Too big to swallow.

نویسنده

  • Susan M Sawyer
چکیده

The failure of current treatment approaches to severe obesity has resulted in significant investment by the scientific community to develop new treatments for this challenging health problem. Any new treatment must be scientifically tested to determine its potential role and any innovation in healthcare can be associated with moral and ethical challenges. This reflective piece is based on the experience of running the first randomised controlled trial to compare laparoscopic adjustable gastric banding to an intensive behaviourally-based intervention in adolescents with severe obesity during which many moral and ethical concerns were articulated by other health professionals. Five different types of responses are described (preventers, druggies, deferrers, slippery slopers and simplifiers). While raising important concerns, these responses also deflect attention from the urgent need to develop and test new treatments for the most severely obese adolescents. The stigma of obesity is posed as an underlying yet unaddressed issue.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Effects of Too-Big-to-fail Banks on Depositors' Behavior

In the wake of recent financial crisis, large banks have been considered as important factors in financial markets in the world, since these bankschr(chr('39')39chr('39')) failure could affect the whole economy by extending systemic risk. With regard to this issue, when large banks face insolvency or bankruptcy, larger part of economy would be affected, and with the interconnectedness between b...

متن کامل

Pill Properties that Cause Dysphagia and Treatment Failure

BACKGROUND Pills (tablets and capsules) are widely used to administer prescription drugs or to take supplements such as vitamins. Unfortunately, little is known about how much effort it takes Americans to swallow these various pills. More specifically, it is not known to what extent hard-to-swallow pills might affect treatment outcomes (eg, interfering with adherence to prescribed medications o...

متن کامل

Analyzing Breathing Signals and Swallow Sequence Locality for Solid Food Intake Monitoring

Self-reported questionnaires are widely used by researchers for analyzing the dietary behavior of overweight and obese individuals. It has been established that questionnaire-based data collection often suffers from high errors due to its reporting subjectivity. Automatic swallow detection, as an alternative to questionnaires, is proposed in this paper to avoid such subjectivity. Existing appro...

متن کامل

مقایسه ارزش تشخیص سونوگرافی با بلع باریوم در بیماران مشکوک به ریفلاکس معده به مری در کودکان

One of the common problems in children and specially in infants is gasteroesophageal reflux (G.E.R). Present study was performed to compare diagnostic value of lower esophageal sonography with barium swallow. This study was conducted on 50 patients 1 month to 15 years age in center of pediatric clinic of Tehran, during the years 1999-2000. Patients suspected to have G.E.R studied with lower eso...

متن کامل

Commentary: Are the proposed benefits of melatonin-rich foods too hard to swallow?

Citation: Iriti M and Varoni EM (2016) Commentary: Are the proposed benefits of melatonin-rich foods too hard to swallow? Front. Nutr. 3:2. Commentary: are the proposed benefits of melatonin-rich foods too hard to swallow? A commentary on Are the proposed benefits of melatonin-rich foods too hard to swallow? by Kennaway DJ. Even if the discovery of melatonin in plants dates back to 1995 (1, 2),...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of paediatrics and child health

دوره 47 9  شماره 

صفحات  -

تاریخ انتشار 2011