Treatment of Obesity in Mentally Retarded Persons: The Rehabilitator\u27s Role

Obesity is a common problem for the mentally retarded and nonretarded populations. Prevalence estimates ranging from 40 to 80 million obese Americans have been reported. The relationship between obesity and cardiovascular disease, diabetes mellitus, and other health related problems is strong. Also, the greater the degree of obesity, the higher the risk of medical problems. In addition to the health problems associated with obesity, the obese mentally retarded person is likely to be the object of increased social prejudice and nonacceptance as a result of being mentally retarded and obese. Fortunately, this solution does not need to be an intractable one. Van Itallie cited studies reporting a positive influence for weight reduction on health. Another treatment goal has been enhanced self-esteem. Given these promising outcomes for weight reduction, the field of obesity has witnessed an explosion of diet programs and exercise regimes to promote weight loss. These programs have varied in their initial success but nearly all have failed to produce long-term maintenance of weight loss. The application of behavioral procedures to the problem of obesity has produced more promising results. This approach has also been successfully extended to the mentally retarded population. This article describes the treatment rationale and procedures for a behavioral self-control package that has been developed for the obese retarded population. Implications of this approach for professionals concerned with rehabilitation efforts for mentally retarded persons will be delineated

Synchronized flow and wide moving jams from balanced vehicular traffic

Recently we proposed an extension to the traffic model of Aw, Rascle and Greenberg. The extended traffic model can be written as a hyperbolic system of balance laws and numerically reproduces the reverse $\lambda$ shape of the fundamental diagram of traffic flow. In the current work we analyze the steady state solutions of the new model and their stability properties. In addition to the equilibrium flow curve the trivial steady state solutions form two additional branches in the flow-density diagram. We show that the characteristic structure excludes parts of these branches resulting in the reverse $\lambda$ shape of the flow-density relation. The upper branch is metastable against the formation of synchronized flow for intermediate densities and unstable for high densities, whereas the lower branch is unstable for intermediate densities and metastable for high densities. Moreover, the model can reproduce the typical speed of the downstream front of wide moving jams. It further reproduces a constant outflow from wide moving jams, which is far below the maximum free flow. Applying the model to simulate traffic flow at a bottleneck we observe a general pattern with wide moving jams traveling through the bottleneck.Comment: 10 pages, 12 figure