The Huffington Post (3/30, Chan) reports, “Soldiers, police, firemen and people who’ve suffered abuse aren’t the only ones with a high risk for post-traumatic stress disorder (PTSD) — a new study” published online March 29 in the Journal of Traumatic Stress “shows that 911 dispatchers may be at risk, too.” Investigators “from Northern Illinois University found that the 911 dispatchers still experienced the emotional distress associated with PTSD, even though they were not directly in the traumatic event.”

The Time (3/30, Sifferlin) “Healthland” blog reports that for the study, “researchers questioned 171 emergency dispatchers currently working in 24 US states. The dispatchers — predominately white women around age 38 with more than 11 years of dispatching experience — were asked about the types of calls they answer and their corresponding emotional distress.” Next, “participants…rated the types of calls that caused great distress and were asked to recall the worst call they ever received.”

“The unexpected injury or death of a child accounted for 16 percent of the calls dispatchers identified as their worst trauma,” HealthDay (3/30, Dallas). “The study authors noted that the dispatchers experienced a high level of distress following an average of 32 percent of potentially traumatic calls. In addition, 3.5 percent of the dispatchers reported symptoms severe enough to be classified as PTSD.”

Related Links:

— “911 Dispatchers At Risk For PTSD, Study Finds,”Amanda L. Chan, The Huffington Post, March 29, 2012.

A new report on autism rates in the US received heavy coverage in print and online, and was discussed for nearly ten minutes on last night’s national news broadcasts. ABC World News (3/29, story 2, 2:45, Sawyer) reported, “A new report from the Centers of Disease Control shows a big increase in the number of American children diagnosed with autism.”

The CBS Evening News (3/29, story 2, 3:00, Pelley) reports that Dr. Colleen Boyle of the CDC, who “oversaw the study,” said, “No matter what the number is, there’s one thing for certain, and that is that more children are being identified with autism.”

On NBC Nightly News (3/29, lead story, 2:45, Holt), Dr. Boyle, said, “Since 2002, the problems have increased 78%.”
In a second segment on NBC Nightly News (3/29, story 2, 1:10, Holt), Dr. Alanna Levine, of the American Academy of Pediatrics, said, “We need to allocate” research funds “towards finding out what is causing the autism spectrum disorders, and how we can help these children and it can also help communities allocate resources to make sure there are services available for children who need them.”

The AP (3/30, Stobbe) reports, “The CDC study is considered the most comprehensive US investigation of autism prevalence to date. Researchers gathered data from areas in 14 states — Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Maryland, Missouri, New Jersey, North Carolina, Pennsylvania, South Carolina, Utah and Wisconsin.” The report indicates that “one child out of 88 in the US” has “autism or a related disorder.”

USA Today (3/30, Weintraub) reports that the “figures…show a 23% increase in autism spectrum cases from 2006 to 2008, and 78% increase since 2002.” CDC Director Thomas Frieden, MD, said, “What we do know for certain is autism is common and needs to be effectively served.”

According to the Washington Post (3/30, Brown), the report found that “autism is five times as common in boys as girls (a lopsided ratio found in many other studies).” Researchers also found that “the fraction of autistic children with average or above-average intelligence has risen more than the fraction with ‘intellectual disability.'” Meanwhile, “autism prevalence in Hispanic children is two-thirds that of white children, but it is rising faster in them and in black children than in white ones.”

Related Links:

— “More autism reported, likely from better testing,”Mike Stobbe , AP Associated Press, March 29, 2012.

MedPage Today (3/29, Gever) reports that the Food and Drug Administration (FDA) “has reworded warnings about potentially fatal arrhythmias associated with the antidepressant…citalopram (Celexa), acknowledging that some patients may need the drug despite the risks.” Last year, “the agency ordered numerous changes to the drug’s label, including one stating that citalopram is contraindicated in patients with congenital long QT syndrome.” However, yesterday the FDA “announced that the label should say merely that the drug is ‘not recommended’ in these patients because, as the agency explained, ‘it is recognized that there may be some patients with this condition who could benefit from a low dose of citalopram and who lack viable alternatives.'”

“Patients at high risk include those with preexisting heart conditions (including congestive heart failure) and those prone to low levels of potassium and magnesium in the blood, the FDA said,” HealthDay (3/29, Preidt) reports. “At the time, the drug label was revised to include the new dosage limit as well as information about the potential for abnormal heart electrical activity and rhythms.” The current “recommendations note that Celexa in any dose should not be given to patients with certain conditions due to the risk of suffering these heart problems,” but “it may be important for some patients to take Celexa, so the label has been changed.”

Related Links:

— “FDA Softens Celexa Arrhythmia Warning,”John Gever, MedPage Today, March 28, 2012.

According to an article on the ABC News (3/28) website, “there is growing concern among health professionals that Whip-Its — small canisters filled with nitrous oxide that can be used as a recreational drug and were reportedly used by actress Demi Moore shortly before she was rushed to the hospital in January — are making a comeback among teenagers and young adults across the country.” Some states have already made an effort to “stop the inhalation of nitrous,” but Whip-Its canisters are “easily accessible” and “mostly ignored by authorities.” In fact, “an ABC News investigation airing tonight on ‘Nightline’ found that multiple online retailers allowed large purchases of the Whip-Its, with no questions asked about age or what they would be used for.”

Related Links:

— “Dangerous Teen Craze Whip-Its Making a Comeback?,”Brian Ross, ABC News, March 27, 2012.

Medscape (3/29, Nelson) reports, “Cognitive behavioral therapy and physical exercise can reduce treatment-induced menopausal symptoms in younger breast cancer patients,” according to a study presented at the 8th European Breast Cancer Conference. “These interventions were shown to be effective in ameliorating symptoms such as hot flushes, night sweats, vaginal dryness, weight gain, urinary incontinence, and mood swings” in a study population of 422 breast cancer patients.

USA Today (3/29, Linke) reports that many women who experience miscarriages fall into depression and feel a mixture of grief and guilt. USA Today notes that to help cope with their loss, “some women find that Facebook and other online forums provide an outlet for support.” The article explains that online forums allow women to express their feelings and receive consolation, and it adds that “for some, online forums about pregnancy loss are a better venue for discussing their grief than general sites, such as Facebook.”

Related Links:

— “Women turn to social media for support after pregnancy loss,”Maureen Linke, USA TODAY, March 28, 2012.

McClatchy (3/29, Hotakainen) reports that US Sen. Patty Murray (D-WA), who chairs the Senate Veterans Affairs Committee, “has begun an investigation into whether military hospitals across the country are denying treatment to service members with post-traumatic stress disorder because of cost considerations.” Meanwhile, “the Army already is conducting at least three separate probes amid disclosures that the Madigan Army Medical Center on Joint Base Lewis-McChord in Murray’s home state of Washington has reversed hundreds of PTSD diagnoses for patients who were up for medical retirement. Murray’s office said last week that a review of PTSD cases dating to 2007 found that 290 of 690 diagnoses — more than 40 percent — had been reversed by a medical screening team.”

Houston VA Hospital Looking For Iraq, Afghanistan Veterans For Study Of PTSD. The Houston Chronicle (3/29, Wise) “Armed Sources” blog reports, “Researchers at the Michael E. DeBakey VA Medical Center and Baylor College of Medicine are looking to recruit 40 to 50 Iraq and Afghanistan combat veterans to participate” in a post-traumatic stress disorder (PTSD) “funded by a grant from the VA Rehabilitation Research and Development Program.” The study “will evaluate how psychotherapy treatment changes neural functioning in veterans with PTSD.” Veterans, who “will be compensated $10 per hour for interviews and $20 per hour” for taking part in the study, “will play computer games while inside a functional magnetic resonance imaging” (fMRI) machine.

Related Links:

— “Senate begins probe of Army’s handling of PTSD cases,”Rob Hotakainen , McClatchy Newspapers, March 28, 2012.

The AP (3/26) reports, “The aging of the massive post-World War II baby boom generation in the US is casting light on early onset dementia, a sorrowful subset of younger people experiencing a slow, cruel overtaking of their minds.” Approximately “200,000 Americans under 65 are among the 5.4 million Americans suffering from Alzheimer’s disease, according to the Alzheimer’s Association.” The AP adds, “Experts’ estimates suggest there’s a similar number of younger people with other types of dementia, meaning about a half-million Americans, some as young as their 30s, suffer from early-onset or younger-onset dementia.”

Related Links:

— “Dementia’s youngest victims often defy stereotypes,”AP, USA Today, March 24, 2012.

Medscape (3/20, Lowry) reported, “A recent episode of the news program 60 Minutes featuring psychologist Irving Kirsch, PhD, and his book The Emperor’s New Drugs, which claims there is no effective difference between antidepressant medications and placebo, is not just wrong ‘but irresponsible and dangerous reporting,’ according to the American Psychiatric Association (APA).” APA president John Oldham, MD, asserts, “Antidepressants do work, particularly for patients with major depression.”

The Boston Globe (3/19, Conaboy) reports, “Dr. Danny McCormick of Cambridge Health Alliance and his colleagues faced criticism this month when they published a study saying that electronic health records may not be a panacea for skyrocketing costs that many had hoped for.” According to the Boston Globe, “a chorus of critics said the study was outdated, because systems have come a long way since 2008 and now include tools to help providers decide when a particular test is necessary.” But, “McCormick and colleagues disputed their critics’ main points,” and wrote, “While the proportion of outpatient physicians utilizing health IT has grown since 2008…we are unaware of any ‘game changing’ health IT developments in the past four years that…would produce substantially different results if the study were repeated today.”

Related Links:

— “Scientists stand firm on health IT study,”Chelsea Conaboy, The Boston Globe, March 19, 2012.