Eating disorder evaluation

Although evaluation of obesity is important, the elucidation of patterns of eating behavior is the critical component in the assessment of eating-disordered obese patients. Unfortunately, it is just this aspect of the evaluation that is most often neglected in treatment programs that too narrowly focus on weight reduction. If a careful history is obtained, then BED is not difficult to diagnose. 

Wilson, G.T. and Smith D. (1989) Assessment of bulimia nervosa an evaluation of the eating disorders examination. Int/ Eat Disord 8 173-179. 

The heats of formation of equiatomic AB transition-metal alloys may be predicted by generalizing the rectangular d band model for the elements to the case of disordered binary systems, as illustrated in the lower panel of Fig. 7.13. Assuming that the A and transition elements are characterized by bands of width WA and WB, respectively, then they will mix together in the disordered AB alloy to create a common band with some new width, WAB. The alloy bandwidth, WAB may be related to the elemental bond integrals, hAA and , and the atomic energy level mismatch, AE — EB — EAt by evaluating the second moment of the total alloy density of states per atom ab( ), namely... 

Carney CP, Anderson AE. Eating disorders Guide to medical evaluation and complications. Psychiatr Clin North Am 1996 19 657-679. 

Anticonvulsdnts. An early observation that BN patients may have abnormal electroencephalogram (EEG) resnlts led to specnlation that binge eating may represent an atypical behavioral presentation of seiznre activity. Thus, the first controlled medication study for the treatment of BN evaluated the use of the antiseizure medication phenytoin (Dilantin). Phenytoin was not found to be significantly superior to placebo, and the earlier reports of EEG abnormalities were not confirmed. The results of a subsequent trial of carbamazepine (Tegretol), an anticonvulsant that has been reported to be effective in the treatment of bipolar disorder, were also disappointing. As a result, anticonvulsants are not routinely used in the treatment of BN. 

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