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News Article | April 19, 2017

American Friends of Soroka Medical Center, will host its annual gala with a dinner celebrating the fashion industry on April 26th at the Pierre Hotel in New York City. Proceeds raised during this event will support their women’s health projects across the Negev including Soroka’s Breast Health Center, Negev Center for Eating Disorders, and the Saban Birth and Maternity Center. This year Dan Abrams, chief legal affairs anchor for ABC News returns as Master of Ceremonies. "Soroka Medical Center serves as a model of peaceful coexistence for the world,” remarks Dan Abrams, chief legal affairs anchor for ABC News, “I admire the unique pioneering spirit in Soroka, and in its incredibly talented and devoted team.” During a special tribute Soroka will honor its American founding father, David Dubinsky. David’s numerous achievements include raising funds to build the hospital’s early facilities in 1959. His bold leadership, commitment to humanitarianism, and women’s health in the workplace earned him the Presidential Medal of Freedom in 1969. Dubinsky will be awarded the Statesman for Israel award, which will be accepted by his granddaughter Ryna Appleton Segal. Sonia Gardner will receive the inaugural Dubinsky Humanitarian Award. Gardner is president, managing partner, and co-founder of Avenue Capital Group. She is a noted humanitarian committed to women’s issues, healthcare, and social justice. “Workers do not live by bread alone… My grandfather believed in caring for the whole person and made sure the ILGWU and AFL-CIO worked to do just that,” recalls Ryna Appleton Segal, David Dubinsky’s granddaughter. “He believed that good health was fundamental to building an engaged citizenship, the ILGWU was the first in our nation to establish a union health center serving as a model for the country and the world.” Shouly and Abraham Maslavi of family-owned Jovani Fashions will receive the Fashion Industry Leadership Award. Jovani Fashions is based in the heart of New York City’s garment district and is world-renowned for exquisitely designed special occasion dresses. The Maslavi family will be recognized for their passionate support for Soroka Medical Center in Israel. Opera singer David Serero will serenade guests throughout the evening. Bellucci Napoli will hold a special fashion presentation featuring their bespoke men’s suiting. Also a silent auction featuring a rare Judith Leiber clutch will provide bidding guest with a plethora of items and exclusive get-a-ways to reward their charitable contributions. Tickets are available for purchase at the American Friends of Soroka Medical Center’s website or by contacting Rachel Heisler, Executive Director of AFSMC by calling 914-725-9070. American Friends of Soroka Medical Center is a New York State 501(c)3 nonprofit corporation. For more information, visit: The Soroka Medical Center is located in Be’er Sheva, and is one of Israel’s largest and most strategic hospitals, in one of the country’s most diverse areas. The sole major medical center for the entire Negev, Soroka serves over one million residents, including over 400,000 children, in an area that comprises 60% of Israel’s land. They offer recognized excellence and innovation across the entire medical spectrum: prevention, research, diagnosis, education and integrated care for all medical areas including cancer, genetics, brain and trauma. Soroka is essential to meeting the medical needs of the Israel Defense Forces. Soroka is a pure symbol of peaceful coexistence providing exceptional healthcare for all, regardless of race, religion or politics. With 17,000 babies born here last year, Soroka’s department of Obstetrics and Gynecology is the busiest in Israel with extraordinary staff and stellar outcomes for our patients. Their world-class team’s very strong focus on research delivers state-of-the-art care. From the Saban Family Foundation Birth & Maternity Center to the unique Negev Center for Eating Disorders, Soroka makes a real difference in the lives of the women of Israel’s south and their families.

Neimeijer R.A.M.,University of Groningen | Neimeijer R.A.M.,Center for Eating Disorders | de Jong P.J.,University of Groningen | Roefs A.,Maastricht University
Appetite | Year: 2015

Objective: The aim of the present study was to investigate the role of automatic approach/avoidance tendencies for food in Anorexia Nervosa (AN). We used a longitudinal approach and tested whether a reduction in eating disorder symptoms is associated with enhanced approach tendencies towards food and whether approach tendencies towards food at baseline are predictive for treatment outcome after one year follow up. Method: The Affective Simon Task-manikin version (AST-manikin) was administered to measure automatic approach/avoidance tendencies towards high-caloric and low-caloric food in young AN patients. Percentage underweight and eating disorder symptoms as indexed by the EDE-Q were determined both during baseline and at one year follow up. Results: At baseline anorexia patients showed an approach tendency for low caloric food, but not for high caloric food, whereas at 1 year follow up, they have an approach tendency for both high and low caloric food. Change in approach bias was neither associated with change in underweight nor with change in eating disorder symptoms. Strength of approach/avoidance tendencies was not predictive for percentage underweight. Discussion: Although approach tendencies increased after one year, approach tendencies were neither associated with concurrent change in eating disorder symptoms nor predictive for treatment success as indexed by EDE-Q. This implicates that, so far, there is no reason to add a method designed to directly target approach/avoidance tendencies to the conventional approach to treat patients with a method designed to influence the more deliberate processes in AN. © 2015 Elsevier Ltd.

Jonker N.C.,University of Groningen | Ostafin B.D.,University of Groningen | Glashouwer K.A.,University of Groningen | Glashouwer K.A.,Center for Eating Disorders | And 2 more authors.
Addictive Behaviors | Year: 2014

Reward sensitivity and to a lesser extent punishment sensitivity have been found to explain individual differences in alcohol use. Furthermore, many studies showed that addictive behaviors are characterized by impaired self-regulatory processes, and that individual differences related to alcohol use are moderated by executive control. This is the first study that explores the potential moderating role of executive control in the relation between reward and punishment sensitivity and alcohol use. Participants were 76 university students, selected on earlier given information about their alcohol use. Half of the participants indicated to drink little alcohol and half indicated to drink substantial amounts of alcohol. As expected, correlational analyses showed a positive relationship between reward sensitivity and alcohol use and a negative relation between punishment sensitivity and alcohol use. Regression analysis confirmed that reward sensitivity was a significant independent predictor of alcohol use. Executive control moderated the relation between punishment sensitivity and alcohol use, but not the relation between reward sensitivity and alcohol use. Only in individuals with weak executive control punishment sensitivity and alcohol use were negatively related. The results suggest that for individuals with weak executive control, punishment sensitivity might be a protective factor working against substantial alcohol use. © 2013 Elsevier Ltd.

News Article | November 30, 2016

CHAPEL HILL, NC - Eight years ago, researchers at the University of North Carolina at Chapel Hill launched a new kind of clinical trial to compare the effectiveness of online therapy - delivered through group chat sessions - to face-to-face group therapy for the treatment of bulimia nervosa, an eating disorder marked by recurrent episodes of binge eating (or eating an unusually large amount of food and feeling out of control) coupled with purging behaviors such as vomiting, laxative abuse, or excessive exercise. Now results from the study, published online by the journal Psychotherapy and Psychosomatics, show that online group therapy can be just as effective as face-to-face treatment, although the pace of recovery may be slower. "Bulimia nervosa is a devastating and sometimes deadly illness, and research has shown for years that cognitive-behavioral therapy (CBT) for bulimia is the most effective treatment, said Stephanie Zerwas, PhD, first author of the study, associate professor of psychiatry in the UNC School of Medicine, and clinical director of the UNC Center of Excellence for Eating Disorders. "I know that too many people have to travel for hours to find expert eating disorders treatment. Online treatment could help us bridge that gap." In the study, 179 adults started 16 sessions of group therapy with a therapist at one of two study sites: UNC-Chapel Hill and Western Psychiatric Institute and Clinic (WPIC) of the University of Pittsburgh Medical Center. Assignment to either the online group or the traditional face-to-face group was completely random. Researchers compared the results of the two groups at the end of treatment, and then again 12 months later. Immediately after treatment, the face-to-face group produced better results than the online group, when it came to helping patients reach a point where they were completely free of binge eating and purging. But by the 12-month follow-up, the gap in treatment results between the two groups had narrowed dramatically; neither method of delivery (online versus face-to-face therapy) was better than the other. "We have evidence-based treatments that are effective for many people with bulimia, but many people don't have access to specialist care," said Cynthia M. Bulik, PhD, Distinguished Professor of Eating Disorders at UNC, founding director of the UNC Center of Excellence for Eating Disorders, and director of the Center for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. "This study encourages us to use technology to bring treatment to the patients who can't come to us." This study was funded by the National Institute of Mental Health with additional funding from the Alexander von Humboldt Foundation. In addition to Drs. Zerwas and Bulik, authors of the study were Hunna J. Watson, Sara M. Hofmeier, Michele D. Levine, Robert M. Hamer, Ross D. Crosby, Cristin D. Runfola, Christine M. Peat, Jennifer R. Shapiro, Benjamin Zimmer, Markus Moessner, Hans Kordy, and Marsha D. Marcus.

News Article | December 13, 2016

DENVER, CO--(Marketwired - December 13, 2016) - Denver Health has announced Margherita Mascolo, MD, as the new medical director of the ACUTE Center for Eating Disorders, Denver Health's medical stabilization unit for the most critically ill patients suffering from anorexia and bulimia nervosa. Dr. Mascolo has served ACUTE in multiple roles since the program's inception in 2008 including as a full-time dedicated physician, assistant medical director and interim medical director. "After a national search, it makes perfect sense that our new leader is one of our own," said Philip S. Mehler, MD, FACP, FAED, CEDS, Founder and Executive Medical Director of ACUTE. "Dr. Mascolo has been a valued member of the ACUTE team since its beginning in 2008 and has quickly developed a reputation as one of the country's leading experts in the medical care of patients with severe eating disorders. We are fortunate to have a medical director uniquely positioned to lead ACUTE's multidisciplinary clinical team and its research activities." As Medical Director, Dr. Mascolo will continue to be an attending physician on the unit caring for ACUTE's delicate patient population. She will also oversee the clinical and administrative aspects of the unit, present at industry conferences and national speaking events, and help foster ACUTE's national referral base. She will continue to work closely with Dr. Phil Mehler in his role as executive medical director to provide compassionate, live-saving medical care for patients suffering from severe eating disorders and the resultant medical complications. Moreover, Dr. Mascolo will continue ACUTE's commitment to medical research and generating scientific publications. Dr. Mascolo completed her undergraduate work at the University of St. Thomas in Houston, Texas and earned her medical degree at the University of Texas Health Sciences Center. She completed her residency in Internal Medicine at the University of Colorado in Denver. She is board certified in Internal Medicine and is an Associate Professor in the Department of Medicine at the University of Colorado. Dr. Mascolo has published multiple peer reviewed articles on the medical complications of eating disorders and is currently working to complete her Certified Eating Disorder Specialist certification. The ACUTE Center for Eating Disorders at Denver Health offers comprehensive stabilization and expert care for the most medically compromised eating disorder patients. Patients are offered the best in medical treatment, a compassionate and experienced nursing staff, individual psychotherapy and comprehensive discharge planning to help them on their path to recovery. The ACUTE Center is tailored to help both men and women who cannot seek care in a traditional inpatient or residential treatment setting due to the severity of their weight loss or other medical complications.

Mascolo M.,Center for Eating Disorders | Mascolo M.,University of Colorado at Denver | Trent S.,Denver Health | Colwell C.,Denver Health | And 2 more authors.
International Journal of Eating Disorders | Year: 2012

Objective: In this article, we will examine the most common emergency department presentations of eating disorder patients, review the pathophysiologic changes that lead to such presentations, and discuss the appropriate management of each patient. Method: Literature review of current practices. Results: This article serves as a guide for ED physicians caring for patients with eating disorders. It can also serve to improve communication between mental health specialists and emergency room physicians when transferring care of a patient to the ED. Discussion: Patients with anorexia and bulimia nervosa present to ED with a multitude of vague complaints. It is crucial for ED physicians to recognize that such complaints stem from an underlying eating disorder to understand the pathophysiology behind such complaints. This in turn will lead to appropriate management of patient symptoms, which can often be complex for the provider and stressful for the patient. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012) Copyright © 2012 Wiley Periodicals, Inc.

Holmes S.R.M.,Denver Health | Gudridge T.A.,Denver Health | Gaudiani J.L.,University of Colorado at Denver | Gaudiani J.L.,Center for Eating Disorders | And 2 more authors.
International Journal of Eating Disorders | Year: 2012

Objective: The purpose of this case report is to increase awareness among clinicians that oropharyngeal dysphagia occurs in patients with severe anorexia nervosa, placing them at risk for aspiration and impeding nutritional rehabilitation. Method: We describe a patient with severe anorexia nervosa who manifested symptoms of dysphagia, with resultant aspiration pneumonia, at the time of her admission for medical stabilization. Results: The speech pathology team administered dysphagia therapy, using neuromuscular electrical stimulation (NMES) in conjunction with swallowing therapy. Following the course of dysphagia treatment intervention, the patient was able to tolerate an oral diet with improved swallowing function and no ongoing aspiration. Discussion: Patients with severe anorexia nervosa should be screened for possible dysphagia. NMES in the treatment of dysphagia in patients with anorexia nervosa may reduce the need for enteral feeds and prolonged hospitalization. © 2012 Wiley Periodicals, Inc.

Trent S.A.,Denver Health Medical Center | Moreira M.E.,Denver Health Medical Center | Colwell C.B.,Denver Health Medical Center | Mehler P.S.,Center for Eating Disorders
American Journal of Emergency Medicine | Year: 2013

Background Eating disorders are one of the "great masqueraders" of the twenty-first century. Seemingly healthy young men and women with underlying eating disorders present to emergency departments with a myriad of complaints that are not unique to patients with eating disorders. The challenge for the Emergency Medicine physician is in recognizing that these complaints result from an eating disorder and then understanding the unique pathophysiologic changes inherent to these disorders that should shape management in the emergency department. Objective In this article, we will review, from the perspective of the Emergency Medicine physician, how to recognize patients with anorexia and bulimia nervosa, the medical complications and psychiatric comorbidities, and their appropriate management. Conclusions Anorexia and bulimia nervosa are complex psychiatric disorders with significant medical complications. Recognizing patients with eating disorders in the ED is difficult, but failure to recognize these disorders, or failure to manage their symptoms with an understanding of their unique underlying pathophysiology and psychopathology, can be detrimental to the patient. Screening tools, such as the SCOFF questionnaire, are available for use by the EM physician. Once identified, the medical complications described in this article can help the EM physician tailor management of the patient to their underlying pathophysiology and effectuate a successful therapeutic intervention. © 2013 Elsevier Inc.

Dooley-Hash S.,University of Michigan | Dooley-Hash S.,Center for Eating Disorders | Banker J.D.,Center for Eating Disorders | Walton M.A.,University of Michigan | And 2 more authors.
International Journal of Eating Disorders | Year: 2012

Objective: This study describes the rates of eating disorders in patients who present to the emergency department (ED) for any reason and examines the relationship between eating disorders, depression, and substance use in these patients. Method: ED patients aged 14-20 years (n = 942) completed a computerized questionnaire. Analyses were conducted comparing individuals who screened positive for an eating disorder with those who did not based on demographics (gender, age, race, and public assistance), body mass index, substance use, and depression. Results: Sixteen percent of patients screened positive for an eating disorder. These patients were more likely to also screen positive for depression and substance use. Males accounted for 26.6% of all eating disorders, and no difference was seen in rates across ethnic or income groups. Discussion: Eating disorders are common amongst all patients aged 14-20 years presenting to the ED and are associated with high rates of psychiatric comorbidity. © 2012 by Wiley Periodicals, Inc.

Holmes S.R.M.,Center for Eating Disorders | Gudridge T.A.,Center for Eating Disorders | Gaudiani J.L.,Center for Eating Disorders | Mehler P.S.,Center for Eating Disorders
Annals of Otology, Rhinology and Laryngology | Year: 2012

Objectives: In severe anorexia nervosa, there are a litany of medical complications that affect virtually every body system, and severe weakness is a typical characteristic. To our knowledge, aspiration risk, dysphagia recognition, and dysphagia management and intervention have not been well described in the literature in regard to severe anorexia nervosa. The purpose of this case series is to increase awareness among clinicians of possible oropharyngeal dysphagia symptoms that may present in patients with severe anorexia nervosa. Methods: We describe the cases of 3 patients with severe anorexia nervosa who presented with symptoms of dysphagia. The speech-language pathology team administered dysphagia therapy to the 3 patients utilizing neuromuscular electrical stimulation (NMES) in conjunction with swallowing therapy tasks that included strengthening exercises and compensatory strategies. Results: After the course of dysphagia treatment intervention, the 3 patients were able to tolerate an oral diet with improved swallowing function and no ongoing aspiration. Conclusions: The use of NMES in conjunction with traditional swallowing exercises in the treatment of dysphagia in patients with anorexia nervosa may reduce the need for enteral feeding and prolonged hospitalization. In regard to dysphagia intervention and management within this population and across other populations, rigorous randomized controlled studies are necessary for determining the efficacy of NMES and traditional swallowing therapy implementation. © 2012 Annals Publishing Company. All rights reserved.

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