujiang Sutures, the North Gangdese and North Lhasa Thrusts in the Lhasa Block, the Qiangtang and North Tangula Thrusts in the Qiangtang block, the Hoh-Xil and Bayan Har Thrusts in the Hoh-Xil Block, as well as the sinistral-slip South Kunlun and Altyn Tagh Faults in northern Tibet. Uplifts formed above the hanging walls of the major thrusts and their eroded debris formed thick red-beds in basins below them. The central Tibetan Plateau maintained a low elevation and coastal vegetation was dominant during the Late Cretaceous.

  1. Old Borders and New Bordering Capabilities: Cities as Frontier Zones

    Directory of Open Access Journals (Sweden)

    Saskia Sassen

    2015-12-01

    Full Text Available The global city is a new frontier zone. Deregulation, privatization, and new fiscal and monetary policies create the formal instruments to construct their equivalent of the old military “fort”. The city is also a strategic frontier zone for those who lack power, and allows the making of informal politics. At the same time the border is a mix of regimes, marked by protections and opportunities for corporations and high-level professionals, and implies confinement, capture and detention for migrants. The essay discusses the transformation of the city in a frontier zone and analyses the separation between the capabilities entailed by territoriality and the geographic territory tout court. The analysis focuses on the effects of neoliberal policies that, far from making this a borderless world, have actually multiplied the bordered spaces that allow firms and markets to move across conventional borders. Cities are therefore one of the key sites where new neoliberal norms are made and where new identities emerge.

  2. Low density and high affinity of platelet [3H]paroxetine binding in women with bulimia nervosa.

    Science.gov (United States)

    Ekman, Agneta; Sundblad-Elverfors, Charlotta; Landén, Mikael; Eriksson, Tomas; Eriksson, Elias

    2006-06-15

    Impaired serotonin transmission has been suggested to be implicated in the pathophysiology of bulimia nervosa. As an indirect measure of brain serotonergic activity, the binding of tritiated ligands to platelet serotonin transporters has been studied in bulimia nervosa as well as in other putatively serotonin-related psychiatric disorders. In this study, the density and affinity of platelet serotonin transporters were assessed in 20 women meeting the DSM-IV criteria for bulimia nervosa and in 14 controls without previous or ongoing eating disorder using [(3)H]paroxetine as a ligand. In comparison to controls, women with bulimia nervosa had a significantly reduced number of platelet binding sites (B(max) = 721 +/- 313 vs. 1145 +/- 293 fmol/mg protein) and an increase in the affinity for the ligand demonstrated by a lower dissociaton constant (K(d) = 33 +/- 10 vs. 44 +/- 10 pM). A significant correlation between B(max) and K(d) values was found in patients but not in controls. Our results support the notion that bulimia nervosa is associated with a reduction in platelet serotonin transporter density. In addition, our study is the first to report that this reduced transporter density in women with bulimia nervosa is accompanied by an increase in the affinity of the transporter for the ligand.

  3. The Effectiveness of Acceptance and Commitment Therapy on Improving Body Image of Female Students with Bulimia Nervosa

    Directory of Open Access Journals (Sweden)

    Moslem Abbasi

    2015-04-01

    Full Text Available Background & objectives: Patients with bulimia nervosa may have impaired mental image of their body and fear of weight gain. The aim of current research is study the effectiveness of acceptance and commitment therapy on improving body image of female students with bulimia nervosa.   Methods: The design of current study is as quasi-experiment research with pre-test and post-test with control group . Statistical population consists all 12-16 years old female students with bulimia nervosa of Ardabil city in the 2013-13 academic years. In order to select the sample, at first 400 students were selected by multi stage cluster sampling method. Then between the students with bulimia nervosa, 40 subjects were selected randomly and were put in two experimental and control groups. The experimental group participated in 8 sessions of acceptance and commitment based training. Thecontrol group received no intervention. The gathered data were analyzed using multivariate analysis of covariance (MANCOVA.   Results: The results show that acceptance and commitment therapy improved body image and reduced the symptoms of bulimia nervosa subjects of experimental group in comparison with the control group in the post-test (P<0.001. Conclusions: The results indicated that acceptance and commitment therapy by therapeutic strategies, improved body image of female students with bulimia nervosa. Thus, interventions based on this approach in schools for students lead to decreasing the psychological problems

  4. Miocene to present-day shortening and intermontane basin formation in the Andean Puna Plateau, NW Argentina (24°30'S)

    Science.gov (United States)

    Strecker, M. R.; Bookhagen, B.; Alonso, R. N.; Pingel, H.; Freymark, J.

    2015-12-01

    With average elevations of about 3.7 km the Altiplano-Puna Plateau of the southern central Andes constitutes the world's second largest orogenic plateau. The plateau generally consists of internally drained, partly coalesced sedimentary basins bordered by reverse-fault bounded ranges, >5 km high. In the Puna, the Argentine sector of the plateau, active tectonism has been interpreted to be characterized by a low level of strike-slip and normal faulting associated with mafic volcanism. In contrast, the eastern plateau margins and the adjacent foreland record a higher level of seismicity and ongoing contraction. Despite ubiquitous Plio-Pleistocene normal faulting along the eastern plateau margins, our new observations record contraction in the plateau interior. Fanning of E-dipping Miocene sedimentary strata involved in the formation of an anticline in the Pocitos Basin of the central Puna interior indicates growth, which must have begun after 7 Ma; 1.5-m.y.-old lacustrine strata as well as tilted Pleistocene lacustrine shorelines associated with this structure indicate sustained uplift into the Quaternary. Corresponding observations along the eastern border of the Pocitos Basin show that <3.5-m.y.-old strata are involved in contractile deformation and basin compartmentalization. Shortening in the central Puna is compatible with Plio-Pleistocene shortening in the low-elevation Salar de Atacama farther west, and may indicate that low-elevation sectors of the plateau have not yet reached a critical elevation that is conducive to normal faulting as observed elsewhere. The onset of extensional deformation in the Puna is thus highly disparate in space and time. Coeval regional thrusting, strike-slip, and normal faulting do not support a structural and topographic setting that promotes wholesale extension and orogenic collapse of the plateau realm.

  5. Reviewing the Spanish-Portuguese border: conflict, interaction and cross-border cooperation

    Directory of Open Access Journals (Sweden)

    Francisco José Calderón Vázquez

    2015-01-01

    Full Text Available European borders, or borders between European Union member states, are historical products that embody the ebbs and flows of European borderlands. These areas are evolving from past struggles and confrontations between European kingdoms toward a future of progressive European integration. Such processes are highly complex, as they involve border deactivation. In this work, we examine the evolution of the Spanish- Portuguese border from the perspective of cross-border interaction.

  6. Internal Border Controls in the European Union

    DEFF Research Database (Denmark)

    Jørgensen, Carsten Willemoes; Sørensen, Karsten Engsig

    2012-01-01

    Recent events, involving inter alia France and Denmark, have stimulated renewed interest in the introduction of different forms of border controls at the internal borders within the European Union. These border control measures are aimed at checking either persons or goods or both. Against...... the background of these events, this article analyses the existing rules regulating controls of persons and goods, and explores how these rules may or may not stand in the way of introducing border controls at the European Union’s internal borders. These events have resulted in a call for reforms of the current...

  7. Internal Border Controls in the European Union

    DEFF Research Database (Denmark)

    Jørgensen, Carsten Willemoes; Sørensen, Karsten Engsig

    2012-01-01

    Recent events, involving inter alia France and Denmark, have stimulated renewed interest in the introduction of different forms of border controls at the internal borders within the European Union. These border control measures are aimed at checking either persons or goods or both. Against...... the background of these events, this article analyses the existing rules regulating controls of persons and goods, and explores how these rules may or may not stand in the way of introducing border controls at the European Union’s internal borders. These events have resulted in a call for reforms of the current...

  8. Languaging the Borders of Europe

    OpenAIRE

    Olivier Kramsch; Kolar Aparna; Huda Degu

    2015-01-01

    Emerging from a discomfort with the blind spots encountered within and across theorizations of language and space in the field of human geography, in this article, we argue for “making space” for conceptualizations that speak from and through the everyday territories of migrants in Europe today. Inspired by a range of writers thinking postcolonially and multi/trans-lingually, the authors draw on their own embodied migrant experience to argue for re-envisioning Europe’s borders through multipl...

  9. Biodiversity and conservation in the Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The Tibetan Plateau (Qinghai-Xizang Plateau) is a unique biogeographic region in the world, where various landscapes, altitudinal belts, alpine ecosystems, and endangered and endemic species have been developed. A total of 26 altitudinal belts, 28 spectra of altitudinal belts, 12,000 species of vascular plant, 5,000 species of epiphytes, 210 species of mammals, and 532 species of birds have been recorded. The plateau is also one of the centers of species formation and differentiation in the world. To protect the biodiversity of the plateau, about 80 nature reserves have been designated, of which 45 are national or provincial, covering about 22% of the plateau area. Most of the nature reserves are distributed in the southeastern plateau. Recently, the Chinese government has initiated the "Natural Forests Protection Project of China,' mainly in the upper reaches of the Yangtze and Yellow rivers. "No logging" policies have been made and implemented for these areas.

  10. Border preserving skin lesion segmentation

    Science.gov (United States)

    Kamali, Mostafa; Samei, Golnoosh

    2008-03-01

    Melanoma is a fatal cancer with a growing incident rate. However it could be cured if diagnosed in early stages. The first step in detecting melanoma is the separation of skin lesion from healthy skin. There are particular features associated with a malignant lesion whose successful detection relies upon accurately extracted borders. We propose a two step approach. First, we apply K-means clustering method (to 3D RGB space) that extracts relatively accurate borders. In the second step we perform an extra refining step for detecting the fading area around some lesions as accurately as possible. Our method has a number of novelties. Firstly as the clustering method is directly applied to the 3D color space, we do not overlook the dependencies between different color channels. In addition, it is capable of extracting fine lesion borders up to pixel level in spite of the difficulties associated with fading areas around the lesion. Performing clustering in different color spaces reveals that 3D RGB color space is preferred. The application of the proposed algorithm to an extensive data-base of skin lesions shows that its performance is superior to that of existing methods both in terms of accuracy and computational complexity.

  11. Cross-border reprogenetic services.

    Science.gov (United States)

    Couture, V; Drouin, R; Tan, S-L; Moutquin, J-M; Bouffard, C

    2015-01-01

    The purpose of this review is to synthesize the current knowledge on the international movement of patients and biopsied embryo cells for pre-implantation genetic diagnosis and its different applications. Thus far, few attempts have been made to identify the specific nature of this phenomenon called 'cross-border reprogenetic services'. There is scattered evidence, both empirical and speculative, suggesting that these services raise major issues in terms of service provision, risks for patients and the children-to-come, the legal liabilities of physicians, as well as social justice. To compile this evidence, this review uses the narrative overview protocol combined with thematic analysis. Five major themes have emerged from the literature at the conjunction of cross-border treatments and reprogenetics: 'scope', 'scale', 'motivations', 'concerns', and 'governance'. Similar themes have already been observed in the case of other medical tourism activities, but this review highlights their singularity with reprogenetic services. It emphasizes the diagnostic and autologous feature of reprogenetics, the constant risk of misdiagnosis, the restriction on certain tests for medically controversial conditions, and the uncertain accessibility of genetic counseling in cross-border settings. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  12. Just Desserts? Exploring Constructions of Food in Women's Experiences of Bulimia.

    Science.gov (United States)

    Churruca, Kate; Ussher, Jane M; Perz, Janette

    2016-10-13

    Bulimia, an eating disorder that affects more women than men, involves binging and compensatory behaviors. Given the importance of food in experiences of these behaviors, in this article, we examine constructions of food in accounts of bulimic behavior: how these constructions relate to cultural discourses, and their implications for subjectivity. Fifteen women who engaged in bulimic behaviors were interviewed. Through a thematic decomposition of their accounts, we identified six discursive constructions of food: "good/healthy" or "bad/unhealthy," "contaminating body and soul," "collapsed into fat," "pleasurable reward," "comfort," and "fuel for the body." Many constructions were consolidated through participants' embodied experiences, but made available through discourses in public health, biomedicine, and femininity, and had implications for subjectivity in terms of morality, spirituality, and self-worth. Thus, despite women deploying these constructions to make sense of their bulimic behaviors, they are culturally normative; this point has implications for therapeutic and preventive strategies for bulimia.

  13. 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.

  14. Management of anorexia and bulimia nervosa: An evidence-based review

    Science.gov (United States)

    Chakraborty, Kaustav; Basu, Debasish

    2010-01-01

    Anorexia nervosa and bulimia nervosa are primarily psychiatric disorders characterized by severe disturbances of eating behavior. Eating disorders are most prevalent in the Western culture where food is in abundance and female attractiveness is equated with thinness. Eating disorders are rare in countries like India. Despite a plethora of management options available to the mental health professionals, no major breakthrough has been achieved in recent years. Nutritional rehabilitation along with some form of re educative psychotherapy remains the mainstay of management of anorexia nervosa. In bulimia nervosa, both fluoxetine and cognitive behavior therapy have been found to be effective. Although the above-mentioned management options have been in use for decades, the active ingredient is still to be ascertained. PMID:20838508

  15. Abdominal aortic occlusion and vascular compromise secondary to acute gastric dilatation in a patient with bulimia.

    Science.gov (United States)

    Elsharif, M; Doulias, T; Aljundi, W; Balchandra, S

    2014-11-01

    Acute gastric dilation is a rare but recognised complication in patients with bulimia and anorexia following binge episodes owing to decreased bowel motility. We present a rare case of acute gastric dilation secondary to bulimia in an otherwise healthy 18-year-old female patient that resulted in compression and complete occlusion of the abdominal aorta, leading to acute mesenteric and bilateral lower limb ischaemia. This resolved immediately following a laparotomy and gastric decompression. Management of these patients is very challenging owing to the lack of a successful precedent. To our knowledge, such a catastrophic complication has only ever been reported once in the literature and the outcome was fatal. Our case is of additional importance as it offers a successful management strategy for these patients.

  16. Bulimia as a disturbance of narcissism: self-esteem and the capacity to self-soothe.

    Science.gov (United States)

    Steinberg, B E; Shaw, R J

    1997-01-01

    A review of the literature on eating disorders reveals that, although psychodynamic formulations linking narcissistic dynamics--particularly difficulties with self-soothing--and eating disorders are common in the theoretical and clinical literature, little empirical work has attempted to substantiate this claim. In this study, 117 women completed the Eating Disorder Inventory and the Bulimia Test Revised and four scales that measure different components of narcissism (the Multidimensional Self-Esteem Inventory, measuring self-esteem, the Self-Care Questionnaire, and two subscales of the Ego Functioning Assessment Questionnaire, measuring self-soothing). The four scales used to assess narcissism were all highly correlated with each other, indicating that they measure a similar construct. In addition, the eating-disorder measures were correlated with the measures of narcissism, suggesting that a relationship exists between bulimia and narcissism, as assessed using self-report instruments.

  17. Structure and multiphased evolution of the Demerara plateau (offshore Suriname, French Guiana)

    Science.gov (United States)

    Mercier de Lépinay, Marion; Basile, Christophe; Loncke, Lies; Maillard, Agnès; Grall, Céline; Roest, Walter R.; de Clarens, Philippe

    2014-05-01

    Offshore Suriname and French Guiana, the Demerara plateau is a continental indentation at the intersection of two oceanic domains : the Jurassic Central Atlantic and the Early Cretaceous Equatorial Atlantic. Its three borders are passive margins. The northern one is a transform margin, the two others are rifted margins, thinned during Trias/Jurassic (westward), and a second time during Early Cretaceous (eastward). The main stratigraphic feature of the Demerara plateau is the major upper Albian angular erosive unconformity, synchronous to the Equatorial Atlantic break-up. We here focus on the sedimentary records observed below the upper Albian discordance, where seismic data show more than 13 km of layered units. The aim of this study is to give new insights about the evolution of the Demerara plateau during Mesozoic times, in order to constrain vertical displacements especially in relation with the transform margin. We use mostly structural interpretation of industrial and academic seismic lines (GUYAPLAC, 2003 and IGUANES, 2013), calibrated by industrial wells down to Berriasian times. It allows us to propose structural maps and regional interpretative cross-sections of the plateau and its three borders. On seismic lines, undated prominent seismic units are characterized by important thickness variations, and weak continuity of intern reflectors. They thicken westward (toward the Central Atlantic ocean). One possible interpretation is to relate these units to trias/jurassic syn-rift sediments deposition associated to a continentward dipping fault. But the complex is formed by a repetition of several layer fans. Hence one alternative interpretation would be that these units were seaward dipping reflectors stacked during Trias/Jurassic rifting, suggesting that the role of magmatism should have been predominant during the first phase of the plateau formation. All the sediments of the plateau, including Aptian sediments, are deformed with numerous structures (strike

  18. 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...

  19. Prevalence, incidence, and natural course of anorexia and bulimia nervosa among adolescents and young adults

    OpenAIRE

    Nagl, M.; Jacobi, C.; Paul, M; Beesdo-Baum, K.; M. Hoefler; Lieb, R.; Wittchen, H.

    2016-01-01

    We aimed to assess the prevalence, incidence, age-of-onset and diagnostic stability of threshold and subthreshold anorexia nervosa (AN) and bulimia nervosa (BN) in the community. Data come from a prospective-longitudinal community study of 3021 subjects aged 14-24 at baseline, who were followed up at three assessment waves over 10 years. Eating disorder (ED) symptomatology was assessed with the DSM-IV/M-CIDI at each wave. Diagnostic stability was defined as the proportion of individuals still...

  20. A Proposal for a Study of Bulimia Among Women in the United States Air Force

    Science.gov (United States)

    1988-12-01

    impressive results, but can result in serious medical complications if certain foods and drugs are used containing tyramine or dopamine, which... foods , such as breads, sweets, pasta and potatoes (16). DISEASE DEFINITION AND CLASSIFICATION Bulimia is one of the four eating disorders defined in...is a chronic regurgitation of food usually seen in infancy. Both are rare and will not be discussed further (1,42,43). Although the focus of this

  1. [Self-treament for bulimia on the Internet: first results in Switzerland].

    Science.gov (United States)

    Rouget, P; Carrard, I; Archinard, M

    2005-02-02

    Adolescents with bulimia have become a major clinical problem with increasing health concern. A self-help guide, inspired by the cognitive and behavioral therapy, was developed in response to the growing demand for treatment. On the behalf European research fund "SALUT", the guide was implemented on the Internet. The first swiss results are very encouraging; particularly concerning symptoms and the questionnaires (SCL-90 and EDI-2).

  2. Initial assessment and early treatment options for anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Powers, P S

    1996-12-01

    This article presents the essential aspects of assessment of patients with anorexia nervosa or bulimia nervosa. The evaluation of the athlete with a suspected eating disorder is described. The choice of appropriate type and site of treatment is discussed. Throughout the article there is an emphasis on methods that can be useful in assisting the patient to acknowledge his or her illness and participate in treatment. The need to focus simultaneously on psychological and relationship issues and nutritional status is stressed.

  3. Management of anorexia and bulimia nervosa: An evidence-based review

    OpenAIRE

    2010-01-01

    Anorexia nervosa and bulimia nervosa are primarily psychiatric disorders characterized by severe disturbances of eating behavior. Eating disorders are most prevalent in the Western culture where food is in abundance and female attractiveness is equated with thinness. Eating disorders are rare in countries like India. Despite a plethora of management options available to the mental health professionals, no major breakthrough has been achieved in recent years. Nutritional rehabilitation along w...

  4. Outpatient management of electrolyte imbalances associated with anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Olson, Ann F

    2005-01-01

    Bulimia nervosa and anorexia nervosa are eating disorders with significant morbidity that often go undetected. Nurses and primary care providers are encouraged to recognize the early signs and symptoms of these disorders and to intervene appropriately. Several case reports in this article describe patients with these disorders and various related electrolyte abnormalities. Understanding electrolyte imbalances associated with both disorders may lead to earlier effective intervention and overall improved health outcomes.

  5. 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.

  6. Oral health considerations in anorexia and bulimia nervosa. 2. Multidisciplinary management and personalized dental care.

    Science.gov (United States)

    Bassiouny, Mohamed A; Tweddale, Elizabeth

    2017-01-01

    This article outlines a comprehensive, multidisciplinary strategy for treatment of patients with anorexia and bulimia nervosa. In this approach, primary medical intervention and emergency dental care are followed by the staging of treatment phases that integrate medical care, psychotherapy, nutritional counseling, and dental management, which may encompass various treatment options for repair of damaged dentition. Emphasis is placed on prevention of further tissue damage during all phases of management and following completion of the treatment course.

  7. BULIMIA, ADICCIÓN ALIMENTICIA Y LOS COLORES DE LAS FRUTAS

    Directory of Open Access Journals (Sweden)

    Daniel Jácome Roca

    2009-12-01

    Full Text Available

    Resumen

    Los bulímicos son adictos a los alimentos por dos mecanismos posibles: uno, que perciben en forma desmedida las señales subliminales multisensoriales enviadas por los alimentos (el color rojo de la fruta se percibe con más intensidad, por ejemplo. El segundo puede radicar en que los bulímicos sufren de untrastorno en la liberación y/o señalización cerebral de las hormonas de la saciedad alimenticia provenientes del tracto gastrointestinal y del tejido adiposo como la GH-RELINA y la LEPTINA. Este artículo también resume las alteraciones endocrinas en la bulimia, además de las características de los pacientes con trastornos alimenticios como la bulimia nerviosa, la anorexia nerviosa y la enfermedad de las “comilonas compulsivas”.

    Palabras Clave: Trastornos de la alimentación, saciedad, neuropéptidos/apetito, señalizaciones visuales y aromáticas

    Abstract

    Bulimic patients are food-addicts, through two posible mechanisms. One, these persons magnify multisensensorial subliminal signals, sent by foods (i.e., red color of a fruit is perceived with greater intensity. Two, bulimics have a disordered release and/or signaling of brain-gut hormones and adipose-tissue hormones participating in saciety, such as Gh-relin and leptin. This paper includes brief remarks on endocrine dysregulation seen in” bulimia nervosa”. Also, it presents features of eating-disorder patients, such as those suffering from bulimia nervosa, anorexia nervosa y “binge-eating” disorder.

    Key Words: Eating disorders, satiety, neuropeptides/ appetite, visual food cues/odor cues

  8. Negative affect and neural response to palatable food intake in bulimia nervosa.

    Science.gov (United States)

    Bohon, Cara; Stice, Eric

    2012-06-01

    Binge eating is often preceded by reports of negative affect, but the mechanism by which affect may lead to binge eating is unclear. This study evaluated the effect of negative affect on neural response to anticipation and receipt of palatable food in women with bulimia nervosa (BN) versus healthy controls. We also evaluated connectivity between the amygdala and reward-related brain regions. Females with and without BN (n=26) underwent functional magnetic resonance imaging (fMRI) during receipt and anticipated receipt of chocolate milkshake and a tasteless solution. We measured negative affect just prior to the scan. Women with BN showed a positive correlation between negative affect and activity in the putamen, caudate, and pallidum during anticipated receipt of milkshake (versus tasteless solution). There were no significant relations between negative affect and receipt of milkshake. Connectivity analyses revealed a greater relation of amygdala activity to activation in the left putamen and insula during anticipated receipt of milkshake in the bulimia group relative to the control group. The opposite pattern was found for the taste of milkshake; the control group showed a greater relation of amygdala activity to activation in the left putamen and insula in response to milkshake receipt than the bulimia group. Results show that as negative affect increases, so does responsivity of reward regions to anticipated intake of palatable food, implying that negative affect may increase the reward value of food for individuals with bulimia nervosa or that negative affect has become a conditioned cue due to a history of binge eating in a negative mood. Copyright © 2012 Elsevier Ltd. All rights reserved.

  9. The intracrustal structure beneath the Owyhee Plateau, Oregon, from receiver function analysis

    Science.gov (United States)

    Hou, T.; Chen, C.; James, D. E.; Fouch, M. J.

    2013-12-01

    The Owyhee Plateau straddles southeastern Oregon, southwestern Idaho, and northern Nevada, and is an isolated block of older, and less modified, continental lithosphere relative to bordering geologic terranes. Previous seismic studies have characterized the Owyhee Plateau as having thickened crust with low Poisson's ratio and high intracrustal S-wave velocities, and distinct, albeit thin, mantle lithosphere. Significant tectonomagmatic activity, including extension in the northern Great Basin, and intraplate volcanism is present on the margins of the Plateau, but very little volcanism takes place within the Plateau itself. The volcanism is expressed as two prominent age-progressive volcanic tracks, the Snake River Plains-Yellowstone and the High Lava Plains, both of which appear to have originated from near the Owyhee Plateau at approximately 12 Ma. Recent ambient noise tomography and scattered-wave imaging reveal the presence of irregular high velocity layering in the Owyhee mid-crust, but the extent and properties of this feature, and its role in the tectonic evolution of the Owyhee Plateau, remain elusive. In this study, we perform detailed single station Ps receiver function analysis to better constrain the discontinuity structures within the Owyhee crust. We use teleseismic waveform data recorded at 28 High Lava Plains seismic array and 12 USArray Transportable Array broadband stations from 2006 to 2009. Preliminary results show coherent signals of converted phase at ~20 km depth, indicating the presence of a positive velocity discontinuity, which may mark the upper bound of the high velocity layer imaged in previous studies. We consider and examine possible effects of seismic anisotropy on our results and are also conducting synthetic experiments to further constrain the properties of this feature.

  10. Orlistat abuse in a case of bulimia nervosa: the changing Indian society.

    Science.gov (United States)

    Deb, Koushik Sinha; Gupta, Rishab; Varshney, Mohit

    2014-01-01

    Eating disorders like bulimia nervosa, generally considered to be rare in Asian countries, are currently on the rise among the youth, probably secondary to rapid westernization and globalization of the orient. Clinical manifestations of these disorders, which were previously thought to be different in the oriental countries, are now also often seen to parallel their western counterparts. However, detailed clinical descriptions of such cases from Asian countries, documenting the societal change, are missing. In addition, the possibility of abuse of various anti-obesity drugs as a part of bulimic compensatory behavior is high in this population, given the easy and unsupervised access of these drugs over the counter. We report a case of bulimia nervosa in a female medical graduate from India, presenting with classic bulimic symptomatology and with a compensatory behavior consisting almost exclusively of Orlistat abuse. This case sensitizes health professionals to the abuse liability of new medications like Orlistat and also documents the changing symptomatology of bulimia nervosa in India.

  11. Eating Disorder Examination-Questionnaire as a measure of change in patients with bulimia nervosa.

    Science.gov (United States)

    Sysko, Robyn; Walsh, B Timothy; Fairburn, Christopher G

    2005-03-01

    The current study evaluated the agreement between the Eating Disorder Examination and the Eating Disorder Examination-Questionnaire in assessing eating disorder pathology in a sample of women with bulimia nervosa. Patients with broadly defined bulimia nervosa were enrolled in a double-blind, placebo-controlled treatment study of fluoxetine, with and without guided self-help. The current study presents information from 50 patients with data from both the EDE and EDE-Q at study entry and treatment termination. The EDE and EDE-Q produced more similar scores for compensatory behaviors (vomiting/laxative use) than complex eating-disordered features (binge eating/importance of shape and weight) at the pretreatment and posttreatment assessments, and for change during the study. The EDE and EDE-Q are highly correlated for many of the behavioral and attitudinal features of bulimia nervosa. There is substantial variability in agreement for individual patients, but on average, the EDE and EDE-Q will yield similar assessments of eating disorder symptoms and change in symptoms over time. (c) 2005 by Wiley Periodicals, Inc.

  12. Perception of autonomy and connectedness prior to the onset of anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Huemer, Julia; Haidvogl, Maria; Mattejat, Fritz; Wagner, Gudrun; Nobis, Gerald; Fernandez-Aranda, Fernando; Collier, David A; Treasure, Janet L; Karwautz, Andreas F K

    2012-01-01

    This study examines retrospective correlates of nonshared family environment prior to onset of disease, by means of multiple familial informants, among anorexia and bulimia nervosa patients. A total of 332 participants was included (anorexia nervosa, restrictive type (AN-R): n = 41 plus families); bulimic patients (anorexia nervosa, binge-purging type; bulimia nervosa: n = 59 plus families). The EATAET Lifetime Diagnostic Interview was used to establish the diagnosis; the Subjective Family Image Test was used to derive emotional connectedness (EC) and individual autonomy (IA). Bulimic and AN-R patients perceived significantly lower EC prior to onset of disease compared to their healthy sisters. Bulimic patients perceived significantly lower EC prior to onset of disease compared to AN-R patients and compared to their mothers and fathers. A low family sum - sister pairs sum comparison - of EC had a significant influence on the risk of developing bulimia nervosa. Contrary to expectations, AN-R patients did not perceive significantly lower levels of IA compared to their sisters, prior to onset of disease. Findings of low IA in currently ill AN-R patients may represent a disease consequence, not a risk factor. Developmental child psychiatrists should direct their attention to disturbances of EC, which may be present prior to the onset of the disease.

  13. 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

  14. Relationship-focused therapy for bulimia and binge eating: Introduction to the special section.

    Science.gov (United States)

    Thompson-Brenner, Heather

    2016-06-01

    Individuals with bulimia nervosa and binge eating disorder commonly report co-occurring interpersonal problems, and treatment that focuses on relationships and relational functioning has shown benefit relative to other forms of treatment. Relational psychotherapy for eating disorders can vary on several important dimensions, such as how structured and symptom-focused versus exploratory and patient-directed it is, whether it focuses on past relationships and patterns in relationships over time versus focusing on current relationships, and whether it includes the relationship with the therapist as an explicit topic of conversation and mechanism for relational change. The cases in this special section provide the opportunity to closely compare 3 therapeutic approaches on each of these dimensions. Psychoanalytic Psychotherapy for Bulimia Nervosa, Integrative Dynamic Therapy for Bulimia Nervosa, and Interpersonal Psychotherapy for the Prevention of Weight Gain and Eating Disorders are each highly distinct approaches. The authors of each case explain the intended mechanisms of treatment response, the measures that assess changes in eating disorder symptoms as well as the mechanisms of change, and provide extensive excerpts from case material to demonstrate and illustrate the particular evidence-based treatment. Therapists and researchers may usefully consider the process and outcome variables described in these interpersonal approaches. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  15. Ato e deriva pulsional na clínica da anorexia-bulimia

    Directory of Open Access Journals (Sweden)

    Cristina Moreira Marcos

    2015-01-01

    Full Text Available Los síntomas contemporáneos parecen sostenerse en un rechazo del inconsciente y resisten a entrar en el discurso. En lugar de resaltar el aspecto simbólico del síntoma, la anorexia-bulimia revela el síntoma como la fijación de goce, lo que indica un rechazo del inconsciente. Este aspecto se evidencia en la práctica clínica de la anorexia y bulimia, en los que se ha hallado un intercambio del significante para el goce, que apunta a una patología del acto y no de las manifestaciones clínicas del inconsciente. Esta cuestión se abordará a partir del testimonio de Fabiola De Clercq, publicado en Tutto il pane del mondo (Todo el pan del mundo. Su asociación con la anorexia y la bulimia revela la ausencia de la alteridad a través de la entrega a una deriva pulsional. A partir de este testimonio, se busca cuestionar el modo particular de presentación de esta clínica en la que la dimensión del acto es decisiva.

  16. Content Analysis of the Construction of Self and Others in Women with Bulimia Nervosa.

    Science.gov (United States)

    Dada, Gloria; Izu, Sheila; Montebruno, Claudia; Grau, Antoni; Feixas, Guillem

    2017-01-01

    The purpose of this study was to explore the content of personal constructs in people diagnosed with bulimia nervosa (BN). We expected to find differences in the predominant content of the construct systems between women with and without BN. We analyzed the constructs elicited using the repertory grid technique from 120 women aged between 18 to 45 years, divided into two groups: a clinical group of women diagnosed with bulimia (n = 62) and a control group of university students (n = 58). The constructs were categorized using the Classification System for Personal Constructs (CSPC), composed of six themes which are broken down into 45 categories. For this study, a new area called "Physical" was included, and it consists of three categories. The results indicated that women diagnosed with bulimia used significantly more constructs related to the body, while the control group used more constructs from the personal area. In addition, the congruent constructs from the clinical sample were predominantly moral, or related to values and interests, while discrepant constructs were personal and physical. The findings provide evidence for the clinical use of the CSPC as an instrument for exploring the content of personal meaning systems. Understanding the patient's personal constructions about herself and others is useful for treatment. Moreover, it is important for clinicians to explore the content of constructs related to symptomatic areas, which could be hindering change, and focus on them to facilitate improvement.

  17. Food Addiction and Bulimia Nervosa: New Data Based on the Yale Food Addiction Scale 2.0.

    Science.gov (United States)

    de Vries, Sarah-Kristin; Meule, Adrian

    2016-11-01

    Previous research on 'food addiction' as measured with the Yale Food Addiction Scale (YFAS) showed a large overlap between addiction-like eating and bulimia nervosa. Most recently, a revised version of the YFAS has been developed according to the changes made in the diagnostic criteria for substance use disorder in the Diagnostic and Statistical Manual of Mental Disorders fifth edition. The current study examined prevalence and correlates of the YFAS2.0 in individuals with bulimia (n = 115) and controls (n = 341). Ninety-six per cent of participants with bulimia and 14% of controls received a YFAS2.0 diagnosis. A higher number of YFAS2.0 symptoms was associated with lower interoceptive awareness, higher depressiveness, and higher impulsivity in both groups. However, a higher number of YFAS2.0 symptoms was associated with higher body mass and weight suppression in controls only and not in participants with bulimia. The current study is the first to show a large overlap between bulimia and 'food addiction' as measured with the YFAS2.0, replicating and extending findings from studies, which used the previous version of the YFAS. Compensatory weight control behaviours in individuals with bulimia likely alleviate the association between addiction-like eating and higher body mass. Thus, the large overlap between bulimia and 'food addiction' should be taken into consideration when examining the role of addiction-like eating in weight gain and obesity. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

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

    Directory of Open Access Journals (Sweden)

    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.

  19. "Diagnostic shift" from eating disorder not otherwise specified to bulimia nervosa using DSM-5 criteria: a clinical comparison with DSM-IV bulimia.

    Science.gov (United States)

    MacDonald, Danielle E; McFarlane, Traci L; Olmsted, Marion P

    2014-01-01

    In the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the diagnostic threshold for binging and compensation in bulimia nervosa (BN) decreased from twice to once weekly for 3 months. This study investigates the validity of this change by examining whether BN patients and those whose diagnoses "shift" to BN with DSM-5 are similar in their psychological functioning. EDNOS patients whose symptoms met DSM-5 BN criteria (n=25) were compared to DSM-IV BN patients (n=146) on clinically relevant variables. No differences were found on: BMI; weight-based self-evaluation; perfectionism; depression and anxiety symptoms; or readiness for change. Differences were found on one Eating Disorder Inventory subscale (i.e., bulimia), with the BN group reporting higher scores, consistent with group definitions. These findings support the modified criteria, suggesting that psychopathology both directly and indirectly related to eating disorders is comparable between those with once weekly versus more frequent bulimic episodes. © 2013.

  20. Exploration in Newnes Plateau, NSW

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, P.; McQuade, C. [Pasminco Port Pirie Smelter, NSW (Australia)

    1999-06-01

    Underground coal mining operations in the Western Coalfields of NSW extend into the Newnes Plateau area. The Newnes Plateau area is known for its floral diversity and distinctive topography. A quantitative flora assessment concerning rehabilitation performance of exploration sites was undertaken to refine the environmental component of the exploration process and identify practices that may assist in an improved rate of regeneration within disturbed areas. This article briefly summarises the method and key outcomes of the study, undertaken as part of an Honours Degree program. Surveys of sites showed that plant height was reduced due to vehicle traffic compacting soil, and this also led to a reduced number of plant species and a reduced number of seedlings germinating. Percentage litter cover was found to be positively correlated with the number of species on the sites and the percent plant cover of the regenerating vegetation, shallow surface ripping is recommended to relieve soil compaction. Seeds should be collected from exploration sites prior to disturbance, particularly of species like Banksia and Haken that retain their seed on the plant. Seed should then be dispersed after work has finished. 1 fig., 2 photos.

  1. Externalization and Border-induced Displacement

    DEFF Research Database (Denmark)

    Lemberg-Pedersen, Martin

    This multidisciplinary Ph.D. dissertation engages with the timely and much debated topic of European border control. The first two chapters discuss several moral arguments claiming that border control facilitates solidarity and autonomy. These are assessed with reference to central debates in pol...... in-depth research of the privatization of border control through the cases of G4S, Finmeccanica and the EU’s EUROSUR system. The chapter links externalization of border control with European state-driven export markets and shows how states’ export credit agencies, the arms industry...... and the international banking sector all have overlapping interests in privatized border control. Chapter five identifies the multiple flows, technological, personnel, funds and data, maintaining Europe’s border infrastructure, As migrants are circulated between detention camps and countries, dumped in deserts...

  2. Aymara paradiplomacy: Empowerment in the border

    Directory of Open Access Journals (Sweden)

    Gilberto Aranda Bustamante

    2017-01-01

    Full Text Available This article analyzes the border paradiplomacy used by more than 50 municipalities from Bolivia, Chile and Peru, named “Aymaras without Borders Strategic Alliance”. In spite of the differentiated historical construction of national identities, according to a literature review, it could be argued that there is an unprecedented border relation between these three countries. Furthermore, it is possible to conclude that this non-violent strategy has been successful in the last 15 years.

  3. A model for international border management systems.

    Energy Technology Data Exchange (ETDEWEB)

    Duggan, Ruth Ann

    2008-09-01

    To effectively manage the security or control of its borders, a country must understand its border management activities as a system. Using its systems engineering and security foundations as a Department of Energy National Security Laboratory, Sandia National Laboratories has developed such an approach to modeling and analyzing border management systems. This paper describes the basic model and its elements developed under Laboratory Directed Research and Development project 08-684.

  4. Altered structural and effective connectivity in anorexia and bulimia nervosa in circuits that regulate energy and reward homeostasis.

    Science.gov (United States)

    Frank, G K W; Shott, M E; Riederer, J; Pryor, T L

    2016-11-01

    Anorexia and bulimia nervosa are severe eating disorders that share many behaviors. Structural and functional brain circuits could provide biological links that those disorders have in common. We recruited 77 young adult women, 26 healthy controls, 26 women with anorexia and 25 women with bulimia nervosa. Probabilistic tractography was used to map white matter connectivity strength across taste and food intake regulating brain circuits. An independent multisample greedy equivalence search algorithm tested effective connectivity between those regions during sucrose tasting. Anorexia and bulimia nervosa had greater structural connectivity in pathways between insula, orbitofrontal cortex and ventral striatum, but lower connectivity from orbitofrontal cortex and amygdala to the hypothalamus (Panorexia and bulimia nervosa effective connectivity was directed from anterior cingulate via ventral striatum to the hypothalamus. Across all groups, sweetness perception was predicted by connectivity strength in pathways connecting to the middle orbitofrontal cortex. This study provides evidence that white matter structural as well as effective connectivity within the energy-homeostasis and food reward-regulating circuitry is fundamentally different in anorexia and bulimia nervosa compared with that in controls. In eating disorders, anterior cingulate cognitive-emotional top down control could affect food reward and eating drive, override hypothalamic inputs to the ventral striatum and enable prolonged food restriction.

  5. Phenotypic covariance at species’ borders

    Science.gov (United States)

    2013-01-01

    Background Understanding the evolution of species limits is important in ecology, evolution, and conservation biology. Despite its likely importance in the evolution of these limits, little is known about phenotypic covariance in geographically marginal populations, and the degree to which it constrains, or facilitates, responses to selection. We investigated phenotypic covariance in morphological traits at species’ borders by comparing phenotypic covariance matrices (P), including the degree of shared structure, the distribution of strengths of pair-wise correlations between traits, the degree of morphological integration of traits, and the ranks of matricies, between central and marginal populations of three species-pairs of coral reef fishes. Results Greater structural differences in P were observed between populations close to range margins and conspecific populations toward range centres, than between pairs of conspecific populations that were both more centrally located within their ranges. Approximately 80% of all pair-wise trait correlations within populations were greater in the north, but these differences were unrelated to the position of the sampled population with respect to the geographic range of the species. Conclusions Neither the degree of morphological integration, nor ranks of P, indicated greater evolutionary constraint at range edges. Characteristics of P observed here provide no support for constraint contributing to the formation of these species’ borders, but may instead reflect structural change in P caused by selection or drift, and their potential to evolve in the future. PMID:23714580

  6. Prehistoric human settling on the Tibetan Plateau

    Science.gov (United States)

    Chen, Fahu; Zhang, Dongju; Dong, Guanghui

    2017-04-01

    When and where did human first settle down on the Tibetan Plateau is under hot debate among archaeologist, anthropologists, geneticist and paleo-geographers. Based on systematic archaeological, chronological and archaeo-botanical studies of 53 sites in Northeastern Tibetan Plateau, we propose that agriculture facilitated human permanent settlement on the Tibetan Plateau initially since 5200 years ago below 2500 masl and since 3600 years ago up to around 4000 masl, possibly assisted by domesticated animals (Chen et al. 2015). By studying hand- and footprints in Chusang, Meyer et al. (2016) argue that hunter-gatherers permanently occupied central Tibetan Plateau in early Holocene without the help of agriculture. However, we think the limited hand- and footprints evidence found in Chusang could indicate no more than prehistoric hunter-gatherers presence on the remote central Tibetan Plateau in the early Holocene. In addition, by reviewing all the published archaeological data, we propose that human migrated to the Tibetan Plateau from the last Deglacial period to late Holocene mainly from North China via Yellow River valley and its tributary valleys in the Northeastern Tibetan Plateau (NETP). This migration is constituted of four stages (Upper Paleolithic, Epi-Paleolithic, Neolithic and Bronze Age) when human adapted to the high altitude environment and climate change with different strategies and techniques. Particularly, the prevail of microlithic technology in North China provoked hunter-gatherers' first visit to the NETP in relatively ameliorated last Deglacial period, and the the quick development of millet farming and subsequent mixed barley-wheat farming and sheep herding facilitated farmers and herders permanently settled in Tibetan Plateau, even above 3000 masl, during mid- and late Holocene. References: Chen et al., 2015. Agriculture facilitated permanent human occupation of the Tibetan Plateau after 3600 BP. Science, 347: 248-250. Meyer et al., 2016

  7. Women with bulimia nervosa exhibit attenuated secretion of glucagon-like peptide 1, pancreatic polypeptide, and insulin in response to a meal

    DEFF Research Database (Denmark)

    Naessén, Sabine; Carlström, Kjell; Holst, Jens Juul;

    2011-01-01

    The eating disorder bulimia nervosa (BN) is characterized by frequent episodes of binge eating, followed regularly by inappropriate compensatory behavior, such as self-induced vomiting.......The eating disorder bulimia nervosa (BN) is characterized by frequent episodes of binge eating, followed regularly by inappropriate compensatory behavior, such as self-induced vomiting....

  8. Border Crossing/Entry Data - Border Crossing/Entry Data Time Series tool

    Data.gov (United States)

    Department of Transportation — The dataset is known as “Border Crossing/Entry Data.” The Bureau of Transportation Statistics (BTS) Border Crossing/Entry Data provides summary statistics to the...

  9. FINAL FRONTIER AT HANFORD TACKLING THE CENTRAL PLATEAU

    Energy Technology Data Exchange (ETDEWEB)

    GERBER MS

    2008-03-04

    The large land area in the center of the vast Department of Energy (DOE) Hanford Site in southeast Washington State is known as 'the plateau'--aptly named because its surface elevations are 250-300 feet above the groundwater table. By contrast, areas on the 585-square mile Site that border the Columbia River sit just 30-80 feet above the water table. The Central Plateau, which covers an ellipse of approximately 70 square miles, contains Hanford's radiochemical reprocessing areas--the 200 East and 200 West Areas--and includes the most highly radioactive waste and contaminated facilities on the Site. Five 'canyons' where chemical processes were used to separate out plutonium (Pu), 884 identified soil waste sites (including approximately 50 miles of solid waste burial trenches), more than 900 structures, and all of Hanford's liquid waste storage tanks reside in the Central Plateau. (Notes: Canyons is a nickname given by Hanford workers to the chemical reprocessing facilities. The 177, underground waste tanks at Hanford comprise a separate work scope and are not under Fluor's management). Fluor Hanford, a DOE prime cleanup contractor at the Site for the past 12 years, has moved aggressively to investigate Central Plateau waste sites in the last few years, digging more than 500 boreholes, test pits, direct soil 'pushes' or drive points; logging geophysical data sets; and performing electrical-resistivity scans (a non-intrusive technique that maps patterns of sub-surface soil conductivity). The goal is to identify areas of contamination areas in soil and solid waste sites, so that cost-effective and appropriate decisions on remediation can be made. In 2007, Fluor developed a new work plan for DOE that added 238 soil waste-site characterization activities in the Central Plateau during fiscal years (FYs) 2007-2010. This number represents a 50 percent increase over similar work previously done in central Hanford. Work Plans are

  10. The Borders of "Shopluk" and/or Shops without Borders

    Directory of Open Access Journals (Sweden)

    P. Hristov

    2015-08-01

    Full Text Available A historic and cultural region exists at the heart of the Balkans, known in geographic and ethnographic research as Shopluk. This is a region in which, over the last 150 years, state boundaries were moved several times as a result of 5 different wars. Today, the historic Shopluk is where the borders of three nations converge – Republic of Bulgaria, Republic of Serbia and the Republic of Macedonia – and, during the last decade, the region was declared one of the “Euroregions” on the Balkans. Despite the historical similarities in traditional culture and language of this population, in the 19th century it became a subject of nationalist ambitions and a propaganda “wars” between the new national states of Serbia and Bulgaria. The joining of Bulgarian-inhabited parts of Shopluk (the regions of today’s Dimitrovgrad and Bosilegrad in Serbia to the Kingdom of Serbs, Slovenes and Croats in 1919 created a long-lasting tension between the two countries, some residues of which can be felt in everyday relations even today. On the other hand, it has been a century-long tradition for men in this region to take part in seasonal labour migrations all over the Balkan Peninsula, despite political borders. In this way, preserving their cultural and lingual specifics, the groups of seasonal workers – migrants from Shopluk, became a bridge for cultural interaction and exchange with other regions in the neighbour countries. Even though today the population of Shopluk exhibits different national identities, historical similarities in culture and language can turn the Euroregion between Nish, Sofia and Skopje from one of the poorest on the Balkans to one of the most integrated and prosperous.

  11. Recurrent aborted sudden cardiac death with seizures and rhabdomyolysis due to bulimia-induced hypokalemia: report of one case.

    Science.gov (United States)

    Finsterer, Josef; Stöllberger, Claudia

    2014-06-01

    Recurrent vomiting due to bulimia associated with abuse of furosemide and laxatives causing severe hypokalemia may result in recurrent aborted sudden cardiac death (SCD) and seizures. We report a 25-year-old female with a history of bulimia associated with abuse of furosemide and laxatives since the age of 15 years, migraine since puberty, renal abscesses at age 20 y, and rhabdomyolysis of unknown cause at age 24 y. She experienced aborted SCD due to severe hypokalemia with symptomatic seizures at 21 and 25 years of age. Bulimia patients additionally taking laxatives or furosemide are at particular risk of SCD and rhabdomyolysis and require periodic determination of electrolytes, potassium substitution, and adequate psychiatric therapy and surveillance.

  12. Compressive Tectonics around Tibetan Plateau Edges

    Institute of Scientific and Technical Information of China (English)

    Zhao Zhixin; Xu Jiren

    2009-01-01

    Various earthquake fault types, mechanism solutions, stress field, and other geophysical data were analyzed for study on the crust movement in the Tibetan plateau and its tectonic implications. The results show that numbers of thrust fault and strike-slip fault type earthquakes with strong compressive stress near NNE-SSW direction occurred in the edges around the plateau except the eastern boundary. Some normal faulting type earthquakes concentrate in the Central Tibetan plateau. The strikes of fault planes of thrust and strike-slip faulting earthquakes are almost in the E-W direction based on the analyses of the Wulff stereonet diagrams of fault plane solutions. This implies that the dislocation slip vectors of the thrust and strike-slip faulting type events have quite great components in the N-S direction. The compression motion mainly probably plays the tectonic active regime around the plateau edges. The compressive stress in N-S or NE-SW directions predominates earthquake occurrence in the thrust and strike-slip faulting event region around the plateau. The compressive motion around the Tibetan plateau edge is attributable to the northward motion of the Indian subcontinent plate. The northward motion of the Tibetan plateau shortened in the N-S direction encounters probably strong obstructions at the western and northern margins.

  13. An fMRI Study of Self-Regulatory Control and Conflict Resolution in Adolescents With Bulimia Nervosa

    Science.gov (United States)

    Marsh, Rachel; Horga, Guillermo; Wang, Zhishun; Wang, Pengwei; Klahr, Kristin W.; Berner, Laura A.; Walsh, B. Timothy; Peterson, Bradley S.

    2012-01-01

    Objective The authors examined functional activity in the frontostriatal systems that mediate self-regulatory capacities and conflict resolution in adolescents with bulimia nervosa. Method Functional magnetic resonance imaging was used to compare blood-oxygen-level-dependent response in 18 female adolescents with bulimia nervosa and 18 healthy female age-matched subjects during performance on a Simon spatial incompatibility task. Bayesian analyses were used to compare the two groups on patterns of brain activation during correct responses to conflict stimuli and to explore the effects of antecedent stimulus context on group differences in self-regulation and conflict resolution. Results Adolescents with and without bulimia nervosa performed similarly on the task. During correct responses in conflict trials, frontostriatal circuits—including the right inferolateral and dorsolateral prefrontal cortices and putamen—failed to activate to the same degree in adolescents with bulimia nervosa as in healthy comparison subjects. Instead, deactivation was seen in the left inferior frontal gyrus as well as a neural system encompassing the posterior cingulate cortex and superior frontal gyrus. Group differences in cortical and striatal regions were driven by the differential responses to stimuli preceded by conflict and nonconflict stimuli, respectively. Conclusions When engaging the self-regulatory control processes necessary to resolve conflict, adolescents with bulimia nervosa displayed abnormal patterns of activation in frontostriatal and default-mode systems. Their abnormal processing of the antecedent stimulus context conditioned their brain response to conflict differently from that of healthy comparison subjects, specifically in frontal regions. It is suspected that functional disturbances in frontal portions of frontostriatal systems may release feeding behaviors from regulatory control, thereby perpetuating the conflicting desires to consume fattening foods and

  14. Temperamental dimensions of the TEMPS-A in females with co-morbid bipolar disorder and bulimia.

    Science.gov (United States)

    Rybakowski, Janusz K; Kaminska, Katarzyna; Charytonik, Jolanta; Akiskal, Kareen K; Akiskal, Hagop S

    2014-08-01

    We investigated the effect of co-morbid bipolar disorder and bulimia on temperamental dimensions measured by TEMPS-A, relative to "pure" bulimia and "pure" bipolar disorder, in female patients. The study was performed on 47 patients with bipolar disorder (BD) with a mean age of 36±10 years, 96 patients with bulimia or bulimic type of anorexia, mean age 26±9 years and 50 control healthy females (HC), mean age 29±6 years. Among bulimic patients, a group of 68 subjects with co-morbid bulimia with bipolarity (BD+B) was identified, based on positive score of the Mood Disorder Questionnaire (MDQ). The TEMPS-A questionnaire, 110 questions version, has been used, evaluating five temperament domains: depressive, cyclothymic, hyperthymic, irritable and anxious. Parametric analysis was performed for 4 groups (BD, "pure" bulimia (PB), BD+B and HC), with 28 subjects randomly chosen from each group, using analysis of variance and cluster analysis. All clinical groups significantly differed from control group by having higher scores of depressive, cyclothymic, irritable and anxious temperaments and lower of hyperthymic one. Among patients, significantly higher scores of cyclothymic and irritable temperaments were found in BD+B compared to both PB and BD. These differences were also reflected in cluster analysis, where two clusters were identified. Bipolarity in bulimic patients assessed only by the MDQ. These results show that co-morbid bulimia and bipolar disorder is characterized by extreme dimensions of both cyclothymic and irritable temperaments, significantly higher than each single diagnosis. Possible clinical implications of such fact are discussed. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Border Pedagogy Cafes: Grassroots Conversations that Matter

    Science.gov (United States)

    Necochea, Juan; Cline, Zulmara

    2008-01-01

    This exploratory study uses qualitative methods to analyze the impact of conversations in the Border Pedagogy "Cafes" on more than 500 binational educators from the Tijuana/San Diego area on the U.S.-Mexico border. Four important themes emerged from the analysis that describe the impact of the cafes and offer a strong foundation on which…

  16. Sprouting of dormant buds on border trees

    Science.gov (United States)

    G.R., Jr. Trimble; H. Clay Smith; H. Clay Smith

    1970-01-01

    As part of an evaluation of silvicultura1 systems used in managing Appalachian hardwoods, we are studying degrade of border trees surrounding harvest-cut openings made in the patch cutting and group selection systems. One facet of this research dealt with determining what portion of visually evident dormant buds on border tree boles sprouted when the openings were cut...

  17. Border Pedagogy Cafes: Grassroots Conversations that Matter

    Science.gov (United States)

    Necochea, Juan; Cline, Zulmara

    2008-01-01

    This exploratory study uses qualitative methods to analyze the impact of conversations in the Border Pedagogy "Cafes" on more than 500 binational educators from the Tijuana/San Diego area on the U.S.-Mexico border. Four important themes emerged from the analysis that describe the impact of the cafes and offer a strong foundation on which…

  18. Effect of management of patients with Anorexia and Bulimia nervosa on symptoms and impulsive behavior.

    Science.gov (United States)

    Sernec, Karin; Tomori, Martina; Zalar, Bojan

    2010-12-01

    The aim of the study was to provide further and up to date information on the evaluation of the management of Anorexia and Bulimia nervosa at the Eating Disorders Unit (EDU) of the Ljubljana Psychiatric Clinic, based upon detailed assessment of the eating disorders specific and non specific symptoms of impulsive behaviors, highly correlated with these entities. 34 female patients with anorexia (restrictive or purgative type) and 38 female patients with Bulimia nervosa (purgative or non-purgative type) undergoing hospital treatment at the EDU were evaluated upon admission, as well as upon discharge and three and six months after discharge, using the Eating Disorder Questionnaire. Upon discharge a marked decrease in the overall symptoms was noted. The differences in symptoms incidences between the two groups were significantly specific for the individual form of eating disorder, especially upon admission, and were more pronounced in anorexia group. In later measurements, performed during the period of three and six months after discharge, a mild trend of increase in the disorder specific symptoms was detected in both groups, but was not statistically significant. In addition to binging on food, striking, quarreling and spending sprees are characteristics of patients with eating disorders, which in particular apply to the Bulimia nervosa group. Apart from the disorder specific symptoms, impulsive behavior was also reduced during study period, while the difference in its occurrence between the two groups gradually became non-significant. The management of patients with eating disorders at the EDU was successful in both groups, confirmed by an intense reduction of the disorder specific symptoms, impulsive behavior and increased stability recorded three and six months after discharge. The study strongly suggests that the effect of treatment regime for eating disorders can be predicted by careful assessment of the relevant symptoms and impulsive behavioral patterns.

  19. 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.

  20. Neural Responses during Social and Self-Knowledge Tasks in Bulimia Nervosa.

    Science.gov (United States)

    McAdams, Carrie J; Krawczyk, Daniel C

    2013-01-01

    Self-evaluation closely dependent upon body shape and weight is one of the defining criteria for bulimia nervosa (BN). We studied 53 adult women, 17 with BN, 18 with a recent history of anorexia nervosa (AN), and 18 healthy comparison women, using three different fMRI tasks that required thinking about self-knowledge and social interactions: the Social Identity task, the Physical Identity task, and the Social Attribution task. Previously, we identified regions of interest (ROI) in the same tasks using whole-brain voxel-wise comparisons of the healthy comparison women and women with a recent history of AN. Here, we report on the neural activations in those ROIs in subjects with BN. In the Social Attribution task, we examined activity in the right temporoparietal junction (RTPJ), an area frequently associated with mentalization. In the Social Identity task, we examined activity in the precuneus (PreC) and dorsal anterior cingulate (dACC). In the Physical Identity task, we examined activity in a ventral region of the dACC. Interestingly, in all tested regions, the average activation in subjects with bulimia was more than the average activation levels seen in the subjects with a history of anorexia but less than that seen in healthy subjects. In three regions, the RTPJ, the PreC, and the dACC, group responses in the subjects with bulimia were significantly different from healthy subjects but not subjects with anorexia. The neural activations of people with BN performing fMRI tasks engaging social processing are more similar to people with AN than healthy people. This suggests biological measures of social processes may be helpful in characterizing individuals with eating disorders.

  1. Bulimia y estrategias de afrontamiento en adolescentes escolarizadas de la ciudad de Pereira, Colombia

    Directory of Open Access Journals (Sweden)

    Marly Johana Bahamón Muñetón

    2012-01-01

    Full Text Available El artículo presenta resultados de la investigación dirigida a identificar y relacionar la presencia de síntomas bulímicos con el uso de estrategias de afrontamiento y variables socio-demográficas en mujeres entre los 10 y 17 años de edad. Se utilizó un diseño correlacional y se aplicó el BITEpara la medición de síntomas bulímicos y el ACS para la identificación de las estrategias de afrontamiento. Se identificó que el 59% de las 278 participantes no presenta comportamientos alterados frente a la comida y 41% presenta síntomas de bulimia. Se identificaron correlaciones entre la gravedad y el estrato socio-económico. Se hallaron correlaciones positivas entre síntomas de bulimia y las estrategias de autoinculparse y búsqueda de apoyo espiritual. También se encontró correlación positiva entre gravedad y las estrategias de búsqueda de apoyo espiritual y distracción física. Los resultados coinciden parcialmente con estudios previos sobre el tema puesto que las estrategias que se relacionan con los síntomas y gravedad de la bulimia son evitativas y centradas en la emoción. Finalmente, se expone la necesidad de realizar más estudios comparando muestras clínicas y no clínicas.

  2. Competitiveness of the Economies of Border Regions

    Directory of Open Access Journals (Sweden)

    Bazhenov Yuri

    2009-06-01

    Full Text Available The article is dedicated to the problem of competitiveness of border regions as subjects of the Russian Federation having specific characteristics. The authors focus on the stages, during which border regions build their competitiveness, as well as analyse certain indices characterizing it. They examine the role of these regions in the development of international trade and economic relations, cross-border cooperation and international integration, taking the North-west federal district and the Republic of Karelia as a case-study. The article describes the mechanisms of building and increasing competitiveness of border regions in today’s Russia both in general and, particularly, in the Republic of Karelia as a border region of the North-west federal district.

  3. A polyhedral approach to computing border bases

    CERN Document Server

    Braun, Gábor

    2009-01-01

    Border bases can be considered to be the natural extension of Gr\\"obner bases that have several advantages. Unfortunately, to date the classical border basis algorithm relies on (degree-compatible) term orderings and implicitly on reduced Gr\\"obner bases. We adapt the classical border basis algorithm to allow for calculating border bases for arbitrary degree-compatible order ideals, which is \\emph{independent} from term orderings. Moreover, the algorithm also supports calculating degree-compatible order ideals with \\emph{preference} on contained elements, even though finding a preferred order ideal is NP-hard. Effectively we retain degree-compatibility only to successively extend our computation degree-by-degree. The adaptation is based on our polyhedral characterization: order ideals that support a border basis correspond one-to-one to integral points of the order ideal polytope. This establishes a crucial connection between the ideal and the combinatorial structure of the associated factor spaces.

  4. Revitalising Borders: Memory, Mobility and Materiality in a Latvian-Russian Border Region

    Directory of Open Access Journals (Sweden)

    Aija Lulle

    2016-04-01

    Full Text Available In this paper I investigate how an international border is 'revitalised' in political discourses as opposed to lived experiences. Based on narratives I have collected from border dwellers on both sides of the current border between Latvia and Rus-sia and placing them into a broader context of current border debates, I analyse how geographical and social mobility is remembered from Soviet times and reworked in current contexts. I argue that while politically the border is revitalised through aban-doning and forgetting the Soviet past and through the idea of constant threats in the future, locally it is revitalised through giving a life to the abandoned: memories of 'vigorous times' in life-courses and material things. People who dwell at the border did not move themselves: the international border moved several times in one cen-tury leaving border dwellers' memories and significant places on the 'other' side. I focus on how these borders were crossed in the past, how they are (not crossed now, and the social meanings assigned to these circumstances. In the current con-text I follow diverse paths of reasoning that describe how the uneven flow of goods and people through the Latvian-Russian border shapes the power dynamic against which the people living in the border area used to reconstruct imaginaries of 'Soviet times' versus 'Europe' and 'vigorous times' versus decline.

  5. Experiences of women with bulimia nervosa in a mindfulness-based eating disorder treatment group.

    Science.gov (United States)

    Proulx, Kathryn

    2008-01-01

    The experience of 6 college-age women with bulimia nervosa was examined after they participated in an 8-week mindfulness-based eating disorder treatment group. This phenomenological study used individual interview and pre- and post-treatment self-portraits. Participants described their experience of transformation from emotional and behavioral extremes, disembodiment, and self-loathing to the cultivation of an inner connection with themselves resulting in greater self-awareness, acceptance, and compassion. They reported less emotional distress and improved abilities to manage stress. This treatment may help the 40% of women who do not improve with current therapies and might be useful to prevent symptoms in younger women.

  6. Neurobiological and clinical variables associated with alcohol abuse in bulimia nervosa.

    Science.gov (United States)

    Vaz-Leal, Francisco J; Ramos-Fuentes, María I; Rodríguez-Santos, Laura; Flores-Mateos, Isabel S; Franco-Zambrano, Andrés; Rojo-Moreno, Luis; Beato-Fernández, Luis

    2015-05-01

    The study was aimed at analysing the reciprocal relationships of several clinical and neurobiological items in order to predict alcohol misuse in patients with bulimia nervosa (BN). Seventy BN patients and 70 healthy controls were assessed for depression, impulsivity, borderline personality traits and self-defeating behaviours using specific scales; serum cortisol and 24-hour urinary excretion of serotonin and 5-hydroxiindolacetic acid were also assessed. The study confirmed the implications of these clinical factors for alcohol misuse in BN patients, but the results suggested that depressive symptoms and hypercortisolism could lie behind these relationships.

  7. Efficacy of High-Dose Baclofen for Alcohol Use Disorder and Comorbid Bulimia: A Case Report.

    Science.gov (United States)

    Weibel, Sébastien; Lalanne, Laurence; Riegert, Myriam; Bertschy, Gilles

    2015-01-01

    High-dose baclofen is a promising treatment for alcohol use disorder, with a specific action on craving. A more general action on craving in other addictive disorders has been suggested based on the hypothesis of a common neurobiological pathway in addictions. We report the case of a woman with both alcohol use disorder and bulimia nervosa. There was a positive response to high-dose baclofen on alcohol craving, but no response on food craving. The case illustrates that craving could be differentially responsive to anti-craving drugs.

  8. Predictors of early change in bulimia nervosa after a brief psychoeducational therapy.

    Science.gov (United States)

    Fernàndez-Aranda, Fernando; Alvarez-Moya, Eva M; Martínez-Viana, Cristina; Sànchez, Isabel; Granero, Roser; Penelo, Eva; Forcano, Laura; Peñas-Lledó, Eva

    2009-06-01

    We aimed to examine baseline predictors of treatment response in bulimic patients. 241 seeking-treatment females with bulimia nervosa completed an exhaustive assessment and were referred to a six-session psychoeducational group. Regression analyses of treatment response were performed. Childhood obesity, lower frequency of eating symptomatology, lower body mass index, older age, and lower family's and patient's concern about the disorder were predictors of poor abstinence. Suicidal ideation, alcohol abuse, higher maximum BMI, higher novelty seeking and lower baseline purging frequency predicted dropouts. Predictors of early symptom changes and dropouts were similar to those identified in longer CBT interventions.

  9. [Prevention and Treatment of Eating Disorders: The Health Care Network Anorexia and Bulimia nervosa].

    Science.gov (United States)

    Weigel, Angelika; Gumz, Antje; Kästner, Denise; Romer, Georg; Wegscheider, Karl; Löwe, Bernd

    2015-07-01

    The "Health care network anorexia and bulimia nervosa", a subproject of psychenet - the Hamburg network for mental health - aims to decrease the incidence of eating disorders as well as the risk for chronic illness courses. One focal project, therefore, evaluates a school-based prevention manual in a randomized controlled trial. The other one examines the impact of a systemic public health intervention on early treatment initiation in anorexia nervosa. The present article provides an overview about study design and interventions in both focal projects as well as preliminary results.

  10. Distinguishing Between Risk Factors for Bulimia Nervosa, Binge Eating Disorder, and Purging Disorder.

    Science.gov (United States)

    Allen, Karina L; Byrne, Susan M; Crosby, Ross D

    2015-08-01

    Binge eating disorder and purging disorder have gained recognition as distinct eating disorder diagnoses, but risk factors for these conditions have not yet been established. This study aimed to evaluate a prospective, mediational model of risk for the full range of binge eating and purging eating disorders, with attention to possible diagnostic differences. Specific aims were to determine, first, whether eating, weight and shape concerns at age 14 would mediate the relationship between parent-perceived childhood overweight at age 10 and a binge eating or purging eating disorder between age 15 and 20, and, second, whether this mediational model would differ across bulimia nervosa, binge eating disorder, and purging disorder. Participants (N = 1,160; 51 % female) were drawn from the Western Australian Pregnancy Cohort (Raine) Study, which has followed children from pre-birth to age 20. Eating disorders were assessed via self-report questionnaires when participants were aged 14, 17 and 20. There were 146 participants (82 % female) with a binge eating or purging eating disorder with onset between age 15 and 20 [bulimia nervosa = 81 (86 % female), binge eating disorder = 43 (74 % female), purging disorder = 22 (77 % female)]. Simple mediation analysis with bootstrapping was used to test the hypothesized model of risk, with early adolescent eating, weight and shape concerns positioned as a mediator between parent-perceived childhood overweight and later onset of a binge eating or purging eating disorder. Subsequently, a conditional process model (a moderated mediation model) was specified to determine if model pathways differed significantly by eating disorder diagnosis. In the simple mediation model, there was a significant indirect effect of parent-perceived childhood overweight on risk for a binge eating or purging eating disorder in late adolescence, mediated by eating, weight and shape concerns in early adolescence. In the conditional process model

  11. Constructions of new plateaued functions from known ones

    Institute of Scientific and Technical Information of China (English)

    Zhang Weiguo; Ding Yong; Zhang Ning; Xiao Guozhen

    2008-01-01

    A number of methods for constructing new plateaued functions from known ones are presented. By properly combining the known plateaued functions it is possible to get highly nonlinear resilient plateaued functions. The order, resiliency and propagation characteristics of the constructed plateaued functions are discussed. We show the new functions could possess the desirable cryptographic property.

  12. CROSS-BORDER COOPERATION AT THE EXTERNAL BORDERS OF EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Ana-Maria Popescu (Stîngaciu

    2012-01-01

    Full Text Available To cooperate means to work and act together for a common advantage or purpose. The cooperation across borders, between different countries and regions sharing the same border, to reach common goals, is aimed to increase the overall competitiveness of the regional economy and to improve the quality of living standards for the these areas. European Union’s programmes are good accelerators for cross-border cooperation. The paper is focused on cross-border cooperation programmes at the external border of the EU and the expected impact of the allocated funds. The cross-border cooperation programmes are creating the conditions to exist the relationships between different social and economic stakeholders in order to contribute to economic and social development by supporting SME development, innovation, human resources development, civil society and local communities, increasing educational, social, cultural and sporting exchanges, improving local governance in different cross-border areas.

  13. Argalis on the Qinghai-Tibet Plateau

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The argali are listed by the State as animals subject tosecond-class protection,and no killing is allowed. The international communitylists argali on the Qinghai-Tibet Plateau as animals that must not be hunted.

  14. Colorado Plateau Rapid Ecoregion Assessment Data Catalog

    Data.gov (United States)

    Bureau of Land Management, Department of the Interior — Datasets used in the analysis of the Colorado Plateau (COP) Rapid Ecoregion Assessment (REA).They can be downloaded via a layer package (lpk, similar to a zip file...

  15. Pyramid Schemes on the Tibetan Plateau

    OpenAIRE

    Devin Gonier; Rgyal yum sgrol ma

    2012-01-01

    The unique features of pyramid schemes and certain underlying causes for their development on the Tibetan Plateau are analyzed. Research was conducted by analyzing 521 surveys, allowing estimation of pyramid scheme activity on the Plateau and an identification of related cultural and social specificities. Firsthand accounts were collected revealing details of personal involvement. Survey data and similarities in the accounts were studied to suggest how involvement in pyramid schemes might be ...

  16. Multidisciplinary scientific program of investigation of the structure and evolution of the Demerara marginal plateau

    Science.gov (United States)

    Loncke, Lies; Basile, Christophe; Roest, Walter; Graindorge, David; Mercier de Lépinay, Marion; Klinghelhoefer, Frauke; Heuret, Arnauld; Pattier, France; Tallobre, Cedric; Lebrun, Jean-Frédéric; Poetisi, Ewald; Loubrieu, Benoît; Iguanes, Dradem, Margats Scientific Parties, Plus

    2017-04-01

    Mercier de Lépinay et al. published in 2016 an updated inventory of transform passive margins in the world. This inventory shows that those margins represent 30% of continental passive margins and a cumulative length of 16% of non-convergent margins. It also highlights the fact that many submarine plateaus prolong transform continental margins, systematically at the junction of oceanic domains of different ages. In the world, we identified twenty of those continental submarine plateaus (Falklands, Voring, Demerara, Tasman, etc). Those marginal plateaus systematically experiment two phases of deformation: a first extensional phase and a second transform phase that allows the individualization of those submarine reliefs appearing on bathymetry as seaward continental-like salients. The understanding of the origin, nature, evolution of those marginal plateaus has many scientific and economic issues. The Demerara marginal plateau located off French Guiana and Surinam belongs to this category of submarine provinces. The French part of this plateau has been the locus of a first investigation in 2003 in the framework of the GUYAPLAC cruise dedicated to support French submissions about extension of the limit of the continental shelf beyond 200 nautical miles. This cruise was the starting point of a scientific program dedicated to geological investigations of the Demerara plateau that was sustained by different cruises and collaborations (1) IGUANES (2013) that completed the mapping of this plateau including off Surinam, allowed to better understand the segmentation of the Northern edge of this plateau, and to evidence the combined importance of contourite and mass-wasting processes in the recent sedimentary evolution of this domain, (2) Collaboration with TOTAL (Mercier de Lépinay's PhD thesis) that allowed to better qualify the two main phases of structural evolution of the plateau respectively during Jurassic times for its Western border, Cretaceous times for its

  17. Local border traffic as an efficient tool for developing cross-border cooperation

    Directory of Open Access Journals (Sweden)

    Gumenyuk Ivan

    2017-01-01

    Full Text Available Local border traffic (LBT is a tool for cooperation between the EU member states and neighbouring countries. It emerged as a measure to mitigate the barrier effect of the EU’s external border. In 2006, the European Parliament authorised the EU member states to conclude bilateral agreements on a simplified border crossing regime in border areas. This article analyses local border traffic as a cross-border cooperation tool. The territory described in the study includes the external borders of the EU (and Norway with the Russian Federation and the Republic of Belarus. The article will be of interest to specialists in international and, particularly, in cross-border cooperation. The authors analyse the mechanism of local border traffic and identify possible trends based on the general socioeconomic situation and foreign policy background in Russia, Belarus, and the EU (Norway. The article employs the cartographic method to enhance the visual component of the study. It is concluded that the LBT mechanism is effective and it has a positive effect on the development of border contacts between countries. There is a need to continue the dialogue between Russia, Belarus and the EU countries on both expanding the geographical scope of the LBT mechanism and ensuring its qualitative development.

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

    Directory of Open Access Journals (Sweden)

    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.

  19. Regional grey matter volume abnormalities in bulimia nervosa and binge-eating disorder.

    Science.gov (United States)

    Schäfer, Axel; Vaitl, Dieter; Schienle, Anne

    2010-04-01

    This study investigated whether bulimia nervosa (BN) and binge-eating disorder (BED) are associated with structural brain abnormalities. Both disorders share the main symptom binge-eating, but are considered differential diagnoses. We attempted to identify alterations in grey matter volume (GMV) that are present in both psychopathologies as well as disorder-specific GMV characteristics. Such information can help to improve neurobiological models of eating disorders and their classification. A total of 50 participants (patients suffering from BN (purge type), BED, and normal-weight controls) underwent structural MRI scanning. GMV for specific brain regions involved in food/reinforcement processing was analyzed by means of voxel-based morphometry. Both patient groups were characterized by greater volumes of the medial orbitofrontal cortex (OFC) compared to healthy controls. In BN patients, who had increased ventral striatum volumes, body mass index and purging severity were correlated with striatal grey matter volume. Altogether, our data implicate a crucial role of the medial OFC in the studied eating disorders. The structural abnormality might be associated with dysfunctions in food reward processing and/or self-regulation. The bulimia-specific volume enlargement of the ventral striatum is discussed in the framework of negative reinforcement through purging and associated weight regulation.

  20. 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.

  1. [Attachment patterns, self-esteem, gender schema in anorexia and bulimia nervosa].

    Science.gov (United States)

    Józefik, Barbara; Iniewicz, Grzegorz; Ulasińska, Romualda

    2010-01-01

    The aim of the study was comparison of perception of attachment patterns between adolescent girls suffering from anorexia nervosa (restrictive type), bulimia nervosa and healthy peers. Moreover, we tried to find the differences between the groups in self-esteem and identification with the culture-defined sex role. We examined 40 patients with anorexia, 32 with bulimia and 63 girls from the comparison group. Three questionnaires were used: Parental Bonding Instrument, The Culture-Free Self-Esteem Inventory and Psychological Sex Inventory. Results indicate that the parents' emotional commitment in relations with daughters from the clinical sample is weaker, and they are controlled by parents more then those from the control group. In all groups, the mothers' emotional commitment correlates positively with daughters' social self-esteem. In the anorectic group, fathers' control correlates negatively with daughters' identification with the culture-defined feminine role. In the bulimic group, fathers' emotional commitment correlates positively with self-esteem as well as daughters' identification with the culture-defined masculine role. The results concerning the bonds between the ED patients and their parents indicating dysfunctions of the bonds are generally consistent with the data from literature. Additionally they show the relationship between quality of the bonds between the patients and parents and its influence on development of self-evaluation and a sense of feminity/masculinity in anorectic and bulimic girls.

  2. 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.

  3. Micronutrient deficiencies and supplementation in anorexia and bulimia nervosa: a review of literature.

    Science.gov (United States)

    Setnick, Jessica

    2010-04-01

    Anorexia and bulimia nervosa are characterized by unbalanced eating patterns that include inadequate dietary intake of various nutrients. Conservation mechanisms resulting from starvation and/or self-prescribed nutrient supplements can result in laboratory values that appear within normal limits. These artificially inflated values drop to dangerous levels in some patients once rehydration and refeeding begin. Electrolyte status must be closely monitored during this time to prevent complications. Other micronutrient deficiencies can be corrected with adequate dietary intake, but patients with eating disorders are unlikely to consume such an adequate diet immediately upon entering treatment, so they may benefit from supplementation. Depleted nutrient stores require longer supplementation than acute inadequacies in nutrient intake. This review compiles the findings reported to date regarding micronutrient deficiencies and supplementation for patients with anorexia and bulimia. Because of the widely varying eating practices from patient to patient and the current lack of data controlling for nutrient self-supplementation, nutrition assessment performed by a nutrition professional via food intake history may be more practical than laboratory tests and more accurate than current food intake for determining potential micronutrient deficiencies.

  4. [Nasogastric tube feeding in bulimia. Controlled study with follow-up at 3 months].

    Science.gov (United States)

    Rigaud, Daniel; Brayer, Véronique; Biton-Jélic, Violaine; Païs, Vanessa; Pennacchio, Hélène; Brun, Jean-Marcel

    2007-10-01

    Few effective treatments are available for severe forms of bulimia nervosa, which are accompanied by malnutrition, anxiety, and depressive mood. We previously showed in an open study that nasogastric tube feeding (TF) reduced binges and purging in patients with anorexia nervosa. This prospective randomized trial compared bulimia patients in two treatment groups: one group received TF at home, together with psychotherapy, nutritional counseling and a support group while the control group received only psychotherapy, nutritional counseling, and a support group. Patients in the first group underwent TF for 8 weeks (exclusively for 10 days and associated with meals thereafter). Assessment was based on clinical examination, laboratory results, and a variety of questionnaires (our in-house instrument for measuring binge and vomiting episodes, eating disorder inventory, Beck's depression inventory and the Hamilton rating scale for anxiety), all performed at the onset of treatment and at 8 days, 8 weeks (i.e., the end of TF), and 3 months after treatment began. Binges and vomiting disappeared faster and more frequently in TF patients than in the control group: 65% versus 29% (pbulimia nervosa, reducing the number of binge and vomiting episodes and improving nutritional status and mood.

  5. Subjective binge eating with compensatory behaviors: a variant presentation of bulimia nervosa.

    Science.gov (United States)

    Watson, Hunna J; Fursland, Anthea; Bulik, Cynthia M; Nathan, Paula

    2013-03-01

    To determine whether a variant bulimic-type presentation, whereby one meets criteria for bulimia nervosa (BN) except that binge eating episodes are not objectively large (i.e., "subjective bulimia nervosa," SBN), has comparable clinical severity to established eating disorders, particularly BN. Treatment-seeking adults with BN (N = 112), SBN (N = 28), anorexia nervosa restricting type (AN-R) (N = 45), and AN-binge/purge type (AN-B/P) (N = 24) were compared. Overall, SBN could not be meaningfully distinguished from BN. SBN and BN had equivalent eating pathology, depression and anxiety symptoms, low quality of life, impulsivity, Axis I comorbidity, and lifetime psychiatric history, and comparable clinical severity to AN-R and AN-B/P. Individuals with SBN, differing from BN only by the smaller size of their binge eating episodes, had a form of eating disorder comparable in clinical severity to threshold AN and BN and warranting clinical attention. Health professionals and the community require greater awareness of this variant to optimize detection, treatment-seeking, and outcomes. Copyright © 2012 Wiley Periodicals, Inc.

  6. Cognitive-behavioral therapy for bulimia nervosa and atypical bulimic nervosa: effectiveness in clinical settings.

    Science.gov (United States)

    Waller, Glenn; Gray, Emma; Hinrichsen, Hendrik; Mountford, Victoria; Lawson, Rachel; Patient, Eloise

    2014-01-01

    The efficacy of cognitive-behavioral therapy (CBT) for bulimic disorders has been established in research trials. This study examined whether that efficacy can be translated into effectiveness in routine clinical practice. Seventy-eight adult women with bulimic disorders (bulimia nervosa and atypical bulimia nervosa) undertook individual CBT, with few exclusion criteria and a treatment protocol based on evidence-based approaches, utilizing individualized formulations. Patients completed measures of eating behaviors, eating attitudes, and depression pre- and post-treatment. Eight patients dropped out. The mean number of sessions attended was 19.2. No pretreatment features predicted drop-out. Treatment outcome was similar whether using treatment completer or intent to treat analyses. Approximately 50% of patients were in remission by the end of treatment. There were significant improvements in mood, eating attitudes, and eating behaviors. Reductions in bingeing and vomiting were comparable to efficacy trials. The improvements in this "real-world" trial of CBT for adults with bulimic disorders mirrored those from large, funded research trials, though the conclusions that can be reached are inevitably limited by the nature of the trial (e.g., lack of control group and therapy validation). Copyright © 2013 Wiley Periodicals, Inc.

  7. Borders, boundaries and desirable wishes

    Directory of Open Access Journals (Sweden)

    Luca Pinciaroli

    2015-05-01

    Full Text Available “Borders, boundaries and desirable wishes” is the title of the residential workshop offered to a group of young adults (aged 18-25 of the Centro di Salute Mentale (Mental Health Center of the DSM Basaglia of ASL TO2 in Turin. The idea of the workshop, the definition of the objectives and the topics, which are clearly expressed in the title, come from the work of the team dedicated to group psychotherapies, which has been offering group psychodrama sessions to young adults of this age since 2008. In the delicate move to the adult age, these young adults are lost and stuck in static realities where it is not possible to open up to the dimension of desire nor to the transforming encounter with the Other, since they didn’t have the experience of boundaries and lack. These two elements are necessary to acquire the ability to make projects for oneself. During the workshop the following instruments were used: group, psychodrama and art therapy. The group, as a paternal function, ensured the presence of safe boundaries enabling individuals to experiment; psychodrama and art therapy enabled the bodies to experience encounters and transformations, using doing as a metaphor for the movement against the inhibition of doing and as a way to show oneself to the Other and be able to see the Other. 

  8. Languaging the Borders of Europe

    Directory of Open Access Journals (Sweden)

    Olivier Kramsch

    2015-11-01

    Full Text Available Emerging from a discomfort with the blind spots encountered within and across theorizations of language and space in the field of human geography, in this article, we argue for “making space” for conceptualizations that speak from and through the everyday territories of migrants in Europe today. Inspired by a range of writers thinking postcolonially and multi/trans-lingually, the authors draw on their own embodied migrant experience to argue for re-envisioning Europe’s borders through multiple languaging practices. “Languaging”, in this view, takes linguistic practices in a migrant context as an inherently prosthetic activity, whereby any dominant, national host language is inevitably subject to the subterranean rumblings of all the languages a migrant brings with her on her global journeys. Conceived as being saturated with prosthetic “absence(s”, migrant languaging practices rework cultural geography’s bounded, inward-looking, and security-fixated understanding of the language/territory nexus, the better to open a vital space for re-envisioning language’s everyday territories as sites for translational solidarity and becoming.

  9. Semantic Borders and Incomplete Understanding.

    Science.gov (United States)

    Silva-Filho, Waldomiro J; Dazzani, Maria Virgínia

    2016-03-01

    In this article, we explore a fundamental issue of Cultural Psychology, that is our "capacity to make meaning", by investigating a thesis from contemporary philosophical semantics, namely, that there is a decisive relationship between language and rationality. Many philosophers think that for a person to be described as a rational agent he must understand the semantic content and meaning of the words he uses to express his intentional mental states, e.g., his beliefs and thoughts. Our argument seeks to investigate the thesis developed by Tyler Burge, according to which our mastery or understanding of the semantic content of the terms which form our beliefs and thoughts is an "incomplete understanding". To do this, we discuss, on the one hand, the general lines of anti-individualism or semantic externalism and, on the other, criticisms of the Burgean notion of incomplete understanding - one radical and the other moderate. We defend our understanding that the content of our beliefs must be described in the light of the limits and natural contingencies of our cognitive capacities and the normative nature of our rationality. At heart, anti-individualism leads us to think about the fact that we are social creatures, living in contingent situations, with important, but limited, cognitive capacities, and that we receive the main, and most important, portion of our knowledge simply from what others tell us. Finally, we conclude that this discussion may contribute to the current debate about the notion of borders.

  10. Teleseismic tomography of the southern Puna plateau in Argentina and adjacent regions

    Science.gov (United States)

    Bianchi, M.; Heit, B.; Jakovlev, A.; Yuan, X.; Kay, S. M.; Sandvol, E.; Alonso, R. N.; Coira, B.; Brown, L.; Kind, R.; Comte, D.

    2013-02-01

    We performed a teleseismic P wave tomography study using seismic events at both teleseismic and regional distances, recorded by a temporary seismic array in the Argentine Puna Plateau and adjacent regions. The tomographic images show the presence of a number of positive and negative anomalies in a depth range of 20-300 km beneath the array. The most prominent of these anomalies corresponds to a low-velocity body, located in the crust, most clearly seen in the center of the array (27°S, 67°W) between the Cerro Peinado volcano, the Cerro Blanco caldera and the Farallon Negro in the east. This anomaly (southern Puna Magmatic Body) extends from the northern most part of the array and follows the line with the highest density of stations towards the south where it becomes smaller. It is flanked by high velocities on the west and the east respectively. On the west, the high velocities might be related to the subducted Nazca plate. On the northeast the high velocity block coincides with the position of the Hombre Muerto basin in the crust and could be indicating an area of lithospheric delamination where we detected a high velocity block at 100 km depth on the eastern border of the Puna plateau, north of Galan. This block might be related to a delamination event in an area with a thick crust of Paleozoic metamorphic rocks at the border between Puna and Eastern Cordillera. In the center of the array the Southern Puna magmatic body is also flanked by high velocities but the most prominent region is located on the east and is interpreted as part of the Sierras Pampeanas lithosphere with high velocities. The position of the Sierras Pampeanas geological province is key in this area as it appears to limit the extension of the plateau towards the south.

  11. Eocene stabilization and Miocene incision of Tibetan Plateau Remnants in the Northwest Himalaya

    Science.gov (United States)

    van der Beek, P.; van Melle, J.; Guillot, S.; Pêcher, A.; Reiners, P. W.; Valla, P. G.; Latif, M.

    2009-12-01

    We have recently described Eocene Tibetan Plateau remnants that are preserved as relict high-elevation, low-relief landscapes within the north-west Himalayan syntaxis (van der Beek et al., Nature Geosci., 2, 364-368, 2009). The recognition of these remnants is based on common morphologic characteristics and similar histories of long-term slow exhumation since at least 35 Myr ago. Here we extend our morphologic analysis to show that the Babusar area (Gamugah surface) and parts of the Northern Karakorum could constitute similar remnant Tibetan landscape elements. We also report additional thermochronology data from the Indus and Astor valleys that record the more recent incision history of the Deosai plateau borders (Northern Pakistan). Apatite fission-track and (U-Th)/He ages from the valleys are significantly younger (Nanga Parbat - Haramosh massif and toward the north, due to isostatic rebound. Inferred very low flexural rigidities for the region (effective elastic thickness ~3 km) are consistent with an overthickened fluid-bearing crust and with lower crustal flow from underneath the plateau toward the Nanga Parbat tectonic aneurism.

  12. Revisiting Asian monsoon formation and change associated with Tibetan Plateau forcing: I. Formation

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Guoxiong; Liu, Yimin; Duan, Anmin; Bao, Qing [Chinese Academy of Sciences, State Key Laboratory of Numerical Modeling for Atmospheric Sciences and Geophysical Fluid Dynamics, Institute of Atmospheric Physics, Beijing (China); Dong, Buwen [University of Reading, Department of Meteorology, National Centre for Atmospheric Science, Reading (United Kingdom); Liang, Xiaoyun [China Meteorological Administration, National Climate Center, Beijing (China); Yu, Jingjing [China Meteorological Administration, National Meteorological Information Center, Beijing (China)

    2012-09-15

    Numerical experiments with different idealized land and mountain distributions are carried out to study the formation of the Asian monsoon and related coupling processes. Results demonstrate that when there is only extratropical continent located between 0 and 120 E and between 20/30 N and the North Pole, a rather weak monsoon rainband appears along the southern border of the continent, coexisting with an intense intertropical convergence zone (ITCZ). The continuous ITCZ surrounds the whole globe, prohibits the development of near-surface cross-equatorial flow, and collects water vapor from tropical oceans, resulting in very weak monsoon rainfall. When tropical lands are integrated, the ITCZ over the longitude domain where the extratropical continent exists disappears as a consequence of the development of a strong surface cross-equatorial flow from the winter hemisphere to the summer hemisphere. In addition, an intense interaction between the two hemispheres develops, tropical water vapor is transported to the subtropics by the enhanced poleward flow, and a prototype of the Asian monsoon appears. The Tibetan Plateau acts to enhance the coupling between the lower and upper tropospheric circulations and between the subtropical and tropical monsoon circulations, resulting in an intensification of the East Asian summer monsoon and a weakening of the South Asian summer monsoon. Linking the Iranian Plateau to the Tibetan Plateau substantially reduces the precipitation over Africa and increases the precipitation over the Arabian Sea and the northern Indian subcontinent, effectively contributing to the development of the South Asian summer monsoon. (orig.)

  13. Border Malaria Associated with Multidrug Resistance on Thailand-Myanmar and Thailand-Cambodia Borders: Transmission Dynamic, Vulnerability, and Surveillance

    National Research Council Canada - National Science Library

    Bhumiratana, Adisak; Intarapuk, Apiradee; Sorosjinda-Nunthawarasilp, Prapa; Maneekan, Pannamas; Koyadun, Surachart

    2013-01-01

    ... of increased incidence in transmission prone areas along these borders, as the result of interconnections of human settlements and movement activities, cross-border population migrations, ecological...

  14. Review of Studies on the Relationships between Anorexia Nervosa, Bulimia Nervosa Tendency, Self Image, Body Image, and Sex-role

    OpenAIRE

    鈴木, 真理江

    1995-01-01

    In this study, the researches on relationships between anorexia nervosa, bulimia nervosa, self image, body image, and sex role were reviewed. The etiology of eating disorder has been said to be multidimensional. We need to consider the relationships between these factors which constitute the multidimensional model.

  15. Subtyping Women with Bulimia Nervosa along Dietary and Negative Affect Dimensions: Further Evidence of Reliability and Validity

    Science.gov (United States)

    Stice, Eric; Bohon, Cara; Marti, C. Nathan; Fischer, Kathryn

    2008-01-01

    Studies have found that individuals with bulimia nervosa can be classified into dietary and dietary-negative affect subtypes and that the latter exhibit greater eating pathology, psychiatric comorbidity, and functional impairment; a more protracted clinical course; and a worse treatment response. In this report, the authors describe 2 prospective…

  16. The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

    NARCIS (Netherlands)

    De Jonge, PV; Van Furth, EF; Lacey, JH; Waller, G

    2003-01-01

    Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality patholog

  17. Therapeutic Alliance and Treatment Adherence in Two Interventions for Bulimia Nervosa: A Study of Process and Outcome

    Science.gov (United States)

    Loeb, Katharine L.; Wilson, G. Terence; Labouvie, Erich; Pratt, Elizabeth M.; Hayaki, Jumi; Walsh, B. Timothy; Agras, W. Stewart; Fairburn, Christopher G.

    2005-01-01

    The relationship between therapeutic alliance, therapist adherence to treatment protocol, and outcome was analyzed in a randomized trial of cognitive-behavioral therapy (CBT) and interpersonal psychotherapy for bulimia nervosa. Independent observers rated audiotapes of full-length therapy sessions. Purging frequency was the primary outcome…

  18. The prevalence of DSM-IV personality pathology among individuals with bulimia nervosa, binge eating disorder and obesity

    NARCIS (Netherlands)

    De Jonge, PV; Van Furth, EF; Lacey, JH; Waller, G

    2003-01-01

    Background. There are numerous reports of personality disorder pathology in different eating disorders. However, few studies have directly compared personality pathology in bulimia nervosa, binge eating disorder and obesity. The present study examines group differences in DSM-IV personality patholog

  19. Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder during Adolescence.

    Science.gov (United States)

    Zaider, Talia I.; Johnson, Jeffrey G.; Cockell, Sarah J.

    2002-01-01

    Conducted a prospective longitudinal study to investigate whether anxiety, depressive, personality, or substance abuse disorders increase risk for onset of bulimia nervosa (BN) or binge eating disorder (BED) during adolescence. Findings for 201 adolescents suggest that adolescents with chronic depressive symptoms may be at elevated risk for the…

  20. The Production of "Everything You Always Wanted to Know about Anorexia and Bulimia, but Were Afraid to Ask".

    Science.gov (United States)

    Zimmer, Marc A.

    This report describes the research study involved in developing a document on anorexia and bulimia for the lay population. Chapter I focuses on the basic areas that provided the foundation for the study: (1) the definitions of specific eating disorders; (2) the role of the mass media in affecting anorexics and bulimics, and in educating the public…

  1. Subtyping Women with Bulimia Nervosa along Dietary and Negative Affect Dimensions: Further Evidence of Reliability and Validity

    Science.gov (United States)

    Stice, Eric; Bohon, Cara; Marti, C. Nathan; Fischer, Kathryn

    2008-01-01

    Studies have found that individuals with bulimia nervosa can be classified into dietary and dietary-negative affect subtypes and that the latter exhibit greater eating pathology, psychiatric comorbidity, and functional impairment; a more protracted clinical course; and a worse treatment response. In this report, the authors describe 2 prospective…

  2. Therapeutic Alliance and Treatment Adherence in Two Interventions for Bulimia Nervosa: A Study of Process and Outcome

    Science.gov (United States)

    Loeb, Katharine L.; Wilson, G. Terence; Labouvie, Erich; Pratt, Elizabeth M.; Hayaki, Jumi; Walsh, B. Timothy; Agras, W. Stewart; Fairburn, Christopher G.

    2005-01-01

    The relationship between therapeutic alliance, therapist adherence to treatment protocol, and outcome was analyzed in a randomized trial of cognitive-behavioral therapy (CBT) and interpersonal psychotherapy for bulimia nervosa. Independent observers rated audiotapes of full-length therapy sessions. Purging frequency was the primary outcome…

  3. The Production of "Everything You Always Wanted to Know about Anorexia and Bulimia, but Were Afraid to Ask".

    Science.gov (United States)

    Zimmer, Marc A.

    This report describes the research study involved in developing a document on anorexia and bulimia for the lay population. Chapter I focuses on the basic areas that provided the foundation for the study: (1) the definitions of specific eating disorders; (2) the role of the mass media in affecting anorexics and bulimics, and in educating the public…

  4. Altered structural and effective connectivity in anorexia and bulimia nervosa in circuits that regulate energy and reward homeostasis

    Science.gov (United States)

    Frank, G K W; Shott, M E; Riederer, J; Pryor, T L

    2016-01-01

    Anorexia and bulimia nervosa are severe eating disorders that share many behaviors. Structural and functional brain circuits could provide biological links that those disorders have in common. We recruited 77 young adult women, 26 healthy controls, 26 women with anorexia and 25 women with bulimia nervosa. Probabilistic tractography was used to map white matter connectivity strength across taste and food intake regulating brain circuits. An independent multisample greedy equivalence search algorithm tested effective connectivity between those regions during sucrose tasting. Anorexia and bulimia nervosa had greater structural connectivity in pathways between insula, orbitofrontal cortex and ventral striatum, but lower connectivity from orbitofrontal cortex and amygdala to the hypothalamus (Pbulimia nervosa effective connectivity was directed from anterior cingulate via ventral striatum to the hypothalamus. Across all groups, sweetness perception was predicted by connectivity strength in pathways connecting to the middle orbitofrontal cortex. This study provides evidence that white matter structural as well as effective connectivity within the energy-homeostasis and food reward-regulating circuitry is fundamentally different in anorexia and bulimia nervosa compared with that in controls. In eating disorders, anterior cingulate cognitive–emotional top down control could affect food reward and eating drive, override hypothalamic inputs to the ventral striatum and enable prolonged food restriction. PMID:27801897

  5. Fractures in patients with anorexia nervosa, bulimia nervosa, and other eating disorders--a nationwide register study

    DEFF Research Database (Denmark)

    Vestergaard, Peter; Emborg, Charlotte; Støving, René 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...

  6. Emotion Dysregulation and Affective Intensity Mediate the Relationship Between Childhood Abuse and Suicide-Related Behaviors Among Women with Bulimia Nervosa.

    Science.gov (United States)

    Gordon, Kathryn H; Simonich, Heather; Wonderlich, Stephen A; Dhankikar, Swati; Crosby, Ross D; Cao, Li; Kwan, Mun Yee; Mitchell, James E; Engel, Scott G

    2016-02-01

    Self-harm and suicide attempts occur at elevated rates among individuals with bulimia nervosa, particularly among those who have experienced childhood abuse. This study investigated the potential mediating roles of emotion dysregulation and affective intensity in the relationship between these variables in 125 women with bulimia nervosa. Analyses revealed that emotion dysregulation mediated the relationship between sexual and emotional abuse with both self-harm and suicide attempts. Negative affective intensity mediated the relationship between abuse and suicide attempts. The findings may advance the understanding of mechanisms underlying suicide-related behaviors in women with bulimia nervosa who experienced abuse and suggest potential clinical targets. © 2015 The American Association of Suicidology.

  7. Borders in Europe: From history to everyday life

    Directory of Open Access Journals (Sweden)

    Narcís Bassols

    2017-01-01

    Full Text Available

    This article reflects on European borders and their everyday dynamics from a cross-border perspective. The article begins with a discussion of recent events that question current border policies in the European Union, reviews the literature on borders and border territories, and finally moves on to a discussion of the everyday effects of cross-border practices on the inhabitants of border spaces. Occasional reference is made to borders in the Americas to complete the picture of this topic. Although the issue of security is indeed relevant, we focus on the economic and social dimensions of cooperation. Three aspects are essential for border residents who attempt to use the advantages of the territories for their global nature: work, shopping, and place of residence. In conclusion, there has been a tendency toward the softening of borders and greater integration of border zones in the European Union.

  8. The U.S.-Mexico Border Infectious Disease Surveillance Project: Establishing Binational Border Surveillance

    Science.gov (United States)

    Waterman, Stephen; Lucas, Carlos Alvarez; Falcon, Veronica Carrion; Morales, Pablo Kuri; Lopez, Luis Anaya; Peter, Chris; Gutiérrez, Alejandro Escobar; Gonzalez, Ernesto Ramirez; Flisser, Ana; Bryan, Ralph; Valle, Enrique Navarro; Rodriguez, Alfonso; Hernandez, Gerardo Alvarez; Rosales, Cecilia; Ortiz, Javier Arias; Landen, Michael; Vilchis, Hugo; Rawlings, Julie; Leal, Francisco Lopez; Ortega, Luis; Flagg, Elaine; Conyer, Roberto Tapia; Cetron, Martin

    2003-01-01

    In 1997, the Centers for Disease Control and Prevention, the Mexican Secretariat of Health, and border health officials began the development of the Border Infectious Disease Surveillance (BIDS) project, a surveillance system for infectious diseases along the U.S.-Mexico border. During a 3-year period, a binational team implemented an active, sentinel surveillance system for hepatitis and febrile exanthems at 13 clinical sites. The network developed surveillance protocols, trained nine surveillance coordinators, established serologic testing at four Mexican border laboratories, and created agreements for data sharing and notification of selected diseases and outbreaks. BIDS facilitated investigations of dengue fever in Texas-Tamaulipas and measles in California–Baja California. BIDS demonstrates that a binational effort with local, state, and federal participation can create a regional surveillance system that crosses an international border. Reducing administrative, infrastructure, and political barriers to cross-border public health collaboration will enhance the effectiveness of disease prevention projects such as BIDS. PMID:12533288

  9. Elastic and hegemonic borders and discourse theory: Mexico’s southern border

    Directory of Open Access Journals (Sweden)

    Jorge Marengo Camacho

    2015-12-01

    Full Text Available Discourse theory is useful for understanding the creation of borders, whether material or imaginary. This paper addresses three situations on Mexico’s southern border between 2000 and 2015 in which elements of discourse theory may be applied. The outcomes were the following: 1 correlations may be made between the elements of the discourse moving from the northern to the southern border, but not in the opposite direction; 2 the process of securitising the discourse about migrants is continuous, and new securitising elements are regularly added; 3 an “elastic borders” phenomenon exists, where borders extend or retract, thereby creating new border regions; and 4 discourses around the southern border are constructed with more pejorative elements than the northern, despite the fact that crime rates are higher in the north.

  10. CROSS-BORDER PROJECTS – MEANS FOR SUSTAINABLE TOURISM DEVELOPMENT ALONG THE ROMANIAN-HUNGARIAN BORDER

    Directory of Open Access Journals (Sweden)

    Cătălina-Maria BÂTEA (BOTA

    2014-12-01

    Full Text Available The purpose of this paper is to emphasize the linkage between establishing crossborder relations and tourism development by focusing on ten tourism projects implemented under Hungary-Romania Cross-Border Co-operation Programme (2007-2013. The study area comprises the two neighbouring counties of Satu Mare and Szabolcs-Szatmár-Bereg, the border connecting two areas characterised by social and economic similarities. Building on a solid foundation, as the first Hungarian-Romanian cross-border initiatives were launched nearly two decades ago, the two counties work together towards the shared aim of developing business infrastructure, cross-border trade, culture and tourism. The present study examines the relevance of cross-border projects viewed from the perspective of sustainable tourism development in two peripheral counties featuring similar resources. Moreover, the investigation is based on consultation of project documents, reports and promotional materials, against the theoretical framework of cross-border cooperation and regional development.

  11. Networks communities within and across borders

    CERN Document Server

    Cerina, Federica; Pammolli, Fabio; Riccaboni, Massimo

    2013-01-01

    We investigate the impact of borders on the topology of spatially embedded networks. Indeed territorial subdivisions and geographical borders significantly hamper the geographical span of networks thus playing a key role in the formation of network communities. This is especially important in scientific and technological policy making and highlights the interplay of the internationalization pressure toward a global innovation system against the administrative borders imposed by the national and continental institutions. In this study we introduce an outreach index to quantify the impact of borders on the community structure and apply it to the case of the European and US patent co-inventors networks. We find that (a) the US connectivity decays as a power of distance, whereas we observe a faster exponential decay for Europe; (b) European network communities essentially correspond to nations and contiguous regions while US communities span multiple states across the whole country without any characteristic geog...

  12. Externalization and Border-induced Displacement

    DEFF Research Database (Denmark)

    Lemberg-Pedersen, Martin

    This multidisciplinary Ph.D. dissertation engages with the timely and much debated topic of European border control. The first two chapters discuss several moral arguments claiming that border control facilitates solidarity and autonomy. These are assessed with reference to central debates...... seeking children in Denmark is assessed as a form of liberal nationalism. Several problematic features with this system are discussed, such as the lacking Danish implementation of the Convention of the Rights of the Child, and the use of cultural generalizations in case evaluations. Chapter four conducts...... and the international banking sector all have overlapping interests in privatized border control. Chapter five identifies the multiple flows, technological, personnel, funds and data, maintaining Europe’s border infrastructure, As migrants are circulated between detention camps and countries, dumped in deserts...

  13. Integrated care across borders: possibilities and complexities

    Directory of Open Access Journals (Sweden)

    Silvia Evers

    2001-09-01

    Full Text Available The main purpose of this practice paper is to describe and analyse the possibilities and complexities of integrated health care across borders. First, we portray an ideal scenario for this type of care with a case of patients suffering from rheumatoid arthritis and living in the Dutch-Belgian frontier area. It shows how cross border care enhances continuity of care/tailor-made care and the other way around. Secondly, based on different literature sources, we describe actual regulations on health care across borders. We show that these regulations can be a major hindrance to integrated care. This raises questions on the scope and content of policies directed at both cross border and integrated care.

  14. Introduction: Cultural Production and Negotiation of Borders

    Directory of Open Access Journals (Sweden)

    Johan Schimanski

    2009-03-01

    Full Text Available The essays in this issue of Nordlit focus on how historical and contemporary border discourses, expressive and aesthetic representations, are generated, circulated, and interpreted in both local and global contexts.

  15. Corruption, Insecurity and Border control in Niger

    DEFF Research Database (Denmark)

    Hahonou, Eric Komlavi

    In Niger, building more border offices has proven insufficient to tackle the spread of smuggling, drug trade and circulation of jihadists in the Sahel. Instead, everyday petty corruption makes border control ineffective and, while apparently benign, this has severe consequences in contexts...... of volatile security. In this policy brief, Eric Hahonou argues that without complementary activities, the multiplication of border offices could even expand opportunities for corruption. Instead, security policy should focus on creating a culture of effectiveness including systematic and regular staff...... meetings, reporting, law implementation and sanctions as well as new modalities to reward border guards and other state agents. Because corruption is, to a large extent, embedded in the social norms of the users of public service in Niger, sensitisation among transporters, passengers and traders is crucial....

  16. Of States and Borders on the Internet

    DEFF Research Database (Denmark)

    Shklovski, Irina; Struthers, David

    2010-01-01

    The space of the Internet is often described as easy to traverse with no regard for national borders. Yet few have considered what such easy border crossings on the Internet might mean to the ordinary people actually doing the traversing. Our qualitative study of regular Internet users in Kazakhs......The space of the Internet is often described as easy to traverse with no regard for national borders. Yet few have considered what such easy border crossings on the Internet might mean to the ordinary people actually doing the traversing. Our qualitative study of regular Internet users...... in Kazakhstan shows that the naming of a state-controlled space on the Internet, through the use of country code top-level domain names (ccTLDs), does in fact matter to the average user. People are aware of national boundary traversals as they navigate the Internet. Respondents in our study identified...

  17. Abuses at Europe’s borders

    Directory of Open Access Journals (Sweden)

    Duncan Breen

    2016-01-01

    Full Text Available Refugees and migrants have been regularly subjected to widespread rights violations by officials at some European borders. The EU needs to allow more legal avenues for people seeking protection to reach Europe safely.

  18. A puzzle concerning borders and identities: towards a typology of attitudes to the Irish border

    OpenAIRE

    Todd, Jennifer

    2006-01-01

    State borders are typically held to shape categories of national identification. This paper explores this interrelationship in the light of empirical evidence drawn from research in the Irish border area. It begins by outlining a schema, drawn from the literature, which posits a movement from contestation of borders, to institutionalisation, to transgression. It then proceeds to show how this is reflected in scholarly and political interpretations of attitudes towards the Irish borde...

  19. 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.

  20. Improving Nigerian Border Security -- A Comprehensive Approach

    Science.gov (United States)

    2012-11-02

    threats, overlapping jurisdictions between different agencies, presence of private sector businesses, and partnerships with neighboring states produce a...help us increase trade amongst West African states. Increased trade means that more goods and services will be produced , increased production means...Border Security, Cooperation and Integration, 69. 22. Adeola and Fayomi, Implications of Cross Border Migration, 6-7. 23. Ibid., 7. 24. Aluko Ola

  1. [AIDS along Brazil's borders, 1990-2003].

    Science.gov (United States)

    Rodrigues-Júnior, Antonio Luiz; de Castilho, Euclides Ayres

    2009-01-01

    To study the AIDS epidemic in Brazil's border areas, from the spatial and temporal perspective. This was an ecological study in which the cases of AIDS reported to the Ministry of Health of Brazil from 1990-2003 were grouped according to "hunger areas" as defined by Josué de Castro in the 1940s and according to 19 cultural subregions. Spatial assessment was based on incidence rates for border municipalities; temporal assessment considered the absolute number of cases occurring quarterly from 1990-2003 in each of the hunger areas studied (Extreme South, Midwest, and Amazon). During the study period, 7,973 cases of AIDS were reported from the Brazilian border areas: 648 in the Amazon area, 1,579 in the Midwest, and 5,746 in the Extreme South (populations of 668,098, 895,489, and 2,769,361, respectively). The subregions with the highest AIDS incidence rates in each of the three border areas were those near triple-borders, between more than two Latin American countries. Sexual transmission was predominant, with heterosexual transmission being the most frequent, followed by transmission by male homosexuality. These two categories accounted for 87.2% of the cases reported. The estimates of the trend parameter in the temporal analysis were 0.53 (P borders may be a strategy for territorial integration and for dealing with the AIDS epidemic, as long as social, economic, and cultural differences are taken into account.

  2. Active shortening and intermontane basin formation in the central Puna Plateau: Salar de Pocitos, NW Argentina (24°37'S, 67°03'W)

    Science.gov (United States)

    Strecker, Manfred; Bookhagen, Bodo; Freymark, Jessica; Pingel, Heiko; Alonso, Ricardo N.

    2015-04-01

    Similar to other Cenozoic orogenic plateaus, extensional tectonics associated with mafic volcanism typifies the Altiplano-Puna of the southern Central Andes, while the flanks of the plateau and adjacent foreland areas experience shortening. Extensional tectonism in the plateau region since the late Miocene has been explained with delamination of lithospheric mantle. However, new evidence for protracted basin-wide shortening in the Salar de Pocitos region in the south-central Puna documents that the kinematic changeover from shortening to extension is highly diachronous. In this study we assess the deformation and geomorphic history of the Salar de Pocitos region using DGPS surveys, CRN dating of deformed pediment surfaces, and U/Pb dating of volcanic ash horizons in deformed strata. With average elevations of about 3.7 km the Altiplano-Puna is a first-order morphotectonic province of the southern central Andes and constitutes the world's second largest orogenic plateau. With few exceptions the Andean plateau consists of internally drained, partly coalesced sedimentary basins that are mainly bordered by reverse-fault bounded ranges, 5 to 6 km high. While there are many unifying plateau characteristics in the Altiplano (north) and Puna (south), including internal drainage, semi-arid to arid climate and associated deposition of evaporites, there are notable differences between both plateau sectors. In contrast to the vast Altiplano basin of Bolivia, the Argentine Puna comprises numerous, smaller and partly coalesced basins that reflect continued comparmentalization by the combined effects of tectonism and volcanic activity. The N-S oriented Salar de Pocitos basin is the vestige of a formerly contiguous sedimentary basin within the Puna interior. Unlike many other basins in this region it is bordered by the limb of an anticline developed in Tertiary sedimentary rocks on the west, while the eastern border is a reverse-faulted range front. To the north and south the

  3. As terapias cognitivo-comportamentais no tratamento da bulimia nervosa: uma revisão

    Directory of Open Access Journals (Sweden)

    Tatiana A. Bertulino da Silva

    2015-06-01

    Full Text Available Objetivo Realizar uma revisão na literatura sobre a utilização da terapia cognitivo-comportamental (TCC no tratamento da bulimia nervosa entre 2009 e 2013. Métodos Três bases de dados eletrônicas foram pesquisadas, considerando artigos em língua inglesa, espanhola e portuguesa. Resultados Após as análises e exclusão dos artigos, seguindo o método PRISMA, foram selecionados 20 artigos. Os artigos selecionados foram produzidos ou na Europa ou nos Estados Unidos, em língua inglesa. Os diagnósticos da amostra variaram de exclusivamente bulimia nervosa (60% aos que incluíram pessoas com transtorno de compulsão alimentar (35%, além de diagnósticos mistos (5%. Os estudos foram, em sua maioria, realizados em mulheres adultas. A TCC, em sua abordagem clássica no consultório, foi utilizada em todos os artigos, ora utilizada individualmente, ora comparada com outras intervenções (internet, CD-ROM e autoajuda. Encontrou-se como resultado que a TCC diminui os sintomas de compulsão alimentar e de purgação, além de oferecer ganhos secundários aos participantes, como melhora de sintomas depressivos, de ansiedade e até mudanças na personalidade. As outras intervenções pesquisadas obtiveram bons resultados na modificação dos sintomas, demonstrando que há um novo caminho a ser galgado com essas novas formas de tratamento. Conclusão O tratamento da bulimia nervosa possui evidências suficientes para que seja realizado com a terapia cognitivo-comportamental. Além dela, intervenções psicoterápicas inovadoras baseadas na TCC clássica apresentam bons indicativos de eficácia. Futuras pesquisas sobre essas diferentes intervenções são necessárias.

  4. Analysis of multi-instrumental assessment of eating disorders: comparison between Anorexia and Bulimia.

    Science.gov (United States)

    Juli, Maria-Rosaria

    2012-09-01

    The origin and course of eating disorders constitute a multifactorial etiopathology. This is why it is important to consider the psychological, developmental, biological and socio - cultural evaluation of each patient. The Diagnostic and Statistical Manual DSM IV - TR (APA, 1994) distinguishes two main eating disorders: Anorexia Nervosa and Bulimia Nervosa. Together with them are described a broad and heterogeneous category (EDNOS) of "atypical eating disorders," that is a clinically significant eating disorder, but that does not meet all the diagnostic criteria for Anorexia Nervosa or Bulimia Nervosa. The aim of this pilot study was to analyze the differences detectable in anorexic and bulimic patients in relation to several factors of mental functioning, particularly with respect to the presence of distinctive characteristics and symptoms and the associated substrate personality. 20 patients with eating disorders who have a residential rehabilitation program, all women, 10 diagnosed with AN aged between 18 years and 31 years, including (5 Restrictive and 5 with Purging) and 10 diagnosed with BN aged between 19 years and 31 years (including 5 with Purging). The pictures of AN and BN can be placed within a continuum of symptoms that distinguishes them exclusively for the presence or absence of bulimic episodes; also the symptom of bulaemia can be considered a most important aspect in the distinction between anorexia and bulimia as all other aspects of mental functioning appear to be similar in almost direct measurement, and finally some food pathological events are associated with personality characteristics, Axis I symptoms and quality of life, linked to specific types of global functioning. Some symptoms may have different functions depending on the patient's personality style: a patient may develop a symptom of anorexia because it is competitive and a perfectionist, another as a form of self-punishment or as a strategy to regulate the feeling of being out of

  5. [EDNOS is an eating disorder of clinical relevance, on a par with anorexia and bulimia nervosa].

    Science.gov (United States)

    Dingemans, A E; van Furth, E F

    2015-01-01

    The category 'eating disorder 'not otherwise specified'' (EDNOS) in DSM-IV is restricted to eating disorders of clinical severity that do not completely fulfil the criteria for anorexia and bulimia nervosa. The EDNOS category is, by definition, often regarded as a a residual category and in principle designed to incorporate a small group of patients with atypical characteristics. Health insurance companies argue that the treatment of patients diagnosed with EDNOS should not be treated in mental health institutions and therefore should not get their treatment costs reimbursed by the insurance companies. The most important argument of the insurance companies is that patients in the EDNOS category do not display serious psychiatric symptoms. The aim of this paper is to show that EDNOS is an eating disorder category of clinical relevance. The article provides a critical overview of literature on EDNOS which studies the prevalence, severity and course of the disorder. We also discuss to what extent the fifth version of dsm solves the problems relating to this residual category. We reviewed the literature. The classification given in DSM-IV is not an accurate reflection of clinical reality. Half of the patients presenting with an eating disorder and seeking treatment do meet the criteria for EDNOS. The duration and the severity of eating disorder psychopathology, the presence of comorbidity, the mortality, and the use of the mental health care services by individuals with an eating disorder appear to be very similar in EDNOS patients and in patients with anorexia and bulimia nervosa. Eating disorder classifications can be regarded as snapshots taken throughout the course of an illness. Over of the years patients can be afflicted with various subtypes of an eating disorder. DSM-5 places fewer patients in the EDNOS category that did DSM-IV. In the latest version of dsm, namely DSM-5, the number of patients with an eating disorder classified as EDNOS has declined. There

  6. Tracing grassland degradation on the Eastern Tibetan Plateau with multi-temporal remote sensing data

    Science.gov (United States)

    Fassnacht, Fabian E.; Li, Li; Fritz, Andreas

    2017-04-01

    The Tibetan Plateau in Western China is the world's largest alpine landscape, sheltering a rich diversity of native flora and fauna. In the past few decades, the Tibetan Plateau was found to suffer from grassland degradation processes. Grassland degradation is assumed to not only endanger biodiversity but also to increase the risk for natural hazards in other parts of the country which are ecologically and hydrologically connected to the area. Grassland degradation is furthermore, changing the albedo of the surfaces of the Plateau and may therefore even notably affect atmospheric and climatic processes. However, the mechanisms behind the degradation processes remain poorly understood due to scarce baseline data and insufficient scientific research as well as manifold potential influences on the degradation processes including pastoral management, climate, herbivor mammals and administrative decisions. This study tries to contribute to this research gap by tracing grassland degradation processes by time-series analysis of multi-spectral Landsat data. After identifying the degraded areas, it is examined whether the degradation patterns relate to topographic properties, climatic gradients or administrative borders. Results from a first study showed that most degradation occurred in high-altitude areas, while slope and aspect where not having a notable influence. Furthermore, a climatic gradient within the study area was found to correlate with the degradation patterns observed for large extents. Currently, the study is being expanded over a larger area and more detailed spatially-adaptive analysis concerning the degradation drivers are being developed. Corresponding results will be presented. We conclude that remotely sensed patterns of grassland degradation can contribute to an improved understanding of the degradation processed on the Tibetan Plateau by providing spatially and temporally explicit information on the degradation processes at an adequate scale.

  7. Predictors for good therapeutic outcome and drop-out in technology assisted guided self-help in the treatment of bulimia nervosa and bulimia like phenotype.

    Science.gov (United States)

    Wagner, Gudrun; Penelo, Eva; Nobis, Gerald; Mayrhofer, Anna; Wanner, Christian; Schau, Johanna; Spitzer, Marion; Gwinner, Paulina; Trofaier, Marie-Louise; Imgart, Hartmut; Fernandez-Aranda, Fernando; Karwautz, Andreas

    2015-03-01

    Technology assisted guided self-help has been proven to be effective in the treatment of bulimia nervosa (BN). The aim of this study was to determine predictors of good long-term outcome as well as drop-out, in order to identify patients for whom these interventions are most suitable. One hundred and fifty six patients with BN were assigned to either 7 months internet-based guided self-help (INT-GSH) or to conventional guided bibliotherapy (BIB-GSH), both guided by e-mail support. Evaluations were taken at baseline, after 4, 7, and 18 months. As potential predictors, psychiatric comorbidity, personality features, and eating disorder psychopathology were considered. Higher motivation, lower frequency of binge eating, and lower body dissatisfaction at baseline predicted good outcome after the end of treatment. Lower frequency of binge eating predicted good outcome at long-term follow-up. Factors prediciting drop-out were higher depression and lower self-directedness at baseline. Technology assisted self-help can be recommended for patients with a high motivation to change, lower binge-eating frequency and lower depression scores. Copyright © 2014 John Wiley & Sons, Ltd and Eating Disorders Association.

  8. The California Border Health Collaborative: A Strategy for Leading the Border to Better Health

    Directory of Open Access Journals (Sweden)

    Charles Edwards Matthews III

    2015-05-01

    Full Text Available There are hundreds of departments and organizations working on border health issues in the California/Baja California border region trying to protect and improve health without a collaborative structure that integrates jurisdictions and organizations. As a result, there is a need to effectively improve the health in the border region by coordinating these organizations to work together and benefit from each other’s best practices. The newly developed California Border Health Collaborative (CBHC can provide the leadership and collaborative culture to positively improve the health of the border region. This article aims to describe the development process of this collaborative to include key ingredients to success, the roles of mulit-level jurisdictions, and policy implications.This article describes the methods used to develop key aspects of collaborative leadership, strategic alignment and a common vision toward the building of this collective impact approach to border health. In addition, we describe the role of key local County (County of San Diego Live Well San Diego initiative, State, (California Department of Public Health- Office of Binational Border Health, Federal (US-Mexico Border Health Commission’s Leaders across Borders, Academia (e.g., University of California San Diego and San Diego State University and non-profit entities (e.g., Project Concern International, San Ysidro Health Center in forming the BHCC. Evaluating the consortium development process included a literature review of similar processes, a review of internal documents and an analysis of developmental events. To this point the CBHC has built a strong, cohesive collaborative on the U.S. side of the border. It is sharing and leveraging local expertise to address many border health issues. Even more importantly, the BHCC has reached a key stage in which it can effectively engage its Baja California, Mexico counterparts in a manner that will prove extremely powerful

  9. The Hikurangi Plateau: Tectonic Ricochet and Accretion

    Science.gov (United States)

    Willis, David; Moresi, Louis; Betts, Peter; Whittaker, Joanne

    2015-04-01

    80 million years between interactions with different subduction systems provided time for the Hikurangi Plateau and Pacific Ocean lithosphere to cool, densify and strengthen. Neogene subduction of the Hikurangi Plateau occurring orthogonal to its Cretaceous predecessor, provides a unique opportunity to explore how changes to the physical properties of oceanic lithosphere affect subduction dynamics. We used Underworld to build mechanically consistent collision models to understand the dynamics of the two Hikurangi collisions. The Hikurangi Plateau is a ~112 Ma, 15km thick oceanic plateau that has been entrained by subduction zones immediately preceding the final break-up of Eastern Gondwana and currently within the active Hikurangi Margin. We explore why attempted subduction of the plateau has resulted in vastly different dynamics on two separate occasions. Slab break-off occured during the collision with Gondwana, currently there is apparent subduction of the plateau underneath New Zealand. At ~100Ma the young, hot Hikurangi Plateau, positively buoyant with respect to the underlying mantle, impacted a Gondwana Margin under rapid extension after the subduction of an mid-ocean ridge 10-15Ma earlier. Modelling of plateaus within young oceanic crust indicates that subduction of the thickened crust was unlikely to occur. Frontal accretion of the plateau and accompanying slab break-off is expected to have occured rapidly after its arrival. The weak, young slab was susceptible to lateral propagation of the ~1500 km window opened by the collision, and break-off would have progressed along the subduction zone inhibiting the "step-back" of the trench seen in older plates. Slab break-off coincided with a world-wide reorganisation of plate velocites, and orogenic collapse along the Gondwana margin characterised by rapid extension and thinning of the over-riding continental plate from ~60 to 30km. Following extension, Zealandia migrated to the NW until the Miocene allowing the

  10. Optical Turbulence above the Internal Antarctic Plateau

    CERN Document Server

    Masciadri, E; Hagelin, S; Moigne, P Le; Noilhan, J

    2010-01-01

    The internal antarctic plateau revealed in the last years to be a site with interesting potentialities for the astronomical applications due to the extreme dryness and low temperatures, the typical high altitude of the plateau, the weak level of turbulence in the free atmosphere down to a just few tens of meters from the ground and the thin optical turbulence layer developed at the ground. The main goal of a site testing assessment above the internal antarctic plateau is to characterize the site (optical turbulence and classical meteorological parameters) and to quantify which is the gain we might obtain with respect to equivalent astronomical observations done above mid-latitude sites to support plans for future astronomical facilities. Our group is involved, since a few years, in studies related to the assessment of this site for astronomical applications that include the characterization of the meteorological parameters and optical turbulence provided by general circulation models as well as mesoscale atmo...

  11. Tectonomagmatic Associations on the Central Andean Plateau

    Science.gov (United States)

    de Silva, S. L.; Viramonte, J. G.

    2012-12-01

    The Neogene evolution of the Central Andes is characterized by a strong association between plate convergence, mountain building and plateau formation, and magmatism. Plateau uplift by crustal shortening and thickening in the lower crust is broadly coincident with large scale silicic magmatism defined by the Neogene Central Andean ignimbrite province. Of particular interest here are the spatiotemporal correlations between silicic magmatism and tectonic evolution of the Altiplano-Puna plateau. Although magmatism is driven by the subduction-related flux from mantle to crust, the shift to "crustal" magmatism as indicated by elevated crustal isotopic indices after ~10Ma suggests a link between crustal thickening, plateau formation and silicic magmatism. In particular, elevated geotherms associated with crustal thickening and enhanced mantle flux associated with lithospheric delamination may have played a role in thermally preparing the Central Andean crust for enhanced silicic magma production during the extensive Neogene ignimbrite flare-up. Emplacement of these magmas in the upper crust throughout the Neogene may have fuelled a period of significant interaction between magmatism and tectonism on the plateau. With particular reference to the 21° to 24°S segment of the Central Andes, spatial and structural coincidence of calderas of the Altiplano Puna Volcanic Complex with the NW-SE striking Calama-Olacapata-El Toro fault zone suggests significant tectonomagmatic interaction. Location of calderas suggest that these regional faults focused magma intrusion and storage, while spatially and temporally correlated eruption pulses connote a tectonic control. Indeed, current thermomechanical models of magma chamber development and eruption triggering promote a role for external triggering of "perched" upper crustal magma chambers. This might have been achieved by melt-enhanced deformation, or alternatively, significant uplift (~1km) associated with the development of large

  12. Peopling the Tibetan plateau: insights from archaeology.

    Science.gov (United States)

    Aldenderfer, Mark

    2011-01-01

    Recent studies of the genome of modern Tibetans have revealed the existence of genes thought to provide an adaptive advantage for life at high elevation. Extrapolating from this discovery, some researchers now argue that a Tibetan-Han split occurred no more than 2750 yr ago. This date is implausible, and in this paper I review the archaeological data from the Tibetan plateau as one means by which to examine the veracity of this assertion. Following a review of the general state of knowledge of Tibetan prehistory, which is unfortunately only at its beginnings, I first examine the data that speak to the initial peopling of the plateau and assess the evidence that traces of their presence can be seen in modern Tibetans today. Although the data are sparse, both archaeology and genetics suggest that the plateau was occupied in the Late Pleistocene, perhaps as early as 30,000 yr ago, and that these early peoples have left a genetic signature in modern Tibetans. I then turn to the evidence for later migrations and focus on the question of the timing of the establishment of permanent settled villages on the plateau. Three areas of the plateau-northeastern Qinghai, extreme eastern Tibet, and the Yarlung Tsangpo valley-have evidence of permanent settlements dating from ca. 6500, 5900, and 3750 yr ago, respectively. These data are not consonant with the 2750 yr ago date for the split and suggest at a minimum that the plateau has been occupied substantially longer and, further, that multiple migrations at different times and from different places have created a complex mosaic of population history. © Mary Ann Liebert, Inc.

  13. Diseño y Validación de una Tarea Computarizada Tipo Stroop para Evaluar Sesgos de la Atención en Bulimia Nerviosa

    OpenAIRE

    Esteban Jaime Camacho-Ruíz; Juan Manuel Mancilla-Díaz; María Del Consuelo Escoto-Ponce De León; María Guillermina Yáñez-Tellez

    2009-01-01

    Objetivo: Desarrollar una tarea computarizada tipo Stroop para evaluar sesgos en la atención hacia palabras relacionadas con la comida y la figura, en pacientes con bulimia nerviosa. Se desarrollaron cuatro listas de palabras con valencia positiva y negativa, relacionadas con la comida y la figura corporal. Método: treinta y dos mujeres con bulimia nerviosa emparejadas con 32 mujeres sin trastorno, respondieron la versión original y una modificada de la Prueba de Stroop computarizada. Resulta...

  14. Plateau-insulator transition in graphene

    Energy Technology Data Exchange (ETDEWEB)

    Amado, M; Diez, E; Caridad, J M [Laboratorio de Bajas Temperaturas, Universidad de Salamanca, E-37008 Salamanca (Spain); Lopez-Romero, D [CT-ISOM, Universidad Politecnica de Madrid, E-28040 Madrid (Spain); Rossella, F; Dionigi, F; Bellani, V [Dipartimento di Fisica ' A Volta' and CNISM, Universita degli studi di Pavia, I-27100 Pavia (Italy); Maude, D K, E-mail: marioam@fis.ucm.e [Laboratoire National des Champs Magnetiques Intenses, F-38042 Grenoble (France)

    2010-05-15

    We investigate the quantum Hall effect (QHE) in a graphene sample with Hall-bar geometry close to the Dirac point at high magnetic fields up to 28 T. We have discovered a plateau-insulator quantum phase transition passing from the last plateau for the integer QHE in graphene to an insulator regime {nu}=-2{yields}{nu}=0. The analysis of the temperature dependence of the longitudinal resistance gives a value for the critical exponent associated with the transition equal to {kappa}=0.58{+-}0.03.

  15. Nonstate Actors and the Open Border Policy: The Border Security Case Study of Nepal and India

    Science.gov (United States)

    2014-12-01

    49 3. Human and Drug Trafficking ...border policy, the Polish and German governments continue to address border security challenges, “including illicit trafficking of humans , arms...terrorists and organized criminals), human trafficking , technology, and corruption. As states respond to disruptive nonstate actors, which have implications

  16. Border regions as cross-border laboratories for regional and European integration

    DEFF Research Database (Denmark)

    Battrup, Gerd

    2014-01-01

    The article deals with barriers to regional cross border police cooperation. Leading police officers in the Schleswig-Holstein state police have experienced that the Danish police in recent years has become more reticent in regional cooperation across the border, especially in relation to coopera...

  17. Border regions as cross-border laboratories for regional and European integration

    DEFF Research Database (Denmark)

    Battrup, Gerd

    2014-01-01

    The article deals with barriers to regional cross border police cooperation. Leading police officers in the Schleswig-Holstein state police have experienced that the Danish police in recent years has become more reticent in regional cooperation across the border, especially in relation...

  18. Regional Joint Border Commands: A Pathway to Improving Collaboration and Effectiveness for Border Control

    Science.gov (United States)

    2009-12-01

    Police xii SBI Secure Border Initiative SES Senior Executive Service SSP Secretaria de Seguridad Publica TSA Transportation Security...also been involvement from the Mexican law enforcement agency, Secretaria de Seguridad Publica (SSP) on the southwest border (CBP, 2009; ICE, 2009, p. 5

  19. Cross-border mobility and social networks: Laotians seeking medical treatment along the Thai border.

    Science.gov (United States)

    Bochaton, Audrey

    2015-01-01

    Drawing upon research conducted on cross-border patients living in Laos and seeking care in Thailand, this paper examines the important role played by social networks in patients' decision-making and on the itineraries they choose to seek treatment on the Thai side of the border. Due to the vastly contrasting situations between the two countries in terms of healthcare supply, and considering Laotians' increasing demand for high quality healthcare, a number of them have managed to satisfy their needs by combining cross-border treatment with the use of the healthcare facilities provided by their own country. This study consisted first of household surveys conducted in five border areas (2006-2007) in Laos in order to quantify and map out cross-border healthcare-related travel patterns. Afterwards, interviews were conducted with cross-border patients (55), Laotian and Thai medical doctors (6), Thai social workers (5), and officials working in public institutions (12). While socioeconomic and spatial factors partly explain cross-border mobility, patients' social networks significantly influence treatment itineraries throughout the decision-making process, including logistical and financial considerations. The social networks existing at different geographical levels (neighbourhood, regional and global) are therefore a powerful analytical tool not only for understanding the emergence of these cross-border movements but also for justifying them in an authoritarian political environment such as Lao PDR's. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Intentional hypoglycemia to control bingeing in a patient with type 1 diabetes and bulimia nervosa.

    Science.gov (United States)

    Moosavi, Mandana; Kreisman, Stuart; Hall, Lacresha

    2015-02-01

    Most cases of eating disorders associated with type 1 diabetes mellitus are categorized as diabulimia, a disorder of withholding insulin treatment to lose weight through sustained hyperglycemia. In this paper, we report a unique case of a patient with both type 1 diabetes and bulimia nervosa who has an atypical way of controlling her bingeing by keeping her blood sugars low. This pattern of intentionally sustained hypoglycemia has not been previously described in the literature to the best of our knowledge. Knowing various presentations of eating disorders in patients with type 1 diabetes can provide healthcare workers with enhanced ability in recognizing and educating at-risk patients, in the hope of preventing serious hypoglycemia or complications. Furthermore, a patient's awareness of complications associated with suboptimal control of diabetes, whether by overdosing or underdosing their insulin regimen, might lead to avoidance of disordered eating behaviours.

  1. Food cravings discriminate between anorexia and bulimia nervosa. Implications for "success" versus "failure" in dietary restriction.

    Science.gov (United States)

    Moreno, Silvia; Warren, Cortney S; Rodríguez, Sonia; Fernández, M Carmen; Cepeda-Benito, Antonio

    2009-06-01

    Food cravings are subjective, motivational states thought to induce binge eating among eating disorder patients. This study compared food cravings across eating disorders. Women (N=135) diagnosed with anorexia nervosa, restrictive (ANR) or binge-purging (ANBP) types, or bulimia nervosa, non-purging (BNNP) or purging (BNP) types completed measures of food cravings. Discriminant analysis yielded two statistically significant functions. The first function differentiated between all the four group pairs except ANBP and BNNP, with levels of various food-craving dimensions successively increasing for ANR, ANBP, BNNP, and BNP participants. The second function differentiated between ANBP and BNNP participants. Overall, the functions improved classification accuracy above chance level (44% fewer errors). The findings suggest that cravings are more strongly associated with loss of control over eating than with dietary restraint tendencies.

  2. Predictors of mental health problems and negative caregiving experiences in carers of adolescents with bulimia nervosa.

    Science.gov (United States)

    Winn, Suzanne; Perkins, Sarah; Walwyn, Rebecca; Schmidt, Ulrike; Eisler, Ivan; Treasure, Janet; Berelowitz, Mark; Dodge, Liz; Frost, Susie; Jenkins, Mari; Johnson-Sabine, Eric; Keville, Saskia; Murphy, Rebecca; Robinson, Paul; Yi, Irene

    2007-03-01

    This exploratory study focuses on the mental health (MH) and caregiving experience of carers of adolescents with Bulimia Nervosa (BN)/Eating Disorder not otherwise specified (EDNOS), aiming to determine: levels of MH problems in carers and if a negative experience of caregiving predicts carer MH status and which factors predict a negative experience of caregiving. Hundred and twelve carers and 68 adolescents with BN/EDNOS completed self-report measures (General Health Questionnaire, Experience of Caregiving Inventory, Level of Expressed Emotion, Self-report Family Inventory, Inventory of Interpersonal Problems). Over half of the carers reported some MH problems and a minority (5.4%) were experiencing considerable difficulties. A negative experience of caregiving predicted carer MH status. Higher weekly contact hours and patient ratings of expressed emotion (EE) predicted a negative experience of caregiving. Interventions focusing on reducing EE and contact hours could prove beneficial for both patient and caregiver outcomes. 2006 by Wiley Periodicals, Inc.

  3. 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.

  4. Towards a physiologically based diagnosis of anorexia nervosa and bulimia nervosa.

    Science.gov (United States)

    Hatch, Kent A; Spangler, Diane L; Backus, Elizabeth M; Balagna, Jonathan T; Burns, Keven S; Guzman, Brooke S; Hubbard, Matthew J; Lindblad, Stephanie L; Roeder, Beverly L; Ryther, Natalie E; Seawright, Max A; Tyau, Jaymie N; Williams, Dustin

    2007-11-01

    Diagnosis of anorexia nervosa (AN) and bulimia nervosa (BN), while including such physiological data as weight and the reproductive status of the individual, are primarily based on questionnaires and interviews that rely on self-report of both body-related concerns and eating-related behaviors. While some key components of eating disorders are psychological and thus introspective in nature, reliance on self-report for the assessment of eating-related behaviors and nutritional status lacks the objectivity that a physiologically based measure could provide. The development of a more physiologically informed diagnosis for AN and BN would provide a more objective means of diagnosing these disorders, provide a sound physiological basis for diagnosing subclinical disorders and could also aid in monitoring the effectiveness of treatments for these disorders. Empirically supported, physiologically based methods for diagnosing AN and BN are reviewed herein as well as promising physiological measures that may potentially be used in the diagnosis of AN and BN.

  5. [Diuretic-Abuse in Chronic Bulimia Nervosa--Case Report and Clinical Management].

    Science.gov (United States)

    Greetfeld, Martin; Bröckel-Ristevski, Nicole; Fumi, Markus; Cuntz, Ulrich; Voderholzer, Ulrich

    2015-09-01

    We give account of a patient, who works in health care, with bulimia nervosa (BN) and a long term abuse of Furosemide. Due to patients' tendency to conceal addictive behavior and symptoms of BN, the prevalence of purging behavior caused by the intake of diuretics is difficult to quantify 10% of BN patients exhibit a long-term harmful abuse. Discontinuation of diuretics causes the development of edema, attributable to pathophysiological changes with hyperaldosteronism. These can lead to renewed escalation of purging behaviour, provoked either by phobia of weight gain or by unbearable feelings of tension in the facial area or in the legs. For an adequate clinical management, it is vital to have thorough knowledge of the pathophysiological context which consists of psychoeducation, provision of information, treatment of water-electrolyte imbalance and, in individual cases, the administration of aldosterone antagonists.

  6. Bulimia and anorexia nervosa in winter depression: lifetime rates in a clinical sample.

    Science.gov (United States)

    Gruber, N P; Dilsaver, S C

    1996-01-01

    Symptoms of an eating disorder (hyperphagia, carbohydrate craving, and weight gain) are characteristic of wintertime depression. Recent findings suggest that the severity of bulimia nervosa peaks during fall and winter months, and that persons with this disorder respond to treatment with bright artificial light. However, the rates of eating disorders among patients presenting for the treatment of winter depression are unknown. This study was undertaken to determine these rates among 47 patients meeting the DSM-III-R criteria for major depression with a seasonal pattern. All were evaluated using standard clinical interviews and the Structured Clinical Interview for DSM-III-R. Twelve (25.5%) patients met the DSM-III-R criteria for an eating disorder. Eleven patients had onset of mood disorder during childhood or adolescence. The eating disorder followed the onset of the mood disorder. Clinicians should inquire about current and past symptoms of eating disorders when evaluating patients with winter depression. PMID:8580121

  7. Anorexia, bulimia, and obesity: shared decision making deficits on the Iowa Gambling Task (IGT).

    Science.gov (United States)

    Brogan, Amy; Hevey, David; Pignatti, Riccardo

    2010-07-01

    The pathological eating behaviors in Anorexia Nervosa (AN), Bulimia Nervosa (BN), and obesity are characterized by a preference for high immediate reward, despite higher future losses in terms of both physical and psychological outcomes. The present study compared the decision making profile of females with a diagnosis of AN (n = 22), BN (n = 17), obesity (n = 18), and a healthy weight comparison group (n = 20) using a standardized neuropsychological test, the Iowa Gambling Task (IGT). The three clinical groups (AN, BN, obesity) were significantly impaired on the IGT compared with the comparison group on both overall task performance and task learning; however, the three clinical groups were not significantly different from each other. Sixty-one percent to 77% of the clinical groups reached the threshold for impairment on the IGT, compared with 15% of the comparison group. The potential basis for this shared decision making profile is discussed.

  8. Stigmatizing Attitudes and Beliefs About Anorexia and Bulimia Nervosa Among Italian Undergraduates.

    Science.gov (United States)

    Caslini, Manuela; Crocamo, Cristina; Dakanalis, Antonios; Tremolada, Martina; Clerici, Massimo; Carrà, Giuseppe

    2016-12-01

    Stigmatizing attitudes toward eating disorders (EDs) may lead to reduced treatment seeking. We aimed to estimate the prevalence of stigmatizing trends and beliefs related to anorexia nervosa (AN) and bulimia nervosa (BN), and the associations with the experiential knowledge of the problem, in a large sample of Italian undergraduates. A total of 2109 participants completed an online survey including questionnaires related to stigmatizing beliefs toward AN and BN, and personal contacts with people with EDs. Undergraduates reported almost overlapping low levels of stigmatizing trends for AN and BN, apart from personal responsibility and social distance. Those aged 18 to 25 and living with family held higher stigmatizing attitudes. Stigma was lower in underweight participants and in those (12%) reporting a previous ED diagnosis. Although not improving stigmatizing attitudes, 83% of the sample was familiar with people with an ED. Antistigma actions to increase awareness on EDs and to improve treatment-seeking behaviors are needed.

  9. Evaluation of a functional treatment for binge eating associated with bulimia nervosa.

    Science.gov (United States)

    Giddings, T D; Miltenberger, R G

    2010-01-01

    Binge-eating disorders (BED) are a common problem affecting up to 5 percent of the American population in any given 6-month period. Currently, the most widely accepted treatment is some variation of Cognitive Behavior Therapy, although the abstinence rates following this type of treatment are only around 50%. A recent study by Bosch et al. explored the effects of extinction with four women who engaged in binge-eating behavior associated with BED and bulimia nervosa (BN). The treatment was successful, with three of the four participants obtaining abstinence. To date, this has been the only study examining this procedure. The purpose of the current study was to further evaluate extinction of binge eating with four young women who met diagnostic criteria for BN. The results showed that the treatment decreased binge eating to zero for all four women, although one dropped out of the study shortly after beginning the intervention.

  10. Dieting in bulimia nervosa is associated with increased food restriction and psychopathology but decreased binge eating.

    Science.gov (United States)

    Lowe, Michael R; Witt, Ashley A; Grossman, Stephanie L

    2013-08-01

    The cognitive behavioral model of bulimia nervosa (BN) suggests that dieting is central to the maintenance of binge eating. However, correlational and experimental studies suggest that additional clarification is needed about the nature of this relationship. Dieting, weight, eating disorder psychopathology, and depression were assessed at admission among 166 patients with BN presenting for residential treatment. As in past research, a significant fraction (43%) of patients with BN reported not currently dieting. A comparison of weight loss dieters and non-dieters found greater food restriction and eating disorder psychopathology among weight loss dieters. However, dieters reported less frequent binge eating. There were no significant group differences in depression. Results suggest that 1) while many individuals with BN are attempting to restrict their food intake, the goal of losing weight fundamentally alters the effect of such restriction on binge eating, and 2) treatment may benefit from helping patients to establish a healthier approach to achieving long-term weight stability. © 2013.

  11. 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.

  12. Prevalence and correlates of bulimia nervosa and bulimic behaviors in a racially diverse sample of undergraduate students in two universities in southeast Texas.

    Science.gov (United States)

    Pemberton, A R; Vernon, S W; Lee, E S

    1996-09-01

    This cross-sectional survey used a self-report questionnaire to measure the prevalence and correlates of bulimia nervosa and bulimic behaviors in a sample of undergraduate students enrolled in two state-supported universities in Texas in 1990. In one university, the student population was predominantly white; in the other, it was predominantly nonwhite. Bulimia status was assessed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-III-R), of the American Psychiatric Association and was operationalized using the Revised Bulimia Test. Overall, 0.9% of the sample, 1.3% of the females, and 0.2% of the males were classified as having bulimia nervosa. The prevalence of bulimic behaviors was 5.4% overall, 6.6% for females, and 3.6% for males. There was no racial/ethnic difference in the prevalence of bulimia nervosa or bulimic behaviors; 1.5% of the whites (n = 459) and 0.4% of the nonwhites (n = 693) were classified as having bulimia nervosa, while 5.5% of the whites and 5.3% of the nonwhites reported bulimic behaviors. In univariate analysis, female sex, obesity, dieting behavior, and a family history of alcoholism, drug abuse, and depression were statistically associated with bulimic behaviors. After adjustment for covariates, only obesity and dieting behavior were statistically significant. We concluded that the sex difference in bulimic behaviors reported in other studies may be due to the failure to control for confounding factors.

  13. Gustatory and olfactory sensitivity in patients with anorexia and bulimia in the course of treatment.

    Science.gov (United States)

    Aschenbrenner, Katja; Scholze, Ninette; Joraschky, Peter; Hummel, Thomas

    2008-12-01

    The majority of studies on taste and smell in eating disorders have revealed several alterations of olfactory or gustatory functions. Aim of this prospective study was to employ detailed olfactory and gustatory testing in female subjects of three homogenous groups - anorexia nervosa, bulimia nervosa and healthy controls - and to look at the effects of treatment on these measures. Sixteen hospitalized female patients with anorexia (restricting type, mean age [M]=24.5 years), 24 female patients with bulimia (purging type, M=24.3 years) as well as 23 healthy controls (M=24.5 years) received olfactory ("Sniffin' Sticks") and gustatory testing ("Taste Strips"). Group differences in olfactory and gustatory sensitivity, body mass index (BMI), the Beck depression inventory, the eating attitudes test (EAT), and the influence of therapy on gustatory and olfactory function were investigated. (1) Group differences were present for odor discrimination and overall olfactory function with anorexic patients having the lowest scores. (2) Regarding taste function, controls scored higher than patients with anorexia. (3) At admission small but significant correlations were found between overall olfactory function and body weight (r(63)=0.35), BMI (r(63) = 0.37), and EAT score (r(63) = -0.27). Similarly, (4) the taste test score correlated significantly with body weight (r(63)= 0.48), and BMI (r(63) = 0.45). Finally, (5) at discharge overall olfactory and gustatory function were significantly higher compared to admission in anorexic patients. As compared to healthy controls and bulimic patients our results show lowered olfactory and gustatory sensitivities in anorexic patients that improved with increasing BMI and decreasing eating pathology in the course of treatment.

  14. Randomized controlled trial of a treatment for anorexia and bulimia nervosa

    Science.gov (United States)

    Bergh, Cecilia; Brodin, Ulf; Lindberg, Greger; Södersten, Per

    2002-01-01

    Evidence for the effectiveness of existing treatments of patients with eating disorders is weak. Here we describe and evaluate a method of treatment in a randomized controlled trial. Sixteen patients, randomly selected out of a group composed of 19 patients with anorexia nervosa and 13 with bulimia nervosa, were trained to eat and recognize satiety by using computer support. They rested in a warm room after eating, and their physical activity was restricted. The patients in the control group (n = 16) received no treatment. Remission was defined by normal body weight (anorexia), cessation of binge eating and purging (bulimia), a normal psychiatric profile, normal laboratory test values, normal eating behavior, and resumption of social activities. Fourteen patients went into remission after a median of 14.4 months (range 4.9–26.5) of treatment, but only one patient went into remission while waiting for treatment (P = 0.0057). Relapse is considered a major problem in patients who have been treated to remission. We therefore report results on a total of 168 patients who have entered our treatment program. The estimated rate of remission was 75%, and estimated time to remission was 14.7 months (quartile range 9.6 ≥ 32). Six patients (7%) of 83 who were treated to remission relapsed, but the others (93%) have remained in remission for 12 months (quartile range 6–36). Because the risk of relapse is maximal in the first year after remission, we suggest that most patients treated with this method recover. PMID:12082182

  15. Latent class analysis of eating and impulsive behavioral symptoms in Taiwanese women with bulimia nervosa.

    Science.gov (United States)

    Tseng, Mei-Chih Meg; Hu, Fu-Chang

    2012-01-01

    The implications of impulsivity in its relationship with binge-eating or purging behaviors remain unclear. This study examined the patterns of eating behaviors and co-morbid impulsive behaviors in individuals with bulimia nervosa n optimally homogeneous classes using latent class analysis (LCA). All participants (n=180) were asked to complete a series of self-reported inventories of impulsive behaviors and other psychological measures. Information regarding the lifetime presence of symptoms of eating disorder was assessed by clinical interviews. LCA was conducted using eating disorder symptoms, impulsive behaviors, and the number of purging methods. Three latent classes of bulimic women were identified. These were women who exhibited relatively higher rates of purging, symptoms of impulsive behavior, and multiple purging methods (17.8%), women who used no more than one purging method with a low occurrence of impulsive behavior (41.7%), and women who showed higher rates of purging behaviors and the use of multiple purging methods with a low rate of impulsive behavior (41.7%). The impulsive sub-group had comparable severity of eating-related measures, frequency of binge-eating, and higher levels of general psychopathology than that of the other two sub-groups. This study provides empirical support for the existence of an impulsive subgroup with distinctive features among a non-Western group of BN patients. This study also suggests that mechanisms other than impulse dysregulation may exist for the development of binge-eating and purging behaviors in bulimia nervosa patients, or the mechanisms contributing to binge-eating and impulsive behaviors may be different. Copyright © 2011 Elsevier Inc. All rights reserved.

  16. Behavioral responses to catecholamine depletion in unmedicated, remitted subjects with bulimia nervosa and healthy subjects.

    Science.gov (United States)

    Grob, Simona; Stern, Jair; Gamper, Lara; Moergeli, Hanspeter; Milos, Gabriella; Schnyder, Ulrich; Hasler, Gregor

    2015-04-01

    Bulimia nervosa (BN) has been associated with dysregulation of the central catecholaminergic system. An instructive way to investigate the relationship between catecholaminergic function and psychiatric disorder has involved behavioral responses to experimental catecholamine depletion (CD). The purpose of this study was to examine a possible catecholaminergic dysfunction in the pathogenesis of bulimia nervosa. CD was achieved by oral administration of alpha-methyl-para-tyrosine (AMPT) in 18 remitted female subjects with BN (rBN) and 31 healthy female control subjects. The study design consisted of a randomized, double blind, placebo-controlled crossover, single-site experimental trial. The main outcome measures were bulimic symptoms assessed by the Eating Disorder Examination-Questionnaire. Measures were assessed before and 26, 30, 54, 78, 102 hours after the first AMPT or placebo administration. In the experimental environment (controlled environment with a low level of food cues) rBN subjects had a greater increase in eating disorder symptoms during CD compared with healthy control subjects (condition × diagnosis interaction, p < .05). In the experimental environment, rBN subjects experienced fewer bulimic symptoms than in the natural environment (uncontrolled environment concerning food cues) 36 hours after the first AMPT intake (environment × diagnosis interaction, p < .05). Serum prolactin levels increased significantly, and to a comparable degree across groups, after AMPT administration. This study suggests that rBN is associated with vulnerability for developing eating disorder symptoms in response to reduced catecholamine neurotransmission after CD. The findings support the notion of catecholaminergic dysfunction as a possible trait abnormality in BN. © 2014 Society of Biological Psychiatry Published by Society of Biological Psychiatry All rights reserved.

  17. SECCIÓN ABIERTA - 2. INFLUENCIA DE LA ESPIRITUALIDAD EN LOS ESTILOS DE AFRONTAMIENTO DE PACIENTES CON BULIMIA Y ANOREXIA NERVIOSA // INFLUENCE OF SPIRITUALITY IN COPING STYLES OF PATIENTS WITH BULIMIA AND ANOREXIA NERVOSA

    Directory of Open Access Journals (Sweden)

    Marisa Edith Oviedo Romero

    2012-06-01

    Full Text Available Basándose en el supuesto de que la espiritualidad es un factor que podría influir sobre los estilos de afrontamiento de las personas ante situaciones problemáticas, se analizó la influencia de la espiritualidad en el estilo de afrontamiento de pacientes diagnosticadas de anorexia y/o bulimia nerviosa.39 mujeres de Buenos Aires, Entre Ríos, San Luis y Mendoza (Argentina, fueron evaluadas mediante el Cuestionario de Modos de Afrontamiento (WCCL y el Inventario de Sistema de Creencias (SBI–15R.Los resultados mostraron una influencia moderada de la dimensión soporte social religioso (F(1;24= 2,094; p=0,054 en el uso y/o desarrollo del estilo de afrontamiento centrado en la evaluación, no así en los demás estilos, por parte de pacientes diagnosticadas de bulimia y/o anorexia nerviosa.

  18. Sino-Japanese Teamwork Probes Environment Changes on Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ With the support of a CAS project on Holocene environmental changes and their influences on the ecosystem of the Tibetan Plateau, a research group headed by Prof. Zhu Liping from the CAS Institute of Tibetan Plateau Research and their Japanese collaborators carried out a field survey in Puma Yumco area on the Tibetan Plateau from September 8 to 20.

  19. The Hubble Flow of Plateau Inflation

    NARCIS (Netherlands)

    Coone, Dries; Roest, Diederik; Vennin, Vincent

    2015-01-01

    In the absence of CMB precision measurements, a Taylor expansion has often been invoked to parametrize the Hubble flow function during inflation. The standard "horizon flow" procedure implicitly relies on this assumption. However, the recent Planck results indicate a strong preference for plateau

  20. The Hubble Flow of Plateau Inflation

    NARCIS (Netherlands)

    Coone, Dries; Roest, Diederik; Vennin, Vincent

    2015-01-01

    In the absence of CMB precision measurements, a Taylor expansion has often been invoked to parametrize the Hubble flow function during inflation. The standard "horizon flow" procedure implicitly relies on this assumption. However, the recent Planck results indicate a strong preference for plateau in

  1. Ozone Minihole Found over Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ Through a comprehensive analysis, researchers from the CAS Institute of Atmospheric Physics (IAP) discovered an ozone minihole, a large area with the lowest total ozone column (TOC, see figure), over the Qinghai-Tibet Plateau from Dec. 14 to 17, 2003.

  2. Construction of plateaued functions satisfying multiple criteria

    Institute of Scientific and Technical Information of China (English)

    Zhang Weiguo

    2005-01-01

    A class of plateaued functions has been got by using the Maiorana-McFarland construction. A variety of desirable criteria for functions with cryptographic application could be satisfied: balancedness, high nonlinearity, correlation immunity of reasonably high order, strict avalanche criterion, non-existence of non-zero linear structures, good global avalanche characteristics, etc.

  3. Planation Surfaces on the Tibet Plateau, China

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    A planation hypothesis is proposed to explain landform evolution of the Tibet Plateau. A denudation threshold (T), the maximum potential denudation rate for a certain type of rock, is introduced to explain the combined effects of lithology and tectonics on landform evolution. If the tectonic uplifting rate (U) is equal to or less than the threshold rate (U ≤ T), the tectonic uplifting and terrain denudation are in dynamic equilibrium, and landforms are in a steady state. The end product should be planation surfaces whether the original landforms are fiat plains or deeply dissected mountains. If U > T, uplift and denudation are not able to reach a dynamic equilibrium state. The plateau surface is mostly underlain by soft rocks, such as the Mesozoic epimetamorphic argillites and Tertiary sedimentary rocks, while the mountain ranges comprise hard rocks, such as granite, gneiss and limestone. In soft rock regions, hills are low with a relative relief of mostly less than 100m and the slopes are gentle at a gradient of <200. In contrast, hills can maintain steep slopes in hard rock regions. The Tibet Plateau has been under an equilibrium condition between tectonic uplifting and denudation except for the mountain ranges. The plateau might have reached the present altitudes before the Quaternary.

  4. Cross-border regional innovation systems

    DEFF Research Database (Denmark)

    Makkonen, Teemu; Rohde, Stephan

    2016-01-01

    elaborated through notions of geographical scale, proximity and related variety in a range of conceptual papers proposing CBRIS as a comprehensive framework for analysing regional cross-border integration. However, the empirical literature on CBRIS has failed to keep up with the advances in conceptualisation...... of understanding how suggested policy measures based on CBRIS reasoning have been implemented in border regions, and their effectiveness in promoting cross-border integration........ This paper discusses the reasons behind this mismatch which means that the concept still rests upon and draws policy suggestions based on a thin evidence base. Directions for further research are pointed out by underlining the need for holistic empirical validations of the concept together with the need...

  5. Lesion Border Detection in Dermoscopy Images

    CERN Document Server

    Celebi, M Emre; Schaefer, Gerald; Stoecker, William V; 10.1016/j.compmedimag.2008.11.002

    2010-01-01

    Background: Dermoscopy is one of the major imaging modalities used in the diagnosis of melanoma and other pigmented skin lesions. Due to the difficulty and subjectivity of human interpretation, computerized analysis of dermoscopy images has become an important research area. One of the most important steps in dermoscopy image analysis is the automated detection of lesion borders. Methods: In this article, we present a systematic overview of the recent border detection methods in the literature paying particular attention to computational issues and evaluation aspects. Conclusion: Common problems with the existing approaches include the acquisition, size, and diagnostic distribution of the test image set, the evaluation of the results, and the inadequate description of the employed methods. Border determination by dermatologists appears to depend upon higher-level knowledge, therefore it is likely that the incorporation of domain knowledge in automated methods will enable them to perform better, especially in ...

  6. BTFS: The Border Trade Facilitation System

    Energy Technology Data Exchange (ETDEWEB)

    Phillips, L.R.

    1999-03-18

    The author demonstrates the Border Trade Facilitation System (BTFS), an agent-based bilingual e-commerce system built to expedite the regulation, control, and execution of commercial trans-border shipments during the delivery phase. The system was built to serve maquila industries at the US/Mexican border. The BTFS uses foundation technology developed here at Sandia Laboratories' Advanced Information Systems Lab (AISL), including a distributed object substrate, a general-purpose agent development framework, dynamically generated agent-human interaction via the World-Wide Web, and a collaborative agent architecture. This technology is also the substrate for the Multi-Agent Simulation Management System (MASMAS) proposed for demonstration at this conference. The BTFS executes authenticated transactions among agents performing open trading over the Internet. With the BTFS in place, one could conduct secure international transactions from any site with an Internet connection and a web browser. The BTFS is currently being evaluated for commercialization.

  7. Formation and separation of root border cells.

    Science.gov (United States)

    Driouich, Azeddine; Durand, Caroline; Vicré-Gibouin, Maïté

    2007-01-01

    Plant roots release a large number of border cells into the rhizosphere, which are believed to play a key role in root development and health. The formation and loss of these cells from the root cap region is a developmentally regulated process that is also controlled by phytohormones and environmental factors. The separation of border cells involves the complete dissociation of individual cells from each other and from root tissue. This process requires the activity of cell wall-degrading enzymes that solubilize the cell wall connections between cells. We present and discuss the solubilization process with an emphasis on pectin-degrading enzymes as well as the recently discovered root border-like cells of Arabidopsis thaliana.

  8. Refluxo laringofaríngeo e bulimia nervosa: alterações vocais e larínegas Laryngopharyngeal reflux and bulimia nervosa: laryngeal and voice disorders

    Directory of Open Access Journals (Sweden)

    Carla Aparecida Cielo

    2011-04-01

    Full Text Available TEMA: Características da bulimia nervosa (BN e do Refluxo Laringofaríngeo (RLF e alterações vocais e laríngeas que podem decorrer da exposição da laringe ao ácido gástrico. OBJETIVO: Descrever, por meio de revisão de literatura, as características do RLF e da BN, relacionando-os com as alterações vocais e laríngeas que podem se originar da exposição da laringe ao ácido gástrico que ocorre em ambas as condições. CONCLUSÃO: A BN se caracteriza por um transtorno alimentar de causa principalmente psicológica em que ocorre ingestão compulsiva de grande quantidade de alimentos, seguida de episódios de vômitos auto-induzidos com a finalidade de evitar o ganho de peso. O RLF consiste em uma variação clínica da DRGE, na qual o fluxo retrógrado do alimento e do ácido gástrico entra em contato com a laringe e suas estruturas. Em comum, a BN e o RLF apresentam este mecanismo de regurgitação que pode atingir a laringe. Dentre os sinais e sintomas laríngeos e vocais decorrentes da regurgitação do ácido gástrico sobre a laringe estão: globus faríngeo, disfonia, rouquidão, tosse seca, disfagia, halitose, lesões inflamatórias nas pregas vocais, laringite, amigdalite, edema e eritema glótico posterior e ou de aritenóides, da região retrocricóidea e interaritenóidea, estenose subglótica, irregularidades na mucosa das pregas vocais, hipertrofia de mucosa laríngea, leucoplasia, carcinoma, laringoespasmos, granulomas, úlcera de contato, nódulos vocais, pólipos vocais, edema difuso, granuloma, fixação uni ou bilateral de aritenóides, edema de Reinke, laringomalácia, estridor, e odinofagia.BACKGROUND: Characteristics of bulimia nervosa (BN and laryngopharyngeal reflux (LPR and laryngeal and voice disorders that can arise from exposure to gastric acid of the larynx. PURPOSE: To describe, through literature review, the characteristics of LPR and the BN, linking them with laryngeal and voice disorders that can stem

  9. Conductas purgativas y estado nutricional en anorexia nerviosa y bulimia nerviosa Purging behaviours and nutritional status in anorexia nervosa and bulimia nervosa

    Directory of Open Access Journals (Sweden)

    F. J. Vaz

    2003-10-01

    Full Text Available Objetivos: La intención del estudio fue comprobar si el empleo de métodos purgativos en pacientes con trastornos alimentarios (anorexia nerviosa [AN], y bulimia nerviosa [BN] podía reflejarse en la existencia de un estado nutricional específico. Ámbito y pacientes: El grupo en estudio estuvo formado por 184 pacientes ambulatorios con diagnóstico confirmado de trastorno de la alimentación DSM-IV. Ciento dieciséis pacientes (63% padecían BN: 90 del subtipo purgativo y 26 del subtipo no-purgativo. Sesenta y ocho pacientes (37,0% cumplían los criterios diagnósticos del DSM-IV para la AN: 48 del subtipo restrictivo y 20 del subtipo compulsivo-purgativo. Intervenciones: El proceso de evaluación incluyó antropometría (perímetros corporales y pliegues cutáneos y análisis de la impedancia corporal. Resultados: Los dos subgrupos de pacientes AN presentaron diferencias significativas frente a cada uno de los subgrupos de pacientes BN. Desde el punto de vista nutricional, fueron encontradas diferencias entre pacientes con patrones purgativos y no purgativos dentro de la población anoréxica pero no entre los pacientes bulímicos. Conclusiones: La significación clínica de estos hallazgos es discutida y se propone la identificación alternativa de tres subgrupos de pacientes AN: 1 tipo restrictivo [pacientes que controlan la ingesta y no utilizan métodos de purga]; 2 tipo purgativo [pacientes con verdaderos atracones que utilizan métodos de purga], y 3 tipo pseudo-purgativo [pacientes con episodios subjetivos de descontrol alimentario que utilizan métodos de purga].Aims: 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. Setting and Patients: The group under study was composed of 184 female eating disordered outpatients. One hundred and sixteen

  10. Impulsividad y búsqueda de sensaciones: factores asociados a síntomas de anorexia y bulimia nerviosas en estudiantes de secundaria (Impulsiveness and sensation seeking: Factors associated with symptoms of anorexia and bulimia nervosa in high school students

    Directory of Open Access Journals (Sweden)

    Serafina Castro-Zamudio

    2016-08-01

    Full Text Available This study investigated the potential association of impulsiveness and sensation seeking and the attitudes and behaviour characteristic of anorexia and bulimia nervosa in male and female students (between 12 and 20 years. The study had an observational case-control design, in which the case group comprised symptomatic subjects who had scores above the cutoff point designated by the authors for several assessment instruments, and the control group, which comprised asymptomatic participants who had scores below the cutoff point. The study included 300 participants (136 men [45.33%] and 164 women [(54.66%] from Malaga (Spain. All participants received parental authorization to take part in the study. The participants anonymously completed the following self-administered tests: Eating Disorder Inventory (EDI-II, Eating Attitudes Test (EAT-26, Bulimia Test Revised (BULIT-R, Barratt Impulsiveness Scale (BIS-11, and (SSS-V. The results suggest an association between impulsiveness and symptomatology associated with eating disorders, anorexia, and bulimia nervosa. In contrast, sensation seeking was only associated with bulimic symptoms. In summary, the variables impulsivity and sensation seeking appear to be closely associated with eating disorders. Thus, these aspects should be addressed in healthy lifestyle programs, because their inclusion may help to reduce or prevent the increase in eating disorders in the teenage population.

  11. Meteors Without Borders: a global campaign

    Science.gov (United States)

    Heenatigala, T.

    2012-01-01

    "Meteors Without Borders" is a global project, organized by Astronomers Without Borders and launched during the Global Astronomy Month in 2010 for the Lyrid meteor shower. The project focused on encouraging amateur astronomy groups to hold public outreach events for major meteor showers, conduct meteor-related classroom activities, photography, poetry and art work. It also uses social-media platforms to connect groups around the world to share their observations and photography, live during the events. At the International Meteor Conference 2011, the progress of the project was presented along with an extended invitation for collaborations for further improvements of the project.

  12. A CART extention using Quadratic Decision Borders

    DEFF Research Database (Denmark)

    Hartelius, Karsten

    1999-01-01

    In this article we put forward an extention to the hierarchical CART classification method which uses quadratic decision borders. The original CART applies univariate splits on individual variables as well as splits on combinations of variables to recursively partition the feature......-space into subsets which are successively more class-homogeneous. Guided by the fact that class-distributions in feature-space are very often hyper-elliptical shaped, we give an extension to the original CART which also uses quadratic shaped decision borders which can be modelled by a mean-vector and a dispersion...

  13. A CART extension using Quadratic Decision Borders

    DEFF Research Database (Denmark)

    Hartelius, Karsten

    1999-01-01

    In this article we put forward an extention to the hierarchical CART classification method which uses quadratic decision borders. The original CART applies univariate splits on individual variables as well as splits on combinations of variables to recursively partition the feature......-space into subsets which are successively more class-homogeneous. Guided by the fact that class-distributions in feature-space are very often hyper-elliptical shaped, we give an extension to the original CART which also uses quadratic shaped decision borders which can be modelled by a mean-vector and a dispersion...

  14. of the U. S.-Mexico Border

    Directory of Open Access Journals (Sweden)

    Sophie Meritet

    2006-01-01

    Full Text Available This paper studies the possible impacts of liquefied natural gas (LNG projects on natural gas prices on both sides of the U. S.-Mexico border in California. In that state gas prices are high and demand is expected to grow. Several projects for LNG facilities have been proposed and have to cope with public opinions against them. In Baja California, four LNG projects are under development given the rising demand forecasted for the next years. After a detailed study of the opportunity for LNG projects, we conclude with an analysis of the fundamentals of the current and future price formation in both sides of the U. S.- Mexico border.

  15. Crossing the Borders: An Eco-cinecritical Analysis of Plant Wars and Bird Without Borders

    Directory of Open Access Journals (Sweden)

    Hsiao-Ching Li

    2011-01-01

    Full Text Available This essay reads two Asian nature-oriented films from the perspective of ecocinecriticism,an ecologically minded film criticism. Plant Wars, produced by PTSTaiwan, questions the demarcation between native plants and exotic plants as well asbetween plants and human beings so as to remap the in-between border area. Thestorytelling method it applies is to feature 14 currently native plants as the maincharacters, and illustrates their relationship to aboriginal people, farmers, beekeepersand to other insect species. Bird Without Borders, also produced by PTS, tells the storyof the migration journey of a group of black-faced spoonbills flying 16,000 kilometersall the way from Tainan, Taiwan, to Japan, along the border of South and North Korea,to a remote island of China to look for feeding places and then back to Taiwan to spendthe winter. Different layers of border-crossing are shown in Bird. One similarity ofthese two PTS productions is the search for border-crossing so as to redefine or revisewhat the border means. Plant questions the biological categorization of the native plantsand the exotic plants; Bird illustrates how the crew physically follows the route of thebirds’ flight which crosses the national borders to provide a vision of remapping thenatural territory through challenging the idea of a fixed “place.” Both are seeking forways to trespass the man-made borders: Plant via environmental imagination; Bird viasome physical movement. While the title of Plant Wars seemingly expresses its positionmore strongly through “wars,” Bird Without Borders explicitly asserts a dream of noborders.

  16. Femininity, Feminine Gender Role Stress, Body Dissatisfaction, and their Relationships to Bulimia Nervosa and Binge Eating Disorder

    OpenAIRE

    Romero, Nancy M.

    2008-01-01

    Femininity, Feminine Gender Role Stress, Body Dissatisfaction, and their Relationships to Bulimia Nervosa and Binge Eating Disorder Nancy Romero Abstract Research suggests that the associations between femininity, body image and eating disorders are intricate. How these constructs are linked to each other still needs to be determined. The purpose of this study was to gain a deeper understanding of these links, examining the mediational relationship among these constructs. Also...

  17. Repercusiones de la anorexia y la bulimia en la salud oral, prevención y tratamiento

    OpenAIRE

    Gomez Jiménez, Antonio; Casals Peidró, Elías; Boj Quesada, Juan Ramón

    2000-01-01

    El presente artículo trata de aportar una puesta al día de los problemas que presentan los pacientes afectados de anorexia y de bulimia nerviosa. Se expone la información que el odontólogo debe tener en cuenta respecto al conocimiento de la enfermedad, sus manifestaciones orales, los criterios diagnósticos y los enfoques preventivos y terapéuticos necesarios.

  18. Alcohol-related social problems among Mexican Americans living in U.S.-Mexico border and non-border areas.

    Science.gov (United States)

    Vaeth, Patrice A C; Caetano, Raul; Mills, Britain A; Rodriguez, Lori A

    2012-08-01

    This paper examines alcohol-related social problems among Mexican Americans living along the U.S.-Mexico border and in non-border areas. Interviews were conducted among Mexican Americans in the border regions of California, Arizona, New Mexico, and Texas (N=1307). Non-border respondents were interviewed primarily in Houston and Los Angeles (N=1288) as part of the Hispanic Americans Baseline Alcohol Survey (HABLAS). Both the border and HABLAS surveys employed multistage cluster sample designs (response rates were 67% and 76%, respectively). In the bivariate analysis, there were no significant differences between border and non-border areas in the proportion of those with one or more social problem. In non-border areas, the prevalence of alcohol problems did not differ significantly by age. However, along the border the prevalence of alcohol problems was significantly different across age groups, with 18 to 29year old men and women having the highest prevalence. The final models showed no residence effect on problem likelihood. Drinking was strongly associated with problems. Although young border residents had higher problem prevalence rates than older residents, the logistic regression models showed no effect of border residence on the likelihood of problems, indicating that problems are due to alcohol consumption, not the border environment. The border, however, did appear to influence more drinking among young people. Regardless of residence, alcohol treatment and preventive interventions tailored to Mexican Americans are essential and special attention should be focused on younger individuals near the border.

  19. Soil erosion and management on the Loess Plateau

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The Loess Plateau is well known to the world for its intense soil erosion. The root cause for river sedimentation of Yellow River (Huanghe) and its resultant "hanging river" in certain section is soil and water loss on the Loess Plateau. The Loess Plateau has a long cultivation history, hence population growth, vegetation degeneration and plugging constitute the chief reason for serious soil and water loss on Loess Plateau. This paper analyses several successful cases and failures in soil conservation, presents practical soil conservation technique and related benefit analysis, and discusses some effective methods adopted in China in soil erosion control, research directions and future perspectives on Loess Plateau.

  20. Getting better byte by byte: a pilot randomised controlled trial of email therapy for bulimia nervosa and binge eating disorder.

    Science.gov (United States)

    Robinson, Paul; Serfaty, Marc

    2008-03-01

    One hundred and ten people in an university population responded to emailed eating disorder questionnaires. Ninty-seven fulfilling criteria for eating disorders (bulimia nervosa (BN), binge eating disorder (BED), EDNOS) were randomised to therapist administered email bulimia therapy (eBT), unsupported Self directed writing (SDW) or Waiting list control (WLC). Measures were repeated at 3 months. Diagnosis, Beck depression inventory (BDI) and Bulimia investigatory test (BITE) scores were recorded. Follow-up rate was 63% and results must be interpreted cautiously. However significantly fewer participants who had received eBT or SDW fulfilled criteria for eating disorders at follow up compared to WLC. There was no significant difference between eBT and SDW in the analysis of variance (ANOVA), although in separate analyses, eBT was significantly superior to WLC (p < 0.02) and the difference for SDW approached significance (p = 0.06). BDI and BITE scores showed no significant change. For eBT participants there was a significant positive correlation between words written and improvement in BITE severity score. BN, BED and EDNOS can be treated via email.

  1. Stress Resilience among Border Mexican American Women

    Science.gov (United States)

    Guinn, Bobby; Vincent, Vern; Dugas, Donna

    2009-01-01

    The purpose of this study was to identify factors distinguishing Mexican American women living near the U.S.-Mexican border who are resilient to the experience of stress from those who are not. The study sample consisted of 418 participants ranging in age from 20 to 61 years. Data were gathered through a self-report survey instrument composed of…

  2. Stress Resilience among Border Mexican American Women

    Science.gov (United States)

    Guinn, Bobby; Vincent, Vern; Dugas, Donna

    2009-01-01

    The purpose of this study was to identify factors distinguishing Mexican American women living near the U.S.-Mexican border who are resilient to the experience of stress from those who are not. The study sample consisted of 418 participants ranging in age from 20 to 61 years. Data were gathered through a self-report survey instrument composed of…

  3. Implementation Issues of Cross-border Acquisitions

    DEFF Research Database (Denmark)

    Wang, Daojuan; Moini, Hamid; Kuada, John

    This study investigates the impacts of main implementation activities on the success of cross-border acquisitions (CBAs) using the survey data from a sample of 103 CBAs conducted by the companies in Scandinavia. The results of regression analysis indicate that due diligence, integration extent, a...

  4. Cross-border Mergers and Acquisitions

    DEFF Research Database (Denmark)

    Wang, Daojuan

    This paper focuses on three topics in cross-border mergers and acquisitions (CBM&As) field: motivations for CBM&As, valuation techniques and CBM&A performance (assessment and the determinants). By taking an overview of what have been found so far in academic field and investigating...

  5. Estimating Border Tax Evasion in Mozambique

    DEFF Research Database (Denmark)

    Arndt, Channing; Van Dunem, Joao Ernesto

    2009-01-01

    The relationship between border tax rates and evasion is examined for Mozambique using the methodology developed by Fisman and Wei (2004). We find that high tax rates are associated with high levels of under-reporting of import values and that tax rates have a strong and positive effect on tax ev...

  6. Lesson plan. Crossing borders: the globalization debate

    OpenAIRE

    anonymous

    2008-01-01

    Students will consider both sides of the globalization debate—the benefits and the costs—by reading and discussing the article "Crossing Borders: The Globalization Debate" from the Spring 2008 issue of Inside the Vault. Working in groups, students will analyze statements regarding the benefits and costs of globalization, categorize the statements and discuss them.

  7. Cross-border Mergers and Acquisitions

    DEFF Research Database (Denmark)

    Wang, Daojuan

    This paper focuses on three topics in cross-border mergers and acquisitions (CBM&As) field: motivations for CBM&As, valuation techniques and CBM&A performance (assessment and the determinants). By taking an overview of what have been found so far in academic field and investigating...

  8. The border population effects of EU integration

    NARCIS (Netherlands)

    Brakman, Steven; Garretsen, Harry; van Marrewijk, Charles; Oumer, Abdella

    2012-01-01

    Border cities or regions are in theory more affected by the EU integration process than more central locations as it more drastically influences their transaction costs and market potential. We find a positive empirical effect of EU enlargement as measured by the growth in population share along the

  9. Crossing Pedagogical Borders in the Yucatan Peninsula

    Science.gov (United States)

    Willhauck, Susan

    2009-01-01

    A challenging intercultural teaching experience provided an opportunity for engaging embodied pedagogies that facilitated border crossings of language, age, gender, and experience. Influenced by the work of Augusto Boal, the author describes how improvisation, role-play, music, and drawing led seminary students in Mexico into sacred time and space…

  10. International taxation and cross-border banking

    NARCIS (Netherlands)

    Huizinga, H.P.; Voget, J.; Wagner, W.B.

    2014-01-01

    This paper examines empirically how international taxation affects the volume and pricing of cross-border banking activities for a sample of banks in 38 countries over the 1998�2008 period. International double taxation of foreign-source bank income is found to reduce banking-sector FDI. Furthermo

  11. International Taxation and Cross-Border Banking

    NARCIS (Netherlands)

    Huizinga, H.P.; Voget, J.; Wagner, W.B.

    2011-01-01

    This paper examines empirically how international taxation affects the volume and pricing of cross-border banking activities for a sample of banks in 38 countries over the 1998-2008 - period. Home country corporate income taxation of foreign-source bank income is found to reduce banking-sector FDI.

  12. Cross-border flow of health information

    DEFF Research Database (Denmark)

    Di Iorio, Concetta Tania; Carinci, Fabrizio; Brillante, Massimo;

    2013-01-01

    The EUBIROD project aims to perform a cross-border flow of diabetes information across 19 European countries using the BIRO information system, which embeds privacy principles and data protection mechanisms in its architecture (privacy by design). A specific task of EUBIROD was to investigate the...

  13. Borders and Borderlands in the Americas

    Science.gov (United States)

    2012-08-01

    arbitration . This means that states do not necessarily view their borders as matters of existential import, but at most as subjects that may be... ethical , political, civil rights, privacy, and legal implications, the technology is rapidly becoming available to digitally tag, biometrically identify

  14. Hydrogeology of the Markagunt Plateau, Southwestern Utah

    Science.gov (United States)

    Spangler, Lawrence E.

    2010-01-01

    The Markagunt Plateau, in southwestern Utah, lies at an altitude of about 9,500 feet and is capped primarily by Quaternary-age basalt that overlies Eocene-age freshwater limestone of the Claron Formation. Over large parts of the Markagunt Plateau, dissolution of the Claron limestone and subsequent collapse of the overlying basalt have produced a terrain characterized by sinkholes as much as 1,000 feet across and 100 feet deep. Numerous large springs discharge from the basalt and underlying limestone on the plateau, including Mammoth Spring, one of the largest springs in Utah, with a discharge that can exceed 300 cubic feet per second. Discharge from Mammoth Spring is from the Claron Formation; however, recharge to the spring largely takes place by both focused and diffuse infiltration through the basalt that caps the limestone. Results of dye tracing to Mammoth Spring indicate that recharge originates largely southwest of the spring outside of the Mammoth Creek watershed, as well as from losing reaches along Mammoth Creek. Maximum groundwater travel time to the spring from dye-tracer tests during the snowmelt runoff period was about 1 week. Specific conductance and water temperature data from the spring show an inverse relation to discharge during snowmelt runoff and rainfall events, also indicating short groundwater residence times. Results of major-ion analyses for samples collected from Mammoth and other springs on the plateau indicate calcium-bicarbonate type water containing low (less than 200 mg/L) dissolved-solids concentrations. Investigations in the Navajo Lake area along the southern margin of the plateau have shown that water losing to sinkholes bifurcates and discharges to both Cascade and Duck Creek Springs, which subsequently flow into the Virgin and Sevier River basins, respectively. Groundwater travel times to these springs, on the basis of dye tracing, were about 8.5 and 53 hours, respectively. Similarly, groundwater travel time from Duck Creek

  15. Partnership and Cooperation Models in Cross-Border Areas

    Directory of Open Access Journals (Sweden)

    Marcela Slusarciuc

    2013-08-01

    Full Text Available The paper aims at exploring the partnership and cooperation issues in cross-border areas in European Union. The theoretical part of the papers is defining the role of the borders in the framework of the European Union enlarged and it includes a review of forms of cooperation and principles applicable in cross-border cooperation considered by the Council of Europe and the European Union or the Association of European Border Regions. Further there are identified in the specific literature important challenges and key points that are marking the cross-border partnerships. The last part of the paper is focusing on some examples of cross-border cooperation, making distinction between two main situations: the border between Member States and the borders between EU and neighbouring countries.

  16. Impact of gully on soil moisture of shrubland in wind-water erosion crisscross region of the Loess Plateau

    Institute of Scientific and Technical Information of China (English)

    HUO Zhu; SHAO Ming-An; LISI

    2008-01-01

    The most serious erosion on the Loess Plateau of China exists in the wind-water erosion crisscross region where the annual precipitation is about 400 ram,the ecological environment is very fragile,and water is the key limiting factor for improving the environment.In this study,changes of soil moisture content for Caragana korshinskii Kom.shrubland in the gully bank of the Loess Plateau were studied using the methods of soil sampling and neutron probe.A typical gully (75 m long,28 m wide,and 10 m deep) was selected,and six neutron probe access tubes (6 m long) were installed at points 50,100,200,300,400,and 500 cm from the gully border for obtaining soil moisture data from July to October 2004 at approximately 10 d intervals.Soil samplings were simultaneously carried out for moisture determination at the six points.Results showed that the soil moisture of the shrubland in the gully bank significantly varied between 300 and 400 cm in the horizontal direction and up to 600 cm in vertical direction of the gully.Seasonal changes in soil moisture revealed a curve with a single peak that occurred at the end of August or early September.A linear regression equation was fit for soil water storage and the distance from the gully border,with coefficients depending on rainfall characteristics,sampling point,and time of measurement.

  17. Magnetotelluric sounding results in eastern Tibetan Plateau

    Institute of Scientific and Technical Information of China (English)

    马晓冰; 孔祥儒; 刘宏兵; 闫永利

    2001-01-01

    The results of Zayu-Qingshuihe MT sounding profile carried out in eastern Tibetan Plateau are presented in this paper. Using 2-D RRI method, the resistivity distribution with depth is obtained along the profile. It is featured by the resistivity zones in the horizontal direction and layers in the vertical direction. The Bangong-Nujiang suture zone and Jinshajiang suture zone are both important electrical conductivity-separating zones in the plateau, and the former is a zone with relatively low resistivity while the latter is an electrical conductivity gradient zone. The highly electrical conductive bodies in the mid and lower crust of northern Qiangtang and Bayan Har Terrain might be caused by regional melting due to shear heating during the process of subduction in tectonic evolution.

  18. BorderTourism--- IntheCaseofShaTauKokTourismexploitation

    Institute of Scientific and Technical Information of China (English)

    Li Fangzhou

    2014-01-01

    The diversity is the foundation of tourism.Border regions witness the change of the history, and retain valuable heritages and unique vil ages. Because of the common border protection regulations, natural beauties and cultural landscapes can be also wel preserved, leaving abundant and precious tourism resources for younger generations.Combining with the sha tau kok border region and the surrounding site,analysis of the feasibility of border tourism and chal enges.

  19. International Border Management Systems (IBMS) Program : visions and strategies.

    Energy Technology Data Exchange (ETDEWEB)

    McDaniel, Michael; Mohagheghi, Amir Hossein

    2011-02-01

    Sandia National Laboratories (SNL), International Border Management Systems (IBMS) Program is working to establish a long-term border security strategy with United States Central Command (CENTCOM). Efforts are being made to synthesize border security capabilities and technologies maintained at the Laboratories, and coordinate with subject matter expertise from both the New Mexico and California offices. The vision for SNL is to provide science and technology support for international projects and engagements on border security.

  20. Geoenvironmental problems and cross-border cooperation in Central America

    Institute of Scientific and Technical Information of China (English)

    Marek Graniczny; Jonas Satkunas; Jurga Lazauskiene; Jiri Sebesta

    2006-01-01

    @@ The International Workshop on "Geoenvironmental problems and cross-border cooperation in Central America" was organized in Managua, Nicaragua, 5-8 December, 2005 by the Working Group International Borders-Geoenvironmental Concerns (IBC), under the IUGS Commission on Geosciences for Environmental Management (GEM) and in the framework of the IUGS funded project "Application of geosciences for sustainable development of cross-border areas(GEOCrossBorder)".