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RAP groups alter views on outside.(News)
February 1, 2004... NEW YORK -- Don't be a snitch. Don't trust authority. Keep to yourself, and never be seen as weak.
These are a few of the cardinal rules for surviving in jail or prison. Unfortunately, they don't work so well once you get out of prison and...
FDA panel backs warning on kids, antidepressants; goal is to raise awareness about possible suicide risks before definitive review.(News)
February 1, 2004... BETHESDA, MD. -- While the Food and Drug Administration is continuing its analysis of suicidality reports in studies of antidepressants in children and adolescents, physicians and consumers should be alerted to the risk of suicidal ideation and...
Olanzapine-fluoxetine combo wins approval: drug tx is a first for bipolar depression.(News)
February 1, 2004... The approval of the combination of olanzapine and fluoxetine for treating bipolar depression marks the first time a drug therapy has been indicated for the most difficult to treat phase of the disorder.
The Food and Drug Administration...
Undiagnosed ADHD affects millions of adults.(News)
February 1, 2004... Millions of American adults are failing to achieve their full potential because of undiagnosed attention-deficit hyperactivity disorder, experts say.
Up to 70% of children with ADHD continue to experience symptoms into adulthood, and as a...
FDA approves quetiapine for acute bipolar mania.(News)
February 1, 2004... Another atypical antipsychotic has received approval for treating bipolar disorder.
The Food and Drug Administration has approved quetiapine as monotherapy in treating acute manic episodes associated with bipolar I disorder and as...
FDA warning says topiramate causes metabolic acidosis.(News)
February 1, 2004... Patients who take the antiepileptic drug topiramate are at risk for metabolic acidosis, according to a new public health advisory statement issued by the Food and Drug Administration and Ortho-McNeil Pharmaceutical Inc.
Topiramate...
FDA launches effort to ban ephedra products.(News)
February 1, 2004... The Food and Drug Administration has announced plans to ban the sale of all dietary supplements containing ephedra, marking the first time the agency has moved to ban a dietary supplement. The agency issued a consumer alert advising the public...
SSRI augmentation and PTSD.(Practical Psychopharmacology)
February 1, 2004... Exposure-based psychotherapy is, by consensus, the primary treatment for posttraumatic stress disorder. But many patients are medicated at some point.
"Medications are useful as an alternative to psychotherapy or to contain symptoms enough...
Is obesity a disease?(Pro & Con)
February 1, 2004... YES
Many people think of eating as a matter of choice, but there is a complex, biological system that controls food intake and makes it hard to lose weight.
Many studies suggest that there are at least 40-50 different...
When time runs out.(Fink! Still at Large)
February 1, 2004... We've all had patients who introduce hot topics late in their sessions. Do you return to those topics in subsequent sessions? What's your interpretation of this situation if it tends to be a recurring problem?
Handle Neutrally Unless...
In utero exposure: data inconsistent.(Guest Editorial)
February 1, 2004... Data on the risk of fetal malformations and adverse peripartum events associated with in utero exposure to antidepressants are reassuring, especially with regard to the tricyclics and some of the selective serotonin reuptake inhibitors....
A call for mental rejuvenation.(Guest Editorial)
February 1, 2004... Your computers are important to your practice, so you back up your files, up-grade your software, and install new applications when necessary.
Interesting how we baby our equipment, but drive ourselves to the breaking point.
I have...
Should psychiatrists treat mentally ill death row patients to make them competent for execution?(Pro & Con)
February 1, 2004... YES
Restoring a prisoner's competence affirms his humanity. If capital punishment is ethical and the criminal justice system is reasonably fair, then treatment of incompetent condemned prisoners is morally acceptable, even if the sole...
Evidence-based complaints.(Letters)(Letter to the Editor)
February 1, 2004... I am becoming quite annoyed with articles about evidence-based medicine that portray it as a new and more thoughtful form of practicing medicine ("Letting Data Guide Patient Care," Evidence-Based Psychiatric Medicine, December 2003, p. 18).
...
Protecting the CME process.(Letters)(Letter to the Editor)
February 1, 2004... The Coalition for Healthcare Communication, which represents 11 major organizations with members in all phases of health care communications, gives credit to Dr. Robert W. Rebar for recognizing all the measures now in place to protect the...
Clarification.(Correction Notice)
February 1, 2004... The headline above the article "APA's Guidelines on Suicide Hail Antidepressant Tx" (January 2004, p. 1) should have read "APA's Guidelines on Suicide Hail Use of Lithium."
Diagnosis PASSes the test.(Letters)(Letter to the Editor)
February 1, 2004... Dr. Eduardo Rueda-Vasquez's new PASS (psychotic affecto-schizophrenic syndrome) nomenclature is the clearest definition of a psychiatric symptom complex of cognition, mood, thought, and/or other behaviors that I have seen ("PASS the Diagnosis,...
Just a free spirit?(Guest Editorial)
February 1, 2004... Sometimes a patient forces us to ask the deeper questions we'd rather not think about in the course of everyday practice. For me, that patient was a homeless woman in the emergency room of the New England hospital where I was a third-year...
Gamblers on screen? Four worth betting on.(Reel Life)
February 1, 2004... Gambling is on the rise. Legislators increasingly rely on lottery and gaming revenues to balance public budgets. Electronic poker machines are everywhere, and casinos continue to proliferate. William Bennett, America's self-appointed...
The art of Lori Jae Reich.(Visionary Art)
February 1, 2004... Lori Jae Reich uses her vivid paintings to voice her concerns about the state of our society.
Her work, "Back to Lobotomy: Mental Health Care Gone Retrograde," is a wild, unnerving and unflinchingly ugly depiction of a patient being torn...
PTSD symptoms, personality tied to dissociation.(Adult Psychiatry)
February 1, 2004... CHICAGO -- Certain posttraumatic stress disorder symptoms and personality characteristics may increase the likelihood of peritraumatic dissociation, Brian J. Hall of Cleveland State University said at the annual conference of the International...
Childhood, war exposure predict PTSD severity.(Adult Psychiatry)
February 1, 2004... CHICAGO -- Veterans of the first Gulf War who experienced childhood trauma but low levels of combat exposure were more likely to have more severe symptoms of posttraumatic stress disorder than did those with childhood trauma and high combat...
Clinical capsules.(Adult Psychiatry)
February 1, 2004... Suicide Prevention Program
A suicide prevention program implemented in the U.S. Air Force has been well received and successful during its first 6 years of operation, reported Kerry L. Knox, Ph.D., of the University of Rochester (N.Y.) and...
Computer-assisted cognitive Tx measures up.(Adult Psychiatry)
February 1, 2004... BOSTON -- Computer-assisted cognitive therapy was shown to be as effective in treating major depression as standard cognitive therapy and required significantly less time spent with a therapist, Dr. Jesse H. Wright reported in a poster...
For some, depression follows bariatric surgery.(Adult Psychiatry)
February 1, 2004... NASHVILLE, TENN. -- The euphoria that bariatric surgery patients typically experience in the first 9-12 months after their operation is followed by a period of depression in an estimated 25%-30% of all patients, Dr. George W. Cowan Jr. said at...
Counseling on exercise should become routine in psychiatry.(Adult Psychiatry)
February 1, 2004... BOSTON -- Exercise counseling should be part of routine psychiatric practice, Dr. Alison C. Phillips advised at the American Psychiatric Association's Institute on Psychiatric Services.
Physical activity is particularly important for...
Internet, in-person equal for weight loss maintenance.(Adult Psychiatry)
February 1, 2004... FORT LAUDERDALE, FLA. -- Internet-based programs may be as effective as face-to-face support groups for weight loss maintenance, Jean Harvey-Berino, Ph.D., reported at the annual meeting of the North American Association for the Study of...
Depression can alter semantic processing.(Adult Psychiatry)
February 1, 2004... CHICAGO -- A history of active or remitted depression leads to changes in semantic processing, and those changes may play a role in the high relapse rate seen in depressed patients, Dr. Ruth Ann Atchley said at the annual meeting of the Society...
Herbal combo effective for mild depression.(Adult Psychiatry)
February 1, 2004... LONDON -- A proprietary formulation that combines St. John's wort, valerian, and passion flower was shown to be effective in the treatment of mild depression, Dr. Gerard P. McGregor said at a symposium on alternative and complementary therapies...
Verbal memory improved by hormone therapy.(Adult Psychiatry)
February 1, 2004... PHILADELPHIA -- Estrogen replacement therapy was linked to modest improvement in one measurement of verbal memory. But the replacement therapy did not improve other measures of cognitive function in a small study of perimenopausal or recently...
Modified DBT helps borderline, Axis I patients.(Adult Psychiatry)
February 1, 2004... BOSTON -- A novel therapeutic approach based on dialectic behavior therapy appears to benefit patients with borderline personality disorder who have co-occurring Axis I disorders, Carol Hartford said at the American Psychiatric Association's...
Racial identity may be factor in trichotillomania.(Adult Psychiatry)
February 1, 2004... CHICAGO -- Trichotillomania among black women often involves pulling of the pubic hair as well as pulling of hair from the scalp, eyelashes, or eyebrows, which may add to the profound sense of shame patients feel, Angela Neal-Barnett, Ph.D.,...
Helping patients conquer insomnia.(The Psychiatrist's Toolbox)
February 1, 2004... I can't sleep. I can't concentrate anymore. I'll lose my job if I don't sleep. Doc, please give me a pill or something. Who of us in medicine is not hearing such laments with alarming frequency? All too often, we are quick to prescribe...
Most Americans get 7 days of inadequate sleep each month.(Adult, Psychiatry)
February 1, 2004... BOSTON -- Americans average more than 7 days a month of inadequate sleep, Daniel P. Chapman, Ph.D., reported in a poster presentation at the American Psychiatric Association's Institute on Psychiatric Services.
Lack of sleep was more...
Schizophrenia patients benefit from ongoing CBT.(Adult Psychiatry)
February 1, 2004... PITTSBURGH -- Psychotherapy for schizophrenia works--as long as it's ongoing, Til Wykes, Ph.D., said at a conference on schizophrenia sponsored by the University of Pittsburgh.
Not unlike people who regain weight when they go off a diet,...
Augmenting antipsychotics.(Evidence-Based Psychiatric Medicine)
February 1, 2004... The Patient
You have a patient who suffers from schizophrenia. He has received multiple monotherapy trials of antipsychotic medications without adequate relief of symptoms. Appropriate steps were taken to ensure compliance, including but...
Past suicide attempts flag riskiest bipolar patients.(Adult Psychiatry)
February 1, 2004... BOSTON -- Always ask bipolar patients whether they think about or have ever attempted suicide, Dr. J. John Mann advised at an industry-sponsored symposium held during the American Psychiatric Association's Institute on Psychiatric Services.
...
Extended-release ADHD drugs beat placebo.(Child/Adolescent Psychiatry)
February 1, 2004... MIAMI -- A classroom study comparing three extended-release forms of methylphenidate with placebo for treating attention-deficit hyperactivity disorder showed that Ritalin LA was superior for improving attention and behavior, Dr. Raul R. Silva...
ADHD medication may deter substance abuse, improve educational outcomes.(Child/Adolescent Psychiatry)
February 1, 2004... PITTSBURGH -- Psychostimulant medication for attention-deficit hyperactivity disorder appears to protect against substance abuse and promote good long-term school outcomes, according to two presentations at the annual meeting of the Society for...
ADHD medication does not alter height or weight.(Child/Adolescent Psychiatry)
February 1, 2004... MIAMI -- Stimulant medication for attention-deficit hyperactivity disorder doesn't appear to alter height or weight in children after 5 years of use, Dr. Max Figueroa reported at the annual meeting of the American Academy of Child and...
CBT may cut depressive and bulimic symptoms.(Child/Adolescent Psychiatry)
February 1, 2004... BOSTON -- A brief depression-prevention program can significantly reduce depressive and bulimic symptoms among high-risk dysphoric adolescents, a randomized trial has shown.
In a study of 116 participants ranging in age from 14 to 21 years...
Schizophrenia patients' children show signs of schizotaxia.(Child/Adolescent Psychiatry)
February 1, 2004... MIAMI -- Adolescent children of schizophrenia patients are at increased risk for development of schizophrenia or a related disorder compared with controls. These children also show signs of schizotaxia--including social dysfunction and...
Clinical capsules.(Child/Adolescent Psychiatry)
February 1, 2004... Cutting vs. Poisoning
Adolescents who cut themselves may be acting more impulsively than those who poison themselves, reported Karen Rodham, Ph.D., of the University of Bath (England) and her colleagues.
In a self-harm survey of 5,737...
Survey: 13% of teens have sleep problems due to drugs.(Child/Adolescent Psychiatry)
February 1, 2004... SEATTLE -- About 13% of adolescents report trouble sleeping at night, apparently because of such factors as the use of prescription drugs, illicit drugs, and herbal remedies, results from an online survey suggest.
The findings further...
System used is key to parent, child agreement on PTSD symptoms.(Child/Adolescent Psychiatry)
February 1, 2004... CHICAGO -- Agreement between parents and children on posttraumatic stress disorder symptoms depends on the system, reported Maryam Kia-Keating of Boston Medical Center.
Agreement among 73 pairs of parents and children with PTSD and acute...
Make sleep screening routine after TBIs.(Child/Adolescent Psychiatry)
February 1, 2004... CHICAGO -- Children with traumatic brain injuries have greater reported sleep problems than do children with orthopedic injuries, suggesting the need for routine sleep screening after brain injuries, said Dr. Clifford Askinazi and his...
Later PTSD risk may be tied to disorganized attachment in infancy.(Child/Adolescent Psychiatry)
February 1, 2004... CHICAGO -- Inner-city children with a history of disorganized attachment in infancy are more likely to develop posttraumatic stress disorder after a traumatic event than their peers without that history, Helen Z. MacDonald reported in a poster...
Atopic dermatitis takes toll on children, family.(Child/Adolescent Psychiatry)
February 1, 2004... DENVER -- Ratings of child and family functioning by parents of 44 children with atopic dermatitis indicated significantly greater impairment, compared with norms for children with asthma, Astrida Kaugars, Ph.D., said in a poster presentation...
Pediatric internalizing disorders appear linked to atopic disorders.(Child/Adolescent Psychiatry)
February 1, 2004... MIAMI -- Children and adolescents with internalizing disorders have increased rates of atopic disorders, compared with those without, according to preliminary study results presented at the annual meeting of the American Academy of Child and...
Teenagers with acne cite shame, embarrassment about condition of skin.(Child/Adolescent Psychiatry)
February 1, 2004... BARCELONA, SPAIN -- Thirty-nine percent of British teenagers with acne say they've avoided going to school because of embarrassment over their skin condition, Dr. William Cunliffe said at a satellite symposium held in conjunction with the 12th...
Sensory integration: more research is needed; occupational therapy remains the cornerstone of treatment for sensory processing disorders.(Child/Adolescent Psychiatry)
February 1, 2004... A kindergartner loves to hug his classmates, but when anyone touches him, he throws a fit, perceiving the touch as uncomfortable or painful.
A young girl has difficulty with gross motor activities such as running, jumping, or skipping, or...
Physiologic motor stereotypies differ from movements of OCD, tics.(Child/Adolescent Psychiatry)
February 1, 2004... BALTIMORE -- Children with complex motor stereotypies may not out-grow their movement disorder, Dr. Harvey S. Singer said at a meeting on pediatric trends sponsored by Johns Hopkins University.
These children are neurologically completely...
Renal insufficiency raises risk for dementia.(Geriatric Psychiatry)
February 1, 2004... SAN DIEGO -- Older adults with moderate renal insufficiency as indicated by an elevated serum creatinine level are at 58% higher risk for vascular-type dementia, Dr. Stephen L. Seliger reported in a poster session at the annual meeting of the...
Functional MRI may help in AD diagnosis.(Geriatric Psychiatry)
February 1, 2004... CHICAGO -- Functional MRI imaging has shown that patients with Alzheimer's disease need to use more of their brains to successfully solve a working memory task, compared with control subjects, Dr. Zerrin Yetkin reported at the annual meeting of...
Some patients with mild cognitive impairment evade dementia.(Geriatric Psychiatry)
February 1, 2004... SAN FRANCISCO -- A longitudinal study of 90 elderly patients diagnosed with mild cognitive impairment with memory impairment revealed that 24 of them did not develop dementia after an average of 12 years, Dr. Howard Chertkow reported at the...
Genes are key factors in cognitive dysfunction.(Geriatric Psychiatry)
February 1, 2004... SAN DIEGO -- Heritable factors appear to contribute nearly 40% of a person's risk for cognitive dysfunction in later life, with nonfamilial environmental factors accounting for more than 60% of the risk, Margaret Gatz, Ph.D., reported in a...
Elderly often have a gun available at home.(Geriatric Psychiatry)
February 1, 2004... More than one-quarter of older adults have access to a gun in their home, a situation that has the potential to lead to suicide in high-risk patients, reported Dr. David W. Oslin of the University of Pennsylvania in Philadelphia and his...
Make the time to screen for elder neglect.(Geriatric Psychiatry)
February 1, 2004... SAN DIEGO -- Suspect neglect until proved otherwise if an elderly patient presents to the emergency room with tattered clothing, poor skin integrity, decubitus ulcers, diarrhea, urine burns, or urine excoriation, Terry Fulmer, Ph.D., advised in...
Let interview site guide choice of late-life depression screens.(Geriatric Psychiatry)
February 1, 2004... SAN DIEGO -- Consider the site of use when selecting brief case-finding instruments for late-life depression, Cynthia Gruman, Ph.D., advised in a poster session at the annual meeting of the Gerontological Society of America.
The 10-item...
MDs: 'special needs group' in abuse disorders.(Addiction Psychiatry)
February 1, 2004... NEW ORLEANS -- Physicians with substance addiction are a special needs group, experts at the annual meeting of the American Academy of Addiction Psychiatry agreed.
"I say that physicians are like any other addicted patient, except more...
Alcoholism rarer with high BMI.(Addiction Psychiatry)
February 1, 2004... SAN DIEGO -- Women with a higher body mass index are less likely to consume alcohol than their slimmer counterparts, according to a study presented at the annual meeting of the Academy of Psychosomatic Medicine.
These findings on the...
Anticonvulsants may alleviate alcohol withdrawal.(Addiction Psychiatry)
February 1, 2004... NEW ORLEANS -- Anticonvulsants continue to show promise in the treatment of alcohol withdrawal, Dr. Robert J. Malcolm said at the annual meeting of the American Academy of Addiction Psychiatry.
Several studies have shown that...
Drugs for alcohol cravings effective for dependence.(Addiction Psychiatry)
February 1, 2004... NEW ORLEANS -- Topiramate and other medications that reduce alcohol cravings show promise in treating alcohol dependence, Dr. Nassima Ait-Daoud reported at the annual meeting of the American Academy of Addiction Psychiatry.
A double-blind...
Drinking modification begins in trauma unit.(Addiction Psychiatry)
February 1, 2004... CHICAGO -- Admission to a trauma unit may represent a "teachable moment" for alcohol-dependent patients that may be missed if their wounds are repaired and they're simply sent on their way, Dr. Donald N. Reed Jr. said at the annual clinical...
What you need to know about club drugs.(Addiction Psychiatry)
February 1, 2004... NEW ORLEANS -- The club drugs methylenedioxymethamphetamine, ketamine, flunitrazepam, and [gamma]-hydroxybutyrate top the hit list on the rave scene these days, Dr. Mark B. Stephens said at the annual meeting of the American Academy of Family...
Substance abuse with schizophrenia may be tamed by atypicals.(Addiction Psychiatry)
February 1, 2004... CHICAGO -- Atypical antipsychotics may be effective in reducing drinking and other substance abuse disorders in patients with schizophrenia who have comorbid addictions, said Dr. Steven L. Batki at the annual meeting of the American Academy of...
CDC data aimed at chronic disease prevention.(Community Psychiatry)
February 1, 2004... SAN FRANCISCO -- Data that for the first time allow comparisons of behavioral risk factors between local communities should boost efforts by physicians and public health officers to prevent some chronic diseases, officials from the Centers for...
Revised HIV guidelines simplify Tx.(Community Psychiatry)
February 1, 2004... SAN FRANCISCO -- Newly revised guidelines on treating adults and adolescents with HIV and AIDS provide suggestions for regimens that are more definitive than ever before, Dr. Paul Volberding said at a meeting on HIV management sponsored by the...
HIV dynamics, latency explain lack of cure.(Community Psychiatry)
February 1, 2004... SAN FRANCISCO -- Despite the availability of drugs that greatly decrease the viral burden in patients infected with HIV, it's important to remember that "we haven't cured anyone with this infection yet," said Dr. Warner Greene at a meeting on...
Suicidal ideation may follow epileptic seizures.(NeuroPsychiatric Medicine)
February 1, 2004... BOSTON -- Some epilepsy patients, particularly those with a history of depression, are at increased risk of postictal suicidal ideation, a study has shown. The results are consistent with previous reports of elevated lifetime prevalence rates...
Seizures more severe in epileptics with depression.(NeuroPsychiatric Medicine)
February 1, 2004... SAN FRANCISCO -- Epilepsy patients who have comorbid depression rate their seizures as more severe and more bother-some than those without depression, Ms. Joyce A. Cramer reported at the annual meeting of the American Neurological Association....
Hallucination details offer peek at etiology.(Neuropsychiatric Medicine)
February 1, 2004... HOUSTON -- Physicians would do well to quiz patients about the details of their hallucinations. Not only can this provide clues about the etiology of their disorder, but it can also flag potentially dangerous medical conditions, Dr. Nashaat N....
Cognitive, affective function stable in Parkinson's disease.(NeuroPsychiatric Medicine)
February 1, 2004... SAN FRANCISCO -- A 3-year study showed remarkably stable cognitive and affective functioning in patients with Parkinson's disease, although their motor functions continued to decline even with the best medical management, Bryan A. Bernard,...
Ultrafast MRI allows 3-minute brain scan.(Neuropsychiatric Medicine)
February 1, 2004... CHICAGO -- A new MRI technology minimizes brain-imaging time for stroke patients while maintaining accuracy, according to data presented at the annual meeting of the Radiological Society of North America.
Brain-imaging time was reduced from...
Neuronal injury appears to precede brain atrophy in MS.(Neuropsychiatric Medicine)
February 1, 2004... CHICAGO -- A comparison of magnetic resonance imaging and magnetic resonance spectroscopy has revealed that neuronal cell injury precedes brain atrophy in multiple sclerosis, Dr. Oded Gonen reported at the annual meeting of the Radiological...
Changes in headache could signal brain tumor.(Pain Medicine)
February 1, 2004... SCOTTSDALE, ARIZ. -- "Red flag" characteristics can help in the diagnosis of brain tumor in patients with headache, Dr. R. Allan Purdy said at a symposium sponsored by the American Headache Society.
Headache is the most common general...
Secondary headaches require broad approach.(Pain Medicine)
February 1, 2004... SCOTTSDALE, ARIZ. -- When a patient's headache symptoms fall outside of the standard criteria for neuroimaging, physicians must grapple with issues of cost and evidence-based medicine in determining whether imaging is warranted, Richard...
Homework lessens chronic pain woes: the home-study material used in both trials was a 158-page patient education manual.(Pain Medicine)
February 1, 2004... ATLANTA -- Patients with chronic pain benefit from receiving targeted self-study materials as a component of behavioral therapy for living with their condition, the late David M. Dush, Ph.D., then of Central Michigan University, Mount Pleasant,...
Many health workers need to bone up on pain management.(Pain Medicine)
February 1, 2004... SAN FRANCISCO -- More than half of 950 health care workers incorrectly answered at least 11 of 24 questions about pain management, regardless of their level of medical training, Dr. Claudia Fegan said at the annual meeting of the American...
Impact of delirium: profound yet unrecognized.(Psychosomatic Medicine)
February 1, 2004... WAIKOLOA, HAWAII -- The impact of delirium on hospitalized patients is profound, yet it often goes unrecognized, underdiagnosed, and incorrectly treated, even in a major university hospital, Stanford University researchers discovered in a trio...
Women heart candidates report less social support than men.(Psychosomatic Medicine)
February 1, 2004... SAN DIEGO -- Women who are selected for a heart transplant may be less likely than men to receive social support to help them cope with the stress of the procedure, Dr. Curley Bonds reported at the annual meeting of the Academy of Psychosomatic...
Raise psychosocial issues with kidney donors.(Psychosomatic Medicine)
February 1, 2004... SAN DIEGO -- The mental and physical functioning of kidney donors declined significantly after surgery, compared with presurgical levels, Dr. Graeme Smith reported at the annual meeting of the Academy of Psychosomatic Medicine.
Mental...
[beta]-blocker and depression link called false.(Psychosomatic Medicine)
February 1, 2004... SAN DIEGO -- Though the belief is still widespread, [beta]-blockers do not appear to cause depression, Dr. Lawson R. Wulsin said at the annual meeting of the Association of Medicine and Psychiatry.
Concern about depression contributed to a...
Noncompliance in Hispanic breast ca patients due to fear.(Across Specialties)
February 1, 2004... CHICAGO -- Fear, confusion, and mistrust may explain why many Hispanic patients are non-compliant with breast cancer care, Dr. Alexander R. Miller said at the annual clinical congress of the American College of Surgeons.
He explained that...