The obesity epidemic has a disproportionate impact on communities that are hard-hit by social and economic disadvantages. In "Obesity Interventions in Underserved Communities," a diverse group of researchers explores effective models for treating and preventing obesity in such communities. The volume provides overviews of the literature at specific junctures of society and health (e.g., the effectiveness of preschool obesity prevention programs), as well as commentaries that shape our understanding of particular parts of the obesity epidemic and field reports on innovative approaches to combating obesity in racial/ethnic minority and other medically underserved populations in the United States. Authors make specific recommendations to policy makers which are designed to reverse the rising rate of obesity dramatically.

The thirty-one literature reviews, commentaries, and field reports collected here address obesity prevention and treatment programs implemented across a spectrum of underserved populations, with particular attention paid to children and adolescents. Aimed at students, clinicians, and community workers in public health and health policy, as well as family medicine and pediatrics, sociology, childhood education, and nutrition--and deeply informed by fieldwork--this book demonstrates the importance of taking a full contextual view, both historical and current, when considering the challenge of reversing upward obesity trends among ethnic minorities, impoverished people, and other underserved populations.

This book is about the drugs used in the treatment and management of rheumatic disorders. The term 'therapeutics' used in the title is intended to mirror the relevance of drugs in the widest sense of the word. Thus, general principles underlying pharmaceutical and pharmacological study have been included together with more clinical matters concerned with applying specific rheumatic problems. The need for another work on rheumatological drugs in itself, as opposed to the different approach intended, was prompted by the ever continuing and bewildering plethora of antirheumatic drugs flooding the market at present. We believe that such a burgeoning of new preparations is welcome in an era when in general there are still no 'cures' available. Moreover, we also feel that a continued update of this rapidly advancing field is essential, not only for its own sake, but also to place it in perspective with itself and with neighbouring fields.

Comprehensive, systematic, and balanced, Systems of Psychotherapy uses a wealth of clinical cases to help readers understand a wide variety of psychotherapies - including psychodynamic, existential, experiential, interpersonal, exposure, behavioral, cognitive, third wave, systemic, multicultural, and integrative. The ninth edition of this landmark text thoroughly analyzes 15 leading systems of psychotherapy and briefly surveys another 32, providing students and practitioners with a broad overview of the discipline. The book explores each system's theory of personality, theory of psychopathology, and resulting therapeutic process and therapy relationship. Through these explorations the authors clearly demonstrate how psychotherapy systems agree on the processes producing change while diverging on the elements in need of change. Additionally, the authors present cogent criticisms of each approach from cognitive-behavioral, psychoanalytic, humanistic, cultural, and integrative perspectives. This ninth edition features updated meta-analytic reviews of the effectiveness of each system, new sections on Lacanian analysis, mentalization therapy, and psychotherapy with gender nonconforming people, as well as new sections and updates throughout the text.

An 'entertaining, informative and utterly depressing global history of an important commodity . . . By alerting readers to the ways that modernity's very origins are entangled with a seemingly benign and delicious substance, How Sugar Corrupted the World raises fundamental questions about our world.' Sven Beckert, the Laird Bell professor of American history at Harvard University and the author of Empire of Cotton: A Global History, in the New York Times 'A brilliant and thought-provoking history of sugar and its ironies' Bee Wilson, Wall Street Journal 'Shocking and revelatory . . . no other product has so changed the world, and no other book reveals the scale of its impact.' David Olusoga 'This study could not be more timely.' Laura Sandy, Lecturer in the History of Slavery, University of Liverpool The story of sugar, and of mankind's desire for sweetness in food and drink is a compelling, though confusing story. It is also an historical story. The story of mankind's love of sweetness - the need to consume honey, cane sugar, beet sugar and chemical sweeteners - has important historical origins. To take a simple example, two centuries ago, cane sugar was vital to the burgeoning European domestic and colonial economies. For all its recent origins, today's obesity epidemic - if that is what it is - did not emerge overnight, but instead evolved from a complexity of historical forces which stretch back centuries. We can only fully understand this modern problem, by coming to terms with its genesis and history: and we need to consider the historical relationship between society and sweetness over a long historical span. This book seeks to do just that: to tell the story of how the consumption of sugar - the addition of sugar to food and drink - became a fundamental and increasingly troublesome feature of modern life. Walvin's book is the heir to Sidney Mintz's Sweetness and Power, a brilliant sociological account, but now thirty years old. In addition, the problem of sugar, and the consequent intellectual and political debate about the role of sugar, has been totally transformed in the years since that book's publication.

In "The Skinnygirl Dish, " four-time "New York Times" bestselling author Bethenny Frankel builds on the foundation of healthy living from her bestseller, "Naturally Thin "to share her passion for healthful, natural foods.
In the "New York Times" bestseller "The Skinnygirl Dish," Bethenny Frankel adds additional healthy eating advice to the foundation she created with her hugely popular book, "Naturally Thin." In "The Skinnygirl Dish" she shows how to find your food voice, know when you are really hungry, and which filling and fiber-rich foods to reach for.
"The Skinnygirl Dish" serves up three weeks of tasty meals, snacks, and drinks to break the cycle of yo-yo dieting. Drawing on her now famous rules like "Your Diet is a Bank Account" and "Taste Everything, Eat Nothing," Bethenny caters to real lifestyles and shows how to maintain a healthy diet wherever you are: in a restaurant, on a plane, or with your family. With recipes and advice for holidays and special occasions and a guide to a healthful kitchen--all with Bethenny's fun, informative personality--here's another breakout hit from everyone's favorite fixologist.

The definitive guide to the use of mechanical ventilation in critically ill patients - now in full color and updated to reflect the latest advances

"Principles & Practice of Mechanical Ventilation, 3e" provides comprehensive, authoritative coverage of all the clinical, pharmacological, and technical issues surrounding the use of mechanical ventilation.

Editor Martin J. Tobin - past editor-in-chief of the "American Journal of Respiratory and Critical Care Medicine" - has enlisted more than 100 authors, all of whom are at the forefront of research in their chosen subfield in order to provide the most authoritative and up-to-date information possible. No other text so thoroughly and comprehensively explores the myriad advances in modes and methodologies that have occurred in this ever-changing field as this cornerstone text.

Features Each chapter has been extensively revised to reflect the latest research A strong focus on the biomedical principles that govern ventilator management Expert insights from contributors in critical care, pulmonary medicine, anesthesiology, surgery, basic science, provide a unique multidisciplinary approach 68 chapters that explore every important aspect of mechanical ventilation, including: Conventional and unconventional methods of ventilator support; Noninvasive methods of ventilator support; Unconventional methods of ventilator support; Physiologic effect of mechanical ventilation; Complications in ventilator supported patients; Weaning of ventilator-support; Management of the ventilator-supported patient; Adjunctive therapy, including fluid management, inhaled antibiotic therapy, and bronchodilator therapy; Ethics and economics

"Principles & Practice of Mechanical Ventilation, 3e" comprehensively covers the principles and practice of keeping patients alive through the use of mechanical ventilation, along with related pharmacological and technical issues.

Gain the solid foundation in A&P that you need to provide effective respiratory care! Respiratory Care Anatomy and Physiology, 5th Edition provides an in-depth understanding of the physiology and pathophysiology of the lungs, heart, vascular system, and kidneys. It connects theory with practice, showing how physiological principles guide the selection and use of diagnostic, therapeutic, and monitoring procedures. New to this edition are clinical scenarios for issues such as vaping and the addiction pathway. Written by noted educator Will Beachey, this book uses a body systems approach and a unique clinical focus to help you think like a clinician and succeed as a respiratory care professional. Clinical Focus boxes relate the material to real-life situations in health care, showing the practical importance of understanding physiological concepts. Concept Questions stimulate critical thinking in a clinical context with open-ended, self-assessment questions. Chapter outlines, learning objectives, key terms, and bulleted Points to Remember highlight the most important concepts and ideas in each chapter. Appendixes make it easy to locate symbols and abbreviations, units of measurement, equation derivations, and a Dubois body surface area chart. NEW! Clinical Focus scenarios are all revised and updated, and new scenarios are added on topics including the effects of electronic nicotine devices (vaping) on the lung, the addiction pathway and the counseling role of the respiratory therapist, pulse CO oximeter use at the bedside, non-invasive assessment of the oxygenation deficit (A-a O2 difference), early prone positioning of the non-intubated patient with COVID-19, and Transcatheter Aortic Valve Replacement (TAVR). NEW! Updated Physiological Basis for Oxygenation and Mechanical Ventilation Strategies chapter covers pathophysiology and supportive care of SARS-CoV-2 (COVID-19) ARDS and the concepts of stress, strain, driving pressure, and the mechanical power of ventilation as they relate to the prevention of ventilator-induced lung injury (VILI). NEW! Updated GINA 2020 asthma guidelines address the use of a long-acting beta agonist (LABA)-inhaled corticosteroid (ICS) combination in emergency rescue situations. NEW! Updated coverage of phrenic nerve stimulation examines the obtaining of transdiaphragmatic twitch pressure (Pditw) in the assessment of ventilatory fatigue.

The Preparation for the Professions Program by the Carnegie Foundation for the Advancement of Teaching focused on education in five professions (clergy, law, engineering, nursing, and medicine), but its influence has been felt throughout higher education and has inspired other professions to turn a critical eye to their own pedagogy. Modeled after the Carnegie Foundation's example, Drs. Gail Jensen, Elizabeth Mostrom, Laurita Hack, Terrence Nordstrom, and Jan Gwyer began an examination of the state of physical therapist education in the United States in their study, Physical Therapist Education for the Twenty First Century (PTE-21): Innovation and Excellence in Physical Therapist Academic and Clinical Education. With the same team of authors, Educating Physical Therapists documents this examination, detailing the key findings of the study and expanding on its implications. The text begins by looking at the current state of physical therapist education across the continuum, from professional education through residency, then continues by describing exemplars of excellence and best practices that were observed in academic and clinical settings. Through this survey of the profession, a conceptual model of excellence in physical therapist education is derived and presented with practical recommendations. Areas addressed: Elements that promote a culture of excellence Critical needs for advancing learning and the learning sciences Academic and clinical organizational imperatives The critical need for system-based reform Finally, after looking at the current state of physical therapy education, Educating Physical Therapists looks to the future, providing a reimagined vision for what professional education and the profession could be. These recommendations for growth come with commentary by international experts in physical therapy education, providing a wide range of perspectives. After an intensive examination of physical therapist education, Educating Physical Therapists is designed to change the way educators and administrators across academic and clinical settings prepare physical therapists for the future.

Novel Designs of Early Phase Trials for Cancer Therapeutics provides a comprehensive review by leaders in the field of the process of drug development, the integration of molecular profiling, the changes in early phase trial designs, and endpoints to optimally develop a new generation of cancer therapeutics. The book discusses topics such as statistical perspectives on cohort expansions, the role and application of molecular profiling and how to integrate biomarkers in early phase trials. Additionally, it discusses how to incorporate patient reported outcomes in phase one trials. This book is a valuable resource for medical oncologists, basic and translational biomedical scientists, and trainees in oncology and pharmacology who are interested in learning how to improve their research by using early phase trials.

Everyone engages in self-protecting behaviours to some extent, but when these begin to take on the form of bad habits, they can be damaging. People often use self-protection strategies in love and relationships to mitigate potential pain or heartbreak. This book considers the defence mechanisms inadvertently used to avoid closeness with other people, the inner self, and reality and any resulting distress from confrontation with these bodies. This book will teach you how to recognise specific protective behaviours that hinder close relationships and why we engage in them. By understanding the source of these patterns and objectively considering the alternatives, the author will guide you on the path to overcome negative protection strategies and embrace positive relationships. With a foundation in psychology, this book will also be of interest to professional counsellors and therapists.

Stress is an unavoidable part of life that we will all encounter at various times, be it due to a one-off event such as losing a job or the break-up of a relationship, or from facing long-term difficulties such as working in a stressful environment or caring for someone who is ill. How well we deal with stress will influence the extent to which it affects our lives. Maureen Cooper explains why humans are designed to respond to stress in a certain way and why this can even be helpful at times. She goes on to show how to transform our habitual way of responding to stress by training ourselves in compassion and thereby improving our sense of control and wellbeing. In this workbook, you can learn to manage stress better: * Using tried and tested compassion techniques * Via case studies and practical exercises

A cultural, social, and medical history of migraine. For centuries, people have talked of a powerful bodily disorder called migraine, which currently affects about a billion people around the world. Yet until now, the rich history of this condition has barely been told. In Migraine, award-winning historian Katherine Foxhall reveals the ideas and methods that ordinary people and medical professionals have used to describe, explain, and treat migraine since the Middle Ages. Touching on classical theories of humoral disturbance and medieval bloodletting, Foxhall also describes early modern herbal remedies, the emergence of neurology, and evolving practices of therapeutic experimentation. Throughout the book, Foxhall persuasively argues that our current knowledge of migraine's neurobiology is founded on a centuries-long social, cultural, and medical history. This history, she demonstrates, continues to profoundly shape our knowledge of this complicated disease, our attitudes toward people who have migraine, and the sometimes drastic measures that we take to address pain. Migraine is an intimate look at how cultural attitudes and therapeutic practices have changed radically in response to medical and pharmaceutical developments. Foxhall draws on a wealth of previously unexamined sources, including medieval manuscripts, early-modern recipe books, professional medical journals, hospital case notes, newspaper advertisements, private diaries, consultation letters, artworks, poetry, and YouTube videos. Deeply researched and beautifully written, this fascinating and accessible study of one of our most common, disabling-and yet often dismissed-disorders will appeal to physicians, historians, scholars in medical humanities, and people living with migraine alike.

The perception of an inadequate body shape is a cause of concern to many people, and new techniques for altering body shape are increasingly being developed and offered to patients. Of these, the removal and transfer of fat is fast growing in importance and availability. This practical guide offers a comprehensive overview of this rapidly-evolving field, and thorough coverage of the implementation of fat removal techniques, both invasive and non-invasive, in a cosmetic practice. It begins with an overview of basic fat anatomy and physiology as an important introduction to this topic. The distinction between the physiology and treatment of cellulite and fat is also discussed. The next section of the book covers invasive treatments of fat such as traditional liposuction, laser-assisted liposuction, fat transfer procedures and mesotherapy. The latter half of the book largely focuses on non-invasive treatments for fat, including radiofrequency, ultrasound, cooling and laser technologies for fat removal. Throughout, potential complications and pitfalls of the various treatments are discussed. Edited by Matthew Avram, with contributions from a group of clinical stars, this book will appeal to cosmetic dermatologists, plastic surgeons, aesthetic medical practitioners, and obstetricians/gynaecologists

Based on decades of scientific research and clinical experience, Safe and Effective Exercise for Overweight Youth provides a scientifically supported and clinically relevant source of information that clinical health care providers, educators, public health, and fitness professionals may use to promote physical activity in overweight and obese youth of all ages, including those with significant obesity and chronic health conditions, such as hypertension, asthma, and type 2 diabetes. It presents a best practices model for implementing clinical- and recreational-based physical activity interventions. The first five chapters offer an overview of the existing scientific literature supporting individualized, tailored exercise prescriptions for overweight and obese children with and without comorbidities. They also contain exercise instructions, illustrations, and sample lesson plans to improve cardiopulmonary endurance, muscular strength, power and endurance, and muscular flexibility. This information provides the basis for the recommendations provided in the subsequent chapters, which include specific guidelines for prescribing exercise to overweight children along with verbal cues or "talking points," clinical reminders, and handouts to assist health care providers. The text provides a 40-week exercise curriculum with lesson plans, discusses the importance of regular medical and self-monitoring, and offers easy tools and techniques for health care providers to track a child's progress. Chapters also supply detailed clinical and field protocols to aid in measuring health and fitness outcomes, describe realistic expectations, and present the U.S. recommendations for promoting physical activity and fitness in youth. The final chapter summarizes current studies to support future research on physical activity for the prevention and management of pediatric obesity.

This volume examines the biocultural dimensions of obesity from an anthropological perspective in an effort to broaden understanding of a growing public health concern. The United States of America currently has the highest rates of obesity among developed countries, with an alarming rise in prevalence in recent decades which promises to affect the nation for years to come. Bellisari helps students to grasp the complex nature of this obesity epidemic, demonstrating that it is the consequence of many interacting forces which range from individual genetic and physiological predispositions to national policies and American cultural beliefs and practices. As much a social problem as an individual one, the development of obesity is in fact encouraged by the pattern of high consumption and physical inactivity that is promoted by American economic, political, and ideological systems. With a range of up-to-date scientific and medical data, The Anthropology of Obesity in the United States provides students with a comprehensive picture of obesity, its multiple causes, and the need for society-wide action to address the issue.

Inhalation aerosols continue to be the basis for successful lung therapy for several diseases, with therapeutic strategies and the range of technology significantly evolving in recent years. In response, this third edition takes a new approach to reflect the close integration of technology with its application. After briefly presenting the general considerations that apply to aerosol inhalation, the central section of the book uses the focus on disease and therapeutic agents to illustrate the application of specific technologies. The final integrated strategies section draws the major points from the applications for disease targets and drug products.

Consumers look to health professionals for guidance on how to integrate complementary and alternative (CAM) therapies into their lifestyles, yet most health care professionals are trained only in conventional practices. Integrating Therapeutic and Complementary Nutrition provides the scientific foundation necessary to understand CAM nutrition practices and how they are being integrated into conventional care. Working within a framework that examines complementary and alternative therapies alongside conventional nutrition practice, the authors examine controversial issues surrounding CAM practice. Integrating Therapeutic and Complementary Nutrition replaces popular myths with fact based and verifiable information from nutritionists, professors, researchers, and industry professionals. Each chapter describes in detail the underlying process involved in both healthy function and dysfunction of each organ system and disease state to provide the necessary background for the comparison, contrast, and conjunction of conventional and alternative therapy. Paying particular attention to determining which therapies might be appropriate for which conditions, including which supplements, in what amounts and from which manufacturers, this book uses scientific data, considered opinions and case studies to weed out the beneficial from the harmful. While aware that there unanswered questions exist, the editors provide a much needed reference to the information currently available, clearing the confusion between what is known and what is not; what is proven and what is, though well-intentioned, just wishful thinking.

This practical guide helps health or social care professionals across all settings to understand how important it is to prevent and manage their service users' overweight and obesity, and motivate them to achieve and maintain a healthy weight, so reducing their risk of associated health conditions such as diabetes and now COVID-19. Obesity and associated health problems represent a growing health burden around the world, with rates throughout Europe increasing sharply over the last forty years, second only to the United States and closely followed by many nations in Asia. The book will be an invaluable manual for general practice, primary care and community clinicians, practice and community nurses and dietitians and a go-to reference for health professionals across all medical specialties and related support services, as well as medical education, public health and social care worker professionals.

School Food, Equity and Social Justice provides contemporary, critical examinations of policies and practices relating to food in schools across 25 countries from an equity and social justice perspective. The book is divided into three sections: Food politics and policies; Sustainability and development; and, Teaching and learning about food. Bringing together an interdisciplinary group of academics with practitioner backgrounds, the chapters in this collection broaden discussions on school food to consider its educational and environmental implications, the ideals of food in schools, the emotional and ideological components of schooling food, and the relationships with home and everyday life. Our aim is to provide enhanced insight into matters of social justice in diverse contexts, and visions of how greater equality and equity may be achieved through school food policy and in school food programs. We expect this book to become essential reading for students, researchers and policy makers in health education, health promotion, educational practice and policy, public health, nutrition and social justice education.

Therapeutic Exercise for Children With Developmental Disabilities has been expanded and updated to include everything a student or professional needs to know when working with children with developmental disabilities. Continuing the emphasis on evidence-based practice from the previous editions, this comprehensive Fourth Edition enhances critical thinking and evaluation skills. Throughout the course of the text, Drs. Barbara H. Connolly and Patricia C. Montgomery present case studies of 5 children with various developmental disabilities to bring a problem-solving approach to each individual chapter topic. The case studies include 2 two children with cerebral palsy (GMFCS Levels I and V), a child with myelomeningocele, a child with Down syndrome, and a child with developmental coordination disorder and attention-deficit hyperactivity disorder. Each chapter's examination, evaluation, and intervention recommendations are accompanied by specific treatment objectives and therapeutic activities, plus a companion website with 17 videos, which contains 90 minutes of content to illustrate concepts. Recent research and clinical recommendations, as well as related references, are also provided in each chapter. This Fourth Edition utilizes the American Physical Therapy Association's Guide to Physical Therapist Practice 3.0 and the World Health Organization's International Classification of Functioning, Disability, and Health--Children and Youth as its framework. The focus of the chapters is on children's participation and empowerment, rather than body function and structure. Examples of new and updated topics in the Fourth Edition: Practice in the NICU Early mobility strategies Communication strategies with children and families Aquatic therapy Upper extremity constraint-induced therapy Mirror therapy Lower extremity treadmill training With helpful videos, informative figures, and compelling case studies, Therapeutic Exercise for Children With Developmental Disabilities, Fourth Edition is the perfect resource for both students and practicing clinicians.

The terrorist attacks on the World Trade Center in September 2001 turned PTSD into a household word. But posttraumatic stress disorder has been documented throughout history: For example, as long ago as 1666, Samuel Pepys wrote in his diary that he still had night terrors 6 months after the great fire of London. PTSD, officially recognized as a diagnosis by DSM-III in 1980, is only the most recent term used to describe the suffering of trauma victims.

Few could have foreseen its profound impact on litigation. Often dubbed the "black hole" of litigation -- where allegations are relatively easy to assert but difficult to defend because the symptoms are subjective -- PTSD has deeply influenced civil and criminal law in cases ranging from malpractice and personal injury to sexual harassment and child abuse. It is thus vital for all legal parties involved that forensic examiners perform credible psychiatric and psychological examinations of PTSD claimants.

Intended to add direction and discipline to the forensic assessment of PTSD litigants, this expanded second edition begins with an updated chapter on current and future trends for the role of PTSD in litigation. - Chapter 2 notes the increasing evidence that exposure to multiple events not only is more common than previously thought but also increases the risk for development of PTSD following the target event.- Chapter 3 details diagnostic criteria and guidelines for the forensic psychiatric examination of the PTSD claimant.- Most literature discusses PTSD in adults. Chapter 4 offers a rare perspective on PTSD in children and adolescents, including parental response to the trauma, developmental effects, and delayed onset symptoms.- Forensic assessment of PTSD claimants is presented in Chapter 5, followed by new chapters on disability determinants (how PTSD impairs occupational functioning) and PTSD in the workplace, where the causal relationship between employment stress and a resulting mental or emotional disorder must be determined.- Chapter 8 covers guidelines for malingering in PTSD, where the claimant may be motivated by financial gain or by a reduced charge resulting from an insanity defense.- A new chapter on forensic laboratory testing in PTSD presents the tantalizing potential of psychophysiologic measurement to redeem the PTSD diagnosis from its daunting subjectivity.

This essential collection by 13 U.S. experts sheds important new light on forensic guidelines for effective assessment and diagnosis and determination of disability, serving both plaintiffs and defendants in litigation involving PTSD claims. Mental health and legal professionals, third-party payers, and interested laypersons will welcome this balanced approach to a complex and difficult field.

Obesity and Gynecology, Second Edition, presents updated chapters on a variety of topics, ranging from adolescent obesity, contraception, assisted reproduction and sexual dysfunction, to bariatric surgery and improving semen parameters. The prevalence of obesity in men and women continues to dramatically increase around the world. Obesity presents specific challenges in relation to male and female infertility and general gynecology. Patients who are obese require specific considerations and knowledge.

At a time when the incidence of Alzheimer's Disease is increasing dramatically, this accessible account revolutionizes our stereotypes of people with Alzheimer's Disease and their care. Written to appeal to general readers as well as professionals and students, it shows what sufferers can still do despite the loss of certain cognitive abilities, and offers constructive ways to improve the relationship between sufferers and healthy others.

Rather than focusing on the etiology or treatment of Alzheimer's Disease, the author helps the reader to understand the psychology behind it. Getting away from a traditional scientific-medical focus on symptoms, the book brings to life the experience of suffering the disease, and the ways in which caregivers can identify and support the intact abilities of those afflicted.