This title includes a number of Open Access chapters. The book provides a comprehensive perspective on the subject of obesity epidemiology, pathophysiology, and management of obesity. The chapters provide a better understanding of obesity and obesity-related diseases and offer an integrative framework for individualized dietary and exercise programs, behavior modification, pharmaceutical approaches, surgery, and population interventions to reduce the growing epidemic of obesity.

This title includes a number of Open Access chapters. The prevalence of childhood overweight and obesity has increased worldwide in recent decades. Obesity in childhood is associated with a wide range of serious health complications and an increased risk of premature illness and death later in life. This book presents childhood obesity trends across multiple demographics and discusses the contributing genetic and environmental factors. It demonstrates the adverse health consequences of childhood obesity both as they relate to childhood and as they last into adulthood and presents multiple methods for obesity treatment included community and family-based intervention, pharmacotherapy, and surgical procedures.

Why is music so important to most of us? How does music help us both in our everyday lives, and in the more specialist context of music therapy? This book suggests a new way of approaching these topical questions, drawing from Ansdell's long experience as a music therapist, and from the latest thinking on music in everyday life. Vibrant and moving examples from music therapy situations are twinned with the stories of 'ordinary' people who describe how music helps them within their everyday lives. Together this complementary material leads Ansdell to present a new interdisciplinary framework showing how musical experiences can help all of us build and negotiate identities, make intimate non-verbal relationships, belong together in community, and find moments of transcendence and meaning. How Music Helps is not just a book about music therapy. It has the more ambitious aim to promote (from a music therapist's perspective) a better understanding of 'music and change' in our personal and social life. Ansdell's theoretical synthesis links the tradition of Nordoff-Robbins music therapy and its recent developments in Community Music Therapy to contemporary music sociology and music studies. This book will be relevant to practitioners, academics, and researchers looking for a broad-based theoretical perspective to guide further study and policy in music, well-being, and health.

Obesity and its linked morbidity and mortality is a significant public health challenge on a global scale and places a burden not only on the individual but also on society as a whole. This Mini-Guide presents key themes relating to this challenge, including the means of measuring obesity, the most recent prevalence and trends, the health consequences and causes of obesity along with approaches to counter obesity both at an individual and a population level. "..useful for anyone preparing a presentation or policy on the topic." Reviewed by Nerys Williams on behalf of Occupational Medicine, January 2015 Understanding is facilitated through: Case Studies Boxed examples Thinking Points Summary Points at ends of chapters. Links to webpages, resources and further reading. The Public Health Mini-Guides provide up-to-date, evidence-based information in a convenient pocket-sized format, on a range of current key public health topics. They are designed to support the work of health and social care practitioners and students on courses related to public health and health promotion.

In this sweeping exploration of the relatively recent obesity epidemic, Michael L. Power and Jay Schulkin probe evolutionary biology, history, physiology, and medical science to uncover the causes of our growing girth. The unexpected answer? Our own evolutionary success. For most of the past few million years, our evolutionary ancestors' survival depended on being able to consume as much as possible when food was available and to store the excess energy for periods when it was scarce. In the developed world today, high-calorie foods are readily obtainable, yet the propensity to store fat is part of our species' heritage, leaving an increasing number of the world's people vulnerable to obesity. In an environment of abundant food, we are anatomically, physiologically, metabolically, and behaviorally programmed in a way that makes it difficult for us to avoid gaining weight. Power and Schulkin's engagingly argued book draws on popular examples and sound science to explain our expanding waistlines and to discuss the consequences of being overweight for different demographic groups. They review the various studies of human and animal fat use and storage, including those that examine fat deposition and metabolism in men and women; chronicle cultural differences in food procurement, preparation, and consumption; and consider the influence of sedentary occupations and lifestyles. A compelling and comprehensive examination of the causes and consequences of the obesity epidemic, The Evolution of Obesity offers fascinating insights into the question, Why are we getting fatter?

Subtle-body practices are found particularly in Indian, Indo-Tibetan and East Asian societies, but have become increasingly familiar in Western societies, especially through the various healing and yogic techniques and exercises associated with them. This book explores subtle-body practices from a variety of perspectives, and includes both studies of these practices in Asian and Western contexts.

The book discusses how subtle-body practices assume a quasi-material level of human existence that is intermediate between conventional concepts of body and mind. Often, this level is conceived of in terms of an invisible structure of channels, associated with the human body, through which flows of quasi-material substance take place. Contributors look at how subtle-body concepts form the basic explanatory structure for a wide range of practices. These include forms of healing, modes of exercise and martial arts as well as religious practices aimed at the refinement and transformation of the human mindbody complex.

By highlighting how subtle-body practices of many kinds have been introduced into Western societies in recent years, the book explores the possibilities for new models of understanding which these concepts open up. It is a useful contribution to studies on Asian Religion and Philosophy.

Borderline personality disorder accounts for almost 25 percent of psychiatric hospitalizations in this country. Lost in the Mirror takes readers behind the erratic behavior of this puzzling disorder, examining its underlying causes and revealing the unimaginable pain and fear beneath its surface.

This Workbook is designed to reinforce the essential concepts presented in Clinical Application of Mechanical Ventilation, and give learners practice with questions written in NRBC format. With a concise and easy-to-read approach, the new edition of this book integrates the essential concepts of respiratory physiology with the clinical application of mechanical ventilation. Extensive coverage of airway management and weaning criteria, and a concise view of pharmacotherapy for mechanical ventilation are included. This edition features new material on special procedures in mechanical ventilation, chest tubes and placement, proportional pressure support, airway management, and ventilator waveform analysis.

Biopolitics and the 'Obesity Epidemic' is the first edited collection of critical perspectives on the 'obesity epidemic.' The volume provides a comprehensive discussion of current issues in the critical analysis of health, obesity and society, and the impact of obesity discourses on different individuals, social groups and institutions. Contributors from the UK, Canada, New Zealand and Australia provide original, accessible, and engaging chapters on issues such as the effects on individuals, families, youths and schools. The timely contributions offered by Biopolitics and the 'Obesity Epidemic' to this highly topical area will be of interest to a wide range of readers, including teachers, education professionals, community health and allied professionals, and academics in areas such as education, health, youth studies, social work and psychology.

Cut Down to Size covers everything you need to know about bariatric surgery, from referral through to the challenges you may face after surgery. Most people who seek weight loss surgery have struggled for many years to control their eating, and have experienced increasing health limitations, self-consciousness and discrimination. People see weight loss surgery as their last chance for a better, more normal life. While hopeful fantasies about an alternative future make it hard to contemplate the risk of failure, some patients experience considerable emotional or physical problems. This book offers insight into the realities of living with weight loss surgery, and practical exercises help you think through your emotional readiness, social circumstances and eating habits that could determine the success of surgery. Active preparation for surgery by making psychological and lifestyle changes puts you in the best position to achieve better health and emotional wellbeing. Cut Down to Size is the first book to focus on the psychological and social aspects of weight loss surgery and will be of interest to health professionals as well as anyone contemplating weight loss surgery. By sharing the experiences of other bariatric patients, the reader can appreciate the nature of life after surgery and make a judgement about their capacity to cope with these demands.

Neurological Rehabilitation is the latest volume in the definitive Handbook of Clinical Neurology series. It is the first time that this increasing important subject has been included in the series and this reflects the growing interest and quality of scientific data on topics around neural recovery and the practical applications of new research. The volume will appeal to clinicians from both neurological and rehabilitation backgrounds and contains topics of interest to all members of the multidisciplinary clinical team as well as the neuroscience community. The volume is divided into five key sections. The first is a summary of current research on neural repair, recovery and plasticity. The authors have kept the topics readable for a non-scientific audience and focused on the aspects of basic neuroscience that should be most relevant to clinical practice. The next section covers the basic principles of neurorehabilitation, including excellent chapters on learning and skill acquisition, outcome measurement and functional neuroimaging. The key clinical section comes next and includes updates and reviews on the management of the main neurological disabling physical problems, such as spasticity, pain, sexual functioning and dysphagia. Cognitive, emotional and behavioural problems are just as important and are covered in the next section, with excellent chapters, for example, on memory and management of executive dysfunction. The final part draws the sections on symptom management together by discussing the individual diseases that are most commonly seen in neurorehabilitation and providing an overview of the management of the disability associated with those disorders. The volume is a definitive review of current neurorehabilitation practice and will be valuable to a wide range of clinicians and scientists working in this rapidly developing field.
*A volume in the Handbook of Clinical Neurology series, which has an unparalleled reputation as the world's most comprehensive source of information in neurology.
*International list of contributors including the leading workers in the field.
*Describes the advances which have occurred in clinical neurology and the neurosciences, their impact on the understanding of neurological disorders and on patient care.

Originally published in 1991, this book covers a comprehensive range of the applications of hypnotic techniques in therapy for psychological disorders, and medical conditions where such techniques are a valuable adjunct. In the years before publication psychologists, medical doctors, dentists and allied professional workers had come to make increasing use of hypnosis in their work, and there was a considerable amount of relevant research literature available in journals. Such literature is reviewed, and served as a practical guide for professionals at the time. The book begins by explaining what is meant by hypnosis today, and traces its historical background. Some fundamental questions such as individual differences in susceptibility to hypnosis are discussed in relation to therapy. Separate chapters are devoted to the key topics of behaviour therapy, different forms of psychotherapy, psychosomatic medicine, the treatment of pain, and applications in medical and surgical procedures. The modern status of hypnotic techniques in obstetrics and in dentistry is reviewed, and a separate chapter on the use of hypnosis with children will be of special interest to educational and clinical psychologists. A final chapter reviews the use of hypnosis by various professions and para-medical disciplines, and discusses the possible abuses that may arise both through unqualified people seeking to practise "hypnotherapy", and by professionals acting outside their proper range of competence.

Biased Signaling in Physiology, Pharmacology and Therapeutics is a unique and essential reference for the scientific community concerning how conformational-dependent activation is a common phenomenon across many classes of receptors or signaling molecules. It discusses the role of conformational dynamics in leading to signaling bias across different classes of receptors and signaling molecules. By providing a broader view of signaling bias, this resource helps to explain common mechanisms shared across receptor classes and how this can be utilized to elucidate their cellular activity and better understand their therapeutic potential. Written for both new and established scientists in pharmacology, cell biology, biochemistry, and signal transduction, as well as physicians, this book clearly illustrates how biased receptor signaling can be utilized to develop and understand complex pharmacology. Chapters are each focused on a specific class of receptor or other important topic and make use of real-world examples illustrating how the latest research in signal transduction has led to a better understanding of pharmacology and cell biology. This structure creates a basis for understanding that physiological signalling bias has been selected by nature in order to provide complex and tissue- specific biological responses in the face of limited receptors and signaling pathways. This book provides a framework to reveal that these physiological mechanisms are not restricted to one receptor type or family and thus presents receptor signaling from a newer, more global perspective.

This new book summarizes the adherence literature for a number of specific health behaviors and populations. It provides a comprehensive source on the conceptualization, interventions, and measurement of treatment adherence and a synthesis of the research across demographic and chronic diseases. The text presents problems associated with treatment adherence; theoretical models that have commonly been used to understand, predict, and/or improve adherence; adherence with specific behaviors including exercise, diet, rehabilitation, medication, and psychological therapies; and strategies in enhancing adherence. Because chronic diseases involve similar behaviors, the handbook is organized by specific behaviors and special populations, and not by disease. Every chapter is sub-organized by specific diseases to ensure easy access for the readers and features a discussion of adherence across demographic and chronic conditions, a review of previous interventions directed at the particular behavior or population, questions and scoring algorithms for widely used measures of treatment adherence, a discussion of the clinical research, and where appropriate, policy implications. Patient Treatment Adherence addresses: practical recommendations to improve adherence; the impact of non-adherence including costs and health-related quality of life; methodological issues such as assessing cost-effectiveness; and the use of technological advances to improve adherence. Intended for health service professionals, health, clinical, social, and cognitive psychologists, primary care physicians, pharmacists, and policy-makers, this text is also an excellent resource for graduate courses on health psychology and public health.

Kidney disease is a global health concern that affects people of all ages and races. Based on the work of the National Kidney Foundation and the Kidney Disease: Improving Global Outcomes foundation, guidelines have been developed outlining the parameters for patient care. Nutritional Therapy for Chronic Kidney Disease builds upon the discoveries made by these institutions and expands upon their recommendations to provide a comprehensive guidebook with practice protocols for individuals with kidney disease. With chapters written by expert authors drawing on their own experiences, the book: Outlines the history of kidney disease and its treatment Details the distinctions in nutrition therapy throughout the five stages of chronic kidney disease Features precise recommendations for management of the complicated renal diet in acute kidney disease Examines dietary concerns for pregnant women, children, persons with diabetes, and post-transplant patients Discusses the common metabolic pathologies associated with kidney disease, including electrolyte and acid-based disorders, bone and mineral disorders, and chronic anemia Includes chapters on obesity and physical activity, quality of life improvement in chronic kidney disease, and dietary counseling strategies Reflecting the medical community's emphasis on patient-centered care, this volume provides a complete primer on the importance of diet in maintaining kidney health and provides practical guidance to caregivers charged with devising nutritional strategies for kidney patients.

The prevalence of obesity in the United States and the rest of the industrialized world has skyrocketed in the past 20 years. Linked to heart disease, diabetes, hypertension, and metabolic syndrome, it is also the leading cause of osteoarthritis and the second leading cause of cancer. With contributions from leading experts in the field, Obesity: Prevention and Treatment bridges the gap between emerging understanding of the pathophysiology of obesity with concrete clinical applications for physicians and other healthcare workers in all disciplines of medicine. Following an overview of issues related to the prevention and management of obesity, the book discusses: Energy balance, the metabolic predictors of weight gain, and the role of adipokines, genetics, and the environment on obesity The epidemiology of obesity The identification and evaluation of the overweight patient as a guide to the selection of treatment Nutritional aspects of obesity treatment and management Exercise risks to which the obese patient may be more prone and steps that can be taken to mitigate these risks Behavior modification strategies for the obese patient The definition, assessment, consequences, and treatment of childhood obesity Drugs and surgical options for treatment The implications of public policy on the problem of obesity The significance of intra-abdominal and ectopic fat deposition in endocrine aspects of obesity Currently, over two thirds of the adult population in the United States is either overweight or obese. With these grim statistics, it is critically important that clinicians from all branches of medicine play an active role in diagnosing and treating obesity and its related conditions. This volume arms clinicians with the information they need to create an appropriate prevention and treatment program for their patients.

Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.

Ensure children with disabilities and special healthcare needs achieve their full potential. Noted authorities Susan Effgen, Allyssa LaForme Fiss and a team of scholars and clinical experts explore the role of the physical therapist in meeting the needs of children and their families in a culturally appropriate content using a family-centered, abilities-based model. From the major body systems to assistive technology and intervention support, you'll develop the clinical knowledge you need to provide a child with the very best care from initial examination to graduation from your services.

Together, obesity and diabetes form a 21st century epidemic, the treatment of which consumes a substantial fraction of global health costs. New and improved therapies are therefore desperately needed.Incretins are short peptide hormones released from the gut in response to food transit. These hormones regulate a plethora of processes to control food intake, body weight and glucose homeostasis. This is one of the fastest areas of growth within diabetes research, and over the past decade, increasing numbers of novel diabetes drugs - many based on incretin action - have been added to the therapeutic armoury.Following an introduction detailing the historical perspective and discovery of incretin therapies and clinical applications, the book looks at the release of incretins at a cellular level from entero-endocrine cells, and actions on the pancreas (alpha and beta cells) and brain. It then looks at changes in incretins seen in diabetes and following bariatric surgery. Finally, the side effects of incretin therapy are discussed. Importantly, each chapter contains a methodology section aimed at providing a practical guide to key techniques in the field of incretin biology and ranges from basic laboratory research to clinical practice.Incretin Biology - A Practical Guide offers a unique perspective within this field of research by bringing together scientists, physicians and bariatric surgeons. Thus, it is a comprehensive text that offers a broad overview of the subject.

In a world where charlatans promise to fix the alarming obesity epidemic with a silver-bullet diet or trendy new exercise program, Robyn Toomath, a physician and realist, steps out of the fray to deliver some tough news: it's really hard to lose weight. Dispelling common myths and telling provocative truths about weight gain-and loss- The Obesity Epidemic is an engaging investigation into the complicated factors that lead to obesity. While genes certainly play a part, Toomath argues, more people are fat than ever before because most of us consume significantly more calories than we did 30 years ago. But why? The answer, she asserts, is the commodification of food created by junk food advertising coupled with urbanization, globalization, and trade agreements. And while government, advertisers, gyms, and the weight loss industry keep pushing solutions that science shows do not work-from extreme exercise regimens and fad dieting to prohibitively expensive surgeries, pills, and misguided education campaigns-Toomath outlines what just might make a difference in terms of helping people truly control their weight. Drawing on the latest research and her twenty years of working with overweight patients, Dr. Toomath argues that even strongly determined people who are offered appealing incentives typically cannot lose weight permanently. Instead of demonizing people by treating weight as an issue of personal or even moral responsibility, Dr. Toomath makes it clear that nothing will change until we make it easy, not all but impossible, for people to eat healthily. Raising important questions about obesity, Toomath sidesteps the standard sound bites and puts an end to the myth of personal responsibility for body size by focusing on the environment all around us.

In the historical record there is abundant evidence that obesity was a medical and health concern as long as medicine has been practiced. The idea of diet and exercise are bulwarks in the fight against obesity in history from the time of Hippocrates to the 16th century--a span of 2,000 years. However, our scientific understanding of this problem is only a little over 200 years old. An examination of the root cause of what many consider the obesity epidemic, A Guide to Obesity and the Metabolic Syndrome traces the origins and types of obesity and its treatment. Examining in detail the developing treatment for obesity, this book provides: * A history of obesity, including treatment, proposed causes, and perceptions * An examination of the causes and problems associated with obesity * A discussion of lifestyle, diet, exercise, and treatment strategies * A detailed look at the medications and surgeries available for obesity The fact that we have an epidemic of obesity today that is covering the globe suggests that the strategically simple ideas of eating less and exercising more, ideas that require commitment and personal involvement by the individual, have not been very successful. As we move forward in trying to understand this problem, we need to be alert to strategies and tactics that may not require individual motivation and commitment--history has shown that they do not work well. This book supplies guidance on developing and designing novel strategic interventions against obesity and metabolic disorders.

This issue of Critical Care Clinics, Guest Edited by Marilyn Haupt and Mary Reed will include articles such as: Special Populations; Obesity Paradox; Airway Management; Trauma in the Morbidly Obese; Procedures in the Morbidly Obese Critically Ill.

Newly updated, Cram Session in Goniometry and Manual Muscle Testing: A Handbook for Students & Clinicians, Second Edition is a descriptive quick reference guide for rehabilitation professionals organized in a "head-to-toe" format, including more than 400 photographs and supplemented with concise and illustrative examples of various techniques. The new edition of this text maintains the original essence of the first edition while touching upon updated information to speak to new clinicians. Minor revisions, such as adding color to the headers and to the sections, allow the reader easier access to the topics. An expanded appendix and up-to-date content touch on newer technology being used and developed in these areas of clinical evaluation. What is in your Cram Session: In the Goniometry section, subdivisions are broken down into type of joint, capsular pattern, average range of motion for each movement, patient positioning, goniometric alignment, patient substitutions, and alternative methods of measurement. In the Manual Muscle Testing section, subdivisions are broken into the specific movement to be tested, average range of motion, prime movers of the movement, secondary movers of the movement, anti-gravity patient position, gravity minimized patient position, stabilization and grades, substitutions for the movement, and points of interest for that particular muscle group. Cram Session in Goniometry and Manual Muscle Testing: A Handbook for Students & Clinicians, Second Edition is an informative, well-organized handbook for all students, instructors, and clinicians in physical therapy, occupational therapy, athletic training, orthopedics, or any allied health professional who treats musculoskeletal disorders.

Cost-effectiveness analysis is becoming an increasingly important tool for decision making in the health systems. Cost-Effectiveness of Medical Treatments formulates the cost-effectiveness analysis as a statistical decision problem, identifies the sources of uncertainty of the problem, and gives an overview of the frequentist and Bayesian statistical approaches for decision making. Basic notions on decision theory such as space of decisions, space of nature, utility function of a decision and optimal decisions, are explained in detail using easy to read mathematics. Features Focuses on cost-effectiveness analysis as a statistical decision problem and applies the well-established optimal statistical decision methodology. Discusses utility functions for cost-effectiveness analysis. Enlarges the class of models typically used in cost-effectiveness analysis with the incorporation of linear models to account for covariates of the patients. This permits the formulation of the group (or subgroup) theory. Provides Bayesian procedures to account for model uncertainty in variable selection for linear models and in clustering for models for heterogeneous data. Model uncertainty in cost-effectiveness analysis has not been considered in the literature. Illustrates examples with real data. In order to facilitate the practical implementation of real datasets, provides the codes in Mathematica for the proposed methodology. The motivation for the book is to make the achievements in cost-effectiveness analysis accessible to health providers, who need to make optimal decisions, to the practitioners and to the students of health sciences. Elias Moreno is Professor of Statistics and Operational Research at the University of Granada, Spain, Corresponding Member of the Royal Academy of Sciences of Spain, and elect member of ISI. Francisco Jose Vazquez-Polo is Professor of Mathematics and Bayesian Methods at the University of Las Palmas de Gran Canaria, and Head of the Department of Quantitative Methods. Miguel Angel Negrin is Senior Lecturer in the Department of Quantitative Methods at the ULPGC. His main research topics are Bayesian methods applied to Health Economics, economic evaluation and cost-effectiveness analysis, meta-analysis and equity in the provision of healthcare services.