0 stringlengths 12 494 | embeddings listlengths 384 384 |
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is\tbased\ton\tthe\tfrequency\tof\tepisodes\tof\tbinge\teating\t(see\tbelow).\nThe\tlevel\tof\tseverity\tmay\tbe\tincreased\tto\treflect\tother\tsymptoms\tand\tthe\tdegree\tof\tfunctional\ndisability.\nMild:\n\t1-3\tbinge-eating\tepisodes\tper\tweek.\nModerate:\n\t4-7\tbinge-eating\tepisodes\tper\tweek.\nSevere:\n\t8-1... | [
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Severe:\n\t8-13\tbinge-eating\tepisodes\tper\tweek.\nExtreme:\n\t14\tor\tmore\tbinge-eating\tepisodes\tper\tweek.\nOther\tspecified\tfeeding\tand\teating\n\tdisorder\nThis\tcategory\tapplies\tto\tpresentations\tin\twhich\tsymptoms\tcharacteristic\tof\ta\tfeeding\tand\teating\ndisorder\tthat\tcause\tclinically\tsignific... | [
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important\tareas\tof\tfunctions\tpredominate\tbut\tdo\tnot\tmeet\tthe\tfull\tcriteria\tfor\tany\tof\tthe\tdisorders\nin\tthe\tfeeding\tand\teating\tdisorders\tdiagnostic\tclass.\tThe\tother\tspecified\tfeeding\tand\teating\ndisorder\tcategory\tis\tused\tin\tsituations\tin\twhich\tthe\tclinician\tchooses\tto\tcommunicat... | [
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0.03... |
reason\tthat\tthe\tpresentation\tdoes\tnot\tmeet\tthe\tcriteria\tfor\tany\tspecific\tfeeding\tand\teating | [
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disorder.\tThis\tis\tdone\tby\trecording\t“other\tspecified\tfeeding\tor\teating\tdisorder”\tfollowed\tby\tthe\nspecific\treason\t(e.g.,\t“bulimia\tnervosa\tof\tlow\tfrequency”).\tExamples\tof\tpresentations\tthat\tcan\tbe\nspecified\tusing\n\tthe\t“other\tspecified”\tdesignation\tinclude\tthe\tfollowing:\n1. | [
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the\t“other\tspecified”\tdesignation\tinclude\tthe\tfollowing:\n1.\t\nAtypical\tAN:\tAll\tof\tthe\tcriteria\tfor\tAN\tare\tmet,\texcept\tthat\tdespite\tsignificant\tweight\tloss,\nthe\tindividual’s\tweight\tis\twithin\tor\tabove\tthe\tnormal\trange.\n2.\t\nBN\t(of\tlow\tfrequency\tand/or\tlimited\tduration):\tAll\tof\t... | [
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0.01956... |
that\tthe\tbinge\teating\tand\tinappropriate\tcompensatory\tbehaviors\toccur,\ton\taverage,\n\tless\nthan\tonce\ta\tweek\tand/or\tfor\tless\tthan\t3\tmonths.\n3.\t\nBED\t(of\tlow\tfrequency\tand/or\tlimited\tduration):\tAll\tof\tthe\tcriteria\tfor\tBED\tare\tmet,\texcept\nthat\tthe\tbinge\teating\toccurs,\ton\taverage,... | [
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0.011... |
months.\n4.\t\nPurging\tdisorder:\tRecurrent\tpurging\tbehavior\tto\tinfluence\tweight\tor\tshape\t(e.g.,\tself-\ninduced\tvomiting;\tmisuse\tof\tlaxatives,\tdiuretics,\tor\tother\tmedications)\n\tin\tthe\tabsence\tof\nbinge\teating.\n5.\t\nNight\teating\tsyndrome:\tRecurrent\tepisodes\tof\tnight\teating,\tas\tmanifest... | [
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0.018388... |
awakening\tfrom\tsleep\tor\tby\texcessive\tfood\tconsumption\tafter\tthe\tevening\tmeal.\tThere\tis\nawareness\tand\trecall\tof\tthe\teating.\tThe\tnight\teating\tis\tnot\tbetter\texplained\tby\texternal\ninfluences\tsuch\tas\tchanges\tin\tthe\tindividual’s\tsleep-wake\tcycle\tor\tby\tlocal\tsocial\tnorms.\nThe\tnight\... | [
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0.01429447... |
disordered\tpattern\tof\teating\tis\tnot\tbetter\texplained\tby\tBED\tor\tanother\tmental\tdisorder,\nincluding\tsubstance\tuse,\tand\tis\tnot\tattributable\tto\tanother\tmedical\tdisorder\tor\tto\tthe\teffect\nof\tmedication.\nUnspecified\tfeeding\tor\teating\tdisorder\nThis\tcategory\tapplies\tto\tpresentations\tin\t... | [
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and\teating\ndisorder\tthat\tcause\tclinically\tsignificant\tdistress\tor\timpairment\tin\tsocial,\toccupational,\tor\tother\nimportant\tareas\tof\tfunctioning\tpredominate\tbut\tdo\tnot\tmeet\tthe\tfull\tcriteria\tfor\tany\tof\tthe\ndisorders\tin\tthe\tfeeding\tand\teating\tdisorders\tdiagnostic\tclass.\tThe\tunspecif... | [
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disorder\tcategory\tis\tused\tin\tsituations\tin\twhich\tthe\tclinician\tchooses\t\nnot\n\tto\tspecify\tthe\treason\nthat\tthe\tcriteria\tare\tnot\tmet\tfor\ta\tspecific\tfeeding\tand\teating\tdisorder,\tand\tincludes\tpresentations\nin\twhich\tthere\tis\tinsufficient\tinformation\tto\tmake\ta\tmore\tspecific\tdiagnosi... | [
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0.03371885... |
room\tsettings).\nAvoidant/restrictive\tfood\tintake\tdisorder\n*\nA.\t\nAn\teating\tor\tfeeding\tdisturbance\t(e.g.,\tapparent\tlack\tof\tinterest\tin\teating\tor\tfood;\navoidance\tbased\ton\tthe\tsensory\tcharacteristics\n\tof\tfood;\tconcern\tabout\taversive\nconsequences\tof\teating)\tas\tmanifested\tby\tpersisten... | [
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0.04... |
and/or\tenergy\tneeds\tassociated\twith\tone\t(or\tmore)\tof\tthe\tfollowing:\n1.\n\tSignificant\tweight\tloss\t(or\tfailure\tto\tachieve\texpected\tweight\tgain\tor\tfaltering\tgrowth\nin\tchildren).\n2.\n\tSignificant\tnutritional\tdeficiency.\n3.\n\tDependence\ton\tenteral\tfeeding\tor\toral\tnutritional\tsupplement... | [
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0.024429... |
4.\n\tMarked\tinterference\twith\tpsychosocial\tfunctioning.\nB.\t\nThe\tdisturbance\tis\tnot\tbetter\texplained\tby\tlack\tof\tavailable\tfood\tor\tby\tan\tassociated\nculturally\tsanctioned\tpractice.\nC.\t\nThe\teating\tdisturbance\tdoes\tnot\toccur\texclusively\tduring\tthe\tcourse\tof\tAN\tor\tBN,\tand | [
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0.04911855... |
there\tis\tno\tevidence\tof\ta\tdisturbance\tin\tthe\tway\tin\twhich\tone’s\tbody\tweight\tor\tshape\tis\nexperienced.\nD.\t\nThe\teating\tdisturbance\tis\n\tnot\tattributable\tto\ta\tconcurrent\tmedical\tcondition\tor\tnot\tbetter\nexplained\tby\tanother\tmental\tdisorder.\tWhen\tthe\teating\tdisturbance\toccurs\tin\t... | [
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0.021756... |
another\tcondition\tor\tdisorder,\tthe\tseverity\tof\tthe\teating\tdisturbance\texceeds\tthat\troutinely\nassociated\twith\tthe\tcondition\tor\tdisorder\tand\twarrants\tadditional\tclinical\tattention.\nPica\nA.\t\nPersistent\teating\tof\tnonnutritive,\tnonfood\tsubstances\n\tover\ta\tperiod\tof\tat\tleast\t1\tmonth.\n... | [
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0.0134568... |
over\ta\tperiod\tof\tat\tleast\t1\tmonth.\nB.\t\nThe\teating\tof\tnonnutritive,\tnonfood\tsubstances\tis\tinappropriate\tto\tthe\tdevelopmental\tlevel\nof\tthe\tindividual.\nC.\t\nThe\teating\tbehavior\tis\tnot\tpart\tof\ta\tculturally\tsupported\tor\tsocially\tnormative\tpractice.\nD.\t\nIf\tthe\teating\tbehaviors\toc... | [
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disability\t[intellectual\tdevelopmental\tdisorder],\tautism\n\tspectrum\tdisorder,\tschizophrenia)\nor\tmedical\tcondition\t(including\tpregnancy),\tit\tis\tsufficiently\tsevere\tto\twarrant\tadditional\nclinical\tattention.\nRumination\tdisorder\nA.\t\nRepeated\tregurgitation\tof\tfood\tover\ta\tperiod\tof\tat\tleast... | [
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0.0161472... |
rechewed,\treswallowed,\tor\tspit\tout.\nB.\t\nThe\trepeated\tregurgitation\tis\tnot\tattributable\tto\tan\tassociated\tgastrointestinal\tor\tother\nmedical\tcondition\t(e.g.,\tgastroesophageal\treflux,\tpyloric\tstenosis).\nC.\t\nThe\teating\tdisturbance\tdoes\tnot\toccur\texclusively\tduring\tthe\tcourse\tof\tAN,\tBN... | [
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avoidant/restrictive\tfood\tintake\tdisorder.\nD.\t\nIf\tthe\tsymptoms\toccur\tin\tthe\tcontext\tof\tanother\tmental\tdisorder\t(e.g.,\tintellectual\tdisability\n[intellectual\tdevelopmental\tdisorder]\tor\tanother\tneurodevelopmental\tdisorder),\tthey\tare | [
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sufficiently\n\tsevere\tto\twarrant\tadditional\tclinical\tattention.\n*A\tchange\tto\tcriterion\tA\thas\tbeen\tproposed.\tThe\tstem\tincludes\tthe\tclause,\t“as\tmanifested\tby\tpersistent\nfailure\tto\tmeet\tappropriate\tnutritional\tand/or\tenergy\tneeds;”\thowever,\tcriterion\tA.4\tdoes\tnot\tdescribe\ta | [
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manifestation\tof\ta\tnutritional\tproblem.\tThe\tAPA\tproposes\tto\tdelete\tthe\tclause\tin\tthe\tstem,\tso\tthat\tmarked\npsychosocial\n\timpairment\talone\twould\tsatisfy\tcriterion\tA.\t\nAmerican\tPsychiatric\tAssociation:\t\nDiagnostic\tand\tStatistical\tManual\tof\tMental\tDisorders,\n\ted\t5\n,\tArlington,\nVA,... | [
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0.038783... |
VA,\t2013,\tAmerican\tPsychiatric\tAssociation.\nAnorexia\tnervosa\nEssential\tfeatures\tof\t\nanorexia\tnervosa\t(AN)\n\tinclude\tpersistent\tenergy\tintake\trestriction;\tintense\nfear\tof\tgaining\tweight\tor\tof\tbecoming\tfat\tor\tpersistent\tbehavior\tthat\tinterferes\n\twith\tmaintenance\tof | [
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0.02439078... |
with\tmaintenance\tof\nappropriate\tweight;\tand\ta\tdisturbance\tin\tself-perceived\tweight\tor\tshape.\tThe\ttwo\tdiagnostic\nsubtypes\tare\trestrictive\teating\tonly\t(AN-R)\tand\trestrictive\teating\tinterspersed\twith\tbinge\teating\tor\npurging\n\t(AN-BP);\tcrossover\tbetween\tthe\tsubtypes\tis\tpossible\tover\tt... | [
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0.051... |
allows\tclinicians\tto\tdocument\ta\tseverity\trating\tfor\ta\tcase\tof\tAN:\tmild,\tmoderate,\tsevere,\n\tand\nextreme.\tSeverity\tratings\tare\tdifferentiated\tbased\ton\tcurrent\tbody\tmass\tindex\t(BMI,\tadults)\tor\tBMI\npercentile\t(children/adolescents);\thowever,\tthe\trating\tmay\tbe\tincreased\tat\tthe\tclini... | [
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0.013202945701777935,
0.050... |
to\treflect\tclinical\tsymptoms,\tdegree\tof\tfunctional\tdisability,\tand\tthe\tneed\tfor\tsupervision.\tIn\tthe\ngeneral\tpopulation,\tlifetime\tprevalence\tof\tAN\tis\tabout\t1%\tin\twomen\tand\tless\tthan\t0.5%\tin\tmen\n\t(\nHay\net\tal,\t2014\n).\tPresentation\ttypically\toccurs\tduring\tadolescence\tor\tyoung\ta... | [
0.03241271898150444,
-0.05197201296687126,
0.03528115153312683,
-0.04104751721024513,
-0.09144627302885056,
-0.002083200728520751,
0.0991475060582161,
0.0013897407334297895,
0.018776707351207733,
0.07412578165531158,
0.09418097883462906,
-0.025712698698043823,
0.03397410362958908,
0.041677... |
and\tlate-onset\t(after\tage\t40)\tcases\thave\tbeen\tdescribed.\tAlthough\tAN\toccurs\tacross\tculturally\tand\nsocially\tdiverse\tpopulations,\tincreased\tprevalence\toccurs\tin\tpostindustrialized,\thigh-income\ncountries.\tWithin\tthe\tUnited\tStates,\tpresentation\tof\tweight\tconcerns\tamong\tindividuals\twith\tE... | [
0.028620600700378418,
-0.049674469977617264,
0.07855430245399475,
-0.01727135106921196,
-0.08319135755300522,
-0.021406063809990883,
0.07900141924619675,
-0.02291058748960495,
-0.03805080056190491,
0.03712520748376846,
0.10810863226652145,
-0.047533903270959854,
0.02359982766211033,
0.0225... |
may\tvary\n\tacross\tcultural\tand\tethnic\tgroups\t(\nBecker,\t2016\n;\t\nSala,\t2013\n).\tBody\timage\tdissatisfaction,\ndangerous\tweight\tcontrol\tbehaviors,\tand\tEDs\tare\temerging\tissues\tfor\tlesbian,\tgay,\tbisexual,\ntransgender\tand\tqueer\t(LGBTQ)\tyouth\t(\nMcClain\tand\tPeebles,\t2016\n),\tbut\tprevalenc... | [
-0.0018041642615571618,
-0.020992282778024673,
0.07412263751029968,
-0.02401404269039631,
-0.06714711338281631,
-0.007334164343774319,
0.07556159049272537,
-0.06206867843866348,
-0.021754609420895576,
0.05806032195687294,
0.11698590964078903,
-0.04547756537795067,
-0.023941801860928535,
0.... |
McClain\tand\tPeebles,\t2016\n),\tbut\tprevalence\tand\tincidence\nrates\tfor\tAN\tin\tthese\tpopulations\tare\tnot\tcurrently\treported.\tRisk\tand\tprognostic\tfactors\tassociated\nwith\tAN\tinclude\tgenetic,\n\tphysiologic,\tenvironmental,\tand\ttemperamental\tcharacteristics\t(\nTable\n21.1\n).\tThe\tcrude\tmortali... | [
0.005009384360164404,
-0.040001291781663895,
0.08112943917512894,
-0.0076273363083601,
-0.0771646797657013,
0.015137468464672565,
0.10371903330087662,
0.03676154837012291,
-0.021588146686553955,
0.02779540978372097,
0.08394094556570053,
-0.03442878648638725,
0.004009403754025698,
0.0454228... |
complications\tdirectly\trelated\tto\tAN\tor\tsuicide\t(\nAPA,\t2013\n).\nTABLE\t21.1\nRisk\tand\tPrognostic\tFactors\tAssociated\tWith\tAnorexia\tNervosa\tand\tBulimia\tNervosa\nDiagnosis\nTemperament\nEnvironment\nGenetic\tand\tPhysiologic\nAN\nObsessional\ttraits\nin\tchildhood\nAnxiety\ndisorders\nCultures/settings... | [
0.013617414981126785,
0.018656913191080093,
0.0661531314253807,
0.02691936306655407,
-0.07837879657745361,
0.0035342960618436337,
0.0737319141626358,
0.01139459665864706,
-0.06256157904863358,
0.004613180179148912,
0.1037767231464386,
-0.011431757360696793,
-0.028589535504579544,
0.0373387... |
thinness\nOccupations/avocations\nthat\tencourage\nthinness,\t(e.g.,\nmodeling,\telite\nathletics)\nFirst-degree\tbiological\trelative\twith\tAN,\nBN,\tbipolar\tdisorder,\tor\tdepressive\ndisorder\nHigher\tconcordance\trates\tin\nmonozygotic\tvs.\tdizygotic\ttwins\nFunctional\n\timaging\tstudies\tindicate\ta\nrange\tof... | [
0.026406237855553627,
-0.08252798020839691,
0.06218922883272171,
0.003949632402509451,
-0.11238003522157669,
-0.0246774572879076,
0.06664616614580154,
-0.0059198662638664246,
-0.013454391621053219,
0.06223565712571144,
0.08565447479486465,
-0.056797441095113754,
0.017184486612677574,
0.028... |
range\tof\tbrain\tabnormalities\tbut\nunclear\tif\tchanges\tare\tprimary\nanomalies\tor\tsecondary\tto\nmalnutrition\nBN\nWeight\tconcerns\nLow\tself-\nesteem\nDepressive\nsymptoms\nSocial\tanxiety\ndisorder\nOveranxious\ndisorder\tof\nchildhood\nInternalization\tof\tthin\tbody\nideal\nIncreased\tweight\nconcerns\nChil... | [
0.08346506208181381,
-0.09021871536970139,
0.02334604039788246,
0.03257486969232559,
-0.12567254900932312,
-0.0029972572810947895,
0.04022861644625664,
-0.007047528866678476,
-0.06262682378292084,
0.059357449412345886,
0.10834228247404099,
-0.06077778339385986,
0.023630091920495033,
0.0523... |
concerns\nChildhood\tsexual\tabuse\nChildhood\tphysical\tabuse\nChildhood\tobesity/large\tbody\tsize\nEarly\tpubertal\tmaturation\nGenetic\tvulnerabilities\nAN\n,\tAnorexia\tnervosa;\t\nBN\n,\tbulimia\tnervosa.\nAmerican\tPsychiatric\tAssociation:\t\nDiagnostic\tand\tStatistical\tManual\tof\tMental\tDisorders,\n\ted\t5... | [
0.08844496309757233,
-0.06942015886306763,
0.02664225734770298,
0.053961414843797684,
-0.08553794771432877,
-0.011711225844919682,
0.07003244012594223,
-0.023122038692235947,
-0.11041972786188126,
0.021159132942557335,
0.09621348232030869,
-0.06883099675178528,
-0.023539619520306587,
0.009... |
ed\t5,\tArlington,\tVA,\tAmerican\tPsychiatric\tAssociation,\n2013.\nBulimia\tnervosa\nFeatures\tof\t\nbulimia\tnervosa\t(BN)\n\tinclude\trecurrent\tepisodes\tof\tbinge\teating\tfollowed\tby\ninappropriate\tcompensatory\tbehaviors\n\tin\tan\teffort\tto\tprevent\tweight\tgain,\tand\tself-evaluation\tthat\tis\nunduly\tin... | [
0.025854196399450302,
-0.02512313239276409,
0.07652676105499268,
0.051861755549907684,
-0.0798315703868866,
0.007623778656125069,
0.07433807104825974,
-0.01647387258708477,
-0.056675687432289124,
0.021229969337582588,
0.10766864567995071,
-0.061933305114507675,
-0.0176444910466671,
0.00769... |
unduly\tinfluenced\tby\tbody\tshape\tand\tweight\t(\nAPA,\t2013\n).\tA\t\nbinge\n\tconsumption\tis\tan\tepisode\tof\nuncontrollable\teating\tof\tan\texcessive\tamount\tof\tfood\tin\ta\tdiscrete\tperiod\tof\ttime.\tInappropriate\ncompensatory\tmechanisms\tinclude\tself-induced\tvomiting,\tmisuse\tof\tlaxatives,\tdiureti... | [
-0.005942866671830416,
-0.07734107226133347,
0.06385421007871628,
0.031786732375621796,
-0.09148062765598297,
0.02384994924068451,
0.11580696702003479,
-0.008061154745519161,
0.00485314941033721,
0.03353089466691017,
0.09706243872642517,
-0.03813771530985832,
0.04448489472270012,
0.0412009... |
excessive\texercise.\tAn\tindividual\tmay\temploy\n\tone\tor\tmore\tmethods.\tThe\tDSM-5\tincludes\tfour\tlevels\nof\tseverity\tratings\tbased\ton\tfrequency\tof\tinappropriate\tcompensatory\tbehaviors:\tmild,\tmoderate,\nsevere,\textreme.\tAlthough\tthe\tdefault\tlevel\tof\tseverity\tis\tbased\ton\tthe\tfrequency\tof\... | [
0.015866657719016075,
-0.031920675188302994,
0.023484231904149055,
-0.005681471433490515,
-0.09904808551073074,
-0.037263426929712296,
0.08454273641109467,
0.024028271436691284,
-0.02494046837091446,
0.06891851872205734,
0.08997903764247894,
-0.034661322832107544,
0.060493651777505875,
-0.... |
the\tlevel\tof\tseverity\tmay\tbe\tincreased\tat\tthe\tclinician’s\tdiscretion\tto\treflect\tother\tsymptoms\tand\tthe\ndegree\tof\tfunctional\tdisability.\tLifetime\tprevalence\n\tof\tBN\tis\tapproximately\t2%\tin\twomen\tand\t0.5%\tin | [
0.024403918534517288,
-0.07965078204870224,
0.03332166001200676,
-0.019532585516572,
-0.09050467610359192,
0.0003608285915106535,
0.07180753350257874,
0.028080232441425323,
0.015541721135377884,
0.04193759337067604,
0.09058480709791183,
-0.06641046702861786,
0.009889357723295689,
0.0746157... |
men\t(\nHay\tet\tal,\t2014\n).\tInitial\tpresentation\ttypically\toccurs\tduring\tadolescence\tor\tyoung\tadulthood;\nprepubertal\tand\tlate\tonset\t(after\tage\t40)\tcases\tare\tuncommon.\tDiagnostic\tcrossover\tfrom\tBN\tto\tAN\noccurs\tin\t10%\tto\t15%\tof\tcases.\tHowever,\tindividuals\twho\tcross\tover\tto\tAN\tof... | [
0.0021718372590839863,
-0.035878147929906845,
0.08987028151750565,
-0.0025837530847638845,
-0.07888006418943405,
-0.039374787360429764,
0.12211879342794418,
-0.06878059357404709,
-0.013370463624596596,
0.05607204884290695,
0.0958179235458374,
-0.04924652725458145,
0.026865443214774132,
0.0... |
and\tsome\texperience\tmultiple\tcrossovers\tbetween\tthese\n\tdisorders.\tBN\toccurs\tat\tsimilar\tfrequencies\nin\tindustrialized\tcountries\t(\nAPA,\t2013\n).\tThe\tprevalence\tof\tBN\tis\tsimilar\tamong\tethnic\tgroups\t(\nAPA,\n2013\n).\tRisk\tand\tprognostic\tfactors\tassociated\twith\tBN\tinclude\tgenetic,\tphys... | [
0.014812570065259933,
-0.0525912269949913,
0.04749007523059845,
-0.03270944580435753,
-0.10963822901248932,
-0.011098419316112995,
0.008929901756346226,
0.004566685296595097,
0.00462321238592267,
0.05542485788464546,
0.0999627560377121,
-0.06605792045593262,
0.03337555378675461,
0.05570979... |
and\ttemperamental\tcharacteristics\t(see\t\nTable\t21.1\n).\tBN\tis\tassociated\twith\ta\tsignificantly\televated\nrisk\tfor\tmortality\t(all-cause\tand\tsuicide),\twith\ta\tcrude\n\tmortality\trate\tof\tapproximately\t2%\tper\tdecade\n(\nAPA,\t2013\n).\nBinge\teating\tdisorder\nA\tmajor\tchange\tin\tthe\tDSM-5\tis\tt... | [
0.005743690300732851,
-0.038037970662117004,
0.07352712750434875,
-0.021629463881254196,
-0.08136649429798126,
0.01596139185130596,
0.07745420187711716,
-0.00028814552933909,
0.04586905986070633,
0.06349844485521317,
0.0920790284872055,
-0.00506967818364501,
0.03585445508360863,
0.04276330... |
binge\teating\tdisorder\t(BED)\n\tas\ta\nclinical\tdisorder.\tAlthough\tBED\twas\tincluded\tin\tthe\tDSM-IV\t(\nAPA,\t2000\n),\tthose\tcriteria\twere\nestablished\tonly\tfor\tresearch\tpurposes.\tThe\tessential\tfeature\tof\tBED\tis\trecurrent\tepisodes\tof\tbinge\neating\twithout\tinappropriate\n\tcompensatory\tmeasur... | [
0.029654908925294876,
-0.05606142804026604,
0.09155261516571045,
-0.009503626264631748,
-0.1147579550743103,
0.004835711792111397,
0.045203544199466705,
-0.031515639275312424,
-0.006554697174578905,
0.08419525623321533,
0.06385733187198639,
-0.029455048963427544,
0.06807658821344376,
0.043... |
compensatory\tmeasures\t(such\tas\tpurging)\tintended\tto\tprevent\tweight\ngain.\tBED\tdiagnostic\tcriteria\tinclude\tfour\tlevels\tof\tseverity\tratings\t(mild,\tmoderate,\tsevere,\tand\nextreme)\tthat\tare\tbased\ton\tthe\tfrequency\tof\tbinge\tepisodes.\tThe\tlevel\tof\tseverity\tmay\tbe\tincreased | [
0.03974628821015358,
-0.03582267463207245,
0.058277398347854614,
-0.002449406310915947,
-0.08585952967405319,
-0.007226832211017609,
0.09433139860630035,
0.01949579082429409,
-0.008054304867982864,
0.04787164181470871,
0.08934254199266434,
-0.06239956617355347,
0.08210916817188263,
0.03319... |
at\tthe\tclinician’s\tdiscretion\tto\treflect\tother\tsymptoms\tas\twell\tas\tthe\tdegree\tof\tfunctional\tdisability.\nThe\tlifetime\tprevalence\tof\tBED\n\tis\tapproximately\t3.5%\tin\twomen\tand\t2%\tin\tmen\t(\nHay\tet\tal,\t2014\n).\nBED\toccurs\tat\tsimilar\tfrequencies\tin\tmost\tindustrialized\tcountries.\tIn\t... | [
0.017925407737493515,
-0.06917700171470642,
0.011221769265830517,
-0.04613403603434563,
-0.07373842597007751,
-0.022548707202076912,
0.03382841870188713,
0.019129453226923943,
0.024028372019529343,
0.047808725386857986,
0.07220043987035751,
-0.03716879338026047,
0.03579404205083847,
0.0328... |
rates\tappear\tcomparable\tamong\tCaucasians,\tLatinos,\tAsians,\tand\tAfrican\tAmericans.\tBED\tis\tmore\nprevalent\tamong\tindividuals\tseeking\tweight\tloss\ttreatment\tthan\tin\tthe\tgeneral\tpopulation.\tCrossover\nfrom\tBED\tto\tother\tEDs\tis\tuncommon.\tBinge\n\teating\tdisorder\tappears\tto\trun\tin\tfamilies,... | [
0.018463553860783577,
-0.043347787111997604,
0.06966779381036758,
-0.006196199916303158,
-0.10669268667697906,
0.006054220255464315,
0.009459545835852623,
-0.04358924552798271,
-0.027083711698651314,
0.07280237227678299,
0.13429978489875793,
-0.06157092750072479,
-0.014216874726116657,
0.0... |
reflect\tadditive\tgenetic\tinfluences\t(\nAPA,\t2013\n);\tless\tis\tknown\tabout\ttemperamental\tand\nenvironmental\trisk\tand\tprognostic\tfactors.\nOther\tspecified\tfeeding\tor\teating\tdisorder\nOther\tspecified\tfeeding\tor\teating\tdisorder\t(OSFED)\n\tapplies\tto\tatypical\tAN\t(restrictive\teating\tin\nthe\tpr... | [
0.028665699064731598,
-0.05537039041519165,
0.11665812134742737,
-0.0091690793633461,
-0.0700174942612648,
0.03638257831335068,
0.046624261885881424,
-0.04396319016814232,
-0.010862663388252258,
0.018414853140711784,
0.07395745813846588,
-0.06178022921085358,
0.02066098526120186,
0.0155567... |
are\tless\tfrequent\tor\tof\nlimited\tduration),\tpurging\tdisorder\t(i.e.,\trecurrent\tpurging\tin\tthe\tabsence\tof\tbinge\teating),\tand\tnight\neating\tsyndrome.\tTreatment\tof\tsubclinical\tAN,\tBN,\tand\tBED\tis\tsimilar\tto\tthat\tused\tfor\tfull\tcriteria\npresentation,\tbut\tthe\tfrequency\tof\ttherapeutic\tin... | [
0.06089551001787186,
-0.015606839209794998,
0.025678619742393494,
-0.030417300760746002,
-0.10505566000938416,
0.010788005776703358,
0.07960526645183563,
0.012079120613634586,
0.006135545205324888,
0.053569234907627106,
0.08219272643327713,
-0.023056676611304283,
0.048012472689151764,
0.05... |
medical\tmanagement)\tand\tthe\ttreatment\tsetting\t(e.g.,\tinpatient\thospitalization,\n\tday\thospital/partial\nhospitalization,\tintensive\toutpatient\ttreatment,\toutpatient\ttreatment)\tmay\tdiffer.\tPatients\twith\ta\npurging\tdisorder\tand\tnight\teating\tsyndrome\toften\tbenefit\tfrom\tpsychotherapeutic\tapproa... | [
0.02819449082016945,
0.01087153423577547,
0.048288796097040176,
-0.0066837044432759285,
-0.09730428457260132,
0.010202827863395214,
0.07254959642887115,
0.030123721808195114,
0.025987913832068443,
-0.008093697018921375,
0.08884905278682709,
-0.0026011820882558823,
0.01303128618746996,
0.03... |
in\tthe\ttreatment\tof\tBN\tand\tBED.\nAvoidant/restrictive\tfood\tintake\tdisorder\nPatients\twith\t\navoidant/restrictive\tfood\tintake\tdisorder\t(ARFID)\n\texhibit\trestrictive/avoidant\neating\tbehaviors\n\tthat\tresult\tin\tsignificant\tweight\tloss,\timpaired\tgrowth,\tnutritional\tdeficiencies,\tand | [
0.04059740900993347,
-0.031555432826280594,
0.05723091959953308,
0.025479784235358238,
-0.0661158487200737,
0.02260928601026535,
0.08391138166189194,
0.04103711247444153,
-0.04249278083443642,
0.05056803673505783,
0.11866815388202667,
-0.03543038293719292,
-0.015300014056265354,
0.03291948... |
reliance\ton\tenteral\tfeedings/supplements,\tas\twell\tas\timpaired\tpsychosocial\tfunctioning\t(\nNorris\tet\tal,\n2016\n).\tThese\trestrictive\teating\tbehaviors\tare\tnot\tassociated\twith\tbody\timage\tdissatisfaction\tor\tfear\nof\tweight\tgain.\tCompared\twith\tpatients\twith\tAN\tand\tBN,\tthese\tindividuals\tt... | [
-0.011768779717385769,
-0.04867510497570038,
0.06339703500270844,
0.05670691281557083,
-0.12086674571037292,
0.005150039680302143,
0.08450502157211304,
0.06855415552854538,
-0.02345365472137928,
-0.01284197811037302,
0.12476097047328949,
-0.009351438842713833,
0.017694247886538506,
0.00924... |
have\thigher\n\tproportion\tof\tmales;\tbe\tselective\t(picky)\teaters\tsince\tearly\tchildhood;\thave\tfears\tof\nchoking\tor\tvomiting;\tand\tavoid\tfoods\tbased\ton\ttheir\tappearance,\ttexture,\tand\tsmell\t(\nFisher\tet\tal,\n2014\n).\nClinical\tcharacteristics\tand\tmedical\tcomplications | [
-0.005243545398116112,
-0.05923977121710777,
0.08583246171474457,
-0.011253884062170982,
-0.07655488699674606,
-0.014314588159322739,
0.10054317116737366,
0.009919211268424988,
-0.04468999803066254,
0.046918392181396484,
0.09321486204862595,
-0.05829793959856033,
0.006077021360397339,
0.01... |
2014\n).\nClinical\tcharacteristics\tand\tmedical\tcomplications\nAlthough\tEDs\tare\tclassified\tas\tpsychiatric\tillnesses,\tthey\tare\tassociated\twith\tsignificant\tmedical\ncomplications,\tmorbidity,\tand\tmortality.\tNumerous\n\tphysiologic\tchanges\tresult\tfrom\tthe\tdysfunctional\nbehaviors\tassociated\twith\t... | [
0.02764989621937275,
-0.02593759074807167,
0.07790638506412506,
0.008950368501245975,
-0.06506248563528061,
0.04846091568470001,
0.07614223659038544,
0.016099033877253532,
-0.016309333965182304,
0.024493226781487465,
0.09331215918064117,
-0.011316340416669846,
0.015654027462005615,
0.03092... |
inadequate\tnutrient\tintake;\tsome\tare\tpathologic\talterations\twith\tlong-term\tconsequences;\ta\tfew\nrepresent\tpotentially\tlife-threatening\tconditions.\nAnorexia\tnervosa\nInitially,\tindividuals\twith\tAN\tmay\tsimply\tappear\tunderweight.\tAs\tthe\tdisease\tprogresses,\tpatients\nappear\tincreasingly\tcachec... | [
0.035712189972400665,
-0.035231173038482666,
0.05752485245466232,
0.05991815775632858,
-0.0913081094622612,
-0.03233431279659271,
0.07511670142412186,
0.07772702723741531,
-0.04022348299622536,
-0.022434139624238014,
0.0845867171883583,
-0.04224267974495888,
0.03139180690050125,
0.02249967... |
Fig.\t21.1\n).\tCommon\tphysical\nfindings\tat\tthis\tstage\tinclude\tlanugo\t(i.e.,\ta\tsoft,\tdowny\thair\tgrowth\ton\tthe\tface\tand\textremities),\tdry\nskin\tand\thair,\tcold\tintolerance,\tcyanosis\tof\tthe\textremities,\tedema,\tand\tprimary\tor\tsecondary\namenorrhea.\tThe\tdegree\tof\tsymptomatology\tvaries\tp... | [
-0.0012644677190110087,
-0.01786836050450802,
0.07007624208927155,
-0.015545063652098179,
-0.07947514951229095,
-0.026042593643069267,
0.05649558827280998,
0.015494619496166706,
0.034766264259815216,
0.09540215879678726,
0.13854509592056274,
-0.05476436764001846,
0.04193639010190964,
0.045... |
example,\n\tsome\twomen\twith\tanorexia\texperience\tamenorrhea,\tsome\tdo\tnot. | [
0.06442186236381531,
-0.08500198274850845,
0.018729975447058678,
0.09039097279310226,
-0.049154143780469894,
-0.023654062300920486,
0.055083081126213074,
-0.023400746285915375,
-0.07042393088340759,
0.06537941843271255,
0.09387915581464767,
0.002330936724320054,
-0.009725148789584637,
0.04... |
FIG.\t21.1\nPhysical\tand\tclinical\tsigns\tand\tsymptoms\tof\tbulimia\tnervosa\tand\tanorexia\tnervosa.\t\nDTRs\n,\tDeep\ntendon\treflexes;\t\nECG\n,\telectrocardiogram;\t\nWBC\n,\twhite\tblood\tcell.\nCardiovascular\tcomplications\tmay\tinclude\tbradycardia,\torthostatic\thypotension,\tcardiac | [
0.02670235186815262,
-0.061336636543273926,
0.03664742410182953,
0.006715890020132065,
-0.06485038995742798,
-0.02103831246495247,
0.05734603479504585,
0.041811443865299225,
-0.03445560112595558,
-0.004337130580097437,
0.0541875958442688,
-0.015749840065836906,
0.045662637799978256,
0.0166... |
arrhythmias,\tand\tpericardial\teffusion.\tProtein-energy\tmalnutrition\t(PEM)\twith\tresultant\tloss\tof\tlean\nbody\tmass\tis\tassociated\twith\treduced\n\tleft\tventricular\tmass\tand\tsystolic\tdysfunction;\thowever,\ncardiac\tfunction\tis\tlargely\treversible\twith\tnutritional\trehabilitation\tand\tweight\trestor... | [
-0.008601251058280468,
-0.05807547643780708,
0.04848054051399231,
0.03540681302547455,
-0.07563364505767822,
-0.0009534539422020316,
0.06062396243214607,
0.0344342365860939,
-0.00893850065767765,
0.029335621744394302,
0.07567126303911209,
-0.056736722588539124,
-0.02382216788828373,
0.0406... |
Gastrointestinal\tcomplications\tsecondary\tto\tstarvation\tinclude\tdelayed\tgastric\temptying,\ndecreased\tsmall\tbowel\tmotility,\tand\tconstipation.\tComplaints\tof\tabdominal\tbloating\tand\ta\tprolonged\nsensation\tof\tabdominal\tfullness\tcomplicate\tthe\trefeeding\n\tprocess.\tLactose\tintolerance\tmay\tdevelop | [
0.040005162358284,
-0.09023748338222504,
0.04540435969829559,
-0.0024751622695475817,
-0.09070561081171036,
0.011237123981118202,
0.1198592483997345,
0.016325337812304497,
-0.022199513390660286,
0.03534036874771118,
0.09416863322257996,
-0.008364645764231682,
-0.0024473979137837887,
0.0404... |
process.\tLactose\tintolerance\tmay\tdevelop\nsecondary\tto\tmalnutrition\tand\twill\tusually\tresolve\tafter\tweight\tgain.\tOral\tenzyme\tsupplements\tand\nlactose-free\tdairy\tproducts\tmay\tbe\tbeneficial\tduring\tthe\trefeeding\tprocess.\tA\tnationwide\tstudy\nconducted\tin\tSweden\tfound\ta\tpositive\tassociation... | [
0.026366624981164932,
-0.049407050013542175,
0.0760168805718422,
0.04381221532821655,
-0.0798543319106102,
0.02873161807656288,
0.09062329679727554,
-0.0104258107021451,
-0.028334587812423706,
0.07212018221616745,
0.11963040381669998,
-0.031381186097860336,
-0.015087518841028214,
-0.003417... |
and\tafter\tCD\tdiagnosis\t(\nMarild\tet\tal,\t2017\n);\tthis\tbidirectional\tassociation\n\tmay\tbe\tattributed\tto\nmisdiagnosis,\tshared\trisk\tfactors,\tand\tshared\tgenetic\tsusceptibility.\nOsteopenia,\tosteoporosis,\tand\tincreased\trisk\tof\tbone\tfractures\toccur\tin\tmales\tand\tfemales\twith\tAN\n(\nWestmore... | [
0.02584834210574627,
-0.041908685117959976,
0.06221189349889755,
0.004157825838774443,
-0.05784337595105171,
-0.007051932159811258,
0.049284521490335464,
-0.026026368141174316,
-0.008302065543830395,
0.043983981013298035,
0.1221921443939209,
-0.04306032881140709,
-0.01996116153895855,
0.04... |
(\nWestmoreland\tet\tal,\t2016\n).\tAdolescents\twith\tAN\thave\tdecreases\tin\tbiochemical\tmarkers\tof\tboth\nbone\tformation\tand\tresorption,\tindicative\tof\treduced\tbone\tturnover,\twhereas\tadults\twith\tAN\thave\ndecreased\tbone\tformation\n\tand\tincreased\tresorption\tmarkers,\tindicative\tof\tan\tuncoupling... | [
0.0012167737586423755,
-0.030666762962937355,
0.06165222078561783,
-0.04385179653763771,
-0.004536627791821957,
-0.012068803422152996,
0.10432526469230652,
-0.036108922213315964,
-0.025268472731113434,
0.05745374783873558,
0.08686280995607376,
-0.06898848712444305,
0.010088751092553139,
0.... |
turnover,\tboth\tof\twhich\tlead\tto\treductions\tin\tbone\tmineral\tdensity\t(BMD)\t(\nRobinson\tet\tal,\t2017\n).\tIn\ta\nsample\tof\tpredominantly\tfemale\tadults,\tosteopenia\twas\tdiagnosed\tin\t25.9%\tof\tAN-R\tpatients\tand\n34.8%\tof\tAN-BP\tpatients\tand\tosteoporosis\twas\tdiagnosed\tin\t34.3%\tof\tAN-R\tand\... | [
0.024135183542966843,
-0.0431278795003891,
0.015669358894228935,
0.028341397643089294,
-0.041310615837574005,
0.015727510675787926,
0.03132618963718414,
0.07511232793331146,
-0.038018498569726944,
-0.04201709106564522,
0.03773161396384239,
-0.013719980604946613,
-0.001945401425473392,
0.02... |
patients\t(\nMehler\tet\tal,\t2018\n).\tAlthough\n\tweight\tgain\tand\tresumption\tof\tmenses\tin\tAN\tpatients\tare\nassociated\twith\tincreased\tspine\tand\thip\tBMD,\tpermanent\tdeficits\tare\tlikely.\tNo\tspecific\ttherapies\tare\ncurrently\tapproved\tfor\ttreatment\tof\tosteoporosis\tsecondary\tto\tAN. | [
-0.006387609988451004,
0.011583579704165459,
0.05376572161912918,
0.033619485795497894,
-0.08072693645954132,
0.0005573811940848827,
0.0924760103225708,
0.047606050968170166,
-0.03469883278012276,
-0.017070835456252098,
0.07355622202157974,
-0.01148501131683588,
-0.025706470012664795,
-0.0... |
currently\tapproved\tfor\ttreatment\tof\tosteoporosis\tsecondary\tto\tAN.\nPatients\twith\tAN\thave\tthyroid\thormones\tlevels\tconsistent\twith\tthe\tnonthyroidal\tillness\tsyndrome:\nthyroxin\t(T4)\tand\ttriiodothyronine\t(T3)\tare\tlow\tor\tlow\tnormal,\treverse\tT3\n\tis\televated,\tand\tthyroid-\nstimulating\thorm... | [
-0.012408126145601273,
-0.035317741334438324,
0.05009842291474342,
-0.03404209017753601,
-0.058829501271247864,
0.009590196423232555,
0.06614337116479874,
0.05163354426622391,
-0.008093670941889286,
0.024408092722296715,
0.10587763786315918,
0.004261689726263285,
0.0030375581700354815,
0.0... |
stimulating\thormone\t(TSH)\tis\tnormal\tor\televated\t(\nWinston,\t2012\n).\tThis\tsyndrome\tis\tlikely\tan\nadaptive\tresponse\tto\tconserve\tenergy\tduring\tchronic\tundernutrition,\tand\tthese\tabnormalities\ntypically\tnormalize\twith\tweight\tgain.\nAbnormal\tliver\tfunction\ttests\tmay\toccur\tin\tAN\t(\nMehler\... | [
0.03372335806488991,
-0.07252256572246552,
0.05201496556401253,
0.04497271776199341,
-0.10697556287050247,
0.0052383290603756905,
0.08797052502632141,
0.052963197231292725,
-0.05270536616444588,
0.056768208742141724,
0.09105900675058365,
-0.01682819053530693,
-0.00485291937366128,
0.057871... |
Mehler\tet\tal,\t2018\n).\tHepatic\tchanges\tare\tgenerally\nasymptomatic\tand\tself-limiting,\tbut\trare\tcases\tof\n\tliver\tdamage\tand\tliver\tfailure\thave\tbeen\treported.\nElevated\tenzymes\tthat\tresult\tfrom\tmalnutrition\twill\timprove\tduring\tnutritional\trehabilitation.\tLess\nfrequently,\televated\tliver\... | [
0.02861647866666317,
-0.05432601645588875,
0.07412228733301163,
0.023751335218548775,
-0.09577053785324097,
0.002276385435834527,
0.08346853405237198,
0.020992672070860863,
-0.02177438512444496,
0.06319630891084671,
0.13526751101016998,
-0.04270760342478752,
-0.000978501164354384,
0.038360... |
process\t(\nWestmoreland\tet\tal,\t2016\n).\nRenal\tcomplications\tinclude\trenal\tinsufficiency,\tdecreased\trenal\tconcentrating\tability,\tincreased\nurine\toutput,\tproteinuria,\n\tand\thematuria.\tIn\tgeneral,\tthese\tsymptoms\tameliorate\twith\tadequate\nhydration\tand\ttreatment\tof\tmalnutrition\t(\nCampbell\ta... | [
0.016076622530817986,
-0.05027298629283905,
0.02347330003976822,
-0.03712446987628937,
-0.08297557383775711,
-0.0014410085277631879,
0.05850263312458992,
0.05080234259366989,
-0.041795916855335236,
0.05570350959897041,
0.10005337744951248,
-0.018583638593554497,
-0.0018609100952744484,
0.0... |
Campbell\tand\tPeebles,\t2014\n).\nHematologic\tabnormalities\tinclude\tanemia,\tleukopenia,\tand\tthrombocytopenia.\tAnemia\treportedly\noccurs\tin\t20%\tto\t40%\tof\tmalnourished\tAN\tpatients,\tyet\tiron\tdeficiency\tis\tnot\ttypically\tfound\t(\nMehler\net\tal,\t2018\n;\t\nWestmoreland\tet\tal,\t2016\n).\nBulimia\t... | [
0.025341687723994255,
-0.00867950264364481,
0.02478857710957527,
0.027625132352113724,
-0.07505667209625244,
0.020745445042848587,
0.09863495826721191,
0.014062171801924706,
-0.09145738184452057,
0.03318857401609421,
0.0806390792131424,
-0.04339404031634331,
-0.0072945477440953255,
0.01571... |
Clinical\n\tsigns\tand\tsymptoms\tof\tBN\tare\tmore\tdifficult\tto\tdetect\tbecause\tpatients\tare\tusually\tof\nnormal\tweight\tand\tsecretive\tin\tbehavior.\tWhen\tvomiting\toccurs,\tthere\tmay\tbe\tclinical\tevidence\tsuch\nas\t(1)\tscarring\tof\tthe\tdorsum\tof\tthe\thand\tused\tto\tstimulate\tthe\tgag\treflex,\tkn... | [
0.008269261568784714,
-0.027090074494481087,
0.04236941784620285,
-0.04636111855506897,
-0.11499540507793427,
0.009428011253476143,
0.04334983229637146,
0.06380070745944977,
-0.001946327742189169,
0.01225164346396923,
0.08936893939971924,
-0.021193692460656166,
0.018060410395264626,
0.0425... |
Russell’s\tsign\n(\nFig.\t21.2\n);\t(2)\tparotid\tgland\tenlargement;\tand\t(3)\terosion\tof\tdental\tenamel\twith\tincreased\tdental\ncaries\tresulting\n\tfrom\tthe\tfrequent\tpresence\tof\tgastric\tacid\tin\tthe\tmouth.\nFIG.\t21.2\nRussell’s\tsign.\tCalluses\ton\tthe\tknuckles\tor\tthe\tback\tof\tthe\thand\tresultin... | [
-0.02213463746011257,
0.004407950676977634,
0.08895609527826309,
-0.037957582622766495,
-0.1553170382976532,
0.03816743567585945,
0.04060671851038933,
0.015494167804718018,
0.011735464446246624,
0.008105467073619366,
0.04927060008049011,
0.000006520354872918688,
0.09213440120220184,
-0.014... |
vomiting\tover\ta\tlong\tperiod\tof\ttime.\nGastrointestinal\tsymptoms\toccur\tin\tindividuals\twith\tBN\twho\tuse\tvomiting\tas\ta\tpurging\tmethod\n(\nWestmoreland\tet\tal,\t2016\n).\tThese\tinclude\tsore\tthroat,\tdysphagia,\tgastrointestinal\treflux,\nesophagitis,\tmild\thematemesis\t(vomiting\tof\tblood),\tand\tmo... | [
0.09893500059843063,
-0.09743059426546097,
0.05133315548300743,
0.007868699729442596,
-0.06871882826089859,
-0.028140854090452194,
0.08528999239206314,
0.03523614630103111,
-0.01571980118751526,
-0.020974429324269295,
0.07290710508823395,
-0.021066568791866302,
0.0668739452958107,
0.030168... |
serious\tbut\tconsiderably\tless\tfrequent\ncomplications\tlike\tMallory-Weiss\tesophageal\ttears,\tesophageal\trupture,\tand\tacute\tgastric\tdilation\tor\nrupture.\tSymptoms\tassociated\twith\tlaxative\tmisuse\tvary\twith\ttype,\tdose,\tand\tduration\tof\tuse.\nPatients\tmay\tpresent\twith\tdiarrhea,\tabdominal\tcram... | [
0.051920533180236816,
-0.05857592821121216,
0.052036140114068985,
-0.0025619978550821543,
-0.08914702385663986,
-0.0319209061563015,
0.08718658238649368,
0.023988332599401474,
-0.006038287654519081,
0.019148554652929306,
0.10351821780204773,
-0.016998162493109703,
0.03620943799614906,
0.01... |
of\tstimulant\tlaxatives\t(i.e.,\tthose\tcontaining\tbisacodyl,\tcascara,\n\tor\tsenna)\tcan\tdamage\tintestinal\nnerve\tfibers\tin\tthe\tbowel\twall,\twhereby\tthe\tcolon\tbecomes\tincreasingly\tdependent\ton\tthese\nstimulants\tto\tpropulse\tfecal\tmaterial;\tthis\tresults\tin\tcathartic\tcolon\tsyndrome\t(\nWestmore... | [
0.03299301117658615,
-0.020062681287527084,
0.051680151373147964,
-0.0744820237159729,
-0.12278883904218674,
-0.020472155883908272,
0.049860596656799316,
-0.03439311683177948,
-0.006833742838352919,
0.04347292706370354,
0.08405334502458572,
-0.05233797803521156,
0.03561873733997345,
0.0441... |
Westmoreland\tet\tal,\n2016\n).\tCessation\tof\tlaxatives,\tparticularly\tof\tthe\tstimulant\ttype,\tmay\tresult\tin\tsevere\trebound\nconstipation\tthat\trequires\tongoing\tmedical\tmanagement.\nSelf-induced\tvomiting\n\tand\tabuse\tof\tstimulant\tlaxatives\taccount\tfor\t90%\tof\tthe\tpurging\tbehaviors\nfound\tin\tB... | [
0.05452512949705124,
-0.0676817074418068,
0.06516006588935852,
-0.05081366002559662,
-0.0306342002004385,
0.030752534046769142,
0.0842890739440918,
-0.00855411309748888,
-0.005249980837106705,
0.06747843325138092,
0.10889175534248352,
-0.04672636464238167,
-0.017178190872073174,
0.04684415... |
found\tin\tBN\t(\nWestmoreland\tet\tal,\t2016\n).\tVomiting\tresults\tin\tdecreased\tpotassium\t(hypokalemia),\ndecreased\tchloride,\tand\tincreased\tbicarbonate,\tresulting\tin\tmetabolic\talkalosis.\tExcessive\tlaxative\nabuse\tinitially\tresults\tin\thyperchloremic\tmetabolic\tacidosis;\thowever,\tthis\treverts\tto\... | [
-0.004671695176512003,
-0.03950636461377144,
0.07675694674253464,
-0.031505245715379715,
-0.13508667051792145,
-0.020948901772499084,
0.07109617441892624,
-0.038395870476961136,
0.015394719317555428,
0.07440273463726044,
0.10894482582807541,
-0.08428802341222763,
0.04724664241075516,
0.028... |
metabolic\talkalosis\tafter\ta\tchronic\n\tvolume\tdepleted\tstate\tevolves\t(\nWestmoreland\tet\tal,\t2016\n).\nHypokalemia\talso\toccurs\tsecondary\tto\tlaxative\tmisuse.\tHypokalemia\tfrom\tpurging\tis\tassociated\twith\nincreased\trisk\tof\tatrial\tand\tventricular\tarrhythmias\t(\nTrent\tet\tal,\t2013\n). | [
-0.02565457858145237,
-0.0222346018999815,
0.03164747357368469,
0.009862457402050495,
-0.08631845563650131,
0.025879019871354103,
0.01674664206802845,
0.008183878846466541,
-0.020199351012706757,
0.056517887860536575,
0.07934828847646713,
-0.07374686747789383,
-0.007519111968576908,
0.0049... |
Trent\tet\tal,\t2013\n).\nIndividuals\twith\tBN\tmay\texperience\tmenstrual\tirregularity,\tleading\tto\tthe\tmistaken\tbelief\tthat\tthey\nare\tunable\tto\tconceive.\tUnplanned\tpregnancies,\tmiscarriages,\tand\n\tbabies\tborn\twith\ta\tlower\nbirthweight\tand\tsmaller\thead\tcircumference\tare\tdocumented\tin\tBN\tpa... | [
-0.03772606700658798,
-0.007764938287436962,
0.05539673939347267,
-0.0003582916397135705,
-0.07408808916807175,
0.03889107331633568,
0.06200225278735161,
0.00352062052115798,
-0.010517147369682789,
0.008641970343887806,
0.1036515012383461,
-0.014618960209190845,
-0.01951439678668976,
-0.03... |
Koubaa\tet\tal,\t2013\n;\nLinna\tet\tal,\t2013\n).\tIt\tis\tunknown\tif\tnegative\toutcomes\tare\tassociated\twith\tmalnutrition,\tinadequate\nprenatal\tcare,\tor\tanother\tmechanism\tspecific\tto\tbulimic\tbehavior.\nBinge\teating\tdisorder\nThe\tpredominant\tfeature\tof\tBED\tis\tepisodes\tof\texcessive\teating.\tIn\... | [
-0.007659233175218105,
-0.049463145434856415,
0.0732642188668251,
-0.025731738656759262,
-0.12816955149173737,
0.02475329488515854,
0.073444664478302,
-0.0034967646934092045,
-0.016189519315958023,
0.08247466385364532,
0.0938565582036972,
-0.06384919583797455,
0.0029782068450003862,
0.0389... |
all,\tthis\nbinge\teating\tresults\tin\toverweight\tor\tobesity,\tyet\tcauses\tgreater\tfunctional\timpairment,\tdecreased\nquality\tof\tlife,\tand\tgreater\tlevels\tof\tpsychiatric\tcomorbidity\t(depression\tand\tanxiety)\tthan\tobesity\nwithout\tBED\t(\nKornstein\tet\tal,\t2016\n).\tIngestion\tof\tlarge\tamounts\tof\... | [
0.017167288810014725,
-0.04130430892109871,
0.0699753537774086,
0.050958942621946335,
-0.051607366651296616,
0.05013158544898033,
0.11676764488220215,
0.03205050155520439,
-0.01054722536355257,
0.023354286327958107,
0.07576717436313629,
-0.034817229956388474,
0.024656036868691444,
0.009234... |
).\tIngestion\tof\tlarge\tamounts\tof\tfood\tmay\tcause\tconsiderable\nupper\tand\tlower\tgastrointestinal\tdistress.\tSymptoms\tinclude\tabdominal\tpain,\tfullness,\tdelayed\ngastric\temptying,\tbloating,\tacid\tregurgitation,\theartburn,\tdysphagia,\tnausea,\tdiarrhea,\tconstipation, | [
0.057493094354867935,
-0.1111978143453598,
0.005548513028770685,
0.0175628699362278,
-0.10953491926193237,
-0.02287190593779087,
0.10788558423519135,
0.011194528080523014,
-0.005837033037096262,
0.014048891142010689,
0.08989667147397995,
-0.025506891310214996,
0.05707385763525963,
0.034769... |
fecal\turgency,\tfecal\tincontinence,\tand\tanal\tblockage.\tBED\tis\tassociated\twith\tan\tincreased\tlifetime\nrisk\tof\ttype\t2\tdiabetes,\thypertension,\tand\tmetabolic\tsyndrome\t(\nKornstein\tet\tal,\t2016\n).\nTreatment\tapproach | [
0.015127526596188545,
0.007008600048720837,
0.0435875728726387,
0.03489898145198822,
-0.04711517319083214,
0.027148960158228874,
0.10906217247247696,
0.017472032457590103,
-0.020694704726338387,
0.01570615917444229,
0.0912940576672554,
-0.024772223085165024,
-0.02487790212035179,
0.0584838... |
Treatment\tof\tEDs\trequires\ta\tmultidisciplinary\tapproach\tthat\tincludes\tpsychiatric,\tpsychological,\nmedical,\tand\tnutrition\tinterventions,\tideally\tprovided\tat\ta\tlevel\tof\tcare\tappropriate\tto\tthe\tseverity\tof\nthe\tillness.\tLevels\tof\tcare\toffered\tby\tfacilities\tin\tthe\tUnited\tStates\tinclude\... | [
0.04352984577417374,
-0.04637874290347099,
0.033875636756420135,
-0.026256369426846504,
-0.10494595021009445,
0.02596426010131836,
0.06767921894788742,
0.035973478108644485,
-0.021219035610556602,
0.013080722652375698,
0.08470187336206436,
0.0037162606604397297,
0.010675566270947456,
0.044... |
residential\ttreatment,\tpartial\tor\tday\thospitalization,\tintensive\toutpatient\ttreatment,\tand\toutpatient\ntreatment\t(\nAPA,\t2006\n;\t\nSteinglass\tet\tal,\t2016\n).\tTreatment\tguidelines\tand\tpolicy\tstatements\n\ton\tthe\nnecessary\tcomponents\tof\ttreatment\tare\tavailable\tfrom\tthe\tAPA\t(\nAPA,\t2006\n;... | [
-0.03127417713403702,
-0.0062536802142858505,
0.05096621438860893,
-0.017824513837695122,
-0.11633794754743576,
0.02952834591269493,
0.042749665677547455,
0.05947195366024971,
0.01514936238527298,
0.005440513137727976,
0.10386590659618378,
0.029461055994033813,
0.012818824499845505,
0.0590... |
APA,\t2012\n),\tthe\tSociety\nfor\tAdolescent\tHealth\tand\tMedicine\t(SAHM)\t(\nSAHM,\t2015\n),\tthe\tAmerican\tAcademy\tof\tPediatrics\n(\nRosen\tand\tAmerican\tAcademy\tof\tPediatrics\tCommittee\ton\tAdolescence,\t2010\n),\tthe\tAcademy\tof\nNutrition\tand\tDietetics\t(\nOzier\tet\tal,\t2011\n),\tand\tthe\tRoyal\tAu... | [
0.011096767149865627,
-0.034452758729457855,
0.0250224769115448,
-0.011067233048379421,
-0.10727260261774063,
0.013389486819505692,
0.05527456849813461,
-0.02022998407483101,
-0.028198661282658577,
0.08185310661792755,
0.12217869609594345,
0.0036552073433995247,
0.02307422086596489,
0.0314... |
Psychiatrists\t(\nHay\tet\tal,\t2014\n).\nInpatient\thospitalization\tmay\tbe\tprovided\ton\ta\tpsychiatric\tor\tmedical\tunit\tthat\tutilizes\ta\tbehavioral\nprotocol\tdeveloped\tfor\tED\tpatients.\tSpecialized\tresidential\ttreatment\tprograms\talso\tprovide\t24-hour\ncare\tbut\tare\tless\tlikely\tto\tadmit\tthe\tmed... | [
0.0015027986373752356,
-0.017207559198141098,
0.031298957765102386,
0.004972683731466532,
-0.12178818136453629,
0.023088200017809868,
0.057105157524347305,
0.01091091986745596,
-0.024329621344804764,
-0.0003692495229188353,
0.07530488818883896,
0.02020479552447796,
0.017353087663650513,
0.... |
location\toutside\tof\ta\thospital\tsetting.\tThat\tsaid,\tsome\tresidential\ttreatment\tprograms\tare\n\tadding\nacute\tmedical\tstabilization\tunits\tto\ttheir\tfacility.\tPartial\tand\tday\thospital\tprograms\ttypically\tprovide\n6\tto\t8\thours\tof\tspecialized\tmultidisciplinary\ttreatment\t5\tto\t7\tdays\tper\twe... | [
0.03012346290051937,
-0.014680263586342335,
0.06372597068548203,
-0.02155413292348385,
-0.09449516981840134,
0.002919611521065235,
0.07950710505247116,
-0.018802257254719734,
-0.05403948575258255,
0.04611528664827347,
0.08580870926380157,
-0.010579338297247887,
0.04067976027727127,
0.00772... |
individual\tpatient’s\tneed\tfor\tsupervision.\tIntensive\toutpatient\ttreatment\tprograms\tprovide\tseveral\nhours\tof\tmultidisciplinary\tcare\teach\tweek.\tThis\tmay\tbe\tscheduled\tin\tthe\tlate\tafternoon\tor\tearly\nevening\tso\tthat\tthe\tpatient\tcan\tattend\tafter\tschool\tor\twork.\tThe\tleast\tintensive\ttre... | [
0.012986257672309875,
-0.013228093273937702,
0.05203467607498169,
-0.019282422959804535,
-0.12829837203025818,
0.032717667520046234,
0.050116512924432755,
0.02796100825071335,
-0.0003645638935267925,
0.010084121488034725,
0.09588461369276047,
0.007590305060148239,
0.022631045430898666,
0.0... |
outpatient\tcare.\tPsychotherapist,\tmedical\tdoctor,\tand\tregistered\tdietitian\tnutritionist\t(RDN)\nappointments\tare\ttypically\tscheduled\tat\tdifferent\ttimes\tand\tlocations;\tthis\tnecessitates\ta\tcoordinated\neffort\tat\tcommunication\tamong\tall\tclinicians.\tThe\tAPA\t(2006,\t2012)\tlevel\tof\tcare\tguidel... | [
-0.0064509566873312,
0.006182714365422726,
0.06645265966653824,
-0.03264271467924118,
-0.12068383395671844,
0.012899105437099934,
0.04588931053876877,
0.013226949609816074,
0.011506836861371994,
-0.028525806963443756,
0.07247653603553772,
0.005716101266443729,
0.013126593083143234,
0.01607... |
recommends\n\tthat\tthe\ttreatment\tsetting\tbe\tselected\tin\taccordance\twith\ta\tpatient’s\tmedical\tstatus,\nsuicidality,\tbody\tweight,\tmotivation\tto\trecover,\tpresence\tof\tcomorbid\tconditions,\tneed\tfor\tsupervision\nand\tstructure,\tability\tto\tcontrol\tcompulsive\texercising,\tand\tpurging\tbehavior.\nPs... | [
-0.012052320875227451,
-0.01994575373828411,
0.029652854427695274,
0.02215142920613289,
-0.05678195133805275,
0.0023625490721315145,
0.09621034562587738,
0.055119045078754425,
-0.029149947687983513,
-0.017675070092082024,
0.059313420206308365,
0.011465240269899368,
-0.004687304608523846,
0... |
Psychologic\tmanagement\nEDs\tare\tcomplex\tpsychiatric\tillnesses\tthat\trequire\tpsychological\tassessment\tand\tongoing\ttreatment.\nEvaluation\n\tof\tthe\tpatient’s\tcognitive\tand\tpsychological\tstage\tof\tdevelopment,\tfamily\thistory,\tfamily\ndynamics,\tand\tpsychopathologic\tcondition\tis\tessential\tfor\tthe... | [
0.055696070194244385,
0.0065391818061470985,
0.04941793531179428,
-0.015514147467911243,
-0.10931182652711868,
0.0047456249594688416,
0.07896389812231064,
0.02978925034403801,
0.01973545178771019,
0.016458261758089066,
0.0917837917804718,
-0.024048110470175743,
0.01015209686011076,
0.04064... |
psychosocial\ttreatment\tprogram.\nThe\tlong-term\tgoals\tof\tpsychosocial\tinterventions\tin\tAN\tare\t(1)\tto\thelp\tpatients\tunderstand\tand\ncooperate\twith\ttheir\tnutritional\tand\tphysical\trehabilitation,\t(2)\tto\thelp\tpatients\tunderstand\n\tand\nchange\tbehaviors\tand\tdysfunctional\tattitudes\trelated\tto... | [
-0.0016919593326747417,
-0.016459522768855095,
0.07408732920885086,
0.011931927874684334,
-0.10731139779090881,
0.01913885958492756,
0.09965429455041885,
0.0302980188280344,
0.003833026858046651,
0.01476640347391367,
0.10376209020614624,
-0.031015202403068542,
-0.005603705067187548,
0.0305... |
social\tfunctioning,\tand\t(4)\tto\taddress\tpsychopathologic\tand\tpsychological\tconflicts\tthat\treinforce\tor\nmaintain\teating-disordered\tbehaviors\t(\nAPA,\t2006\n).\nIn\tthe\tacute\tstage\tof\tillness,\tmalnourished\tAN\tpatients\tare\tobsessive\tand\tnegativistic,\tmaking\tit\ndifficult\tto\tconduct\tformal\tp... | [
0.04089236259460449,
-0.008725269697606564,
0.048615463078022,
0.029507892206311226,
-0.11153270304203033,
0.018109973520040512,
0.0780927836894989,
0.0190101508051157,
-0.05012339726090431,
0.05389241501688957,
0.09221335500478745,
-0.014922410249710083,
-0.02211862802505493,
0.0077149611... |
It\tis\ttherefore\trecommended\tthat\tintensive,\thighly\nstructured\tpsychological\ttherapies\tbe\tinitiated\tafter\tthe\tmedical\tand\tcognitive\teffects\tof\tacute\nstarvation\thave\tbeen\tstabilized\t(\nHay\tet\tal,\t2014\n).\nBehavioral\tmanagement\tis\toften\tused\tfor\tindividuals\twith\tlow\tweight\tand\trestri... | [
0.044414643198251724,
-0.02304285764694214,
0.06990429759025574,
0.00522593455389142,
-0.10224295407533646,
0.024305569007992744,
0.10723856091499329,
-0.0035867805127054453,
-0.040712837129831314,
0.06850075721740723,
0.08990444988012314,
-0.00978714320808649,
0.01910999044775963,
0.00918... |
behaviors\t(\nAttia\tand\tWalsh,\t2009\n;\t\nSteinglass\tet\tal,\t2016\n).\tThese\tprotocols\tencourage\tthe\nachievement\tof\tnormal\n\tweight\tand\thealthy\teating\tthrough\tthe\tuse\tof\treinforcements\tfor\thealthy\nbehavioral\tchoices.\tTreatment\ttypically\tincludes\tthe\tsupervision\tof\tall\tmeals\tand\tsnacks,... | [
0.010569531470537186,
0.003414727747440338,
0.0854310691356659,
-0.024787353351712227,
-0.10732720047235489,
-0.0030246758833527565,
0.07887233793735504,
-0.04327935725450516,
-0.03424810618162155,
0.053963784128427505,
0.09399767220020294,
-0.0864749625325203,
0.024014852941036224,
0.0475... |
postmeal\tpsychological\tsupport\tfor\t“having\teaten”\tand\tmonitoring\tto\tprevent\tcompensatory\nbehaviors\tlike\tvomiting,\tstanding,\tand\texercising.\tBehavioral\tmanagement\tcan\tbe\tused\tin\tinpatient,\nresidential,\tand\toutpatient\ttreatment\n\tsettings;\thowever,\teffectiveness\tdepends\ton\tconsistency\tof | [
0.050420042127370834,
-0.014664346352219582,
0.04849747195839882,
0.00869986042380333,
-0.09332621842622757,
0.02650475688278675,
0.09451062232255936,
-0.014364282600581646,
-0.004824757110327482,
-0.00019457913003861904,
0.09168989211320877,
-0.03333389014005661,
0.03868524730205536,
0.01... |
settings;\thowever,\teffectiveness\tdepends\ton\tconsistency\tof\nexpectations\tand\tsupervision,\twhich\tcan\tbe\tmore\tchallenging\ton\tan\toutpatient\tbasis.\nOnce\tacute\tmalnutrition\thas\tbeen\tcorrected\tand\tweight\trestoration\tis\tunderway,\tthe\tAN\tpatient\tis\nmore\tlikely\tto\tbenefit\tfrom\tpsychotherapy... | [
0.04198122397065163,
0.009873021394014359,
0.0342254713177681,
0.01856401190161705,
-0.08801576495170593,
0.013468852266669273,
0.08229798078536987,
-0.004976572003215551,
-0.028071481734514236,
-0.03015320375561714,
0.11231616139411926,
-0.02998998388648033,
0.035827528685331345,
0.010671... |
change\tcore\tdysfunctional\tthoughts,\tattitudes,\tmotives,\tconflicts,\n\tand\tfeelings\trelated\tto\tthe\tED.\nAssociated\tpsychiatric\tconditions,\tincluding\tdeficits\tin\tmood,\timpulse\tcontrol,\tand\tself-esteem,\tas\nwell\tas\trelapse\tprevention,\tshould\tbe\taddressed\tin\tthe\tpsychotherapeutic\ttreatment\t... | [
0.016169626265764236,
-0.012235873378813267,
0.10225992649793625,
0.006413932424038649,
-0.11099255084991455,
-0.005898487754166126,
0.12582935392856598,
0.008470823988318443,
-0.0029835777822881937,
0.005640787072479725,
0.07046561688184738,
-0.02894776687026024,
-0.013091467320919037,
-0... |
No\tconsensus\thas\tbeen\treached\ton\tthe\tbest\toverall\tapproach\tto\tpsychotherapy\tin\tAN;\thowever,\nstudies\tsuggest\tthat\t\nfamily-based\ttherapy\t(FBT)\n\tis\tthe\ttreatment\tof\tchoice\tin\tadolescents\n\twith\nrelatively\tbrief\tAN\t(\nGur\tet\tal,\t2018\n).\tFBT\tfor\tAN\tis\ta\t3-phase\tmanualized\toutpat... | [
-0.007636137306690216,
0.0009283435065299273,
0.03925115615129471,
0.02453666366636753,
-0.06446260213851929,
0.03240291401743889,
0.10060165822505951,
0.04663882032036781,
0.034629322588443756,
-0.008540165610611439,
0.0780598446726799,
0.019315963611006737,
0.0022455137223005295,
0.04905... |
).\tFBT\tfor\tAN\tis\ta\t3-phase\tmanualized\toutpatient\ttreatment\nconsisting\tof\t10\tto\t20\tsessions\tconducted\tover\t6\tto\t12\tmonths\t(\nLock\tand\tLe\tGrange,\t2013\n).\tPhase\t1\naims\tto\tempower\tparents\tto\tplay\tan\tactive\trole\tin\tthe\tweight\trestoration\tof\ttheir\tadolescent;\tit | [
-0.007341546006500721,
-0.02540072612464428,
0.036892279982566833,
0.006996328476816416,
-0.08598743379116058,
0.020353881642222404,
0.0914502963423729,
0.04650085046887398,
0.01995864324271679,
0.02507447637617588,
0.11645125597715378,
-0.005951695144176483,
0.005224865395575762,
0.041391... |
focuses\ton\tthe\tdangers\tassociated\twith\tsevere\tmalnutrition\tand\temphasizes\tthe\tneed\tfor\tparents\tto\ntake\n\timmediate\taction\tto\treverse\tthis.\tIn\tphase\t1,\tthe\tFBT\ttherapist\tassists\tparents\tin\trefeeding\ttheir\nchild\tusing\tparental\tcoaching\ttechniques.\tIn\tphase\t2,\tthe\tparents\tare\tenc... | [
0.0420018769800663,
-0.08298740535974503,
0.01904941350221634,
-0.05419940501451492,
-0.12185270339250565,
0.015417964197695255,
0.060164518654346466,
0.02151906117796898,
-0.02028365060687065,
0.050330933183431625,
0.11560389399528503,
-0.044793885201215744,
0.006360691972076893,
0.043363... |
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