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Psychiatry

News, opinions and meeting coverage in psychiatry.

Allopurinol Doesn't Worsen Acute Gout Attacks

Worries that it might prove unfounded in randomized trial.

What Makes an Opioid Stronger or Weaker Than Morphine?

CDC classification of stronger, weaker, and morphine-equivalent opioids is confusing.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

The Medium Is The Message: Second Study Confirms Mediums' Accuracy

A journal publishes another paper reporting that officially certified mediums are accurate.

Hey Doc, How Does My Penis Measure Up? Here's a Graph.

A not particularly useful guide to size.

Hard Drinking in Middle Age Linked to Stroke

F. Perry Wilson, MD, critiques an interesting new study in 150 seconds.

Are RA Patients More Sensitive to Pain?

For many RA is complicated by fibromyalgia.

I, Intern: When the Doctor Is on Lexapro

A pediatric intern manages her mental illness.

FDA Advisers Unimpressed by Nocdurna

Another setback for nocturia indication

'Generic' Colchicine to Hit Market

May provide some price relief for gout patients.

Separating Spondyloarthritis From Back Pain Still Problematic

Spinal MRI criteria don't help differentiate SpA from nonspecific pain.

Tx Adherence High Among Mentally Ill Vets on Methadone

Methadone treatment may have ancillary benefits.

RSNA: Pituitary May Link Brain Injury and PTSD

Hormone treatment might be useful.

Mild Stenosis Linked to Death in Diabetes

Long-term registry shows impact similar to single-vessel obstruction.

Atherosclerosis a Signal for Brain Drain?

Plaque burden was linked to cognitive impairment in a population-based study.

FDA Panel Wants Safer Epidural Steroid Shots

Majority votes to end epidural injections with "particulate" steroids.

FDA Advisers Tackle Epidural Steroid Shots

Focus on adverse neurologic effects.

Gout May Protect Against Alzheimer's Disease

Study showed AD incidence higher over 5 years for patients without gout.

Is That an Unusual Sexual Fantasy?

Sex in the office, fellatio, and menage a trois: Researchers probe sexual fantasies.

Munchausen by Proxy: A Case Study of Abuse

This patient saw doctors in five different states.

Healthcare Serial Killings Down in U.S. but Up Globally

Electronic health records may be a deterrent.

Genetic Factors Tied to Violent Behaviors

Account for up to 10% of extreme violent crime, authors say.

Sexsomnia: A Case Study of a New DSM-5 Diagnosis

Initiating sex while asleep is not only a drug side effect.

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

Portenoy Opioid Talk Sparks Controversy

Opioid advocate Russell Portenoy's invitation to an upcoming NIH workshop is under fire.

Skull Size Tied to Disability Risk in MS

BOSTON -- Multiple sclerosis patients with larger intracranial volumes -- a measure of their lifetime maximal brain size -- scored better on cognition and physical function tests than those with smaller skull sizes.

Urgent Care Centers Opening For Mental lllnesses

Mental health urgent care centers, also known as crisis stabilization units, are opening throughout California in response to the shortage of psychiatric beds and the increase in patients with mental illnesses showing up at hospital emergency rooms with nowhere else to go.

'Sleep Drunkenness' Common, But Rarely Unexplained

So-called confusional arousals were reported in the past year by some 15% of respondents in a population-based survey, with nearly all episodes associated with mental disorders or drugs with known sleep effects.

Doctors' Spouses: What's Not to Like?

When it comes to domestic life for physicians, things have changed since an oversexed and gory 1971 film with Gene Hackman called "Doctors' Wives" featured as one of its taglines, "Doctors' wives have everything. Except husbands."

Dementia Tied to More ICD Placements

Dementia patients get more implantable cardioverter-defibrillators than expected, and even cognitively normal individuals may not understand their options about cardiac device replacement.

HIV Drug Cleared of Cognition Hit

MELBOURNE, Australia -- Although it has well-known psychiatric side effects, the HIV drug efavirenz (Sustiva) does not affect cognition, a researcher said here.

Anti-Amyloid Drug Has Mixed Results

COPENHAGEN -- The amyloid plaque-busting drug crenezumab for Alzheimer's disease slowed cognitive decline in patients with mild baseline impairment but missed its primary endpoint in a phase II trial.

Are Your Patients Using Fake Names?

A case study in the American Journal of Medicine poses a vexing question many healthcare professionals have faced: What should you do when your patients use fraudulent names?

HTN May Halt Dementia in Very Elderly

COPENHAGEN -- Among individuals who developed hypertension at age 90 or later, their risk of also developing dementia was dramatically lower than other very elderly people whose blood pressure remained normal.

Now What? DEA Tosses Tramadol in Schedule IV

The Drug Enforcement Administration (DEA) scheduled tramadol as a Schedule IV substance -- whats the big fuss about tramadol that led to this decision by the DEA?

Codpieces a Cover for Syphilis? That's Improbable!

A weekly report from our friends at Improbable Research.

Groups Want Gay Diagnoses Out of ICD-11

A WHO working group has recommended that diagnostic codes referencing homosexuality in ICD-10 be dropped from the forthcoming 11th edition, echoing policies of the leading U.S. psychiatry and psychology societies.

AMA Highlights: VA, Cheerleaders, and Guns

CHICAGO -- Wrapping up a full agenda, the AMA agrees cheerleading is a sport, doctors outside the VA need to pitch in to help care for veterans, and e-cigarettes need to be regulated.

AMA Clamps Down on MOC, But Punts on Gun Regs

CHICAGO -- The AMA鈥檚 House of Delegates drew the line on this year's hot button topic -- maintenance of certification (MOC), saying it should not be mandatory, nor should it be a condition of licensure.

AMA Mulls Gun Violence CME

CHICAGO -- As the AMA's House of Delegates was meeting in a downtown hotel here, 29 local residents were shot and four killed within a 10-mile radius.

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