Some clinicians warn against pickle juice (PJ) ingestion due to its sodium. PJ drinking guidelines have been developed but never tested. The purpose of this study was to determine if drinking PJ, hypertonic saline (HS), or deionized water (DIW) affected ad libitum DIW ingestion, plasma variables, or perceptions of thirst, fullness, or nausea (perceptual indicators). On three days, subjects were dehydrated (~2%), given one of three treatment drinks, rated its palatability, and rehydrated with DIW ad libitum. Over 60 minutes of rehydration blood samples and perceptual indicators were collected. Subjects consumed more DIW ad libitum following HS and PJ than DIW. Plasma variables and perceptions of thirst, fullness and nausea didn’t differ between treatment drinks. The rationale behind PJ drinking guidelines is questionable. Subjects drink more, not less, after PJ ingestion. Plasma variables and perceptual indicators didn’t differ between PJ and DIW. Athletes should schedule their drinking to fully rehydrate.

Thesis (M.S.)--University of North Texas, August, 2008. / Title from title page display. Includes bibliographical references.

Thesis (Ph. D.)--University of North Texas, May, 2009. / Title from title page display. Includes bibliographical references.

Thesis (M.A.)--Rowan University, 2009. / Typescript. Includes bibliographical references.

Thesis (M. Communication Pathology)--University of Pretoria, 2000. / Summary in English and Afrikaans. Includes bibliographical references.

Efficacy of multidisciplinary inpatient treatment of feeding disordered children was sought through retrospective chart review of 40 G-tube dependent children ages 22 months to 7 years. Premature births were 55% of the sample ranging from 23 to 36 weeks gestation. The majority of co-occurring medical conditions included congenital anomalies (50%), gastroesophageal reflux disease (25%) and chronic lung disease (25%). Treatment effect analyzed from pre and post treatment measures of oral and G-tube caloric intakes resulted in a significant difference from admission to discharge for both oral intake, t (39) = 5.76, p < 0.001, d = 1.02, and G-tube dependency, t(39) = 10.94, p < 0.001, d = 2.03 with both showing strong treatment effects. Results indicated a highly reliable and valid method of treating severe pediatric feeding disorders.

Please read the abstract in the section 00front of this document / Dissertation (MA (Communication Pathology))--University of Pretoria, 2007. / Speech-Language Pathology and Audiology / unrestricted

The current study investigated the relationship between principles of social learning theory and binge eating episodes in 31 normal weight bulimic women. Participants were asked to monitor the following: (1) levels of self-efficacy related to resisting the urge to binge and/or purge as well as levels of self-efficacy related to handling stressful events, (2) mood states, (3) enjoyment of daily activities, (4) number of stressful events, and (5) number of binging and purging episodes. Participants were asked to monitor these events four times a day for seven days. Measures of locus of control and enjoyment ratings of binging and purging were also gathered prior to monitoring. Results indicated that components of social learning theory predict number of binging and purging episodes. The best predictors were a combination frequency of binging, lowered levels of self-efficacy to resist the urge to binge, and having a general tendency to not feel in control of one's response-outcomes. However, heterogeneity within the group was apparent in that the predictive models failed to significantly predict binging and purging for all participants. It was also the case that there were differences in predictors of binging and purging on an individual level of analysis. For all individuals, self-efficacy to resist the urge to binge/purge was the only consistent predictor of these episodes. For four individuals, frequency of prior binging was an important predictor. Post-hoc analyses suggest that for the group as a whole self-efficacy expectancies affect current behavior more than current behavior affects future expectancies. Even here, variability exists at the individual level of analysis. For four participants, behaviors were more strongly related to subsequent expectancies than expectancies were related to subsequent behaviors. These findings increase our understanding of the role of social learning theory in predicting episodes of binge eating and purging, often thought to be a cycle of maladaptive, negatively reinforced behaviors. The results also have important implications for assessment and treatment of bulimia using a cognitive/behavioral model. The presence of individual differences in the applicability of the predictive models and the relationships between expectancies and behaviors over the course of several time periods suggests that a treatment approach emphasizing the relationship between expectancies and behaviors may have more or less meaning for different individuals. Future research should replicate, cross-validate and expand these findings in order to clarify these issues. / Ph. D.

The proposed study examined the relationship between parental anxiety, measured both subjectively (via self-report questionnaires) and objectively (via salivary cortisol) and the child's feeding progress. Children diagnosed with a feeding disorder were recruited with their parents at Our Children's House at Baylor (n=19; 11 females, 8 males). The patients and their parents were housed in the clinic for an eight-week intensive multidisciplinary pediatric feeding disorder treatment program. Calorie intake was recorded daily as outcome measures of treatment progression. Parental anxiety was measured by the Pediatric Inventory for Parents (PIP), state anxiety on the State Trait Anxiety Inventory (STAI), and by salivary cortisol at three different time points. The present study attempted to examine whether parental feeding (phase three of treatment program) would continue to cause a decrease in the child's caloric intake. In averaging ten meals prior to parental feeding in comparison to the average of ten meals following parental feeding, there was no significant difference as measured by a t-test. Paired t-tests examined parental anxiety from time one to time two and found that salivary cortisol increased significantly t(15) = -6.07, p = .000 from Time 1 (M = 2.30, SD = 1.64) to Time 2 (M = 5.24, SD = 2.58). This demonstrated that while parental anxiety increased as measured by salivary cortisol, the children continued to make improvements. This may be the result of the multidisciplinary feeding program which encompassed a strong behavioral component and parent training. Even though the current results did not demonstrate a direct relationship between parental stress and caloric intake, parental stress as measured by salivary cortisol did increase.

The efficacy of multidisciplinary inpatient and outpatient treatment for transitioning children with severe pediatric feeding disorders from gastrostomy tube dependency to oral nutrition was investigated utilizing caloric and fluid intakes as an outcome measure. The study involved 29 children ages 12 months to 5 years of age with gastrostomy tube dependency. Treatments were provided by speech therapists, occupational therapist, dietician and psychologist for a 30 day period. Four treatment groups were evaluated and average intakes compared at 4 observation periods including pretreatment, initiation of treatment, completion of treatment at 30 days and 4 month follow-up. Children receiving inpatient treatment for feeding disorders evidenced significant differences in oral caloric intake from pretreatment to discharge than outpatient treatment (p < .01) and wait list control group (p = .04). Oral caloric intake from discharge to 4 month follow up yielded no significant differences indicating treatment gains were maintained. Change in environment and caretaker showed a significant effect for the inpatient group (d = 1.89). Effects of treatment by age and weight at 4 month follow up were also analyzed.