Obese individuals are highly stigmatized and face multiple forms of prejudice and discrimination because of their weight (1,2). The prevalence of weight discrimination in the United States has increased by 66% over the past decade (3), and is comparable to rates of racial discrimination, especially among women (4). Weight bias translates into inequities in employment settings, health-care facilities, and educational institutions, often due to widespread negative stereotypes that overweight and obese persons are lazy, unmotivated, lacking in selfdiscipline, less competent, noncompliant, and sloppy (2,5–7). These stereotypes are prevalent and are rarely challenged in Western society, leaving overweight and obese persons vulnerable to social injustice, unfair treatment, and impaired quality of life as a result of substantial disadvantages and stigma. In 2001, Puhl and Brownell published the first comprehensive review of several decades of research documenting bias and stigma toward overweight and obese persons (2). This review summarized weight stigma in domains of employment, health care, and education, demonstrating the vulnerability of obese persons to many forms of unfair treatment. Despite evidence of weight bias in important areas of living, the authors noted many gaps in research regarding the nature and extent of weight stigma in various settings, the lack of science on emotional and physical health consequences of weight bias, and the paucity of interventions to reduce negative stigma. In recent years, attention to weight bias has increased, with a growing recognition of the pervasiveness of weight bias and stigma, and its potential harmful consequences for obese persons. The aim of this article is to provide an update of scientific evidence on weight bias toward overweight and obese adults through a systematic review of published literature since the 2001 article by Puhl and Brownell. This review expands upon previous findings of weight bias in major domains of living, documents new areas where weight bias has been studied, and highlights ongoing research questions that need to be addressed to advance this field of study. A systematic literature search of studies published between January 2000 and May 2008 was undertaken on computerized psychological, medical, social science, sport, and education databases including PsycINFO, PubMed, SCOPUS, ERIC, and SPORTDiscus. The following keyword combinations were used: weight, obese, obesity, overweight, BMI, fat, fatness, size, heavy, large, appearance, big, heavyweight, bias, biased, discrimination, discriminatory, discriminate, stigma, stigmatized, stigmatization, prejudice, prejudicial, stereotype(s), stereotypical, stereotyping, victimization, victimize(d), blame(d), blaming, shame(d), shaming, teasing, tease(d), unfair, bully, bullying, harassment, assumptions, attributions, education, health, health care, sales, employment, wages, promotion, adoption, jury, customer service, housing, media, television. Reference lists of retrieved articles and books were also reviewed, and manual searches were conducted in the databases and journals for authors who had published in this field. Most studies retrieved for this review were published in the United States. Any articles published internationally are noted with their country of origin. Research on weight stigma in adolescents and children was excluded from this review, as this literature was recently reviewed elsewhere (8). Unpublished manuscripts and dissertations were also excluded. In addition, issues pertaining to measurement of weight stigmatization, and demographic variables affecting vulnerability to weight bias such as gender, age, race, and body weight are not addressed in this review. This article instead primarily reviews the evidence of specific areas where weight bias occurs toward adults and its consequences for those affected. This article is organized similarly to the first review published by Puhl and Brownell (2), with sections on weight bias in settings of employment, health care, and education. New sections have been added including weight bias in interpersonal relationships and the media, as well as psychological and physical health consequences of weight bias, and the status of stigma-reduction research. As with the 2001 article, this review also provides an update on legal initiatives to combat weight discrimination, and outlines specific questions for future research.

https://www.sochob.cl/pdf/obesidad_adulto/The%20Stigma%20of%20Obesity%20%20A%20Review%20and%20Update.pdf

The stigma of obesity: a review and update.

On death and dying

Many organizations today have more than very large databases; they have databases that grow without limit at a rate of several million records per day. Mining these continuous data streams brings unique opportunities, but also new challenges. This paper describes and evaluates VFDT, an anytime system that builds decision trees using constant memory and constant time per example. VFDT can incorporate tens of thousands of examples per second using off-the-shelf hardware. It uses Hoeffding bounds to guarantee that its output is asymptotically nearly identical to that of a conventional learner. We study VFDT's properties and demonstrate its utility through an extensive set of experiments on synthetic data. We apply VFDT to mining the continuous stream of Web access data from the whole University of Washington main campus.

/pdf/mining-high-speed-data-streams-lvhxds4j3r.pdf

Mining high-speed data streams

Most statistical and machine-learning algorithms assume that the data is a random sample drawn from a stationary distribution. Unfortunately, most of the large databases available for mining today violate this assumption. They were gathered over months or years, and the underlying processes generating them changed during this time, sometimes radically. Although a number of algorithms have been proposed for learning time-changing concepts, they generally do not scale well to very large databases. In this paper we propose an efficient algorithm for mining decision trees from continuously-changing data streams, based on the ultra-fast VFDT decision tree learner. This algorithm, called CVFDT, stays current while making the most of old data by growing an alternative subtree whenever an old one becomes questionable, and replacing the old with the new when the new becomes more accurate. CVFDT learns a model which is similar in accuracy to the one that would be learned by reapplying VFDT to a moving window of examples every time a new example arrives, but with O(1) complexity per example, as opposed to O(w), where w is the size of the window. Experiments on a set of large time-changing data streams demonstrate the utility of this approach.

/pdf/mining-time-changing-data-streams-a9kghvc13p.pdf

Mining time-changing data streams

The World Wide Web has succeeded in large part because its software architecture has been designed to meet the needs of an Internet-scale distributed hypermedia application. The modern Web architecture emphasizes scalability of component interactions, generality of interfaces, independent deployment of components, and intermediary components to reduce interaction latency, enforce security, and encapsulate legacy systems. In this article we introduce the Representational State Transfer (REST) architectural style, developed as an abstract model of the Web architecture and used to guide our redesign and definition of the Hypertext Transfer Protocol and Uniform Resource Identifiers. We describe the software engineering principles guiding REST and the interaction constraints chosen to retain those principles, contrasting them to the constraints of other architectural styles. We then compare the abstract model to the currently deployed Web architecture in order to elicit mismatches between the existing protocols and the applications they are intended to support.

Principled design of the modern Web architecture

Obese children are stigmatized in same-sex relationships. This study examines whether, in adulthood, obesity stigma exists in adults when they are asked to rank order preferences for a sexual partner.
Following the methods of Richardson et al. (Richardson SA, Goodman N, Hastorf AH, Dornbusch SM. Cultural uniformity in reaction to physical disabilities. Am Sociol Rev. 1961;26:241ﾖ247) and Latner and Stunkard (Latner J, Stunkard AJ, Wilson GT. Age, ethnic and gender differences in stigmatization of obesity. Orlando, FL: International Conference on Eating Disorders; 2004), 449 college students were asked to rank order six drawings of potential sexual partners. The drawings included an obese partner, partners with various other disabilities, and a healthy partner.
The least-preferred partners were obese. Men, compared with women, provided significantly lower ranks for obese partners Overall, despite the fact that the majority of adults in the U.S. are overweight, discrimination on the basis of weight occurs in making a choice of a sexual partner.

https://onlinelibrary.wiley.com/doi/pdf/10.1038/oby.2005.168

Obesity stigma in sexual relationships.

Problem statement: Several investigators have indicated that case defi nitions for Chronic Fatigue Syndrome (CFS) are characterized by vaguely worded criteria that lack operational definitions and guidelines. The most widely used CFS case definition is the Fukuda et al. criteria, which uses polythetic criteria (i.e., patients are only requir ed to have four out of a possible eight symptoms). Yet two of these eight symptoms (post-exertional malais e and memory/concentration problems) are an essential feature of this illness and the Fukuda et al. criteria do not require that these symptoms be present among all patients. Significant methodologi cal problems could occur if investigators in different settings recruit samples with different p ercentages of these core symptoms. In contrast, the Canadian clinical case definition does require spec ific ME/CFS symptoms such as post-exertional malaise and memory/concentration problems. The provision of operationally explicit, objective criteria on specific key symptoms might reduce criterion var iance as a source of unreliability. In addition, th e use of structured interview schedules will ensure t hat symptoms are assessed in a consistent way across settings. Conclusion/Recommendations: In this article, we specified explicit rules for determining whether critical symptoms meet ME/CFS criteria using a revised Canadian case definition and a questionnaire has been developed to assess co re symptoms. It is hoped that these developments will lead to increased reliability of this revised Canadian case definition as well as more frequent u se of these criteria by investigators.

/pdf/the-development-of-a-revised-canadian-myalgic-1ck6jam7zw.pdf

The Development of a Revised Canadian Myalgic Encephalomyelitis Chronic Fatigue Syndrome Case Definition

Aid in understanding issues surrounding the construct validity of fatigue including the distinction between pathological versus nonpathological fatigue. Fatigue is a universal symptom reported by individuals in the general population as well as by those suffering from different medical and psychological illnesses, including cancer, multiple sclerosis, chronic fatigue syndrome, depression, and anxiety. Chronic fatigue is a significant problem in many primary care settings, and the debilitating and prolonged nature of fatigue can pose significant economic consequences for society. Researchers have struggled to better assess and understand the etiology and classification of fatigue within different illness groups.

What is fatigue? Pathological and nonpathological fatigue.

Performance-enhancing mechanisms in the World Wide Web primarily exploit repeated requests to Web documents by multiple clients However, little is known about patterns of shared document access, particularly from diverse client populations The principal goal of this paper is to examine the sharing of Web documents from an organizational point of view An organizational analysis of sharing is important, because caching is often performed on an organizational basis; ie, proxies are typically placed in front of large and small companies, universities, departments, and so on Unfortunately, simultaneous multi-organizational traces do not currently exist and are difficult to obtain in practice

The goal of this paper is to explore the extent of document sharing (1) among clients within single organizations, and (2) among clients across different organizations To perform the study, we use a large university as a model of a diverse collection of organizations Within our university, we have traced all external Web requests and responses, anonymizing the data but preserving organizational membership information This permits us to analyze both inter-and intra-organization document sharing and to test whether organization membership is significant As well, we characterize a number of parameters of our data, including basic object characteristics, object cacheability, and server distributions

/pdf/organization-based-analysis-of-web-object-sharing-and-4jmewenail.pdf

Organization-based analysis of web-object sharing and caching

Non-pharmacological behavioral treatments for CFS have been suggested as promising. These trials have tested protocols composed of behavioral, cognitive and cognitive–behavioral interventions but there have been few efforts to differentially evaluate their outcomes. The primary purpose of the current study was to evaluate the effectiveness of nurse delivered non-pharmacologic interventions. In the present study, 114 participants diagnosed with CFS were randomly assigned to four 6-month interventions. The interventions were: cognitive–behavior therapy, cognitive therapy, anaerobic activity, and a relaxation control group. The study found that these interventions led to increases in several areas of functioning, with more consistent changes occurring among those participants in the cognitive condition. For the 25 variables in this study, significant change occurred for 28%, 20%, 16%, and 12% of the variables for the cognitive, cognitive behavior therapy, anaerobic activity, and relaxation conditions, respectively. However, the majority of participants continued to be diagnosed with CFS following the treatment trial. Implications of these findings are discussed.

Molly Brown

Papers

Obesity stigma in sexual relationships.

The Development of a Revised Canadian Myalgic Encephalomyelitis Chronic Fatigue Syndrome Case Definition

What is fatigue? Pathological and nonpathological fatigue.

Organization-based analysis of web-object sharing and caching

Non-pharmacologic interventions for CFS: A randomized trial