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Jennifer Renee Blevins's debut memoir, Limited by Body Habitus: An American Fat Story, sheds light on her experiences living with the emotional and psychological struggles of taking up space in a fat-phobic world. Bringing together experiences of personal and national trauma, Blevins adeptly weaves the tale of her father's gastric bypass surgery and subsequent prolonged health crisis with the environmental catastrophe of the Deepwater Horizon oil spill. Blevins looks to each of these events as a "leak" of American society's pitfalls and shortcomings. These intertwined narratives, both disasters that could have been avoided, reveal points of failure in our systems of healthcare and environmental conservation. Incorporating pieces from her life, such as medical transcripts and quotes from news programs, Blevins composes a mosaic of our modern anxieties. Even through despair, she finds hope in mending broken relationships and shows us how we can flourish as individuals and as a nation despite our struggles. Fierce and haunting, this memoir creates a space of narrative through body, selfhood, family, and country.
Weight stigma is so pervasive in our culture that it is often unnoticed, along with the harm that it causes. Health care is rife with anti-fat bias and discrimination against fat people, which compromises care and influences the training of new practitioners. This book explores how this happens and how we can change it. This interdisciplinary volume is grounded in a framework that challenges the dominant discourse that health in fat individuals must be improved through weight loss. The first part explores the negative impacts of bias, discrimination, and other harms by health care providers against fat individuals. The second part addresses how we can ‘fatten’ pedagogy for current and future health care providers, discussing how we can address anti-fat bias in education for health professionals and how alternative frameworks, such as Health at Every Size, can be successfully incorporated into training so that health outcomes for fat people improve. Examining what works and what fails in teaching health care providers to truly care for the health of fat individuals without further stigmatizing them or harming them, this book is for scholars and practitioners with an interest in fat studies and health education from a range of backgrounds, including medicine, nursing, social work, nutrition, physiotherapy, psychology, sociology, education and gender studies.
The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
The Civil Rights movement brought author Alice Walker and lawyer Mel Leventhal together, and in 1969 their daughter, Rebecca, was born. Some saw this unusual copper-colored girl as an outrage or an oddity; others viewed her as a symbol of harmony, a triumph of love over hate. But after her parents divorced, leaving her a lonely only child ferrying between two worlds that only seemed to grow further apart, Rebecca was no longer sure what she represented. In this book, Rebecca Leventhal Walker attempts to define herself as a soul instead of a symbol—and offers a new look at the challenge of personal identity, in a story at once strikingly unique and truly universal.
This comprehensive textbook addresses one of the major public health concerns of our era – obesity. Clearly and simply, Obesity: science to practice provides a balanced, coherent account of obesity: how to define and measure it, its epidemiology, the physiological basis, associated diseases, how to assess, manage and treat it, and also strategies for prevention. The book is generously illustrated, including graphs and flow charts for easy reference. The chapters cite key references so that interested readers may pursue a given topic in more detail. Well presented and thoroughly edited by one of the leading experts in the field, this is the textbook of choice for anyone working in obesity.
The management of pain from acute injuries is a priority in trauma care. Regional analgesic techniques are very effective at treating acute pain and are gaining in popularity as recognition of their beneficial effects on morbidity increases. Regional Anesthesia in Trauma employs multiple narrative problem-solving case scenarios that explore the use of regional anesthesia in: • Blunt chest trauma, amputations, upper and lower extremity fractures and spinal injury • Burn injury • Patients with pre-existing nerve injury and other co-morbidities • Patients at risk for compartment syndrome • Pregnant, obese, elderly and pediatric patients • Local anesthetic systemic toxicity With a focus on ultrasound-guided techniques, the reader is guided through the technical aspects of performing regional anesthesia as well as the medical and surgical considerations that influence the choice of analgesic therapy. Regional Anesthesia in Trauma is invaluable for practitioners and trainees in anesthesiology, emergency medicine and trauma surgery.
This book is a highly visual guide to the radiographic and advanced imaging modalities - such as computed tomography and ultrasonography - that are frequently used by physicians during the treatment of emergency patients. Covering practices ranging from ultrasound at the point of care to the interpretation of CT scan results, this book contains over 2,200 images, each with detailed captions and line-art that highlight key findings. Within each section, particular attention is devoted to practical tricks of the trade and tips for avoiding common pitfalls. Overall, this book is a useful source for experienced clinicians, residents, mid-level providers, or medical students who want to maximize the diagnostic accuracy of each modality without losing valuable time.
In the early 1960s, most middle-class American women in their twenties had their lives laid out for them: marriage, children, and life in the suburbs. Most, but not all. Breathless is the story of a girl who represents those who rebelled against conventional expectations. Paris was a magnet for those eager to resist domesticity, and like many young women of the decade, Nancy K. Miller was enamored of everything French—from perfume and Hermès scarves to the writing of Simone de Beauvoir and the New Wave films of Jeanne Moreau. After graduating from Barnard College in 1961, Miller set out for a year in Paris, with a plan to take classes at the Sorbonne and live out a great romantic life inspired by the movies. After a string of sexual misadventures, she gave up her short-lived freedom and married an American expatriate who promised her a lifetime of three-star meals and five-star hotels. But her husband wasn't who he said he was, and she eventually had to leave Paris and her dreams behind. This stunning memoir chronicles a young woman’s coming-of-age tale, and offers a glimpse into the intimate lives of girls before feminism.

Weighing the Options

Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity

Published: 1995-03-15

Total Pages: 297


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Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programs--their clients, staff qualifications, services, and success rates--necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.
The first book to cover the groundbreaking development and clinical applications of Magnetic Resonance Elastography, this book is essential for all practitioners interested in this revolutionary diagnostic modality. The book is divided into three sections. The first covers the history of MRE. The second covers technique and clinical applications of MRE in the liver with respect to fibrosis, liver masses, and other diseases. Case descriptions are presented to give the reader a hands-on approach. The final section presents the techniques, sequence and preliminary results of applications in other areas of the body including muscle, brain, lung, heart, and breast.