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  • August 17, 2016
  • 02:20 PM
  • 112 views

Can cell phones make you feel less connected to your friends and family?

by Dr. Jekyll in Lunatic Laboratories

In this digital age, with phones at our fingertips, you would think that access to constant communication would make us feel closer to one another. But a new study shows that may not be the case. In fact, cell phone use might actually lead to feeling less socially connected, depending on your gender or cell phone habits.

... Read more »

  • August 17, 2016
  • 01:30 PM
  • 119 views

The PROCAMIO Trial – IV Procainamide vs IV Amiodarone for the Acute Treatment of Stable Wide Complex Tachycardia

by Rogue Medic in Rogue Medic

This is a very interesting trial that may surprise the many outspoken amiodarone advocates, but it should not surprise anyone who pays attention to research.

ALPS showed that we should stop giving amiodarone for unwitnessed shockable cardiac arrest. The lead researcher is still trying to spin amiodarone for witnessed shockable cardiac arrest, even though the results do not show improvement in the one outcome that matters – leaving the hospital with a brain that still works.[1],[2],[3]... Read more »

Kudenchuk PJ, Brown SP, Daya M, Rea T, Nichol G, Morrison LJ, Leroux B, Vaillancourt C, Wittwer L, Callaway CW.... (2016) Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest. The New England journal of medicine, 374(18), 1711-22. PMID: 27043165  

Marill KA, deSouza IS, Nishijima DK, Senecal EL, Setnik GS, Stair TO, Ruskin JN, & Ellinor PT. (2010) Amiodarone or procainamide for the termination of sustained stable ventricular tachycardia: an historical multicenter comparison. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 17(3), 297-306. PMID: 20370763  

Marill KA, deSouza IS, Nishijima DK, Stair TO, Setnik GS, & Ruskin JN. (2006) Amiodarone is poorly effective for the acute termination of ventricular tachycardia. Annals of emergency medicine, 47(3), 217-24. PMID: 16492484  

Kułakowski P, Karczmarewicz S, Karpiński G, Soszyńska M, & Ceremuzyński L. (2000) Effects of intravenous amiodarone on ventricular refractoriness, intraventricular conduction, and ventricular tachycardia induction. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2(3), 207-15. PMID: 11227590  

Bonny A, De Sisti A, Márquez MF, Megbemado R, Hidden-Lucet F, & Fontaine G. (2012) Low doses of intravenous epinephrine for refractory sustained monomorphic ventricular tachycardia. World journal of cardiology, 4(10), 296-301. PMID: 23110246  

Kowey PR. (1988) The calamity of cardioversion of conscious patients. The American journal of cardiology, 61(13), 1106-7. PMID: 3364364  

  • August 17, 2016
  • 05:01 AM
  • 89 views

76% of youths with autism meet ADHD diagnostic criteria? No, more like 59%

by Paul Whiteley in Questioning Answers

"In a population of children diagnosed with ASD [autism spectrum disorder], the rate of ADHD [attention-deficit hyperactivity disorder] + ASD was 42% and the rate of ADHD + ASD + ID [intellectual disability] was 17%, resulting in a 59% total comorbidity rate of ADHD and ASD."That was one of the important findings reported by Tara Stevens and colleagues [1] who using data from the Survey of Pathways to Diagnosis and Services (Pathways), a US initiative that has previ........ Read more »

  • August 16, 2016
  • 04:36 AM
  • 126 views

Group A Streptococcal infections and paediatric neuropsychiatric disorders: Taiwan style

by Paul Whiteley in Questioning Answers

There they go again. Taiwan and their 'big data' publishing, yet again, some rather interesting population-based research trends derived from data from the National Health Insurance Research Database (NHIRD).This time around it is the paper by Han-Cheng Wang and colleagues [1] and the hypothesis to evaluate the "association between group A streptococcal (GAS) infections and the risks of developing tic disorders, obsessive-compulsive disorder (OCD), and attention-deficit/hyperactivity disord........ Read more »

  • August 15, 2016
  • 04:09 AM
  • 122 views

Offending behaviour and ADHD

by Paul Whiteley in Questioning Answers

"Although some associations between ADHD [attention-deficit hyperactivity disorder] and offending may be accounted for by co-morbidity with substance use disorders, early onset of offending and repeated violent offending appear to be directly related to ADHD."That was the conclusion reached by Jan Román-Ithier and colleagues [1] reporting on their study designed to "examine correlates of childhood ADHD symptoms among prisoners." Based on a sample adult prison population (N=1179) where........ Read more »

Román-Ithier, J., González, R., Vélez-Pastrana, M., González-Tejera, G., & Albizu-García, C. (2016) Attention deficit hyperactivity disorder symptoms, type of offending and recidivism in a prison population: The role of substance dependence. Criminal Behaviour and Mental Health. DOI: 10.1002/cbm.2009  

  • August 14, 2016
  • 05:40 PM
  • 127 views

Exercise can tackle symptoms of schizophrenia

by Dr. Jekyll in Lunatic Laboratories

Aerobic exercise can significantly help people coping with the long-term mental health condition schizophrenia, according to a new study. Through combining data from 10 independent clinical trials with a total of 385 patients with schizophrenia, Joseph Firth found that around 12 weeks of aerobic exercise training can significant improve patients' brain functioning.

... Read more »

Firth, J., Stubbs, B., Rosenbaum, S., Vancampfort, D., Malchow, B., Schuch, F., Elliott, R., Nuechterlein, K., & Yung, A. (2016) Aerobic Exercise Improves Cognitive Functioning in People With Schizophrenia: A Systematic Review and Meta-Analysis. Schizophrenia Bulletin. DOI: 10.1093/schbul/sbw115  

  • August 13, 2016
  • 02:43 PM
  • 150 views

Intestinal flora effects drug response

by Dr. Jekyll in Lunatic Laboratories

Intestinal flora has multiple influences on human health, but researchers have revealed that it is also likely to have an effect on the body's response to drugs. Recent research suggests that changes in the intestinal flora, caused by antibacterial and antibiotic drugs or individual differences between people, may have an effect on a person's response to drugs including side effects. The research focused on the changes in proteins due to the condition of intestinal flora that affect th........ Read more »

Kuno, T., Hirayama-Kurogi, M., Ito, S., & Ohtsuki, S. (2016) Effect of Intestinal Flora on Protein Expression of Drug-Metabolizing Enzymes and Transporters in the Liver and Kidney of Germ-Free and Antibiotics-Treated Mice. Molecular Pharmaceutics, 13(8), 2691-2701. DOI: 10.1021/acs.molpharmaceut.6b00259  

  • August 13, 2016
  • 03:26 AM
  • 164 views

Inflammation is part of Gulf War Syndrome

by Paul Whiteley in Questioning Answers

Although mostly trying to avoid any politics-talk on this blog I am going to make some reference to it in this post set in the context of the Persian Gulf War otherwise known at the First Iraq War.The recent publication of the Chilcot report describing the case for the UK's involvement in the 2003 Iraq War (the second Iraq War) has further lit up an already illuminating year in British politics, by perhaps adding fuel to the notion that 'finishing the job' might have been an ........ Read more »

Johnson GJ, Slater BC, Leis LA, Rector TS, & Bach RR. (2016) Blood Biomarkers of Chronic Inflammation in Gulf War Illness. PloS one, 11(6). PMID: 27352030  

  • August 12, 2016
  • 03:37 PM
  • 215 views

Sugar addiction: Discovery of a brain sugar switch

by Dr. Jekyll in Lunatic Laboratories

Researchers have discovered that our brain actively takes sugar from the blood. Prior to this, researchers around the world had assumed that this was a purely passive process. An international team reports that transportation of sugar into the brain is regulated by so-called glial cells that react to hormones such as insulin or leptin; previously it was thought that this was only possible for neurons.

... Read more »

García-Cáceres, C., Quarta, C., Varela, L., Gao, Y., Gruber, T., Legutko, B., Jastroch, M., Johansson, P., Ninkovic, J., Yi, C.... (2016) Astrocytic Insulin Signaling Couples Brain Glucose Uptake with Nutrient Availability. Cell, 166(4), 867-880. DOI: 10.1016/j.cell.2016.07.028  

  • August 12, 2016
  • 04:22 AM
  • 164 views

Anti-psychotics for non-psychotic issues

by Paul Whiteley in Questioning Answers

A bit of a lazy post for you today with lots of quotes based on the findings reported by Ragnar Nesvåg and colleagues [1] asking some important questions about 'off-label' use of antipsychotics.Drawing on population-based data from Norway concerning "which substances, and for which mental disorder diagnoses, antipsychotic drugs were prescribed to 0–18-year-old boys and girls" the conclusions drawn make for some interesting reading.So: "In total, 0.18% of Norwegian children and adolescent........ Read more »

Nesvåg, R., Hartz, I., Bramness, J., Hjellvik, V., Handal, M., & Skurtveit, S. (2016) Mental disorder diagnoses among children and adolescents who use antipsychotic drugs. European Neuropsychopharmacology. DOI: 10.1016/j.euroneuro.2016.07.001  

  • August 11, 2016
  • 08:30 PM
  • 155 views

Acupuncture vs intravenous morphine in the management of acute pain in the ED

by Rogue Medic in Rogue Medic

Should we have people providing "fake" acupuncture in the Emergency Department?

If so, how should we do this?

Since it is not the acupuncture, but the patient's reaction to the "ceremony of the placebo" that appears to be providing the pain relief, how many different ways might we vary the "treatment" to improve the placebo effect?... Read more »

Grissa, M., Baccouche, H., Boubaker, H., Beltaief, K., Bzeouich, N., Fredj, N., Msolli, M., Boukef, R., Bouida, W., & Nouira, S. (2016) Acupuncture vs intravenous morphine in the management of acute pain in the ED. The American Journal of Emergency Medicine. DOI: 10.1016/j.ajem.2016.07.028  

Espay, A., Norris, M., Eliassen, J., Dwivedi, A., Smith, M., Banks, C., Allendorfer, J., Lang, A., Fleck, D., Linke, M.... (2015) Placebo effect of medication cost in Parkinson disease: A randomized double-blind study. Neurology, 84(8), 794-802. DOI: 10.1212/WNL.0000000000001282  

Waber RL, Shiv B, Carmon Z, Ariely D. (2008) Commercial Features of Placebo and Therapeutic Efficacy. JAMA, 299(9), 1016. DOI: 10.1001/jama.299.9.1016  

Ee, C., Xue, C., Chondros, P., Myers, S., French, S., Teede, H., & Pirotta, M. (2016) Acupuncture for Menopausal Hot Flashes. Annals of Internal Medicine, 164(3), 146. DOI: 10.7326/M15-1380  

Cherkin, D., Sherman, K., Avins, A., Erro, J., Ichikawa, L., Barlow, W., Delaney, K., Hawkes, R., Hamilton, L., Pressman, A.... (2009) A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Archives of Internal Medicine, 169(9), 858. DOI: 10.1001/archinternmed.2009.65  

Goldman, R., Stason, W., Park, S., Kim, R., Schnyer, R., Davis, R., Legedza, A., & Kaptchuk, T. (2008) Acupuncture for Treatment of Persistent Arm Pain Due to Repetitive Use. The Clinical Journal of Pain, 24(3), 211-218. DOI: 10.1097/AJP.0b013e31815ec20f  

  • August 11, 2016
  • 02:04 PM
  • 155 views

Targeting the gut-brain connection can impact immunity

by Dr. Jekyll in Lunatic Laboratories

There's a reason it's called a gut feeling. The brain and the gut are connected by intricate neural networks that signal hunger and satiety, love and fear, even safety and danger. These networks employ myriad chemical signals that include dopamine, a powerful neurotransmitter most famous for its role in reward and addiction.

... Read more »

Xiou Cao, & Alejandro Aballay. (2016) Neural inhibition of dopaminergic signaling enhances immunity in a cell non-autonomous manner. Current Biology. info:/http://dx.doi.org/10.1016/j.cub.2016.06.036

  • August 11, 2016
  • 04:35 AM
  • 175 views

Induced labour and autism (again)

by Paul Whiteley in Questioning Answers

"In this nationwide sample of live births we observed no association between induction of labor and offspring ASD [autism spectrum disorder] within sibling comparison. Our findings suggest that concern for ASD should not factor into the clinical decision about whether to induce labor."So said the findings reported by Anna Sara Oberg and colleagues [1] supposedly providing some reassurance to mums-to-be and other groups around the likelihood of offspring autism when birth or l........ Read more »

Oberg, A., D’Onofrio, B., Rickert, M., Hernandez-Diaz, S., Ecker, J., Almqvist, C., Larsson, H., Lichtenstein, P., & Bateman, B. (2016) Association of Labor Induction With Offspring Risk of Autism Spectrum Disorders. JAMA Pediatrics. DOI: 10.1001/jamapediatrics.2016.0965  

  • August 10, 2016
  • 01:30 PM
  • 173 views

Is depression in parents, grandparents linked to grandchildren's depression?

by Dr. Jekyll in Lunatic Laboratories

If you read my blog often, it's no surprise I suffer from PTSD, depression, and anxiety issues. Maybe it's from my military service, but maybe it's my father's, or his father's, maybe it's an insidious family legacy that was just never noticed. This is because having both parents and grandparents with major depressive disorder (MDD) was associated with higher risk of MDD for grandchildren, which could help identify those who may benefit from early intervention.

... Read more »

Myrna M. Weissman, PhD, Obianuju O. Berry, MD, MPH, Virginia Warner, DrPH, Marc J. Gameroff, PhD, Jamie Skipper, MS, Ardesheer Talati, PhD, Daniel J. Pilowsky, MD, MPH, & Priya Wickramaratne, PhD. (2016) A 30-Year Study of 3 Generations at High Risk and Low Risk for Depression. JAMA Psychiatry . info:/10.1001/jamapsychiatry.2016.1586

  • August 10, 2016
  • 04:24 AM
  • 174 views

No association between [current] mycotoxin exposure and autism

by Paul Whiteley in Questioning Answers

Although research stories stating a link (an association if you will) between condition A and factor X make for interesting reading, not all science is so blessed with such news-worthy findings. That's not to say that 'negative findings' are any less important than the 'hey, we found this...' studies, just that they don't perhaps tend to grab the headlines as much as those finding something.In saying all that I'm standing up for negative findings today and some rather interesting science reporte........ Read more »

  • August 9, 2016
  • 02:41 PM
  • 215 views

Want a better memory? Try eating a Mediterranean diet

by Dr. Jekyll in Lunatic Laboratories

It's not a fad diet, it is an actual diet -- as in the way a person eats normally -- and it may do more than just help your waistline. The Mediterranean diet can improve your mind, as well your heart.

... Read more »

  • August 9, 2016
  • 11:16 AM
  • 189 views

Genetics of Depression: Secondary Markers

by William Yates, M.D. in Brain Posts

In my previous post, I highlighted a recent study of genetics and major depression from the 23andMe database.I have had a chance to review this manuscript in more detail. One of the findings of interest involved secondary marker or secondary phenotypes.Fifteen genetic loci were identified in this 23andMe sample using a discovery and replication data set.Secondary phenotypes with the highest correlation with the 17 SNPs identified in the study included (effect) :Taking a selective serotonin reupt........ Read more »

  • August 9, 2016
  • 02:56 AM
  • 178 views

Anxiety spreads across various psychiatric labels

by Paul Whiteley in Questioning Answers

"Comorbid anxiety symptoms are ubiquitous among psychiatric patients with mood or schizophrenia spectrum disorders, and in almost half of them, reportedly severe."So said the findings reported by Karpov and colleagues [1] who sought to put some further research flesh on to the bones of the idea that clinically relevant anxiety symptoms might not be unstrange bedfellows with a variety of other psychiatric labels.Based on the analysis of various patient groups included in the "Helsinki University ........ Read more »

Karpov, B., Joffe, G., Aaltonen, K., Suvisaari, J., Baryshnikov, I., Näätänen, P., Koivisto, M., Melartin, T., Oksanen, J., Suominen, K.... (2016) Anxiety symptoms in a major mood and schizophrenia spectrum disorders. European Psychiatry, 1-7. DOI: 10.1016/j.eurpsy.2016.04.007  

  • August 8, 2016
  • 03:38 PM
  • 176 views

World's worst hickeys: Cupping is weird and potentially dangerous

by Rosin Cerate in Rosin Cerate

In an effort to reduce pain or fix other health problems, some people will submit to having suction temporarily applied to various regions of their skin, usually the neck, shoulders, and back, via a collection of plastic or glass cups. This is known as cupping, and is a great way to embrace your inner Polkaroo.... Read more »

Lin CW, Wang JT, Choy CS, & Tung HH. (2009) Iatrogenic bullae following cupping therapy. Journal of Alternative and Complementary Medicine, 15(11), 1243-1245. PMID: 19922257  

  • August 8, 2016
  • 01:54 PM
  • 180 views

Pesticides used to help bees may actually harm them

by Dr. Jekyll in Lunatic Laboratories

Pesticides beekeepers are using to improve honeybee health may actually be harming the bees by damaging the bacteria communities in their guts. The discovery is a concern because alterations can affect the gut's ability to metabolize sugars and peptides, processes that are vital for honeybee health.

... Read more »

Madhavi Kakumanu, Alison M. Reeves, Troy Anderson, Richard R. Rodrigues, & Mark A. Williams. (2016) Honey bee gut microbiome is altered by in-hive pesticide exposures. Frontiers in Microbiology. info:/10.3389/fmicb.2016.01255

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