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Full-Text Articles in Social and Behavioral Sciences

Cascading Losses: A Case Study Of Suffering From Head And Neck Cancer Sep 2016

Cascading Losses: A Case Study Of Suffering From Head And Neck Cancer

Linda A. Treiber


In this case study, we analyzed an online illness narrative written by a middle-aged man living with HIV/AIDS who received a diagnosis of squamous cell cancer of the tongue.  We found that the onset of a second illness initiated a series of cascading losses that became increasingly problematic, severe, and interconnected.  In response to these losses, the author developed several coping strategies, including sharing his story with others and engaging in magical thinking.  The findings of this case study broaden our understanding of what it means to live with a complex and unusual combination of illnesses.  We conclude with implications …


Baseline Dietary Patterns Are A Significant Consideration In Correcting Dietary Exposure For Weight Loss, S J. Grafenauer, L C. Tapsell, E J. Beck, M J. Batterham Nov 2015

Baseline Dietary Patterns Are A Significant Consideration In Correcting Dietary Exposure For Weight Loss, S J. Grafenauer, L C. Tapsell, E J. Beck, M J. Batterham

Dr Marijka Batterham

Background/objectives: Dietary pattern studies are traditionally the domain of epidemiological research. From a clinical perspective, there is a need to explore the effects of changing food and dietary patterns of individuals. The aim was to identify patterns of food choice in the context of a clinical weight loss trial. Cluster analysis based on reported serves of food groups revealed dietary patterns informative for the clinical setting. Subjects/Methods: Cluster analysis was conducted using diet history data from two clinical trials at baseline, and outcomes at 3 months were reviewed based on these clusters (n=231). The cluster solution was analysed using defined …


Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones Aug 2013

Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones

Qingsheng Zhang

Participant recruitment is a difficult and time consuming aspect of clinical trials, often resulting in delays and budget overruns. Having reached recruitment targets the next challenge is participant retention. Some weight-loss studies have attrition rates around 60% which may introduce bias in the results. It may be possible to reduce attrition rates if known predictors can be found but to date few studies produced consistent results. The aim of this exploratory study was to determine whether start date could be a predictor of attrition for participants involved in the SMART weight loss clinical trial (ACTRN12608000425392). Recruitment for the trial occurred …


Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones Apr 2013

Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones

Karen E. Charlton

Participant recruitment is a difficult and time consuming aspect of clinical trials, often resulting in delays and budget overruns. Having reached recruitment targets the next challenge is participant retention. Some weight-loss studies have attrition rates around 60% which may introduce bias in the results. It may be possible to reduce attrition rates if known predictors can be found but to date few studies produced consistent results. The aim of this exploratory study was to determine whether start date could be a predictor of attrition for participants involved in the SMART weight loss clinical trial (ACTRN12608000425392). Recruitment for the trial occurred …


Associations Between Baseline Erythrocyte N-3 Polyunsaturated Fatty Acids And Weight Indices In Volunteers For A Weight Loss Dietary Intervention, Linda Tapsell, J O'Shea, M Batterham, K Charlton, E Warensjo, R Thorne, K Zhang Apr 2013

Associations Between Baseline Erythrocyte N-3 Polyunsaturated Fatty Acids And Weight Indices In Volunteers For A Weight Loss Dietary Intervention, Linda Tapsell, J O'Shea, M Batterham, K Charlton, E Warensjo, R Thorne, K Zhang

Karen E. Charlton

No abstract provided.


Short Term Effects Of Energy Restriction And Dietary Fat Sub-Type On Weight Loss And Disease Risk Factors, Linda C. Tapsell, Marijka Batterham, Xu-Feng Huang, Sze Yen Tan, Grigorijs Teuss, Karen E. Charlton, Jane E. O'Shea, Eva M. Warensjo Apr 2013

Short Term Effects Of Energy Restriction And Dietary Fat Sub-Type On Weight Loss And Disease Risk Factors, Linda C. Tapsell, Marijka Batterham, Xu-Feng Huang, Sze Yen Tan, Grigorijs Teuss, Karen E. Charlton, Jane E. O'Shea, Eva M. Warensjo

Karen E. Charlton

Background and aims: Decreasing energy intake relative to energy expenditure is the indisputable tenet of weight loss. In addition to caloric restriction modification of the type of dietary fat may provide further benefits. The aim of the present study was to examine the effect of energy restriction alone and with dietary fat modification on weight loss and adiposity, as well as on risk factors for obesity related disease. Methods and results: One-hundred and fifty overweight men and women were randomized into a 3 month controlled trial with four low fat (30% energy) dietary arms: (1) isocaloric (LF); (2) isocaloric with …


Dietary Consequences Of Recommending Reduced-Fat Dairy Products In The Weight-Loss Context: A Secondary Analysis With Practical Implications For Registered Dietitians, Deborah Nolan-Clark, Elizabeth Mathers, Yasmine Probst, Karen Charlton, Marijka Batterham, Linda Tapsell Apr 2013

Dietary Consequences Of Recommending Reduced-Fat Dairy Products In The Weight-Loss Context: A Secondary Analysis With Practical Implications For Registered Dietitians, Deborah Nolan-Clark, Elizabeth Mathers, Yasmine Probst, Karen Charlton, Marijka Batterham, Linda Tapsell

Karen E. Charlton

Replacing full-fat dairy products with reduced-fat varieties is a dietetic strategy for reducing energy intake while maintaining nutritional adequacy. This study aimed to explore the dietary outcomes of this recommendation in the context of weight loss. This study involved a secondary analysis of diet-history data for 86 adults (23 males and 63 females; body mass index=31.1±3.4) who had completed 3 months of a weight-loss trial in 2009, including advice to consume reduced-fat dairy products. Dairy food intake was categorized using the Australian 1995 National Nutrition Survey food hierarchy. Paired t tests and Wilcoxon signed rank tests determined dairy product consumption …


Bilateral Vestibular Loss In Cats Leads To Active Destabilization Of Balance During Pitch And Roll Rotations Of The Support Surface, Jane Macpherson, Dirk Everaert, Paul Stapley, Lena Ting Jan 2013

Bilateral Vestibular Loss In Cats Leads To Active Destabilization Of Balance During Pitch And Roll Rotations Of The Support Surface, Jane Macpherson, Dirk Everaert, Paul Stapley, Lena Ting

Dr Paul J Stapley

Although the balance difficulties accompanying vestibular loss are well known, the underlying cause remains unclear. We examined the role of vestibular inputs in the automatic postural response (APR) to pitch and roll rotations of the support surface in freely standing cats before and in the first week after bilateral labyrinthectomy. Support surface rotations accelerate the body center of mass toward the downhill side. The normal APR consists of inhibition in the extensors of the uphill limbs and excitation in the downhill limbs to decelerate the body and maintain the alignment of the limbs with respect to earth-vertical. After vestibular lesion, …


Bilateral Vestibular Loss Leads To Active Destabilization Of Balance During Voluntary Head Turns In The Standing Cat, Paul Stapley, Lena Ting, Chen Kuifu, Dirk Everaert, Jane Macpherson Jan 2013

Bilateral Vestibular Loss Leads To Active Destabilization Of Balance During Voluntary Head Turns In The Standing Cat, Paul Stapley, Lena Ting, Chen Kuifu, Dirk Everaert, Jane Macpherson

Dr Paul J Stapley

The purpose of this study was to determine the source of postural instability in labyrinthectomized cats during lateral head turns. Cats were trained to maintain the head in a forward orientation and then perform a rapid, large-amplitude head turn to left or right in yaw, while standing freely on a force platform. Head turns were biomechanically complex with the primary movement in the yaw plane accompanied by an ipsilateral ear-down roll and nose-down pitch. Cats used a strategy of pushing off by activating extensors of the contralateral forelimb while using all four limbs to produce a rotational moment of force …


Activity Counts From Accelerometers Do Not Add Value To Energy Expenditure Predictions In Sedentary Overweight Individuals During Weight Loss Interventions, Sze Yen Tan, Marijka Batterham, Linda C. Tapsell Nov 2012

Activity Counts From Accelerometers Do Not Add Value To Energy Expenditure Predictions In Sedentary Overweight Individuals During Weight Loss Interventions, Sze Yen Tan, Marijka Batterham, Linda C. Tapsell

Dr Marijka Batterham

Background: Knowing the total energy expenditure (TEE) of overweight adults is important for prescribing weight loss interventions. However, objective measurements of TEE may not always be readily available and can be expensive. This study aimed to investigate the validity of RT3 accelerometers in predicting the TEE of sedentary overweight adults, and to identify any sensitivity to anthropometric changes. Methods: The analysis used data from a 12-week weight loss study. At baseline and 12-week, TEE was predicted using RT3 accelerometers during whole room calorimeter stays. Bias between 2 methods was compared at and between the baseline and 12-week measurement points. Multiple …


Increased Intake Of Dietary Polyunsaturated Fat Does Not Promote Whole Body Or Preferential Abdominal Fat Mass Loss In Overweight Adults, Sze-Yen Tan, Marijka Batterham, Linda Tapsell Nov 2012

Increased Intake Of Dietary Polyunsaturated Fat Does Not Promote Whole Body Or Preferential Abdominal Fat Mass Loss In Overweight Adults, Sze-Yen Tan, Marijka Batterham, Linda Tapsell

Dr Marijka Batterham

Objective: There is evidence that increasing the proportion of polyunsaturated fatty acids (PUFA) in a diet can enhance the rate of fat oxidation acutely. Higher PUFA in a diet has also been associated with greater abdominal fat loss in longer term studies. This study aimed to investigate if higher PUFA intake would result in greater fat mass loss over a 12-week period, mainly from the abdominal region. Methods: Data at the 12-week time point from two weight loss studies, both comparing high PUFA versus low PUFA diets was, accessed for 141 overweight subjects from the same area. Specifically, data on …


Short Term Effects Of Energy Restriction And Dietary Fat Sub-Type On Weight Loss And Disease Risk Factors, Linda C. Tapsell, Marijka Batterham, Xu-Feng Huang, Sze Yen Tan, Grigorijs Teuss, Karen E. Charlton, Jane E. O'Shea, Eva M. Warensjo Sep 2012

Short Term Effects Of Energy Restriction And Dietary Fat Sub-Type On Weight Loss And Disease Risk Factors, Linda C. Tapsell, Marijka Batterham, Xu-Feng Huang, Sze Yen Tan, Grigorijs Teuss, Karen E. Charlton, Jane E. O'Shea, Eva M. Warensjo

Xu-Feng Huang

Background and aims: Decreasing energy intake relative to energy expenditure is the indisputable tenet of weight loss. In addition to caloric restriction modification of the type of dietary fat may provide further benefits. The aim of the present study was to examine the effect of energy restriction alone and with dietary fat modification on weight loss and adiposity, as well as on risk factors for obesity related disease. Methods and results: One-hundred and fifty overweight men and women were randomized into a 3 month controlled trial with four low fat (30% energy) dietary arms: (1) isocaloric (LF); (2) isocaloric with …


Increased Intake Of Dietary Polyunsaturated Fat Does Not Promote Whole Body Or Preferential Abdominal Fat Mass Loss In Overweight Adults, Sze-Yen Tan, Marijka Batterham, Linda Tapsell Jul 2012

Increased Intake Of Dietary Polyunsaturated Fat Does Not Promote Whole Body Or Preferential Abdominal Fat Mass Loss In Overweight Adults, Sze-Yen Tan, Marijka Batterham, Linda Tapsell

L. C. Tapsell

Objective: There is evidence that increasing the proportion of polyunsaturated fatty acids (PUFA) in a diet can enhance the rate of fat oxidation acutely. Higher PUFA in a diet has also been associated with greater abdominal fat loss in longer term studies. This study aimed to investigate if higher PUFA intake would result in greater fat mass loss over a 12-week period, mainly from the abdominal region.

Methods: Data at the 12-week time point from two weight loss studies, both comparing high PUFA versus low PUFA diets was, accessed for 141 overweight subjects from the same area. Specifically, data on …


Activity Counts From Accelerometers Do Not Add Value To Energy Expenditure Predictions In Sedentary Overweight Individuals During Weight Loss Interventions, Sze Yen Tan, Marijka Batterham, Linda C. Tapsell Jul 2012

Activity Counts From Accelerometers Do Not Add Value To Energy Expenditure Predictions In Sedentary Overweight Individuals During Weight Loss Interventions, Sze Yen Tan, Marijka Batterham, Linda C. Tapsell

L. C. Tapsell

Background: Knowing the total energy expenditure (TEE) of overweight adults is important for prescribing weight loss interventions. However, objective measurements of TEE may not always be readily available and can be expensive. This study aimed to investigate the validity of RT3 accelerometers in predicting the TEE of sedentary overweight adults, and to identify any sensitivity to anthropometric changes. Methods: The analysis used data from a 12-week weight loss study. At baseline and 12-week, TEE was predicted using RT3 accelerometers during whole room calorimeter stays. Bias between 2 methods was compared at and between the baseline and 12-week measurement points. Multiple …


Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda C. Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones Jul 2012

Start Date May Predict Attrition 6 Months Into A 12mth Dietary Intervention Weight Loss Trial, Jane O'Shea, Linda C. Tapsell, Marijka Batterham, Karen Charlton, Yasmine Probst, Rebecca Thorne, Qingsheng Zhang, Holley Jones

L. C. Tapsell

Participant recruitment is a difficult and time consuming aspect of clinical trials, often resulting in delays and budget overruns. Having reached recruitment targets the next challenge is participant retention. Some weight-loss studies have attrition rates around 60% which may introduce bias in the results. It may be possible to reduce attrition rates if known predictors can be found but to date few studies produced consistent results. The aim of this exploratory study was to determine whether start date could be a predictor of attrition for participants involved in the SMART weight loss clinical trial (ACTRN12608000425392). Recruitment for the trial occurred …


Bereavement In The Modern Western World, David San Filippo Ph.D. Jan 2007

Bereavement In The Modern Western World, David San Filippo Ph.D.

David San Filippo Ph.D.

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …