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August 2013 Briefing - Psychiatry

August 2013 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for August 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Moderate Drinkers of Wine Less Likely to Be Depressed

FRIDAY, Aug. 30 (HealthDay News) -- Older adults who drink low-to-moderate amounts of alcohol, particularly wine, have lower rates of depression, according to research published online Aug. 30 in BMC Medicine.

Abstract (http://www.biomedcentral.com/1741-7015/11/192/abstract )Full Text (subscription or payment may be required) (http://www.biomedcentral.com/1741-7015/11/192 )

Unintentional Buprenorphine Exposure Dangerous for Kids

FRIDAY, Aug. 30 (HealthDay News) -- Unintentional exposure to buprenorphine (intended to treat adults with opioid addiction) can cause serious adverse events, including death, in young children, according to a study published online Aug. 29 in The Journal of Pediatrics.

Full Text (http://www.jpeds.com/webfiles/images/journals/ympd/JPEDSLavonas.pdf )

Death Risk Higher With Mental Illness in Drug Trials

THURSDAY, Aug. 29 (HealthDay News) -- Adults with psychiatric illnesses such as schizophrenia, depression, and bipolar disorder who participate in clinical trials of psychopharmacological drugs have a higher mortality risk, in many cases by suicide, according to a study published online Aug. 28 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733743#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733743 )

Biomarkers Lower in Patients With Early Parkinson's Disease

THURSDAY, Aug. 29 (HealthDay News) -- Four biomarkers are found at lower levels in the cerebrospinal fluid of patients with early Parkinson's disease and are correlated with greater motor severity and a particular motor phenotype, according to a study published online Aug. 26 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1729660#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1729660 )

Prevalence of Rx Sleeping Aid Use 4 Percent for U.S. Adults

THURSDAY, Aug. 29 (HealthDay News) -- The prevalence of prescription sleep aid use in the past month is about 4 percent among U.S. adults aged 20 years and older, according to a report published Aug. 29 by the National Center for Health Statistics (NCHS).

More Information (http://www.cdc.gov/nchs/data/databriefs/db127.htm )

New Diagnostic Criteria Reduce Sex Disparity in Depression

THURSDAY, Aug. 29 (HealthDay News) -- In analyses combining traditional and alternative symptoms of depression, the prevalence of depression is comparable for men and women, according to a study published online Aug. 28 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733742 #Abstract )Full Text (http://archpsyc.jamanetwork.com/article.aspx?articleid=1733742 )

Enzymes Key to Expression of Genes Linked to Autism

THURSDAY, Aug. 29 (HealthDay News) -- A class of enzymes called topoisomerases is important for the expression of very long genes, which are common among genes linked to autism spectrum disorder (ASD), according to a study published online Aug. 28 in Nature.

Abstract (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature12504.html )Full Text (subscription or payment may be required) (http://www.nature.com/nature/journal/vaop/ncurrent/full/nature12504.html#access )

Global Burden of Substance Use, Mental Disorders Quantified

THURSDAY, Aug. 29 (HealthDay News) -- The global burdens of mental and substance abuse disorders and illicit drug dependence have been quantified, according to two studies published online Aug. 29 in The Lancet.

Abstract - Whiteford (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61611-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61611-6/fulltext )Abstract - Degenhardt (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61530-5/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61530-5/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61781-X/fulltext )

Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

More Information (http://www.treasury.gov/press-center/press-releases/Pages/jl2152.aspx )

Use of Antipsychotic Meds Down in Nursing Homes

WEDNESDAY, Aug. 28 (HealthDay News) -- There has been a decrease in the national prevalence of antipsychotic medication use among nursing home residents, according to a report published by the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-08-27.html )

Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1733718#Abstract )Full Text (subscription of payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1733718 )

Long Runs of Homozygosity Linked to Alzheimer's Disease

TUESDAY, Aug. 27 (HealthDay News) -- For Hispanic individuals, the mean length of runs of homozygosity (ROHs) is greater for those with Alzheimer's disease (AD), particularly familial AD, than for controls, according to research published online Aug. 26 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1729659#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1729659 )

Report Discusses Caregiver-Fabricated Illness in Children

TUESDAY, Aug. 27 (HealthDay News) -- Caregiver-fabricated illness is a rare but serious form of child abuse, and pediatricians should be aware of it when faced with persistent or recurrent illness that cannot be explained, according to a clinical report published online Aug. 26 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2013-2045.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2013-2045.full.pdf+html )

Early Auditory Learning May Begin in the Womb

MONDAY, Aug. 26 (HealthDay News) -- The brain is capable of auditory learning before birth, which may have implications for language acquisition and disorders such as dyslexia, according to a study published online Aug. 26 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/08/14/1302159110.abstract )Full Text (subscription or payment may be required) (http://www.pnas.org/content/early/2013/08/14/1302159110.full.pdf+html )

Heroin Incidence Up for Those Using Non-Medical Pain Relief

MONDAY, Aug. 26 (HealthDay News) -- The rate of heroin initiation is much higher among those who have previously used non-medical pain relievers (NMPR), although only a small percentage of those using NMPRs actually progress to heroin use, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information (http://www.samhsa.gov/data/2k13/DataReview/DR006/nonmedical-pain-reliever-use-2013.pdf )

Development Normal to Better in Children Who Stutter

MONDAY, Aug. 26 (HealthDay News) -- Although about one in 10 children stutter by the time they reach preschool, children who stutter have normal social and emotional development and have better verbal and nonverbal skills than their non-stuttering peers, according to a study published online Aug. 26 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2012-3067.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2012-3067.full.pdf+html )

Autistic Traits More Common in Children With ADHD

MONDAY, Aug. 26 (HealthDay News) -- About one in five children and adolescents with attention-deficit/hyperactivity disorder (ADHD) show signs of autism, according to a study published online Aug. 26 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2012-3947.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/20/peds.2012-3947.full.pdf+html )

Children With Autism Favor Play With Sensory Component

FRIDAY, Aug. 23 (HealthDay News) -- Children with autism spectrum disorders (ASD) prefer activities with a strong sensory component or cause-effect results, and avoid activities involving pretend play or arts and crafts, according to a study published in the July issue of the North American Journal of Medicine and Science.

Abstract (http://najms.net/v06i03p128a/ )Full Text (subscription or payment may be required) (http://najms.net/v06i03p128a/ )

Depression and Nocturia May Be Bidirectionally Linked

FRIDAY, Aug. 23 (HealthDay News) -- There may be a bidirectional association between depression and nocturia, according to a review published in the September issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)04349-8/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)04349-8/fulltext )

Baseline Pain Severity Predicts Worse Long-Term LBP Outcomes

THURSDAY, Aug. 22 (HealthDay News) -- Patients' baseline pain and the perception that their pain will persist are significant predictors of poor outcomes for low back pain (LBP) over the short and long term, according to a study published in the August issue of The Journal of Pain.

Abstract (http://www.jpain.org/article/S1526-5900%2813%2900962-0/abstract )Full Text (http://www.jpain.org/article/S1526-5900(13)00962-0/fulltext )

Antipsychotic Use Among Youth Ups Type 2 Diabetes Risk

THURSDAY, Aug. 22 (HealthDay News) -- Among youth aged 6 to 24 years, recent initiation of antipsychotics is associated with a significantly increased risk of type 2 diabetes, according to a study published online Aug. 21 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1731662#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1731662 )

Genetic Traits Tie Alcohol Dependence, Eating Disorders

WEDNESDAY, Aug. 21 (HealthDay News) -- Common genes may be responsible for alcohol dependence and eating disorders, according to a study published in the September issue of the Journal of Studies on Alcohol and Drugs.

Abstract (http://www.jsad.com/jsad/article/A_Twin_Study_of_Alcohol_Dependence_Binge_Eating_and_Compensatory_Behavior/4844.html )Full Text (http://www.jsad.com/jsad/downloadarticle/A_Twin_Study_of_Alcohol_Dependence_Binge_Eating_and_Compensatory_Behavior/5180.pdf )

Two Presentations for Chronic Traumatic Encephalopathy

WEDNESDAY, Aug. 21 (HealthDay News) -- Two distinct clinical patterns are seen in patients with chronic traumatic encephalopathy (CTE), according to a study published online Aug. 21 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/08/21/WNL.0b013e3182a55f7f.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/08/21/WNL.0b013e3182a55f7f.full.pdf+html )

Decision Support System Improves ADHD Diagnosis

WEDNESDAY, Aug. 21 (HealthDay News) -- Use of a clinical decision support module results in higher quality of attention-deficit/hyperactivity disorder (ADHD) diagnosis, according to a study published online Aug. 19 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0933.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0933.full.pdf+html )

Hispanic Teens More Likely to Engage in Substance Abuse

WEDNESDAY, Aug. 21 (HealthDay News) -- Hispanic teenagers are more likely to engage in substance abuse than Caucasian or African-American teenagers, and are more likely to be offered drugs in their lifetime and at school, according to a report sponsored by MetLife Foundation and published by The Partnership at Drugfree.org.

More Information (http://www.drugfree.org/newsroom/hispanic-teen-drug-use-pats )

Haloperidol Has No Effect on Delirium in Critically Ill Patients

WEDNESDAY, Aug. 21 (HealthDay News) -- In critically ill patients requiring ventilation, haloperidol treatment does not affect the amount of time alive without delirium or coma compared with placebo, according to a study published online Aug. 21 in The Lancet Respiratory Medicine.

Abstract (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70166-8/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70166-8/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(13)70178-4/fulltext )

Decreased Activation in Brain Networks Post-Concussion

WEDNESDAY, Aug. 21 (HealthDay News) -- Injured athletes show decreased activation of right hemisphere attentional networks in the post-concussion period, with hyperactivation seen at seven weeks post-injury, according to a study published in the September issue of the Journal of the International Neuropsychological Society.

Abstract (http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8952254 )Full Text (subscription or payment may be required) (http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8952254 )

Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

Full Text (http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=98 )

Biomarkers Linked to Suicidal Behavior

TUESDAY, Aug. 20 (HealthDay News) -- Several blood biomarkers have been identified that are associated with a higher likelihood of suicidal behavior, according to a study published online Aug. 20 in Molecular Psychiatry.

Abstract (http://www.nature.com/mp/journal/vaop/ncurrent/abs/mp201395a.html )Full Text (http://www.nature.com/mp/journal/vaop/ncurrent/full/mp201395a.html )

Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374836 )

At-Home Care Cuts Depression in Older African-Americans

TUESDAY, Aug. 20 (HealthDay News) -- A home-based intervention delivered by social workers reduces symptoms and improves quality of life in older African-Americans with depressive symptoms, according to research published in the Aug. 20 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1726809 )

Score Predicts 10-Year Risk of Dementia in Type 2 Diabetes

TUESDAY, Aug. 20 (HealthDay News) -- A risk score has been created and validated to predict the 10-year risk of dementia among patients with type 2 diabetes, according to a study published online Aug. 20 in The Lancet Diabetes & Endocrinology.

Abstract (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70048-2/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70048-2/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/landia/article/PIIS2213-8587(13)70091-3/fulltext )

Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/08/19/cmaj.121990 )

Estimated Recurrence Risk for Autism Spectrum Disorders 6.9

MONDAY, Aug. 19 (HealthDay News) -- The overall relative recurrence risk for autism spectrum disorders (ASDs) is 6.9, with significant risks seen for maternal and paternal full-siblings and for maternal half-siblings, according to a study published online Aug. 19 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1728998#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1728998 )

Controversy Surrounding 'Fat Letters' Discussed

MONDAY, Aug. 19 (HealthDay News) -- Despite the potential stigma surrounding "fat letters," school body mass index (BMI) measurement programs may be beneficial, according to a perspective piece published online Aug. 19 in Pediatrics.

Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0926.full.pdf+html )

Study IDs Factors Linked to Delayed ASD Diagnosis in Latinos

MONDAY, Aug. 19 (HealthDay News) -- Delayed identification of autism spectrum disorder (ASD) in Latino children is due to multiple factors, including limited general developmental and ASD screening in Spanish, difficulties in assessing ASD risk in primarily Spanish-speaking families, and lack of access to developmental specialists, according to a study published online Aug. 19 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0383.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0383.full.pdf+html )

HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/08/20130815a.html )

Personal Websites Benefit Women With Breast Cancer

MONDAY, Aug. 19 (HealthDay News) -- Developing and using a personal website to chronicle their experience and communicate with others improves psychological and cancer-specific adjustment in women being treated for breast cancer, according to research published online Aug. 12 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2013/08/12/JCO.2012.46.9015.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/08/12/JCO.2012.46.9015.full.pdf+html )

Children's Soda Consumption Tied to Behavior Problems

FRIDAY, Aug. 16 (HealthDay News) -- Children who consume more soda daily are reported to have higher levels of aggressive behavior, according to a study published online Aug. 16 in The Journal of Pediatrics.

Full Text (http://www.jpeds.com/webfiles/images/journals/ympd/JPEDSSuglia.pdf )

Childhood ADHD Linked to Atopic Diseases, Impetigo

FRIDAY, Aug. 16 (HealthDay News) -- For boys with attention-deficit/hyperactivity disorder (ADHD), the likelihoods of asthma, impetigo, and any antihistamine drug prescriptions are independently increased, according to a study published in the August issue of the Annals of Allergy, Asthma & Immunology.

Abstract (http://www.annallergy.org/article/S1081-1206(13)00357-8/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00357-8/fulltext )

Depression Up in Post-Radiation Head & Neck Cancer Survivors

FRIDAY, Aug. 16 (HealthDay News) -- For post-radiotherapy survivors of head and neck cancer, depression is fairly common, but treatment is underutilized, according to research published online Aug. 15 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1725714#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1725714 )

Osteoarthritis Pain Negatively Impacts a Spouse's Sleep

FRIDAY, Aug. 16 (HealthDay News) -- For patients with knee osteoarthritis, pain impacts spouses' sleep, according to a study published in the September issue of PAIN.

Abstract (http://www.sciencedirect.com/science/article/pii/S0304395913002467 )Full Text (subscription or payment may be required) (http://www.sciencedirect.com/science/article/pii/S0304395913002467 )

IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

More Information (http://www.iom.edu/Reports/2013/Partnering-with-Patients-to-Drive-Shared-Decisions-Better-Value-and-Care-Improvement.aspx )

NIH Produces Online Course for Teen Alcohol Screening

THURSDAY, Aug. 15 (HealthDay News) -- A new online training course has been produced by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), together with Medscape, to assist health care professionals conduct alcohol screening for adolescents, according to a report published by the National Institutes of Health.

More Information (http://www.nih.gov/news/health/aug2013/niaaa-12.htm )

Depression Linked to Cognitive Decline in Type 2 Diabetes

THURSDAY, Aug. 15 (HealthDay News) -- For patients with type 2 diabetes, depression correlates with greater cognitive decline over 40-months of follow-up, according to a study published online Aug. 14 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1727436#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1727436 )

Facebook Usage Linked to Worse Well-Being

THURSDAY, Aug. 15 (HealthDay News) -- Using the social networking site Facebook has a negative effect on people's well-being, making them feel less satisfied with their lives, according to a study published online Aug. 14 in PLOS ONE.

Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0069841 )

Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1299.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1299.full )

Estimated Costs of Excessive Alcohol Use in the U.S. Are High

THURSDAY, Aug. 15 (HealthDay News) -- The estimated median state cost of excessive alcohol use in the United States in 2006, mostly due to binge drinking, was $2.9 billion, according to research published online Aug. 13 in the American Journal of Preventive Medicine.

Full Text (http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_3854-stamped-081313.pdf )

Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

More Information (http://investors.athenahealth.com/phoenix.zhtml?c=213592&p=irol-newsArticle&ID=1846875&highlight= )

Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1726999#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1726999 )

Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1728725 )

Post-Op PTSD Tied to Reduced Elective Lumbar Fusion Benefit

WEDNESDAY, Aug. 14 (HealthDay News) -- Postoperative posttraumatic stress disorder (PTSD) symptoms are strongly correlated with reduced clinical benefit from elective lumbar spinal fusion, according to a study published in the Aug. 1 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/08010/Post_traumatic_Stress_Symptoms_After_Elective.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/08010/Post_traumatic_Stress_Symptoms_After_Elective.12.aspx )

New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

More Information (http://www.acponline.org/pressroom/cpph.htm?hp )

Nine Risk Factors Identified for Young-Onset Dementia

TUESDAY, Aug. 13 (HealthDay News) -- Nine risk factors have been identified for young-onset dementia (YOD; dementia diagnosed before the age of 65 years), which together account for 68 percent of the population-attributable risk for YOD, according to a study published online Aug. 12 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1726998#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1726998 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1726991 )

Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

Abstract (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/abstract )Full Text (subscription or payment may be required) (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/fulltext )

In Teens, ADHD Linked to Impaired Driving Outcomes

MONDAY, Aug. 12 (HealthDay News) -- Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk for negative driving outcomes, according to a study published online Aug. 12 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1725447#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1725447 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1725445 )

U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1346.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1346.full )

Famous Faces Help Identify Young-Onset Dementia

MONDAY, Aug. 12 (HealthDay News) -- Patients with primary progressive aphasia, a type of young-onset clinical dementia, have difficulty naming and recognizing famous faces, which is associated with cortical atrophy in particular brain areas, according to a study published in the Aug. 13 issue of Neurology.

Abstract (http://www.neurology.org/content/81/7/658.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/81/7/658.full )

Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

Full Text (http://www.jstor.org/stable/10.1086/672271 )

ER Visits Related to Use of CNS Stimulants Up From '05 to '11

MONDAY, Aug. 12 (HealthDay News) -- From 2005 to 2011, the number of emergency department visits related to nonmedical use of central nervous system (CNS) stimulants increased about four-fold among 18- to 34-year-olds, according to a report published Aug. 8 by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information (http://www.samhsa.gov/data/spotlight/spot103-CNS-stimulants-adults.pdf )

Depression Modifies Type A Behavior, Mortality Link in T1DM

MONDAY, Aug. 12 (HealthDay News) -- For individuals with type 1 diabetes, type A personality is associated with lower all-cause mortality, with the correlation modified by depressive symptomatology, according to a study published online July 8 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/06/26/dc13-0266.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/26/dc13-0266.full.pdf+html )

Childhood Functional Stomach Pain Ups Risk for Later Anxiety

MONDAY, Aug. 12 (HealthDay News) -- Children with functional abdominal pain (FAP) are at greater risk for anxiety disorders as they get older, according to research published online Aug. 12 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/07/peds.2012-2191.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/07/peds.2012-2191.full.pdf+html )

Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0105.htm )

Wide Treatment Variances Seen With ADHD Drugs

FRIDAY, Aug. 9 (HealthDay News) -- There are wide variations in the use of stimulants to treat attention-deficit/hyperactivity disorder at both the state and the county level, according to research published online Aug. 2 in Psychiatric Services.

Abstract (http://ps.psychiatryonline.org/article.aspx?articleID=1724475 )Full Text (subscription or payment may be required) (http://ps.psychiatryonline.org/article.aspx?articleID=1724475 )

IPAs and PHOs Viable Option for Small Independent Practices

FRIDAY, Aug. 9 (HealthDay News) -- For small and medium-size independent practices, sharing care management and information technology resources with other practices through an independent practice association (IPA) or physician-hospital organization (PHO) is a viable alternative and may improve care for patients with chronic conditions, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1376.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1376.full )

Gene Variants Linked to Obesity

THURSDAY, Aug. 8 (HealthDay News) -- Variants of a gene are associated with overweight and obesity in psychiatric patients taking drugs that induce weight gain, as well in the general population, according to a study published online Aug. 7 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1725658#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1725658 )

Tool Developed for Predicting Delirium During Hospitalization

THURSDAY, Aug. 8 (HealthDay News) -- A tool has been developed and validated for predicting the likelihood of developing delirium during hospitalization, according to research published online Aug. 7 in the Journal of Hospital Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2062/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2062/full )

Greater Risk of Postpartum Depression in Urban Areas

THURSDAY, Aug. 8 (HealthDay News) -- Women living in large urban areas are at greater risk for postpartum depression, according to research published online Aug. 6 in CMAJ, the Journal of the Canadian Medical Association.

Abstract (http://www.cmaj.ca/content/early/2013/08/06/cmaj.122028 )Full Text (http://www.cmaj.ca/content/early/2013/08/06/cmaj.122028.full.pdf+html )

Higher Glucose Levels Linked to Increased Dementia Risk

WEDNESDAY, Aug. 7 (HealthDay News) -- For older adults with and without diabetes, higher glucose levels are associated with an increased risk of dementia, according to a study published in the Aug. 8 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1215740?query=featured_home )

Cocoa Improves Neurovascular Coupling, Cognition in Elderly

WEDNESDAY, Aug. 7 (HealthDay News) -- Neurovascular coupling is significantly associated with cognitive function, and both are improved by cocoa consumption among elderly individuals with baseline impairments, according to a study published online Aug. 7 in Neurology.

Abstract (http://www.neurology.org/content/early/2013/08/07/WNL.0b013e3182a351aa.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/08/07/WNL.0b013e3182a351aa.full.pdf+html )Editorial (subscription or payment may be required) (http://www.neurology.org/content/early/2013/08/07/WNL.0b013e3182a352b6.extract )

AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.amednews.com/article/20130805/government/130809987/1/ )

Deployment-Linked Factors Don't Increase Suicide Risk

TUESDAY, Aug. 6 (HealthDay News) -- For U.S. military personnel, deployment-related factors are not associated with suicide risk; and prolonged exposure therapy doesn't exacerbate alcohol use in individuals with alcohol dependence and posttraumatic stress disorder (PTSD), according to two studies published in the Aug. 7 issue of the Journal of the American Medical Association.

Abstract - LeardMann (http://jama.jamanetwork.com/article.aspx?articleid=1724276#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1724276 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1724254 )Abstract - Foa (http://jama.jamanetwork.com/article.aspx?articleid=1724275#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1724275 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1724253 )

Systematic Approach Needed for Post-Disaster Mental Health

TUESDAY, Aug. 6 (HealthDay News) -- A systematic approach should be taken to identify individuals with adverse mental health outcomes post-disaster and to triage them appropriately, according to research published in the Aug. 7 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1724280#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1724280 )

Diet Encouragement Linked to Disordered Eating in Youth

TUESDAY, Aug. 6 (HealthDay News) -- Encouragement to diet by a significant other is strongly linked to young adults' disordered eating behaviors, according to a study published in the July/August issue of the American Journal of Health Promotion.

Abstract (http://ajhpcontents.org/doi/abs/10.4278/ajhp.120120-QUAN-57 )Full Text (subscription or payment may be required) (http://ajhpcontents.org/doi/full/10.4278/ajhp.120120-QUAN-57 )

Primary Genes for Alzheimer's, Parkinson's Disease Risk Differ

TUESDAY, Aug. 6 (HealthDay News) -- A meta-analysis of genome-wide association studies suggests that the loci that confer increased risk for Alzheimer's disease and Parkinson's disease do not overlap; the results of the meta-analysis were published online Aug. 5 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1723187#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1723187 )

Meditation Reduces Smoking by 60 Percent

TUESDAY, Aug. 6 (HealthDay News) -- A few hours of meditation training improves self-control and reduces smoking by 60 percent, according to a study published online Aug. 5 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/07/31/1311887110.abstract )Full Text (http://www.pnas.org/content/early/2013/07/31/1311887110.full.pdf+html )

Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

More Information (http://accme.org/sites/default/files/630_2012_Annual_Report_20130724_0.pdf )

Overnight Custody Creates Attachment Issues in Children

FRIDAY, Aug. 2 (HealthDay News) -- A small percentage of young children have frequent overnight contact with nonresident parents, and these overnight visits can create attachment insecurity, particularly among infants, according to research published in the August issue of the Journal of Marriage and Family.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jomf.12045/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jomf.12045/full )

Electrical Lighting Alters Human Circadian Clock

FRIDAY, Aug. 2 (HealthDay News) -- Reduced exposure to sunlight combined with the widespread use of electrical lighting has altered human circadian physiology, according to a study published online Aug. 1 in Current Biology.

Abstract (http://www.cell.com/current-biology/abstract/S0960-9822(13)00764-1 )Full Text (subscription or payment may be required) (http://www.cell.com/current-biology/abstract/S0960-9822(13)00764-1 )

Fighting-Related Injuries Harm Intelligence in Adolescents

FRIDAY, Aug. 2 (HealthDay News) -- Fighting-related injuries in adolescents are tied to subsequent negative impacts on cognitive function and intelligence, according to a study published online July 26 in the Journal of Adolescent Health.

Abstract (http://www.jahonline.org/article/S1054-139X(13)00333-9/abstract )Full Text (http://www.jahonline.org/article/S1054-139X(13)00333-9/fulltext )

Happiness Affects Genes, but Source of Happiness Matters

FRIDAY, Aug. 2 (HealthDay News) -- People who are happy due to self-gratification and people who are happy because they have a deep sense of meaning in life show different gene expression profiles, according to a study published online July 29 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/07/25/1305419110.abstract )Full Text (http://www.pnas.org/content/early/2013/07/25/1305419110.full.pdf+html )

Employees Less Depressed, More Anxious in 2013

FRIDAY, Aug. 2 (HealthDay News) -- Employees are less depressed but more anxious than last year, with one-third of employees feeling tense or anxious much of the time, according to a report published by the ComPsych Corporation.

More Information (http://www.compsych.com/component/compsychuser/registerpremium?return=P2RvYz1wcmVtaXVtX2NvbnRlbnQvZXJlcG9ydF93ZWxsbmVzc190cmVuZHMucGRm )

Firearm Homicide Rates Down from 2006-2007 to 2009-2010

FRIDAY, Aug. 2 (HealthDay News) -- In 2009 to 2010, in large metropolitan areas, the firearm homicide rate decreased overall but remained above the national average, while firearm suicide rates increased in large metropolitan areas and nationally, according to a study published in the Aug. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6230a1.htm?s_cid=mm6230a1_w )

Brain Chemical Changes Identify Children With Autism

FRIDAY, Aug. 2 (HealthDay News) -- Changes in the levels of certain chemicals in brain gray matter between 3 and 10 years of age can distinguish children with autism spectrum disorder from children with idiopathic developmental delay, according to a study published online July 31 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1722813 #Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1722813 )

Mandated Mental Health Treatment Programs Save Money

THURSDAY, Aug. 1 (HealthDay News) -- Mandated, publicly-funded mental health outpatient commitment programs significantly reduce psychiatric care costs in the first two years following implementation, according to a study published online July 30 in The American Journal of Psychiatry.

Abstract (http://ajp.psychiatryonline.org/article.aspx?articleid=1722044 )Full Text (subscription or payment may be required) (http://ajp.psychiatryonline.org/article.aspx?articleid=1722044 )

Alcohol Use Down, Drug Use Up Among Pregnant Women

THURSDAY, Aug. 1 (HealthDay News) -- From 2000 to 2010 there was a decrease in alcohol abuse, but an increase in drug use, among pregnant women, according to a report published July 25 by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information (http://www.samhsa.gov/data/spotlight/spot110-trends-pregnant-women-2013.pdf )