Clinical Psychiatry News articles from May 2008

Clinical Psychiatry News archives from May 2008

Diversity missing from research.
May 1, 2008... KOLOA, HAWAII -- The reluctance to discuss differences among ethnic and cultural groups is a serious challenge for the practice of psychiatry, according to discussion group members at the annual meeting of the American College of Psychiatrists....

Fallout from early trauma might hinge on genes: some patients get depression, others PTSD.
May 1, 2008... KOLOA, HAWAII -- Genetic factors might play a role in determining who gets posttraumatic stress disorder after trauma and who gets depression, according to two studies. In addition, increasing evidence suggests that child abuse and neglect...

More pregnant women Getting court-ordered tx.
May 1, 2008... TORONTO -- The number of pregnant women entering court-mandated substance abuse programs has increased in the years since the advent of the crack cocaine epidemic, Dr. Mishka Ter-plan said at the annual conference of the American Society of...

Many migraineurs face serotonin syndrome.
May 1, 2008... VIENNA -- An estimated 700,000 Americans were at risk for serotonin syndrome in 2004 because they were simultaneously on a triptan and a selective serotonin reuptake inhibitor or serotonin-norepinephrine reuptake inhibitor, according to data...

Prodrug is approved for adult ADHD.
May 1, 2008... The Food and Drug Administration has approved the once-daily attention-deficit/hyperactivity disorder drug Vyvanse for adults, according to Shire PLC, manufacturer of the drug. The United Kingdom-based biopharmaceutical company said it...

Inhalants favored among adolescents.
May 1, 2008... WASHINGTON -- The drugs of choice for children aged 12 and 13 years are inhalants, surpassing pain relievers, marijuana, and any other illegal drug, with 3.4% of 12-year-olds and 4.8% of 13-year-olds using in the past year. This is...

Competency is not all or nothing.(GUEST EDITORIAL)(Editorial)
May 1, 2008... Ahmad Edwards had a serious mental disorder with psychotic features. After shoplifting in downtown Indianapolis and being chased, he fired three gunshots, injuring two people. An FBI agent apprehended Edwards after making several requests that...

Sometimes we do get it right.(LETTERS)(Letter to the editor)
May 1, 2008... As a child/adolescent psychiatrist, I want to respond to a letter by Dr. Manuel MotaCastillo criticizing several articles in CLININCAL PSYCHIATRY NEWS about treating comorbid attention-deficit/hyperactivity disorder and bipolar and conduct...

Physicians group is way off base.(Brief article)(Column)
May 1, 2008... Apparently, the left-wing radicals have gone from doing sit-ins at the college president's office to occupying the American College of Physicians ("Internist Group Backs Use of Medical Marijuana," April 2008, p. 56)! First, they announce...

Treating intellectually disabled patients.(PRACTICAL PSYCHOPHARMACOLOGY)
May 1, 2008... With increasing numbers of intellectually disabled individuals living in residential settings or with their families, psychiatrists in the community are becoming more involved in their care. Many are unprepared. "Most psychiatric training...

Aripiprazole may prevent manic relapse in bipolar disorder.(Adult Psychiatry)
May 1, 2008... VIENNA -- The atypical antipsychotic aripipra-zole demonstrated sustained long-term efficacy for prevention of manic relapse in patients with bipolar disorder, Dr. Roger S. McIntyre reported at the annual congress of the European College of...

Options expanding for bipolar disorder.
May 1, 2008... VIENNA -- A growing list of innovative therapies with novel mechanisms of action in bipolar disorder is available for tough-to-treat cases, Dr. Benedikt L. Amann said at the annual congress of the European College of Neuropsy-chopharmacology....

Evidence-based psychiatric medicine: Oxcarbazepine for acute mania.(Adult Psychiatry)
May 1, 2008... The Problem You have a patient with bipolar disorder. He is currently in an acute phase of mania without psychosis. For various reasons, he declines treatment with lithium, valproate, carba-mazepine, or antipsychotic medications. You...

Suicidality? primary care docs often fail to ask.(Adult Psychiatry)
May 1, 2008... SAN FRANCISCO -- In a randomized trial involving actors portraying patients with major depression, internists and family physicians usually failed to ask these patients about suicidality, even when they correctly made the depression diagnosis,...

EEG test could predict antidepressant response.(Adult Psychiatry)
May 1, 2008... VIENNA -- A quantitative EEG bio-marker shows considerable promise for prediction of antidepressant response in major depression, Dr. Andrew J. Leuchter said at the annual congress of the European College of Neuropsychopharmacology. The...

Tough decisions surround Rx in pregnancy: the child will be exposed to illness or treatment, and 'some decisions are far worse than others.'.
May 1, 2008... KOLOA, HAWAII -- Labeling typically doesn't support the use of psychotropic drugs in pregnant women, but the drugs might be needed during pregnancy, according to an observational study done at Emory University, Atlanta. "What I want you to...

Postpartum depression may Be misdiagnosed bipolar disorder.(Adult Psychiatry)
May 1, 2008... PITTSBURGH -- Misdiagnosis of bipolar disorder in the postpartum period may be quite common, Dr. Verinder Sharma and his associates said in a poster presentation at the Seventh International Conference on Bipolar Disorder. Among 56 women...

Interventions can help couples deal with posttraumatic stress.(Adult Psychiatry)
May 1, 2008... BALTIMORE -- Therapists who treat posttraumatic stress disorder might be able to make the greatest therapeutic impact by bringing married couples or those in committed relationships together to work out their problems using one of three kinds...

Depression may predict PTSD in some cardiac patients.(Adult Psychiatry)(Clinical report)
May 1, 2008... BALTIMORE -- Depression at hospital admission and the recurrence of cardiac symptoms in the first year appear to predict the presence of posttraumatic stress disorder symptoms at 3 years in patients with acute coronary syndrome, results of a...

Two-session strategy helps trauma patients avoid PTSD.
May 1, 2008... BALTIMORE -- Patients who receive a brief secondary prevention intervention shortly after experiencing trauma can avoid a diagnosis of posttraumatic stress disorder up to 2 years later, research presented at the annual meeting of the...

Screen ADHD patients first, heart group says.(Child/Adolescent Psychiatry)
May 1, 2008... The new recommendation calling for electrocardiogram screening for children with attention-deficit/hyperactivity disorder before initiating pharmacologic treatment is not based on data, according to an expert in child and adolescent psychiatry....

Atomoxetine not effective for ADHD/ODD.(Child/Adolescent Psychiatry)
May 1, 2008... Atomoxetine had no enduring effect on oppositional defiant disorder symptoms in a new report of manufacturer data from children with both ODD and attention-deficit/hyperactivity disorder. The findings from the 8-week, multi-center,...

'Maladaptive' behaviors tied to sleep problems.(Child/Adolescent Psychiatry)
May 1, 2008... Certain parental behaviors in response to their toddlers' nighttime awakenings may pave the way for the children to have sleep problems at ages 4-6 years, so these behaviors should be considered maladaptive, according to results from a Canadian...

Parenting is crux of the cure in defiant disorder.(Child/Adolescent Psychiatry)
May 1, 2008... MIAMI BEACH -- It is important to confront parents about their parenting style when conveying a diagnosis of oppositional defiant disorder, a developmental pediatrics specialist advises. It is difficult to address a parenting issue,...

Establish clear goals for trauma-focused CBT.(Child/Adolescent Psychiatry)
May 1, 2008... SAN DIEGO -- Before Laura Merchant begins trauma-focused cognitive-behavioral therapy with children and their caregivers, she provides an estimate for them of the number of treatment sessions that will be required for effective intervention....

Stress affects athletic injuries, recovery: physicians not immune to 'culture of risk,' which encourages athletes to keep playing despite pain.(Child/Adolescent Psychiatry)
May 1, 2008... Difficult life events and other types of stress, as well as psychological interventions, can have a marked impact on the occurrence of athletic injuries among children and adolescents, according to the authors of a review on the topic. ...

Tailor dementia treatment to each patient.(Geriatric Psychiatry)
May 1, 2008... Cholinesterase inhibitors and memantine are not one-size-fits-all drugs that can be prescribed to every patient with dementia and should only be employed after assessing each drug's risk/benefit profile in light of an individual patient's...

One of first prevalence studies finds more MCI in men.(Geriatric Psychiatry)
May 1, 2008... CHICAGO -- Men have more mild cognitive impairment than women do, yet there is no gender difference in the prevalence of dementia, according to the results of one of the first studies to measure mild cognitive impairment prospectively in a...

Sleep, cognitive problems might be linked.(Geriatric Psychiatry)(Brief article)
May 1, 2008... SAN FRANCISCO -- Reports of difficulty falling asleep were associated with poorer performance on some cognitive measures in a study of 174 elderly community-dwelling blacks. Self-reported sleep trouble appears to be a unique predictor of...

Guidelines on way for treating sleep disorders.(Geriatric Psychiatry)
May 1, 2008... SAN FRANCISCO -- Sleep should be viewed as a vital sign, and primary care physicians should address sleep disturbances routinely in all visits with older adults, Dr. Harrison G. Bloom said at the annual meeting of the Gerontological Society of...

Drinking, smoking may raise early AD risk.(Geriatric Psychiatry)
May 1, 2008... CHICAGO -- Heavy drinking and smoking are associated with a significantly earlier age of development of late-onset Alzheimer's disease, according to findings presented at the annual meeting of the American Academy of Neurology. In a...

Lively limbs limit sleep in cognitively impaired.(Geriatric Psychiatry)
May 1, 2008... Frequent nighttime leg movements were significantly associated with sleep disturbance and less total sleep in a study of 102 elderly people with cognitive impairment. Previous research had shown that sleep time varies from approximately 6...

Vitamin E may increase survival in Alzheimer's.(Geriatric Psychiatry)
May 1, 2008... CHICAGO -- Vitamin E supplementation at doses of 2,000 IU/day appeared to be associated with improved survival in a retrospective case analysis of patients who had Alzheimer's disease. The results, presented at the annual meeting of the...

Exercise program may benefit Alzheimer's patients.(Geriatric Psychiatry)
May 1, 2008... WASHINGTON -- A regular exercise program not only promotes flexibility, balance, and strength in elderly people with dementia, but it also might improve their mental function. "You won't get oxygen to the brain if you don't get air down...

Another study links cigarettes with suicide.(Addiction Psychiatry)
May 1, 2008... VIENNA -- Current or former cigarette smoking is strongly associated with an increased rate of prior suicide attempts among Hungarian psychiatric outpatients, Dr. Zoltan Rihmer reported at the annual congress of the European College of...

Binge drinking common in psychiatric outpatients.(Addiction Psychiatry)
May 1, 2008... SAN FRANCISCO -- A computer-based intake survey of 422 psychiatric outpatients showed that 27% reported having at least five drinks on a single occasion within the past 30 days, reported Derek D. Satre, Ph.D. In addition, 28% reported...

Study assesses 1-year substance use remission in native American veterans.(Addiction Psychiatry)
May 1, 2008... CORONADO, CALIF. -- One-year remission from substance abuse disorder among Native American veterans does not reduce the prevalence of mood and anxiety disorders, gambling disorders, or posttraumatic stress symptoms, results from a community...

Undocumented adolescents: building hope.(PREVENTION IN ACTION)
May 1, 2008... The guidance offices of many of this country's large urban middle schools and high schools--particularly those in economically depressed areas--are teeming with what psychiatrist Dr. Dean DeCrisce of New York University Medical Center refers to...

Partner violence takes toll on women's health.(Community Psychiatry)
May 1, 2008... Intimate partner violence against women not only inflicts obvious injury but also contributes to the overall burden of disease through its association with mental, gynecologic, and gastrointestinal disorders, according to an observational study...

For defendants with retardation, procedures vary: expert witnesses in death penalty cases must know standards of proof differ from state to state.
May 1, 2008... SAN FRANCISCO -- The U.S. Supreme Court decision that executing mentally retarded offenders is unconstitutional provided little guidance on how to implement the ruling. The result has been a mishmash of procedures that vary widely from state to...

Criminal profiler shares some secrets of the trade.
May 1, 2008... SAN FRANCISCO -- In 1956, frustrated by their inability to apprehend the "Mad Bomber" who had been terrorizing New York City for 16 years, police detectives paid a visit to Dr. James A. Brussel, a noted psychiatrist and a criminologist. As he...

Catastrophizing worsens osteoarthritis disability.(Pain Medicine)
May 1, 2008... FORT LAUDERDALE, FLA. -- Pain catastrophizing and pain-related fear are associated with increased disability and worse physical functioning among overweight patients with osteoarthritis, according to a study presented at the World Congress on...

When other opioids fail, consider levorphanol for refractory pain.(Pain Medicine)
May 1, 2008... TAMPA -- Levorphanol appears to be an attractive option for the treatment of refractory pain that does not respond to other opioids, based on a case series of 31 patients presented at the annual meeting of the American Academy of Hospice and...

Smoking may increase risk of developing neuropathic pain.(Pain Medicine)
May 1, 2008... ORLANDO -- In a community sample of 205 adults with chronic pain of any type, neuropathic pain was documented in almost two-thirds of those who smoked, compared with one-third of those who did not smoke, Dr. Todd G. Call reported at the annual...

Lamotrigine may improve pelvic pain, depression.(Pain Medicine)
May 1, 2008... BALTIMORE -- The anticonvulsant lamotrigine shows promise for reducing pain and improving mood symptoms associated with chronic pelvic pain, particularly in women with the vulvovaginal subtype. In a study of 43 women with chronic pelvic...

Consulting with medical patients.(THE PSYCHIARIST'S TOOL BOX)
May 1, 2008... Some years ago, an elderly gentleman began to experience hiccups after eye surgery. He also had a history of car-diovascular disease. After 5 days of medical intervention, such as breathing into a paper (not plastic) bag, using vagal...

Psychiatric diagnoses common in chronic idiopathic urticaria.(Psychosomatic Medicine)
May 1, 2008... Nearly half of all patients with chronic idiopathic urticaria have Axis I psychiatric diagnoses and 45% have Axis II diagnoses, a new study shows. Obsessive-compulsive disorder (OCD) and major depression were the most common Axis I...

Skin-related anxiety affects exercise intent.(Psychosomatic Medicine)
May 1, 2008... Social anxiety stemming from acne or other skin conditions might keep people from exercising, say results of a survey of 50 adults selected from an acne support group. Exercise is important for overall health and skin health, but data from...

Childhood trauma raises risk of adult CHD and depression.(Psychosomatic Medicine)
May 1, 2008... VIENNA -- Childhood trauma was an independent predictor of coronary heart disease and major depression later in life in a study with 360 men. "Childhood trauma can have important consequences, but it is a risk factor that physicians don't...

High diastolic blood pressure linked to cognitive impairment.(Psychosomatic Medicine)
May 1, 2008... NEW ORLEANS -- Increased diastolic blood pressure levels are associated with cognitive impairment, findings from the Reasons for Geographic and Racial Differences in Stroke study suggest. More than 27,800 participants from REGARDS--a...

Hostility, fasting glucose linked in black women.(Psychosomatic Medicine)
May 1, 2008... BALTIMORE -- African American women with high levels of hostility show increased levels of fasting glucose. In addition, patients' proportion of trunk fat appears to play a role in the association between hostility and glucose metabolism,...

Light and melatonin can reset circadian rhythm.(Psychosomatic Medicine)
May 1, 2008... SCOTTSDALE, ARIZ. -- Before traveling from California to South Africa, Dr. Alon Y. Avidan prepared for the time change by spending afternoons in his office, out of the sun. After he arrived in South Africa, he awoke between 5 a.m. and 7 a.m....

Polysomnography study: migraine linked to disturbed sleep in children.(Psychosomatic Medicine)
May 1, 2008... CHICAGO -- Sleep apnea was observed in more than half of children with migraine in a study presented at the annual meeting of the American Academy of Neurology. Polysomnography revealed sleep apnea in 56% of children with migraine,...

Altered brain response seen in IBS patients.(Psychosomatic Medicine)
May 1, 2008... Patients with irritable bowel syndrome have altered brain responses to the anticipation of pain and to pain itself, which might make them more sensitive to painful stimuli, reported Dr. Steven M. Berman and his colleagues from the Center for...

A study shows that 'psychological distress' rather than depression might increase the risk of stroke. How might psychiatrists think of this concept of psychological distress?(FINK ! STILL AT LARGE.)
May 1, 2008... Psychiatry is such a screwed-up field that we cannot retain a language that is scientific and meaningful Several months ago I railed against the bastardization of the word "depression." Now we have a new one, "distress," which a recent...

Findings based on population study of more than 20,000.(Psychosomatic Medicine)
May 1, 2008... The study aimed at assessing what kinds of factors increase the risk of stroke clarifies the relationship between mental health and stroke, according to the lead investigator and his colleagues. Paul Surtees, Ph.D., and his colleagues...

Assess psychological factors in chronic pelvic pain cases.(Across Specialties)
May 1, 2008... FORT LAUDERDALE, FLA. -- About 75% of premenopausal women with chronic pelvic pain gain significant relief from hysterectomy, even when no apparent physiologic cause is found. But what about the other 25%? "We tend to look at fibroids and...

Prolapse surgery may improve body image and depressive symptoms.(Across Specialties)
May 1, 2008... HOLLYWOOD, FLA, -- Reconstructive surgery for pelvic organ prolapse not only improves physical distress but can significantly improve a woman's body image and depressive symptoms, according to results of a prospective, case-control study. ...

Multidisciplinary approach works best for vulvodynia.(Across Specialties)
May 1, 2008... CHICAGO -- Vulvodynia is best managed with a multidisciplinary approach with a multidisciplinary approach using a wide variety of therapeutic options, Dr. Hope K. Haefner said at a conference on vulvovaginal diseases sponsored by the American...

Eclampsia's neurologic damage may be permanent.(Across Specialties)
May 1, 2008... DALLAS -- Several years after a pregnancy complicated by eclampsia, significantly more women demonstrate subcortical cerebral white matter lesions on MRI, compared with women with a nor-motensive pregnancy. In a study of 103 women, white...

Racial health disparities in elderly teased out.(Across Specialties)(Clinical report)
May 1, 2008... SAN FRANCISCO -- Several analyses of data from a longitudinal study of 3,075 elderly African American and white patients have helped identify some of the causes of health disparities between races in older adults, sometimes with surprising...

Lipid lowering reverses cognitive decline in some atrial fibrillation.(Across Specialties)
May 1, 2008... VIENNA -- Potent cholesterol-lowering therapy appears to reverse neurocognitive decline in normolipidemic elderly patients with atrial fibrillation, Dr. Elke Wezenberg said at the annual congress of the European Society of Cardiology. If...

High midlife cholesterol increases Alzheimer's risk.(Across Specialties)
May 1, 2008... CHICAGO -- High cholesterol levels in midlife are associated with an increased risk of Alzheimer's disease and vascular dementia, data from a large, diverse cohort suggest. The analysis of more than 9,500 people showed that those patients...

Educate patients about asymptomatic herpes.(Across Specialties)
May 1, 2008... BOSTON -- "Genital herpes is a recurrent, lifelong viral disease. This is the one thing that patients and clinicians don't like to say, but there's no way around" it, Laura J. Mulcahy said at a conference on contraceptive technology sponsored...

Syphilis rate rises most in gay men, African Americans.(Across Specialties)
May 1, 2008... CHICACO -- The rate of syphilis in the United States has increased for the 7th consecutive year, jumping 12% from 2006 to 2007, according to preliminary evidence released by the Centers for Disease Control and Prevention. The upsurge was...

Despite testing, gonorrhea goes undetected in gay men.(Across Specialties)
May 1, 2008... CHICAGO -- Up to 35% of sexually active gay men might still have undiagnosed gonorrhea infections, despite visiting a sexual health clinic for screening tests, Kristen Mahle said at a conference on STD prevention sponsored by the Centers for...

Bisexual college women at greatest risk for STDs.(Across Specialties)
May 1, 2008... CHICAGO -- Bisexual college women were 60% more likely to report having a sexually transmitted disease during the past year than were their heterosexual counterparts and four times more likely to report an STD than lesbian college students,...

Alteplase may have benefit 3-6 hours after stroke: significant advantage seen over placebo when the smallest lesions were excluded from analysis.(Clinical report)
May 1, 2008... Ishemic stroke patients with an area of hypoperfusion larger than the area of infarct and cytotoxic damage may still benefit from alteplase 3-6 hours after stroke onset, according to a study presented at the International Stroke Conference 2008...

Excessive daytime sleepiness may signal elevated stroke risk.(Across Specialties)(Clinical report)
May 1, 2008... NEW ORLEANS -- People who experience routine episodes of dozing during the daytime may have a higher risk of stroke and other vascular events, according to a prospective, community-based cohort study of more than 2,000 people. The risk of...

Topical NSAID relieves pain of osteoarthritis: diclofenac treatment rated as very good or excellent by 48% of patients, compared with 37% for placebo.
May 1, 2008... BOSTON -- Topical administration of diclofenac sodium gel was associated with statistically significant and clinically meaningful improvements in symptoms of hand osteoarthritis in a multicenter, double-blind trial, Dr. Roy Altman reported at...

Analysis offers insights into celecoxib's cardiovascular risk.(Across Specialties)
May 1, 2008... CHICAGO -- The cardiovascular risk of celecoxib is a function of both dose and dosing schedule, as well as a patient's baseline cardiovascular risk, according to a new National Cancer Institute-sponsored pooled analysis of six randomized...

Explaining 'lung age' motivates smokers to quit.(Across Specialties)
May 1, 2008... Smokers who were told their "lung age" after spirometry had more than double the rate of quitting 12 months later than did smokers who were given only a clinical measure of lung performance, according to findings of a randomized controlled...

Smoking cessation intervention for inpatients pays off.(Across Specialties)
May 1, 2008... CHICAGO -- An intensive smoking cessation intervention that starts while patients are hospitalized for an acute cardiac event is not merely highly cost effective, it is actually cost saving, Robyn Kondrack, Pharm.D., reported at the annual...

Brain regions associated with satiety identified.(Across Specialties)
May 1, 2008... A new imaging study that has identified areas of brain activation associated with feelings of fullness may provide new therapeutic targets to minimizing overeating. Researchers at the U.S. Department of Energy's Brookhaven National...

Many teens depressed before bariatric surgery.(Across Specialties)
May 1, 2008... SALT LAKE CITY -- Being obese as an adolescent exacts a devastating psychological toll, perhaps an even greater toll than previously appreciated, suggest the results of psychiatric testing in 27 patients who were candidates for bariatric...

Waist size is a vital sign of hypertension risk.(Across Specialties)(Clinical report)
May 1, 2008... COLORADO SPRINGS -- Marginally increased waist circumference is strongly associated with prevalent hypertension in normal-weight and overweight adults, according to data from a large National Institute of Neurological Disorders and...

Use behavioral strategies to help manage diabetes.(Across Specialties)
May 1, 2008... SAN FRANCISCO -- Here's what doesn't work when trying to help patients self-manage their diabetes: * Urging them to use more willpower. "You need to get serious about your diabetes." * Threatening them with bad outcomes. "Do you want...

Few adults follow diabetes lifestyle recommendations.(Across Specialties)
May 1, 2008... CHICAGO -- Few adults with diabetes and prediabetes are adhering to American Diabetes Association nutrition and activity recommendations, and even fewer with undiagnosed diabetes are doing so. After adjustment for age, gender, and race, a...

Cutting BP, not sugar levels, lowers CV risks in diabetes.(Across Specialties)(Clinical report)
May 1, 2008... PHILADELPHIA -- Lowering blood pressure might be more effective than lowering blood sugar alone for reducing the risk of cardiovascular events in type 2 diabetes patients, according to the director of the coronary care unit at Boston Medical...

In search of sublime psychiatry.(THE ETHICAL WAY)
May 1, 2008... "One should practice morality urgently, as if the god of death had seized one by the hair." --paraphrase of Sanskrit by Daniel Herwitz, director, University of Michigan's Institute for the Humanities By the time you read this column,...

Health reform possible even in slowing economy.(Practice Trends)
May 1, 2008... ARLINGTON,, Va. -- Health care reform can be achieved even in difficult economic times, several speakers said at the annual meeting of the Association of Health Care Journalists. "I think past history shows us that major social initiatives...

Physician groups back medical home coalition: the joint principles for a medical home are supported by other organizations, including large corporations.
May 1, 2008... WASHINGTON -- A who's who list of physician organizations, advocacy groups, pharmaceutical manufacturers, and employers is throwing its weight behind the idea that the medical home model can cure much of what ails the health care system. ...

FDA clears generic Wellbutrin.(POLICY & PRACTICE.)
May 1, 2008... The generic formulation of Wellbutrin XL (300 mg) is bioequivalent to the brand, the Food and Drug Administration has determined. The agency began a review of generic bupropion after receiving 85 adverse event reports in the first 6 months of...

Teva to market generic Risperdal.(POLICY & PRACTICE.)
May 1, 2008... A U.S. District Court judge in Washington, has ruled that Teva Pharmaceutical Industries Ltd. has the right to make and sell a generic version of Risperdal (risperidone). Unless the ruling is challenged, Teva can begin exclusive sales of...