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January 2014 Briefing - Psychiatry

January 2014 Briefing - Psychiatry

Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for January 2014. 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.

Deal Could Trade Tort Reform for Additional Health Reform

FRIDAY, Jan. 31, 2014 (HealthDay News) -- Physicians may be willing to make a trade in accepting some additional health reform efforts in exchange for tort reform, according to an article published in the January issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/33/1/53.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/33/1/53.full )

Improving Infection Control Could Mean No More White Coats

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Health care personnel should consider their clinical attire, such as white lab coats, carefully with regards to risk of transmitting infection, according to guidelines published in the February issue of Infection Control and Hospital Epidemiology.

Abstract (http://www.jstor.org/stable/info/10.1086/675066 )Full Text (http://www.jstor.org/stable/full/10.1086/675066 )

Docs Prefer Tablets Over Smartphones for Reading Articles

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Although physicians generally use smartphones rather than tablets for professional purposes, they are more likely to read articles from medical publications and access medically oriented webcasts/podcasts on tablets, according to the results of a survey conducted by Kantar Media.

More Information (http://www.kantarmedia-healthcare.com/doctors-are-more-likely-to-use-tablets-over-smartphones-to-read-medical-publications )

Report Reveals Payment Methods for Physicians

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Many physicians in non-solo practice settings are paid using different methods, with just over half receiving all or most of their compensation from salary, according to a report from the American Medical Association.

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ab3a17c69-7ccb-4795-8fba-e8cec6356875&plckScript=blogScript&plckElementId=blogDest )

Androgen Deprivation Therapy Can Take Emotional Toll

THURSDAY, Jan. 30, 2014 (HealthDay News) -- Changes in mental and emotional well-being occur in prostate cancer patients on androgen deprivation therapy (ADT), according to research published in an upcoming issue of The Journal of Urology.

Abstract (http://www.jurology.com/article/S0022-5347(13)05837-0/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)05837-0/fulltext )

Practices Must Engage Vendors for ICD-10 Updates Now

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Practice owners need to communicate with system vendors to coordinate International Classification of Diseases, 10th Revision (ICD-10) updates, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/practice-owners-must-talk-their-vendors-now-about-icd-10-updates )

Businesses Urge Change to ACA's Insurance Mandate

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Beginning in 2015, U.S. businesses with 50 or more workers must provide health insurance to "full-time" employees, meaning workers who log at least 30 hours a week, on average.

Full Article (http://consumer.healthday.com/diabetes-information-10/insulin-news-414/businesses-urge-change-to-obamacare-s-insurance-mandate-684325.html )

High Estradiol Levels Linked to Dementia in Women

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Postmenopausal women with high estradiol levels have a two-fold higher risk of developing dementia, but the risk is 14-fold higher if they also have diabetes, according to a study published online Jan. 29 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/29/WNL.0000000000000107.full.pdf+html )

Fear of Violence Hinders Women's Attempts at Safer Sex

WEDNESDAY, Jan. 29, 2014 (HealthDay News) -- Women who fear intimate partner violence (IPV) report inconsistent condom use and difficulty in negotiating safer sex, according to research published in Women & Health.

Abstract (http://www.tandfonline.com/doi/full/10.1080/03630242.2013.847890#.UufFYcXnYSs )Full Text (subscription or payment may be required) (http://www.tandfonline.com/doi/full/10.1080/03630242.2013.847890#.UufFYcXnYSs )

Insurance Eligibility Headaches Expected With ACA

TUESDAY, Jan. 28, 2014 (HealthDay News) -- With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-brace-aca-insurance-eligibility-headaches-january )

Framework Established to Promote Safety of Care

TUESDAY, Jan. 28, 2014 (HealthDay News) -- A framework has been established to advance clinical learning environments that promote change in the quality and safety of care, according to a perspective piece published online Jan. 27 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1314628?query=featured_home )

Yoga Provides Health Benefits for Breast Cancer Survivors

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For breast cancer survivors, a 12-week yoga intervention improves fatigue and vitality and is associated with reduced levels of proinflammatory cytokines, according to a study published online Jan. 27 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.full.pdf+html )

Pesticide Exposure Linked to Alzheimer's Disease Risk

TUESDAY, Jan. 28, 2014 (HealthDay News) -- People exposed to elevated levels of the metabolite of the pesticide dichlorodiphenyltrichloroethane (DDT) are at higher risk of Alzheimer's disease (AD), particularly if they carry a particular apolipoprotein E (APOE) genotype, according to a study published online Jan. 27 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1816015#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1816015 )Editorial (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1816013 )

Therapeutic Music Video Beneficial for HSCT Recipients

TUESDAY, Jan. 28, 2014 (HealthDay News) -- For adolescents/young adults (AYAs), a therapeutic music video (TMV) intervention delivered during the acute phase of hematopoietic stem cell transplant (HSCT) is associated with positive resilience outcomes, according to a study published online Jan. 27 in Cancer.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28355/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/cncr.28355/full )

Top Ten Physician Challenges of 2014 Discussed

MONDAY, Jan. 27, 2014 (HealthDay News) -- The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life balance, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/top-10-challenges-facing-physicians-2014 )

'Buzzed' Drivers More Likely to Be Blamed for Crashes

MONDAY, Jan. 27, 2014 (HealthDay News) -- Drivers with low levels of blood alcohol content (BAC) are more likely to be found at fault than sober drivers involved in crashes, according to research published online Jan. 7 in Injury Prevention.

Abstract (http://injuryprevention.bmj.com/content/early/2014/01/07/injuryprev-2013-040925 )Full Text (subscription or payment may be required) (http://injuryprevention.bmj.com/content/early/2014/01/07/injuryprev-2013-040925.full.pdf+html )

Children Resilient When Dealing With Cancer Experience

MONDAY, Jan. 27, 2014 (HealthDay News) -- When compared with peers without a history of cancer, children with cancer do not appear to have increased posttraumatic stress disorder (PTSD) or posttraumatic stress symptoms (PTSS), according to research published online Jan. 21 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.49.8212.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.49.8212.full.pdf+html )

Online Fitness Tool Users Want Images Similar to Themselves

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Incorporating images that reflect the user may make Internet-based physical activity promotion tools more acceptable to users, including young overweight African-American women, according to a study published Jan. 16 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2014/13_0169.htm )

Writing a Blog Can Up a Doc's Visibility

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Blogs can be a valuable tool to promote physician practices, according to an article published Dec. 17 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/why-writing-blog-may-benefit-physician-s-career )

Stimulant, Antipsychotic Combo Improves Aggressive Behavior

FRIDAY, Jan. 24, 2014 (HealthDay News) -- For children with attention deficit/hyperactivity disorder (ADHD) and aggressive disorders, the addition of risperidone to a combination of parent training and psychostimulant is associated with moderate improvement in aggressive and disruptive behaviors, according to a study published in the January issue of the Journal of the American Academy of Child & Adolescent Psychiatry.

Abstract (http://www.jaacap.com/article/S0890-8567(13)00785-5/abstract )Full Text (http://www.jaacap.com/article/S0890-8567(13)00785-5/fulltext )Editorial (http://www.jaacap.com/article/S0890-8567(13)00743-0/fulltext )

DSM-5 Criteria Likely to Lower ASD Prevalence Estimates

FRIDAY, Jan. 24, 2014 (HealthDay News) -- Use of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria is likely to lower prevalence estimates for autism spectrum disorders (ASDs), according to a study published online Jan. 22 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1814891#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1814891 )

Medical Staff Performance Goals Should Be Clear, Attainable

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Staff performance in medical practices needs to be appropriately managed and measured with performance goals, according to an article published Dec. 25 in Medical Economics.

Full Article (http://medicaleconomics.modernmedicine.com/medical-economics/news/managing-staff-performance-reviews-and-raises )

Postpartum Depression Often Becomes Chronic

THURSDAY, Jan. 23, 2014 (HealthDay News) -- Postpartum depression can become chronic in 30 to 50 percent of women with the condition, according to a review published in the January issue of the Harvard Review of Psychiatry.

Abstract (http://journals.lww.com/hrpjournal/Abstract/2014/01000/The_Course_of_Postpartum_Depression___A_Review_of.1.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/hrpjournal/Abstract/2014/01000/The_Course_of_Postpartum_Depression___A_Review_of.1.aspx )

Concussion Common Among Young Female Soccer Players

THURSDAY, Jan. 23, 2014 (HealthDay News) -- The incidence of cumulative concussion is 13.0 percent per season for female soccer players aged 11 to 14 years, according to a study published online Jan. 20 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1812615#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1812615 )

ALA: Much More Must Be Done to Lower Smoking Rates

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- State inaction and tobacco industry tactics are slowing tobacco control efforts in the United States, a new report from the American Lung Association (ALA) finds.

Full Article (http://consumer.healthday.com/cancer-information-5/smoking-cessation-news-628/much-more-must-be-done-to-lower-smoking-rates-experts-say-684117.html )

Phase 3 Studies Fail to Show Benefit of Drugs in Alzheimer's

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- For patients with mild-to-moderate Alzheimer's disease, neither bapineuzumab nor solanezumab improves cognitive outcomes, according to two studies published in the Jan. 23 issue of the New England Journal of Medicine.

Full Text - Salloway (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1304839 )Full Text - Doody (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1312889?query=featured_home )Editorial (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMe1313943?query=featured_home )

Higher Omega-3 Levels Linked to Larger Brain Volume

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- In postmenopausal women, a higher omega-3 index is associated with increased brain and hippocampal volume eight years later, according to a study published online Jan. 22 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/22/WNL.0000000000000080.short )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2014/01/22/WNL.0000000000000080.full.pdf+html )

Legitimacy of Publishing Pharma-Funded Research Queried

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- The question of whether to stop publishing research funded by the drug industry is addressed in a head-to-head piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g171 )

Some Medical Schools Offering Accelerated Training

WEDNESDAY, Jan. 22, 2014 (HealthDay News) -- Some medical schools are offering an accelerated three-year program, according to a report from Kaiser Health News.

More Information (http://www.kaiserhealthnews.org/stories/2014/january/14/medical-schools-shaving-off-a-year-of-training.aspx )

More Federal Funding of Health Centers Mitigates Access Issues

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Since 2000, increased federal funding for community health centers has helped low-income adults get access to primary care and dental care, according to a study published online Dec. 18 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12141/full )

ACA Impact on Primary Practice May Depend on Location

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The impact of Medicaid expansion under the Affordable Care Act (ACA) on physicians' primary care practices will vary geographically, according to an article published Dec. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/what-will-insurance-exchanges-medicaid-expansion-mean-your-primary-care-pract )

Researchers Examine FDA Decision Making Processes

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The rationale behind the decision making processes of the U.S. Food and Drug Administration is discussed in three articles published in the Jan. 22/29 issue of the Journal of the American Medical Association.

Abstract - Downing (http://jama.jamanetwork.com/article.aspx?articleid=1817794#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817794 )Abstract - Rome (http://jama.jamanetwork.com/article.aspx?articleid=1817796#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817796 )Abstract - Sacks (http://jama.jamanetwork.com/article.aspx?articleid=1817795#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817795 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1817770 )

Multiple Medications Increase Odds of Hospital Admission

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of unplanned admission is increased with polypharmacy, but the association is modified by the number of long-term conditions, according to a study published online Jan. 16 in the British Journal of Clinical Pharmacology.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/abstract )Full Text (http://onlinelibrary.wiley.com/doi/10.1111/bcp.12292/pdf )

Medication Synchronization Program Ups Adherence

TUESDAY, Jan. 21, 2014 (HealthDay News) -- A community pharmacy-based medication synchronization program can improve medication adherence, according to a study conducted by the National Community Pharmacists Association (NCPA).

More Information (http://www.ncpanet.org/pdf/survey/2014/ncpa-study-results.pdf )

Firearm Access in Home Ups Suicide, Homicide Risk

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Access to firearms is associated with increased risk for suicide and homicide, according to a systematic review and meta-analysis published in the Jan. 21 issue of the Annals of Internal Medicine.

Abstract (http://annals.org/article.aspx?articleid=1814426#Abstract )Full Text (http://annals.org/article.aspx?articleid=1814426 )Editorial (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1814430 )

Enjoyment of Life Tied to Functional Impairment in Elderly

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Enjoyment of life is associated with future disability and mobility in the elderly, according to a study published online Jan. 20 in CMAJ, the journal of the Canadian Medical Association.

Abstract (http://www.cmaj.ca/content/early/2014/01/20/cmaj.131155 )Full Text (http://www.cmaj.ca/content/early/2014/01/20/cmaj.131155.full.pdf+html )

Survey IDs Factors Influencing Physician Job Satisfaction

TUESDAY, Jan. 21, 2014 (HealthDay News) -- Believing that they are delivering high-quality patient care is key to physician job satisfaction, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/delivering-quality-patient-care-key-physician-satisfaction-study-finds )

Single Questions Screen for Alcohol and Drug Dependence

MONDAY, Jan. 20, 2014 (HealthDay News) -- Asking patients single screening questions (SSQs) in the primary care setting is an effective method for identifying substance dependence, according to research published in the January issue of the Journal of Studies on Alcohol and Drugs.

Abstract (http://www.jsad.com/jsad/article/The_Ability_of_Single_Screening_Questions_for_Unhealthy_Alcohol_and_Other_D/4902.html )Full Text (subscription or payment may be required) (http://www.jsad.com/jsad/article/The_Ability_of_Single_Screening_Questions_for_Unhealthy_Alcohol_and_Other_D/4902.html )

Doctor Urges Colleagues to Disclose Conflicts of Interest

MONDAY, Jan. 20, 2014 (HealthDay News) -- A campaign to encourage physicians to disclose potential conflicts of interest has sparked ire from doctors despite evidence that openness improves the doctor-patient relationship, according to a personal view piece published online Jan. 15 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.g167 )

Caffeine Found to Enhance Memory Consolidation

MONDAY, Jan. 20, 2014 (HealthDay News) -- Caffeine enhances memory consolidation when given shortly after a learning task, according to a study published online Jan. 12 in Nature Neuroscience.

Abstract (http://www.nature.com/neuro/journal/vaop/ncurrent/abs/nn.3623.html )Full Text (subscription or payment may be required) (http://www.nature.com/neuro/journal/vaop/ncurrent/full/nn.3623.html )

Winners Display Distinctive Behavioral Signals

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Winners display distinctive behavioral characteristics, which correlate with descriptions of dominance in the literature, according to a study published online Jan. 10 in Motivation and Emotion.

Abstract (http://link.springer.com/article/10.1007%2Fs11031-013-9390-1#page-1 )Full Text (subscription or payment may be required) (http://link.springer.com/article/10.1007%2Fs11031-013-9390-1#page-1 )

Subjective Well-Being Similar for Those With, Without Children

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Subjective well-being is similar for U.S. adults who live with and without children, according to a study published online Jan. 13 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2014/01/08/1311600111.abstract )Full Text (http://www.pnas.org/content/early/2014/01/08/1311600111.full.pdf+html )

Primary Care Docs Rarely Advise Antidepressants for Teens

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Few primary care providers (PCPs) recommend antidepressants for adolescents with depression, according to research published in the January issue of the Journal of Developmental & Behavioral Pediatrics.

Abstract (http://journals.lww.com/jrnldbp/Abstract/2014/01000/Primary_Care_Providers__Initial_Treatment.4.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jrnldbp/Abstract/2014/01000/Primary_Care_Providers__Initial_Treatment.4.aspx )

Body Image Distortion Linked to Depression in Teen Boys

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Adolescent boys with body image distortion have higher levels of depressive symptoms, and underweight status predicts anabolic-androgenic steroid (AAS) use via depressive symptoms and victimization, according to research published online Dec. 23 in Psychology of Men & Masculinity.

Full Text 1 (subscription or payment may be required) (http://psycnet.apa.org/psycinfo/2013-44730-001/ )Full Text 2 (subscription or payment may be required) (http://psycnet.apa.org/psycinfo/2013-44727-001/ )

Traumatic Brain Injury Linked to Premature Death, Suicide

FRIDAY, Jan. 17, 2014 (HealthDay News) -- Traumatic brain injury (TBI) is associated with a higher risk of premature death, especially from suicide, injuries, and assaults, according to a study published online Jan. 15 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1812719#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1812719 )Editorial (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1812718 )

State Insurance Marketplaces Boost Outreach Efforts

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Health insurance exchanges in five states with strong enrollment growth are ramping up efforts to reach even more uninsured Americans before the end of the Affordable Care Act's open enrollment period on March 31. The March 31 deadline is for people who want health coverage for 2014.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/state-health-marketplaces-boost-outreach-683935.html )

Reliable Emotion Words ID'd to Assess Patient Experience

THURSDAY, Jan. 16, 2014 (HealthDay News) -- A reliable set of emotion words have been identified that can serve as a tool for experience-based design questionnaires in health care, according to a study published in the December issue of Healthcare.

Full Text (http://www.sciencedirect.com/science/article/pii/S2213076413000389 )

Heavy Drinking Speeds Cognitive Decline in Middle-Aged Men

THURSDAY, Jan. 16, 2014 (HealthDay News) -- For middle-aged men, heavy alcohol consumption (≥36 g/day) is associated with faster cognitive decline in all cognitive domains, compared with light-to-moderate alcohol consumption, according to a study published online Jan. 15 in Neurology.

Abstract (http://www.neurology.org/content/early/2014/01/15/WNL.0000000000000063.short )Full Text (http://www.neurology.org/content/early/2014/01/15/WNL.0000000000000063.full.pdf+html )

Survey Results Identify Drivers of Doctor Engagement

THURSDAY, Jan. 16, 2014 (HealthDay News) -- The results of a survey from the Physician Wellness Services and Cejka Search have identified the key aspects of doctor engagement.

More Information (http://www.cejkasearch.com/news/press-releases/rules-of-engagement-new-survey-reveals-drivers-of-physician-engagement-and-a-disconnect-with-administration/ )

NCPA: Access to Controlled Substances Often Delayed

THURSDAY, Jan. 16, 2014 (HealthDay News) -- Most pharmacists report experiencing multiple delays or issues with their controlled substance orders, according to the results of the National Community Pharmacists Association (NCPA) Controlled Substances Access Survey.

More Information (http://www.ncpanet.org/pdf/survey/2014/controlled-substances-access-survey.pdf )

FDA Warns Against Rx With High Levels of Acetaminophen

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration is recommending that physicians stop prescribing and dispensing prescription combination drug products containing more than 325 mg of acetaminophen per tablet, according to a safety alert issued by the agency.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm381650.htm )

CAM Common in Children With Developmental Disabilities

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Use of complementary and alternative medicine (CAM) is common among families of young children with autism spectrum disorders (ASD) and other developmental disabilities (DD), according to a study published in the January issue of the Journal of Developmental & Behavioral Pediatrics.

Abstract (http://journals.lww.com/jrnldbp/Abstract/2014/01000/Utilization_Patterns_of_Conventional_and.1.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jrnldbp/Abstract/2014/01000/Utilization_Patterns_of_Conventional_and.1.aspx )

Beliefs About Safety May Spark E-Cigarette Use in Young Adults

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Young adults who believe that electronic cigarettes (e-cigarettes) are less harmful and can help people quit smoking are more likely to try them, according to research published online Jan. 7 in the American Journal of Preventive Medicine.

Full Text (http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_3935-stamped-010714.pdf )

Late Pregnancy SSRI Exposure May Up Newborn Pulmonary HTN

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Exposure to selective serotonin reuptake inhibitors (SSRIs) in late pregnancy is associated with an increased risk of persistent pulmonary hypertension of the newborn, although the absolute risks are small, according to a review published online Jan. 14 in BMJ.

Full Text (http://www.bmj.com/content/348/bmj.f6932 )

Drug Testing Does Not Deter Substance Abuse in High School

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The perception of student drug testing does not appear to reduce substance use in high school, according to research published in the January issue of the Journal of Studies on Alcohol and Drugs.

Abstract (http://www.jsad.com/jsad/article/Student_Drug_Testing_and_Positive_School_Climates_Testing_the_Relation_Bet/4893.html )Full Text (http://www.jsad.com/jsad/downloadarticle/Student_Drug_Testing_and_Positive_School_Climates_Testing_the_Relation_Bet/5232.pdf )

Weight Stigma May Have Negative Consequences

WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- Stigmatizing messages targeted at combating obesity may have negative effects, according to a study published in the March issue of the Journal of Experimental Social Psychology.

Full Text (http://www.sciencedirect.com/science/article/pii/S0022103113002047 )

Wednesday Is Deadline for Feb. 1 Coverage Under ACA

TUESDAY, Jan. 14, 2014 (HealthDay News) -- There's still time to enroll in a health insurance plan through one of the Affordable Care Act's new online marketplaces. Those who sign up by Wednesday will have coverage starting next month.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/deadline-for-feb-1-health-coverage-is-approaching-683814.html )

More Than Two Million People Have Signed Up for ACA Coverage

TUESDAY, Jan. 14, 2014 (HealthDay News) -- Nearly 2.2 million Americans had selected health plans through the federal and state marketplaces as of late December, and nearly one in four was a young adult, the Obama administration disclosed Monday.

Full Article (http://consumer.healthday.com/public-health-information-30/government-health-news-339/more-than-2-million-enroll-in-marketplace-health-plans-683818.html )

Access to Medicaid-Accepting Substance Use Tx Centers Varies

MONDAY, Jan. 13, 2014 (HealthDay News) -- Medicaid expansion to include substance use disorder (SUD) treatment does not guarantee access, particularly in underserved and rural counties, according to a study published online Dec. 25 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1792142#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1792142 )

CMS: New Rule Proposed for Contract Year 2015

MONDAY, Jan. 13, 2014 (HealthDay News) -- A proposed rule has been issued that will strengthen protections, improve health care quality, and reduce costs for Medicare beneficiaries with private Medicare Advantage and Part D prescription plans, according to a report from the Centers for Medicare & Medicaid Services (CMS).

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-Sheets/2014-Fact-sheets-items/2014-01-06.html )

Suicide Risk Equal for Children Taking Single Antidepressant

MONDAY, Jan. 13, 2014 (HealthDay News) -- The risk of suicide attempts among children and adolescents treated with individual selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) does not differ compared with that among current users of fluoxetine, according to a study published online Jan. 6 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-0923.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-0923.full.pdf+html )

Survey: Fees, Reimbursement Top Physician Worries

FRIDAY, Jan. 10, 2014 (HealthDay News) -- The results of a new survey show that physicians are concerned about declining reimbursements and increasing administrative hassles, including negotiating with payers, obtaining prior authorizations, and cutting through government red tape, according to an article published Nov. 25 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/flat-declining-salaries-inflate-physician-worries-over-payments-red-tape )

EHR Use Linked to Doc-Reported Enhanced Patient Care

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Use of electronic health records is associated with enhanced patient care overall, according to a study published online Dec. 21 in Health Services Research.

Abstract (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/1475-6773.12135/full )

CMS: Low Growth for National Health Expenditures in 2012

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Overall national health expenditures were marked by a fourth consecutive year of low growth, according to a report from the Centers for Medicare & Medicaid Services.

More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2014-Press-releases-items/2014-01-06.html )

Female Conveners Up Number of Women at Scientific Symposia

FRIDAY, Jan. 10, 2014 (HealthDay News) -- Having at least one woman on teams that convene scientific symposia increases the proportion of invited female speakers by 72 percent, compared with teams containing all men, according to a study published online Jan. 7 in mBio.

Abstract (http://mbio.asm.org/content/5/1/e00846-13 )Full Text (http://mbio.asm.org/content/5/1/e00846-13.full )

ACP Introduces Free 'High Value Care' Case Studies

FRIDAY, Jan. 10, 2014 (HealthDay News) -- In an effort to improve health care and eliminate wasteful practices, the American College of Physicians (ACP) has developed a series of High Value Care cases studies, available online for free.

More Information (http://hvc.acponline.org )

Extended Varenicline Use Ups Smoking Abstinence Rates

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Extended use of the smoking cessation medication varenicline improves abstinence rates among the mentally ill, according to a study published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1812963#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812963 )

Drug Labeling Linked to Drug, Placebo Efficacy in Migraine

THURSDAY, Jan. 9, 2014 (HealthDay News) -- For patients with episodic migraine, the information provided about drug/placebo impacts drug effects, according to a study published in the Jan. 8 issue of Science Translational Medicine.

Abstract (http://stm.sciencemag.org/content/6/218/218ra5.abstract )Full Text (subscription or payment may be required) (http://stm.sciencemag.org/content/6/218/218ra5.full )

Occupational Therapy Aids Kids With Autism, Sensory Issues

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Occupational therapy focused on sensory integration strategies helps children with autism spectrum disorder and sensory issues improve their ability to perform everyday tasks, according to a study published online Nov. 10 in the Journal of Autism and Developmental Disorders.

Abstract (http://link.springer.com/article/10.1007/s10803-013-1983-8 )Full Text (http://link.springer.com/article/10.1007/s10803-013-1983-8/fulltext.html )

Cognitive Behavioral Therapy Best for Cancer Patients With Insomnia

THURSDAY, Jan. 9, 2014 (HealthDay News) -- Cognitive behavioral therapy for insomnia (CBT-I) is the preferred choice over mindfulness-based stress reduction (MBSR) for nonpharmacologic management of insomnia in patients with cancer, according to a study published online Jan. 6 in the Journal of Clinical Oncology.

Abstract (http://jco.ascopubs.org/content/early/2014/01/06/JCO.2012.47.7265.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2014/01/06/JCO.2012.47.7265.full.pdf+html )

No Long-Term Benefit Seen for Smoking Cessation Combo Rx

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Combination treatment with varenicline plus bupropion sustained-release is initially more effective than varenicline alone in promoting smoking abstinence, but the results are not long-lasting, according to a study published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1812959#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812959 )

Administrative Demands Hurt Patient-Doctor Relationship

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Administrative demands on doctors, particularly primary care physicians, threaten the patient-doctor relationship, according to an article published Dec. 10 in Medical Economics.

More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/can-doctor-patient-relationship-survive?contextCategoryId=146 )

Smoking Rates Still Low for Most Health Care Professionals

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Compared with 2006 to 2007, smoking rates among health care professionals for 2010 to 2011 continue to be lowest in physicians and highest in licensed practical nurses (LPNs), according to a research letter published in the Jan. 8 issue of the Journal of the American Medical Association, a theme issue on tobacco control.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1812944 )

Review Suggests Psychological Benefits of Meditation

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- Moderate evidence suggests that meditation is associated with improvements in anxiety, depression, and pain, according to a review and meta-analysis published online Jan. 6 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1809754#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1809754 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1809753 )

Importance of Religion Linked to Cortical Thickness

WEDNESDAY, Jan. 8, 2014 (HealthDay News) -- The self-reported importance of religion or spirituality is associated with the thickness of certain brain regions, according to research published online Dec. 25 in JAMA Psychiatry.

Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1792140#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1792140 )

AMA Urges Med Students to Be Agents of Health Care Change

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Medical students are being encouraged to be agents of change in the health care system, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a247728ba-e82a-4527-97c6-010eeb7584af&plckScript=blogScript&plckElementId=blogDest#.Usuqmf35E_s )

Preemie Crying Linked to Later Behavioral Problems

TUESDAY, Jan. 7, 2014 (HealthDay News) -- Early crying in preterm infants is associated with later child behavioral problems, and an education program can reduce postnatal depression symptoms as well as infant sleep and cry problems, according to two studies published online Jan. 6 in Pediatrics.

Abstract - Korja (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1204.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1204.full.pdf+html )Abstract - Hiscock (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1886.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2014/01/01/peds.2013-1886.full.pdf+html )

Non-White Physicians Provide Disproportionate Minority Care

MONDAY, Jan. 6, 2014 (HealthDay News) -- Non-white physicians provide a disproportionate share of care to underserved populations, according to a research letter published online Dec. 30 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1792913 )

AMA Details Top Five Federal Issues for 2014

MONDAY, Jan. 6, 2014 (HealthDay News) -- Implementation of the Affordable Care Act, the repeal of Medicare's failed sustained growth formula, and the proposed roll-out of the International Classification of Diseases, Version 10, top the list of federal issues expected to impact physicians and patients in 2014, according to a viewpoint piece published online Dec. 30 by the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3ada87eb10-f35f-4894-b57d-b69658bc9ab6&plckScript=blogScript&plckElementId=blogDest )

Over 100 New Accountable Care Organizations Formed

FRIDAY, Jan. 3, 2014 (HealthDay News) -- One hundred twenty-three new Accountable Care Organizations (ACOs) have been formed by doctors, hospitals, and other health care providers, which will provide access to high-quality coordinated care for about 1.5 million Medicare beneficiaries, according to a report from the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/12/20131223a.html )

Hypothyroidism Not Tied to Cognitive Impairment in Aged

FRIDAY, Jan. 3, 2014 (HealthDay News) -- There is no association between either clinical or subclinical hypothyroidism and mild cognitive impairment (MCI) in the elderly, according to a study published online Dec. 30 in JAMA Neurology.

Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1791529#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1791529 )

Impact of Transitions in Doctors' Careers Discussed

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Transitions and their associated challenges are encountered throughout a doctors' medical career, according to an editorial published online Nov. 26 in BMJ.

Full Text (subscription or payment may be required) (http://www.bmj.com/content/347/bmj.f7086 )

Worsening of Shortage of Residency Slots Feared

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Despite a looming physician shortage, the number of residency positions in the United States has not changed since 1996, creating a bottleneck that will become worse with further budget cuts, according to a blog post published Dec. 7 on KevinMD.com.

Full Blog Post (http://www.kevinmd.com/blog/2013/12/fearful-time-medical-students.html )Save GME Website (http://savegme.org/ )

CDC: Updated Guidance for HBV Vaccination for Health Workers

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Health care personnel should be vaccinated against hepatitis B virus (HBV) if they anticipate exposure to blood or body fluids, and receive serologic testing to assess for antibody against the virus, according to updated guidelines published in the Dec. 20 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/rr6210a1.htm?s_cid=rr6210a1_w )

Emotions Tied to Topographically Distinct Bodily Sensations

THURSDAY, Jan. 2, 2014 (HealthDay News) -- Emotions are associated with culturally universal, topographically distinct bodily sensations, according to a study published online Dec. 30 in the Proceedings of the National Academy of Sciences.

Abstract (http://www.pnas.org/content/early/2013/12/26/1321664111.abstract )Full Text (http://www.pnas.org/content/early/2013/12/26/1321664111.full.pdf+html )

Alpha Tocopherol Seems Beneficial in Alzheimer's

THURSDAY, Jan. 2, 2014 (HealthDay News) -- For patients with mild-to-moderate Alzheimer's disease, alpha tocopherol is associated with slower functional decline versus placebo, according to a study published in the Jan. 1 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1810379#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1810379 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1810360 )

Docs Have Until Jan. 31 to Change Medicare Status

THURSDAY, Jan. 2, 2014 (HealthDay News) -- The deadline for making changes to Medicare participation status has been extended to Jan. 31, 2014, according to a report from the American Medical Association (AMA).

More Information (http://www.ama-assn.org/ama/pub/ama-wire/ama-wire.page?plckController=Blog&plckBlogPage=BlogViewPost&UID=e38cf47a-fc5f-473b-9234-c9e714c1c8f0&plckPostId=Blog%3ae38cf47a-fc5f-473b-9234-c9e714c1c8f0Post%3a0390d077-20bd-4215-9a2c-78e71583edbd&plckScript=blogScript&plckElementId=blogDest#.UsJswv35E_s )