Is binge eating experienced as an addiction

Abstract To ascertain to what degree binge eating is experienced as an addiction, this study examined the proportion of women with bingeeating disorder (BED) whose symptoms met criteria for an addiction. Women (N ¼ 79) with current BED completed a structured telephone interview to assess for symptoms of a modified version of DSM-IV substance dependence and Goodman's [(1990). Addiction: Definition and implications. British Journal of Addiction, 85, 1403-1408] proposed diagnosis of 'addictive disorder'. Most binge eaters (92.4%) met modified DSM-IV criteria for substance dependence, whereas many fewer (40.5%) met Goodman's more restrictive criteria for addictive disorder. Women meeting criteria for addictive disorder had more frequent eating binges than those who did not. Despite certain observed similarities between binge eating and addictions, we argue that BED should remain classified as an eating disorder.

Relationship of morpho-sedimentological variations to the fate of Hg- and Zn-polluted sediments in the contaminated site of Porto Marghera, Lagoon of Venice, Italy.

New data collected from twenty-six sites during 2008 in the contaminated Site of National Interest (SIN) of Porto Mar- ghera within the Lagoon of Venice (Italy), which has been affected by the presence of an industrial zone for the last 80 years, were compared with data from a campaign performed in the same site 30 years before (1976-1978). The SIN was found to be heavily polluted in the earlier study, and several tons of Hg and Zn are still stored in soils and industrial channel sediments, potentially affecting the lagoon part of the SIN. Bathymetric variations, grain-size, Hg and Zn con- tent in sediments were analysed. The severe contamination of the late 1970s (Hg 1.7 µg/g; Zn 754 µg/g) had fallen by the late 2000s (Hg 0.9 µg/g; Zn 225 µg/g). The fall in Hg and Zn contamination over the 30-year period was mainly linked to the patterns of geomorphological change inside the SIN that affected two distinct sub-areas: 1) a stable-depo- sitional (SD) area in the Northern part, which exerted a “dilution” effect on contaminants, with significant deposition (~11%) of coarse-grained sediments (63 - 8 µm), and 2) an area characterised by moderate-to-severe-erosion (MSE) to the South, which saw the loss (~13%) of pollutant-bearing fine-grained sediments (<8 µm). A budget calculation in the MSE sub-area showed a loss of ~2.5 tons for Hg and ~700 tons for Zn over three decades, most of which was exported to other parts of the LV or at the open sea. A similar amount is still stored in the SD area, which will be subject to ero- sion if hydrodynamic conditions change in the future. This study provides useful support to decision-making systems by helping to select hot-spots for remediation measures

Multifactorial neutropenia in a patient with acute promyelocytic leukemia and associated large granular lymphocyte expansion: A case report

Neutropenia in the setting of acute hematological malignancies may impact disease prognosis, thus affecting therapy dose intensity. This is often due to chemotherapy\u2011induced aplasia as well as to the disease itself. However, chronic neutropenia deserves further investigation, as the management of reversible concomitant causes may avoid treatment delay. The present study describes a case of an acute promyelocytic leukemia patient with chronic severe neutropenia of multifactorial origin, including acute leukemia itself, chemotherapy, autoimmune activation with anti\u2011platelets and anti\u2011neutrophil antibodies positivity, and the rare association of large granular lymphocyte (LGL) expansion. As neutropenia may challenge the diagnosis and treatment of acute malignancies, clinicians and hematopathologists must discuss the differential diagnosis in order to avoid misdiagnosing and undertreating concomitant diseases. In particular, LGL chronic expansion and autoimmunity should be considered

Should wheat, barley, rye, and/or gluten be avoided in a 6-food elimination diet?

Eosinophilic esophagitis (EoE), a food antigen-mediated disease, is effectively treated with the dietary elimination of six foods commonly associated with food allergies (milk, wheat, egg, soy, tree nuts/peanuts and fish/shellfish). Because wheat shares homologous proteins (including gluten) with barley and rye and may also be processed with these grains, some clinicians have suggested barley and rye may also trigger EoE as a result of cross-reaction and/or cross-contamination with wheat. In this opinion paper, we discuss the theoretical risks of cross-reactivity and cross-contamination among wheat, barley, and rye proteins (including gluten), assess common practices at EoE treatment centers, and provide recommendations for dietary treatment and future studies of EoE

Accommodation and vergence response gains to different near cues characterize specific esotropias

Aim. To describe preliminary findings of how the profile of the use of blur, disparity and proximal cues varies between non-strabismic groups and those with different types of esotropia. Design. Case control study Methodology. A remote haploscopic photorefractor measured simultaneous convergence and accommodation to a range of targets containing all combinations of binocular disparity, blur and proximal (looming) cues. 13 constant esotropes, 16 fully accommodative esotropes, and 8 convergence excess esotropes were compared with age and refractive error matched controls, and 27 young adult emmetropic controls. All wore full refractive correction if not emmetropic. Response AC/A and CA/C ratios were also assessed. Results. Cue use differed between the groups. Even esotropes with constant suppression and no binocular vision (BV) responded to disparity in cues. The constant esotropes with weak BV showed trends for more stable responses and better vergence and accommodation than those without any BV. The accommodative esotropes made less use of disparity cues to drive accommodation (p=0.04) and more use of blur to drive vergence (p=0.008) than controls. All esotropic groups failed to show the strong bias for better responses to disparity cues found in the controls, with convergence excess esotropes favoring blur cues. AC/A and CA/C ratios existed in an inverse relationship in the different groups. Accommodative lag of >1.0D at 33cm was common (46%) in the pooled esotropia groups compared with 11% in typical children (p=0.05). Conclusion. Esotropic children use near cues differently from matched non-esotropic children in ways characteristic to their deviations. Relatively higher weighting for blur cues was found in accommodative esotropia compared to matched controls