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June 2006 News and Blog Posts (23)

Constipation Linked to Aggression in Nursing Home Residents

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to relatives of nursing home residents that this study associates constipation with outbreaks of physical aggression.



ST. LOUIS PARK, Minn., June 30 — Constipation can trigger physical aggression in a nursing home resident with dementia, researchers here reported.



In a large group of residents with dementia, those with constipation were about as likely to exhibit aggressive physical behavior as those… Continue

Added by psychiatryRounds Psychiatry News on June 30, 2006 at 1:30am — No Comments

FDA Approves First Drug for Parkinson's Dementia

(PSYCHIATRIC TIMES) - ROCKVILLE, Md., June 28 — The FDA has given Exelon (rivastigmine), already approved for treatment of mild-to-moderate Alzheimer's dementia, the added indication of mild-to-moderate Parkinson's dementia.



Exelon, marketed by Novartis, became the first agent approved for the Parkinson's condition.



Steven Galson, M.D., director of the FDA's Center for Drug Evaluation and Research, said dementia associated with Parkinson's disease differs from Alzheimer's… Continue

Added by psychiatryRounds Psychiatry News on June 28, 2006 at 1:30am — No Comments

SLEEP: Rozerem (ramelteon) Found Safe and Effective In Transient Insomnia

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested patients that this study suggests that Rozerem (ramelteon), approved for the treatment of insomnia, can be taken without residual effects to cope with occasional difficulty falling asleep.



o This study was published as an abstract and presented orally at a conference. These data and conclusions should be considered to be preliminary as they have not yet been reviewed and published in a peer-reviewed… Continue

Added by psychiatryRounds Psychiatry News on June 21, 2006 at 6:00am — No Comments

SLEEP: Rozerem (ramelteon) Found Safe and Effective In Transient Insomnia

(PSYCHIATRIC TIMES) - SALT LAKE CITY, June 21 — Rozerem (ramelteon), a melatonin agonist approved a year ago as an unscheduled agent for insomnia, was found both safe and effective in a laboratory model of transient insomnia, a New York researcher said here.



The medication reduced the time it took for participants to fall asleep, increased the quality of sleep, and had no residual psychomotor or memory effects the following day, said Gary Zammit, Ph.D., of St. Luke's-Roosevelt… Continue

Added by psychiatryRounds Psychiatry News on June 21, 2006 at 6:00am — No Comments

Prozac Fails to Prevent Anorexia Relapse

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested patients that this study showed no benefit for Prozac, compared with placebo, in the treatment of anorexia nervosa patients trying to avoid a relapse.



o Advise interested patients that anorexia nervosa is a serious psychiatric illness with substantial morbidity and mortality; although treatment often results in weight restoration, 30% to 50% of patients are rehospitalized within a… Continue

Added by psychiatryRounds Psychiatry News on June 13, 2006 at 4:00am — No Comments

Prozac Fails to Prevent Anorexia Relapse

(PSYCHIATRIC TIMES) - NEW YORK, June 13 ? Prozac (fluoxetine) does not prevent relapse in anorexia nervosa, according to researchers in two cities.



A two-site, randomized, placebo-controlled trial of nearly 100 patients who had passed through the acute phase of the disease and were attempting to avoid relapse, showed no significant differences between Prozac and placebo, found Timothy Walsh, M.D., of the New York State Psychiatric Institute at Columbia.



"The common… Continue

Added by psychiatryRounds Psychiatry News on June 13, 2006 at 4:00am — No Comments

FDA Approves First Drug for Treatment of Seasonal Affective Disorder

(PSYCHIATRIC TIMES) - ROCKVILLE, Md., June 12 — The FDA today approved Wellbutrin XL (bupropion extended release) for prevention of major depressive episodes in patients with a history of seasonal affective disorder (SAD). It was the first drug approved for SAD.



The agency emphasized that Wellbutrin XL, manufactured by GlaxoSmithKline, "is indicated only for patients who meet strict diagnostic criteria of seasonal major depressive episodes." It characterized such patients as those… Continue

Added by psychiatryRounds Psychiatry News on June 12, 2006 at 4:30am — No Comments

Prematurity and Low Birth Weight Tied to Hyperactivity Disorder

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to parents that this study found that children with a history of preterm or close-to-term delivery have an increased risk of so-called hyperkinetic disorder, or ADHD.



o Be aware that the study found that even children born at term but with low birth weights are also at risk for the hyperactivity disorder.



AARHUS, Denmark, June 5 ? Children born prematurely and those born at term but with low birth… Continue

Added by psychiatryRounds Psychiatry News on June 5, 2006 at 5:00am — No Comments

Prematurity and Low Birth Weight Tied to Hyperactivity Disorder

(PSYCHIATRIC TIMES) - AARHUS, Denmark, June 5 ? Children born prematurely and those born at term but with low birth weights have an increased risk of developing so-called hyperkinetic disorder, according to researchers here.



The syndrome, hyperkinetic disorder, includes a variety of activity and attention disturbances-hyperactivity, poor attention span, impulsive behavior--equivalent to attention deficit hyperactivity disorder (ADHD combined type), according to a report in the… Continue

Added by psychiatryRounds Psychiatry News on June 5, 2006 at 5:00am — No Comments

Autism Diagnosis in Younger Kids Holds Up Over Time

(PSYCHIATRIC TIMES) - ANN ARBOR, Mich., June 5 ? A diagnosis of autism in a two-year old child stands a pretty good chance of holding up when that child is nine, according to researchers here.



On the other hand, a two-year-old diagnosed with pervasive developmental disorder not otherwise specified (PDD-NOS) is more likely to be re-classified as having autism or another disorder seven years down the road, according to Catherine Lord, Ph.D., and colleagues in North Carolina, England,… Continue

Added by psychiatryRounds Psychiatry News on June 5, 2006 at 3:30am — No Comments

PET/CT imaging distinguishes potentially treatable dementias

(PSYCHIATRIC TIMES) - Florida is home to a large aging population at risk for dementia. Palm Harbor, not far from St. Petersburg and Tampa, is also close to a retirement town. There are many nursing homes and extended care facilities throughout the region, and the reimbursement climate includes sizable expenditures for Alzheimer's disease care.



Dr. Anthony Aboud, director of West Coast Radiology, purchased the group's first PET/CT machine in October 2004. Oncology imaging was the… Continue

Added by psychiatryRounds Psychiatry News on June 3, 2006 at 1:30am — No Comments

Infectious Agents in Schizophrenia and Bipolar Disorder

(PSYCHIATRIC TIMES) - The idea that schizophrenia and bipolar disorder might be caused by infection is not new. This was a prominent hypothesis in the early years of the last century. For example, an article entitled, “Is insanity due to a microbe?” was published in Scientific American as early as 1896. Research to test this hypothesis by identifying causative viruses was already being conducted by the 1930s, when data were reported from experiments in which cerebrospinal fluid (CSF) from… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 11:00pm — No Comments

Eating Disorders in Schizophrenia

(PSYCHIATRIC TIMES) - Daily struggles with management strategies may lead physicians to raise certain questions about the prediction of illness courses. Among these questions are "Which symptoms are transient?" "Which are lasting?" and "Which should be prioritized in patient care?" There are tacit operational rules within medical practice that dictate which symptoms to focus on from a hierarchic list.



In this context, eating disorders in patients with schizophrenia have been… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 11:00pm — No Comments

Psychotherapy in the Age of the Brain

(PSYCHIATRIC TIMES) - "The age of the brain" has focused considerable intellectual and financial resources on achieving better understanding of the neurobiologic functioning of the brain in health and disease, in the hope of enhancing treatment for mental disorders. As part of this effort, psychiatry residencies de-emphasized psychotherapy education. Leaders of academic departments came to prefer faculty with credentials and experience that aligned the department of psychiatry with the focus on… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 10:00pm — No Comments

Which Came First? Restless Legs Syndrome or Insomnia?

(PSYCHIATRIC TIMES) - THE CASE: A 60-year-old woman complains that she has had "no energy" for the past 6 months. She adds that she has difficulty in falling asleep at night because her "legs don't want to go to sleep." She wants to know how she can get a better night's sleep and inquires about new insomnia medications she has seen advertised on television.



How should this patient's nighttime symptoms and lack of energy be evaluated and treated?



Although this patient… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 6:00am — No Comments

Bipolar Disorder: How to Recognize and Treat in Primary Care

(PSYCHIATRIC TIMES) - Patients with psychiatric disorders often present a diagnostic challenge— even for psychiatrists. Their demeanor may not readily reveal the nature or severity of the problem. Nevertheless, there are clues that can help you sort through the differential and arrive at the correct diagnosis.



Here, I focus on how to recognize bipolar disorder, and I also offer recommendations for treatment.



PREVALENCE AND IMPACT

The Diagnostic and Statistical Manual… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 5:00am — No Comments

Infectious Agents in Schizophrenia and Bipolar Disorder

(PSYCHIATRIC TIMES) - The idea that schizophrenia and bipolar disorder might be caused by infection is not new. This was a prominent hypothesis in the early years of the last century. For example, an article entitled, “Is insanity due to a microbe?” was published in Scientific American as early as 1896. Research to test this hypothesis by identifying causative viruses was already being conducted by the 1930s, when data were reported from experiments in which cerebrospinal fluid (CSF) from… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 4:30am — No Comments

Bipolar Disorder: How to Recognize and Treat in Primary Care

(PSYCHIATRIC TIMES) - Patients with psychiatric disorders often present a diagnostic challenge— even for psychiatrists. Their demeanor may not readily reveal the nature or severity of the problem. Nevertheless, there are clues that can help you sort through the differential and arrive at the correct diagnosis.



Here, I focus on how to recognize bipolar disorder, and I also offer recommendations for treatment.



PREVALENCE AND IMPACT

The Diagnostic and Statistical Manual… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 4:30am — No Comments

Overdoses of ADHD Drugs Lead to Many ER Visits

(PSYCHIATRIC TIMES) - MedPage Today Action Points



o Explain to interested patients that this study suggests that accidental ingestion or unintentional overdoses of stimulant ADHD medications can cause injury and may result in adverse cardiovascular events.



ATLANTA, June 1 ? Stimulants used to treat attention deficit-hyperactivity disorder (ADHD) that are accidentally overdosed or trigger adverse reactions lead to more than 3,000 emergency room visits a year, estimate CDC… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 3:00am — No Comments

Diagnosis and Management of ADHD in Adults

(PSYCHIATRIC TIMES) - Educational Objectives:



After reading this article, you will be familiar with:



* The signs and symptoms of adult ADHD.

* The tools available to help clinicians establish a diagnosis of adult ADHD.

* The therapies available to manage ADHD in adults.



Who will benefit from reading this article?



Psychiatrists, primary care physicians, neurologists, nurse practitioners, psychiatric nurses, and other mental health care… Continue

Added by psychiatryRounds Psychiatry News on June 1, 2006 at 3:00am — No Comments

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