Posted by admin at 12:21 AM

Even Smaller Hits Than A Concussion May Affect The Brain, Study Suggests

NBC Nightly News (10/27, story 7, 2:30, Williams) reported, "There's new research on high school football players suggesting that some young players can have serious damage done even without officially suffering what is called a concussion."

Using helmets "wired by the Purdue University biomedical engineering department to measure the exact impact," researchers found "players were taking hits between 80 and 120 Gs relatively regularly." And, "even when they don't cause concussions, the hits affect the brain."

The Los Angeles Times (10/27, Healy) "Booster Shots" blog reports the research showed "football players may not have to wait for later in life to detect cognitive problems, and that those problems may follow blows to the head that happen day-in and day-out in youth football and are not now recognized as 'flagrantly dangerous.'"

The players "sustaining those blows rarely satisfied the medical criteria for diagnosing a concussion." But, the researchers "found that as the season wore on, several players were suffering measurable declines in their working memory and in visual memory."

Related Links:

- "Football concussions: The smaller hits matter too," Melissa Healy, Los Angeles Times, October 27, 2010.

Posted by admin at 12:04 AM

October 29, 2010

US Military Doctors Diagnosing More Concussions Among Combat Troops

According to USA Today (10/28, Zoroya), doctors in the US military are "diagnosing hundreds of concussions among combat troops because of an unprecedented order requiring them to leave the battlefield for 24 hours after being exposed to a blast."

While doctors "say the order helps prevent permanent brain damage that can result if a servicemember has a second concussion before the first one heals," some others "worry that the policy could leave too few troops for combat." However, Adm. Michael Mullen, "chairman of the Joint Chiefs of Staff, who pushed" for the policy, said he thinks the increased number of concussions that have been diagnosed under it demonstrate "that TBI (traumatic brain injury) is getting the attention it deserves."

Related Links:

- "More troops' concussions diagnosed under new rules," Gregg Zoroya, USA Today, October 27, 2010.
- "Despite advances, troops face long recovery after head trauma," Gregg Zoroya, USA Today, October 27, 2010.

Posted by admin at 11:57 PM

Sepsis may leave some elderly patients with long-term physical or cognitive problems

The Los Angeles Times (10/26, Roan) "Booster Shots" blog reported that, according to a study published Oct. 27 in the Journal of the American Medical Association, "sepsis can leave some elderly individuals with long-term physical or cognitive problems."

For the study, a team from the University of Michigan "analyzed data from 1,194 elderly patients who were hospitalized with severe sepsis and compared them with 4,517 elderly people who experienced a hospitalization but did not have sepsis." Then, after "examining data from up to eight years after the hospitalization, the researchers found sepsis patients had a t hreefold higher risk for developing cognitive problems, such as forgetfulness, compared with the people who were hospitalized for other reasons."

The study "found that even older adults who were functioning independently before sepsis often came home from the hospital needing full time care because they now had pre-dementia," the CNN (10/26, Wade) "The Chart" blog reported. Notably, "even healthy, mentally sharp adults experienced significant declines, suggest that the sepsis itself and the treatment strategies afterwards may be playing a major role in the downturns in health."

HealthDay (10/26, Preidt) reported, "This largely invisible problem swells the rolls of nursing homes and puts an increased burden on caregivers and families, as well as increasing the rate of depression and death among the elderly, the researchers said." In addition to loss of cognitive function, "severe sepsis survivors also had a higher rate of new limitations in physical functioning than those without hospitalized without sepsis, with an additional average increase of 1.5 things they could no longer do per patient among those who had no or mild to moderate functional limitations before they developed sepsis."

According to Medscape (10/26, Brooks), a commentary accompanying the study pointed "out that the new deficits following sepsis were relatively more severe among patients who were in better health beforehand, 'possibly because there was less room for further deterioration among patients who already had poor physical or cognitive function prior to the sepsis episode.'"

WebMD (10/26, Boyles) explained, "About 750,000 people in the United States develop sepsis each year." Also known as "blood poisoning, sepsis occurs when the bloodstream is overwhelmed with bacteria, usually in response to the body's attempt to fight severe infection." Patients suffering from sepsis "usually develop very low blood pressure, or shock. In very severe cases, small blood clots can also form, shutting down vital organs." The condition has a death rate of approximately 25%. MedPage Today (10/26, Phend) also covered the story.

Related Links:

- "Sepsis in elderly individuals can have lasting impact," Shari Roan, Los Angeles Times, October 26, 2010.
- "Brain Deficits Higher in Seniors Who Survive Blood Poisoning," Robert Preidt, HealthDay, October 26, 2010.
- "Severe sepsis can lead to memory problems," Leslie Wade, CNN, October 26, 2010.
- "Cognitive and Functional Decline Often Follow Severe Sepsis," Megan Brooks, Medscape, October 26, 2010.
- "Sepsis Linked to Dementia in Elderly," Salynn Boyles, WebMD Health News, October 26, 2010.
- "Sepsis Leaves Long Legacy on Brain and Body," Crystal Phend, MedPage Today, October 26, 2010.

Posted by admin at 11:37 PM

Caffeinated Alcoholic Drinks Draw Scrutiny After Students End Up In ERs

The New York Times (10/27, A12, Goodnough) reports that beverages containing alcohol and caffeine, especially "a brand called Four Loko," are drawing "scrutiny after students who drank it this fall at Ramapo College in New Jersey and Central Washington University in Ellensburg, Wash., ended up in emergency rooms, some with high levels of alcohol poisoning."

Physicians say "the drinks are dangerous," since "the caffeine masks the effects of the alcohol, keeping consumers from realizing just how intoxicated they are."

"The 23 ½-ounce can of fruity malt liquor [Four Loko] sold in Washington and many other states packs 12% alcohol, the equivalent of drinking four or more beers and a cup of strong coffee," notes the Los Angeles Times (10/27, Murphy).

Meanwhile, "several attorneys general across the country, including California and Washington, have urged the FDA to move quickly." In fact, "Washington Atty. Gen. Rob McKenna said Monday that barring national sales restrictions, he will seek a ban on caffeinated malt liquor beverages in his state." The NPR (10/26, Fulton) "Shots" blog also covered the story.

Related Links:

- Caffeine and Alcohol Drink Is Potent Mix for Young," Abby Goodnough, New York Times, October 26, 2010.
- "Four Loko incident in Washington state raises alarm about caffeinated alcoholic drinks," Kim MUrphy, Los Angeles Times, October 27, 2010.
- "Four Loko Alcoholic Energy Drinks Blamed For Sickening College Students," National Public Radio, October 26, 2010.

Posted by admin at 11:27 PM

October 26, 2010

Study Explores Gender Differences In Outcome After Acute Mania

MedWire (10/26, Cowen) reports that, according to a study published online in the Archives of Women's Mental Health, there may be "small but significant differences in short- and long-term outcomes between men and women who have suffered an acute episode of pure mania."

After studying data "on 1,326 women and 1,159 men with bipolar disorder who had experienced an acute episode of pure mania," researchers found "no significant gender differences in the severity of manic symptoms at baseline." However, after one year men had a higher frequency of substance abuse than women."

Related Link:

- "Gender differences in outcome after acute mania," Mark Cowen, Mewwire, October 26, 2010.

Posted by admin at 04:29 PM

Group Recommends Routine Screening Of New Mothers For Depression

ABC World News (10/25, story 8, 0:25, Sawyer) reported, "One of the nation's top medical groups says doctors should routinely screen new mothers for depression. The American Academy of Pediatrics (AAP) issued a study today that found up to one in four women develop postpartum depression. Doctors say the disease can have devastating effects for both mother and child."

The AP (10/25, Tanner) reported, "The academy says that every year more than 400,000 babies are born to depressed women." In fact, current "estimates say that between five...and 25 percent of women develop postpartum depression." The AAP recommends that "severely depressed women should be referred to experts for treatment."

Related Link:

- "a href="http://abcnews.go.com/Health/wireStory?id=11960773">Kids' Docs Urged to Screen New Moms for Depression," Lindsay Tanner , ABC World News, October, 25, 2010.

Posted by admin at 04:26 PM

October 23, 2010

Maternal Suicide May Raise Child's Odds For Later Suicide Attempt

The Los Angeles Times (10/21, Healy) "Booster Shots" blog reported that when a mother commits suicide, "there's an even greater likelihood a child will go on to make a similar attempt than when" a father commits suicide, according to a study published online Oct. 18 in the journal Pediatrics.

This study "follows another study of parental suicide's effect on children published last spring" that "found that children or teens that lost a parent to suicide were three times likelier to later commit suicide themselves than were their peers with living parents."

HealthDay (10/21, Dotinga) explained that researchers "examined Swedish databases to discover what happened to 5,600 children whose mothers committed suicide and 17,847 whose fathers committed suicide during the years 1973-2003," then "compared that data to rates of children whose parents died in accidents."

After adjusting for confounding factors, the study authors "found that the children of mothers who committed suicide were nearly twice as likely to be hospitalized in connection to a suicide attempt than those whose mothers died in accidents."

Related Links:

- "A mother's suicide, more than a father's, predicts her offspring's likelihood of attempting suicide," Melissa Healy, Los Angeles Times, October 21, 2010.
- "Mom's Suicide May Raise Child's Odds for Later Suicide Attempt," Randy Dotinga, Healthday, October 21, 2010.

Posted by admin at 12:08 AM

October 22, 2010

Safety Of Helmets Receives No Governmental Oversight

The New York Times (10/21, A1, Schwarz) reports on its front page, "Helmets both new and used are not -- and have never been -- formally tested against the forces believed to cause concussions. The industry, which receives no governmental or other independent oversight, requires helmets for players of all ages to withstand only the extremely high-level force that would otherwise fracture skulls."

In fact, "used helmets worn by the vast majority of young players encountered stark lapses in the industry's few safety procedures," but "countless parents, coaches, administrators and even doctors involved with the 4.4 million children who play tackle football" mistakenly believe that the helmets meet national safety guidelines.

Related Links:

- "As Injuries Rise, Scant Oversight of Helmet Safety," Alan Schwarz, New York Times, October 20, 2010.

Posted by admin at 12:59 AM

Bond, Some Veterans' Advocates Concerned About Military's Adjustment Disorder Discharges

McClatchy (10/21, Goldstein) reports, "The military has been discharging troops who are suffering from combat stress, instead of providing treatment, according" to US Sen. Christopher "Kit" Bond (R-MO) and "several veterans advocates."

That would mean that many" who have been discharged for "adjustment disorders" but who "could be afflicted with mental health conditions, including post-traumatic stress disorder and traumatic brain injury, have left the service without official medical diagnoses and no chance for medical benefits."

McClatchy adds, "After several attempts to get discharges data from the Pentagon, Bond and three Senate colleagues called on Defense Secretary Robert Gates in a letter last week to pry the information loose."

Related Links:

- "Sen. Bond: Troops with combat stress discharged, not treated," David Goldstein, McClatchy Newspapers, October 20, 2010.

Posted by admin at 12:56 AM

Report Says Prescription Medication Use Has Increased In Past Decade

In the Vital Statistics column in the New York Times (10/19, D7), Nicholas Bakalar writes, "If you are taking a prescription medicine and you are older than 60, it is probably a cholesterol-lowering drug. If you are 20 to 59, it is more likely to be an antidepressant."

These "are just two findings from a recent report from the National Center for Health Statistics on the increasing use of prescription drugs from 1999 to 2008." Almost "45 percent of people over 60 now take cholesterol-lowering prescription medicine, more than twice the rate in 1999."

The report is based on a sample of "about 5,000 children and adults."

Related Links:

- "Prescription Drug Use Soared in Past Decade," Nicholas Bakalar, New York Times, October 18, 2010.

Posted by admin at 12:51 AM

Women With Fibromyalgia May Have 10-Fold Increased Risk For Suicide

Medscape (10/15, Kelly) reported that, according to a study published in the October issue of the journal Arthritis & Rheumatism, "women with fibromyalgia have a 10-fold increased risk for suicide and are also at increased risk for liver disease and cerebrovascular disease."

Specifically, data analysis revealed that "among the 1,269 female patients with fibromyalgia, the standardized mortality ratios were 10.5 for death from suicide, 6.4 for death from liver cirrhosis or biliary tract disease, and 3.1 for death from cerebrovascular disease."

What's more, "the suicide risk was increased at the time of diagnosis and remained increased after five years," the study authors reported.

Related Links:

- "Suicide Risk 10-Fold Higher in Women With Fibromyalgia," Janis C. Kelly, Medscape, October 15, 2010.

Posted by admin at 12:48 AM

SAMHSA Grants $11 Million To Tackle Mental Health Issues In Classrooms

The Los Angeles Times (10/15, Shrieves) reported, "One of the greatest challenges for teachers is kids who disrupt classrooms because of emotional or behavioral problems."

To help prevent such behavior, "the federal government's Substance Abuse and Mental Health Services Administration is awarding $11 million in new grants to 22 school systems over the next five years." School "districts receiving the grants include Broward County and Polk County public schools in Florida and Chicago Public Schools District 299 in Illinois."

In 2009, "2.8 million young people -- ages 12 to 17 -- received treatment or counseling for problems with behavior or emotions in classroom settings."

Related Links:

- "Federal grants target mental health challenges in classrooms," Linda Shrieves, Los Angeles times, October 15, 2010.

Posted by admin at 12:43 AM

October 13, 2010

APA Urges Obama Not To Withhold Condolence Letters To Families Of Service Members Who Commit Suicide

The Los Angeles Times (10/12, Healy) "Booster Shots" blog reported that in a news release (pdf) dated October 12, the American Psychiatric Association (APA) "urged President Obama to reverse a long-standing policy of withholding condolence letters to the families of US servicemen and women who commit suicide."

APA president Carol A. Bernstein, MD, stated, "A reversal of this policy to allow condolence letters to family members will not only help to honor the contributions and lives of these servicemen and women, but will also send a message that discriminating against those with mental illness is not acceptable."

The Wall Street Journal (10/12, Wang) "Health Blog" reported that the APA is joined in calling for the reversal of this policy by the advocacy groups Mental Health America and the American Foundation for Suicide Prevention, both of which are circulating petitions to overturn the White House's current unwritten policy on condolence letters.

Related Links:

- "Mental health groups call on President Obama to recognize military personnel who commit suicide," Melissa Healy, Los Angeles Times, October 12, 2010.
- "Psychiatric Group to White House: Change Suicide Condolence Letter Policy," Shirley S. Wang, Wall Street Journal, October 12, 2010.

Posted by admin at 08:15 PM

Big Insurers Denied Coverage To One In Seven Applicants Due To Pre-Existing Conditions

The Wall Street Journal (10/13, Adamy) reports that, according to a newly released congressional investigation, the four biggest health insurers in the US on average denied policies to one out of every seven applicants based on their prior medical history.

Bloomberg News (10/13, Armstrong, Nussbaum) reports, "WellPoint, Inc., Aetna, Inc., Humana, Inc. and UnitedHealth Group, Inc. denied health coverage to 49 percent more people over the past two years, citing pregnancy or plans for adoption among their reasons, a US report found."

The "insurers rejected 651,000 applicants from 2007 to 2009 for illnesses or conditions they had before applying for coverage, according to the report by the House Energy and Commerce Committee, led by Representative Henry Waxman, a California Democrat."

The companies "turned down 257,100 people last year who sought to buy benefits on their own and not through employers, the House report said."

Related Links:

- "Insurers Denied Coverage to 1 in 7," Janet Adamy, Wall Street Journal, October 13, 2010.
- "WellPoint, UnitedHealth Stock Buyback Focus Concerns Investors," Drew Armstrong and Alex Nussbaum, Bloomberg, October 12, 2010.

Posted by admin at 08:10 PM

http://www.usatoday.com/yourlife/health/2010-10-13-chilehealth13_ST_N.htm

USA Today (10/13, Szabo) reports that the 33 miners trapped underground in Chile may "face a variety of health problems after their rescue – both because of the dark, humid conditions underground, as well as from their risky ascent in a narrow capsule."

In addition to the risk of developing decompression sickness, they could also suffer from "drops or spikes in blood pressure, nausea, vomiting, and even panic attacks."

What's more, "constant darkness can contribute to depression and isolation, especially if it confuses the normal sleeping-waking cycle, says Vanderbilt University's Paul Ragan, a former Navy psychiatrist. At least three or four of the miners may experience post-traumatic stress disorder, based on typical rates of the condition after very stressful experiences, Ragan says."

Related Links:

- "Chile miners may face range of health problems," Liz Szabo, USA Today, October 12, 2010.

Posted by admin at 08:08 PM

Children With More Screen Time May Be More Likely To Report Behavioral, Social Problems

The Time (10/11, Melnick) "Healthland" blog reported, "Children who spend more than two hours in front of a television or computer screen were more likely to report behavioral and social problems than kids who watched less, according to a University of Bristol study that will be published in November's Pediatrics."

Researchers "recorded the playing, screen viewing and activity habits of 1,000 children aged 10 to 11. They also had the kids fill out questionnaires designed to gauge the kids' emotional well-being and behavior."

The CNN (10/11, Willingham) "The Chart" blog also covered the story.

Related Links:

- "Study: More Screen Time May Cause Social Problems for Kids," Meredith Melnick, Time Healthland, October 11, 2010.

Posted by admin at 08:02 PM

Memory Decline May Be Linked To Earlier Retirement

On the front of its Science Times section, the New York Times (10/12, D1, Kolata) reports, "Data from the United States, England, and 11 other European countries suggest that the earlier people retire, the more quickly their memories decline."

The implication, experts say, "is that there really seems to be something to the 'use it or lose it' notion -- if people want to preserve their memories and reasoning abilities, they may have to keep active."

Researchers "repeatedly find that retired people as a group tend to do less well on cognitive tests than people who are still working." The study is published in the Journal of Economic Perspectives.

Related Links:

- "Taking Early Retirement May Retire Memory, Too," Gina Colata, New York Times, October 12, 2010.

Posted by admin at 07:59 PM

Small Study Associates Weight Gain With Functional Impairment In Bipolar I Disorder

MedWire (10/12, Cowen) reports that, according to a study published in the journal Bipolar Disorders, "weight gain is a significant, but often overlooked, cause of functional impairment in patients with bipolar I disorder (BD-I)."

After studying "46 BD-I patients, aged 14-35 years, who had recently recovered from their first manic episode" and following them for a year, researchers found that patients who experienced clinically significant weight gain (that is, at least a seven percent increase in weight) "had significantly greater impairments in global functioning at 12 months than those who did not."

Related Links:

- "Weight gain linked to functional impairment in BD-I," Mark Cowen, Medwire News, October 12, 2010.

Posted by admin at 07:55 PM

Article examines varying pain responses in men, women

The Los Angeles Times (10/11, Foreman) reports, "The vast majority of chronic pain patients are women," and "women also report more acute pain than men." Only "recently have researchers begun to study the genetic, physiological, hormonal, and psychosocial factors" that may "underlie these sex differences."

In part, "that's because pain researchers have been hampered by one rather shocking fact: Most basic pain research is still done in male mice and rats." Still, "some human research does specifically address sex differences -- with complex and fascinating results."

For instance, many studies "do show that after puberty, women experience striking fluctuations in their response to pain at different points in the menstrual cycle. This has been noted for irritable bowel syndrome, TMD, headache and fibromyalgia."

Related Links:

- "Health Sense: Flawed pain science blurs question of he felt, she feltr," Judy Foreman, Los Angeles Times, October 11, 2010.

Posted by admin at 07:50 PM

Rise In Marijuana Use Among The Elderly Expected

The New York Times (10/10, A14, Leland) reported, "To the rites of middle-age passage, some families are adding another: buying marijuana for aging parents. .. Less than one percent of people 65 and over said they had smoked marijuana in the last year, according to a 2009 survey by the federal Substance Abuse and Mental Health Services Administration. But as the generation that embraced marijuana as teenagers passes into middle age, doctors expect to see more marijuana use by their elderly patients."

Related Links:

- "Marijuana, Once Divisive, Brings Some Families Closer," John Leland, New York Times, October 9, 2010.

Posted by admin at 07:49 PM

California Opponents Cite Marijuana Addiction Fears

The Los Angeles Times (10/10, Roan) reported that Proposition 19, "the Nov. 2 ballot measure that would legalize marijuana and regulate it similarly to alcohol, has generated scores of reports and debates regarding the potential effect on business revenue, tax dollars, and law enforcement, but scant discussion on the potential fallout on people's health.

In California, addiction counselors are split on the legalization issue largely because of their long-standing support of treatment over jail and legal penalties for marijuana addicts." Still, "nationally, public health experts mostly are against legalization," saying "it will increase the number of people who become addicted to the drug, contribute to more automobile accidents and erode school performance."

Related Links:

- "A bit of tarnish on marijuana's benign reputation," Shari Roan, Los Angeles Times, October 9, 2010.

Posted by admin at 07:45 PM

Gulf Residents Suffer Mental Health Problems After BP Spill

The AP (10/10, Reeves) reported, "The oil gusher is dead, but the mental trauma it caused along the Gulf of Mexico coast is still very much alive. ... Surveys show that in some areas badly affected by the oil, more than 40 percent of those seeking mental-health help say they are having problems because of the spill."

The AP noted, "The oil spill followed waves of hard luck for the region, including hurricanes and recession. Experts say it's impossible to determine how much of the current mental health downturn could have roots in other ordeals."

Related Links:

- "Mental health troubles brewing along the Gulf Coast," Jay Reeves, Washington Post, October 10, 2010.

Posted by admin at 07:42 PM

Suicide Rate Among Active Army Troops Remains Hig

The New York Times (10/11, A11, McKinley) reports that a spate of recent suicides at Fort Hood in Texas "reflects a chilling reality: nearly 20 months after the Army began strengthening its suicide prevention program and working to remove the stigma attached to seeking psychological counseling, the suicide rate among active service members remains high and shows little sign of improvement."

As of the end of "August, at least 125 active members of the Army had ended their own lives, exceeding the morbid pace of last year, when there were a record 162 suicides." According to experts and advocacy groups, numerous factors may be contributing to the problem, such as multiple deployments, "placing the burden on the soldier to seek help rather than on officers to actively find the damaged psyches in their corps," a shortage of psychiatrists, financial stress, family tensions, and a culture that discourages any show of weakness.

Related Links:

- "Despite Army Efforts, Soldier Suicides Continue," James C. McKinley, Jr., New York Times, October 10, 2010.

Posted by admin at 07:40 PM

October 09, 2010

Stressed Mothers May Exacerbate Child's Asthma

HealthDay (10/7, Preidt) reported, "A mother's negative emotions or behavior can worsen the severity of her child's asthma," according to a study published in the journal BioPsychoSocial Medicine.

After following 223 women for one year, researchers found that "among children older than seven years of age, a worsening of asthma was associated with mothers' excessive interference due to being overprotective. Among children younger than seven, more severe asthma symptoms were associated with mothers' chronic irritation and anger or a tendency to suppress expressions of emotion, the investigators found."

Lead investigator Jun Nagano told the UK's Daily Mail (10/7), "A mother's stress or wellbeing may be verbally or non-verbally conveyed to her child, and affect the child's asthmatic status via a psycho-physiological pathway, such as by immunoreactivity to allergens or a vulnerability to airway infections."

Related Links:

- "Mother's Stress, Interference May Worsen Child's Asthma," Robert Preidt, HealthDay, October 7, 2010.
- "Stressed mothers 'can make their children's asthma worse'," Daily Mail, October 7, 2010.

Posted by admin at 01:06 PM

Study Finds Student Athletes Without Concussion Symptoms Remain At Risk

The Indianapolis Star (10/8, Newell) reports that a new study published online this week in the Journal of Neurotrauma has determined that high school football players "may be damaging their brains even if they have not been diagnosed with a concussion."

After examining the helmets of 21 Lafayette Jefferson High School players, Purdue researchers discovered that whenever sub-clinical concussions are not recognized, "the athletes are potentially at risk for additional, more serious concussions and other brain illnesses," including early onset Alzheimer's disease, chronic depression, and chronic traumatic encephalopathy.

Related Links:

- "Researchers: Football players may not show signs of concussions, Nat Newell, Indianapolis Star, October 6, 2010.

Posted by admin at 01:02 PM

Young Patients With Eating Disorders More Prone To Engaging In Other Forms Of Self-Harm

The CNN (10/7, Landau) "The Chart" blog reported, "Adolescents with eating disorders may also be harming their own bodies by cutting or burning themselves," according to a study published in the Journal of Adolescent Health.

After examining "the records of more than 1,400 patients ages 10 to 21 who entered the Lucile Packard Children's Hospital's eating disorders program from January 1997 to April 2008," researchers found that "about 41 percent of patients with eating disorders engaged in self-injurious behaviors."

However, fewer than half "of the records showed that a health care provider had asked about patients deliberately harming themselves, the study found."

Related Links:

- "a href="http://pagingdrgupta.blogs.cnn.com/2010/10/07/teens-with-eating-disorders-may-also-self-injure/?iref=allsearch">Teens with eating disorders may also self-injure," Elizabeth Landau, CNN.Com, October 7, 2010.