Wednesday, November 29, 2006

Chinese College Students at Risk for Suicide

Chinese students are facing mounting pressure when they graduate from China's thousands of Ivory Towers due to an influx of students who also expect to join the work force.

The number of university students has increased by 750,000, rising to 4.13 million. A total of 1.24 million will fail to find a job in 2006, state media reported.

Wang Gang, deputy director of the depression treatment center at the Capital University of Medical Sciences affiliated Beijing Anding Hospital, says his center has seen an increasing number of university students turning to doctors for help.

"At least half of these students are in danger of committing suicide. Some have attempted but failed," says Wang.

More...

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Tuesday, November 28, 2006

Happiness Can be Learned

Long-term studies aim to pinpoint, prolong whatever it takes to make humans feel good.
Malcolm Ritter / Associated Press


NEW YORK -- For decades, a widely accepted view has been that people are stuck with a basic setting on their happiness thermostat. It says the effects of good or bad life events like marriage, a raise, divorce, or disability will simply fade with time.
But recent long-term studies have revealed that the happiness thermostat is more malleable than the popular theory maintained.
One new study showing change in happiness levels followed thousands of Germans for 17 years. It found that about a quarter changed significantly over that time in their basic level of satisfaction with life.

Other studies show long-lasting shadows associated with specific life events like serious disability, divorce, widowhood and getting laid off. The boost from getting married, on the other hand, seems to dissipate after about two years, says psychologist Richard E. Lucas of Michigan State University.

Many people want to be happier. What can they do? That's where research by Martin Seligman of the University of Pennsylvania and others comes in.

Seligman's group is testing several exercises. Among them:
Every night, think of three good things that happened that day and analyze why they occurred.

Discover your personal strengths and choose the five most prominent ones. Then, every day for a week, apply one or more of your strengths in a new way. Work on savoring the pleasing things in your life, like a warm shower or a good breakfast, Seligman colleague Acacia Parks said.
Write down what you want to be remembered for, to help you bring your daily activities in line with what's important to you.

In fact, happiness probably is really about work and striving, said psychologist Ed Diener of the University of Illinois.

"Happiness is the process, not the place," he said.

Wednesday, November 22, 2006

Massachusetts to Stop Accepting Patients in State Hospitals

Faced with substantial state budget cuts, the Massachusetts Department of Mental Health will stop accepting inpatient admissions to all state hospitals and psych units as of Wednesday. The state currently manages about 850 inpatient psych beds, but those are full. Clinicians will only be able to accept more patients when the patient population begins to recede. The closure comes in response to the elimination of 170 Department of Mental Health positions, taking place as part of Governor Mitt Romney's emergency budget cut. Romney's budget reduction also cuts the roster of staff caring for emotionally disturbed children and adolescents by 37 percent, along with dozens of inpatient nurses, psychiatrists and aides. The Massachusetts Hospital Association is publicizing the cuts in hopes of rallying public support for reversing the decision.

To find out more about the situation:
read this Boston Globe article
read this blog entry by Boston hospital CEO Paul Levy

Friday, November 17, 2006

Kaiser Faces Charges for Dumping Disoriented Homeless Patient

All Things Considered November 16, 2006 National Public Radio

The Los Angeles city attorney's office has filed criminal charges against hospital giant Kaiser Permanente for endangering a former patient. The charges allege Kaiser dumped a homeless patient on the city's downtown Skid Row.

The charges stem from video captured by security cameras in March. The footage shows a 63-year-old patient from Kaiser Permanente's Bellflower hospital, dressed in a hospital gown and slippers, exiting a taxicab on Skid Row. She is later seen shuffling toward the Union Rescue Mission, the city's largest homeless shelter.

Prosecutors describe what happened to Carol Ann Reyes in a 20-page document supporting the false imprisonment and dependent-care abuse charges. Reyes lived mostly in a public park in Gardena before she was hospitalized. When she was discharged, prosecutors say, she wasn't told she was being taken to Skid Row.

For many months, L.A. city officials have suspected that medical centers and law-enforcement officials from elsewhere are dropping off their indigent patients in the city's tough Skid Row area. The criminal charges against Kaiser are the first to be filed in the city's efforts to crack down on the practice.

Skid Row has one of the nation's largest concentrations of homeless people, and is known for the shelters and services for them that are concentrated in the area. Ten other L.A. hospitals are under investigation for allegedly discharging homeless patients onto the streets, instead of into the custody of a relative or shelter.

The Associated Press contributed to this report.

Tuesday, November 14, 2006

Caffeine Drinks Buzzing Teenagers

More than 500 new energy drinks launched worldwide this year, and coffee fans are probably too old to understand why.

Energy drinks attract fan mail on their own MySpace pages. They spawn urban legends. They get reviewed by bloggers. They're a US$3.4-billion a year industry that grew by 80 per cent last year. They taste like carbonated cough syrup.
Thirty-one per cent of U.S. teenagers say they drink energy drinks, according to Simmons Research. That represents 7.6 million teens, a jump of almost three million in three years.

Nutritionists warn that the drinks, laden with caffeine and sugar, can hook kids on an unhealthy jolt-and-crash cycle. The caffeine comes from multiple sources, making it hard to tell how much the drinks contain. Some have B vitamins, which when taken in megadoses can cause rapid heartbeat, and numbness and tingling in the hands and feet.

Danger only adds to the appeal, said Bryan Greenberg, a marketing consultant.
Greenberg said the fierce competition among hundreds of new drinks, with Austria-based Red Bull guarding the biggest market share, leads to a "ratcheting up" of taboo names as companies try to break out from the crowd.

Cocaine Energy Drink, which launched in September and now sells in convenience stores and nightclubs in six states, is the latest example, following a twisted logic set by drinks named Pimpjuice and Bawls.

Hannah Kirby of the Las Vegas company behind Cocaine Energy Drink, said she and her husband, Redux Beverage founder James Kirby, had wanted to call their drink Reboot. When they found out the name was taken, they decided to get provocative.

"We knew we would get noticed against a thousand other energy drinks," she said. "We knew kids would find it cool, but we also wanted to stress the idea that it's an energy drink, you don't need drugs." Their slogan is The Legal Alternative.

The Kirbys' 18-year-old grew up hearing he shouldn't drink energy drinks on a school night.
Red Bull founder Dietrich Mateschitz based his product on tonics sold in Asia. He started selling Red Bull in 1987 in his native Austria, and today 2.5 billion cans are sold a year in more than 130 countries.

Rumors have swirled around Red Bull for years. Contrary to hearsay, the ingredient taurine (an amino acid important in making bile to aid digestion) is not made from bull urine, and Mateschitz did not learn about Red Bull from rickshaw drivers in Thailand. The urban legends-debunking website www.snopes.com has a page devoted to exposing the false claim that Red Bull contains a banned substance linked to brain tumours.

No evidence was ever found that sudden deaths were caused by people drinking Red Bull. But it's true that a Swedish government study recommended that energy drinks not be used to quench thirst or replenish liquid when exercising. And they should not be mixed with alcohol.
Too late. Anheuser-Busch and Miller Brewing now produce several "energy beers" - beer containing caffeine. And Red Bull and vodka - mixed up by bartenders who call it a Friday Flattener or a Dirty Pompadour - has been popular for a decade.

A Brazilian study found college students didn't feel as drunk as they actually were after drinking vodka and Red Bull. Their perception of their co-ordination and reaction time didn't match objective tests.

The potential for accidents and alcohol poisoning worries Dr. Sandra Braganza, a pediatrician and nutrition expert at the Children's Hospital at Montefiore in New York. As she prepared to write an article about energy drinks for a pediatrics journal, she was surprised how little published research she could find on them.

"The truth is, we don't know what kind of effects these ingredients can have," Braganza said of taurine, glucuronolactone and guarana. "We have to start doing more studies on this."
Earlier this month, a new study found a surprising number of caffeine overdose reports to a Chicago poison control centre. These involved young people taking alertness pills such as NoDoz or energy drinks, sometimes mixed with alcohol or other drugs. During three years of reports to the centre, the researchers found 265 cases of caffeine abuse. Twelve per cent of those required a trip to the hospital. The average age of the caffeine user was 21.

"Young people are taking caffeine to stay awake, or perhaps to get high, and many of them are ending up in the emergency department," said Dr. Danielle McCarthy of Northwestern University, who conducted the study. "Caffeine is a drug and should be treated with caution, as any drug is."

How much caffeine do energy drinks contain? A University of Florida study found that some products, although served in cans two-thirds the size of a standard can of Coke, contain two to four times the amount of caffeine as that Coke. Energy drinks are unregulated in the United States, but the authors of the University of Florida paper suggest warning labels for them.
And now energy drinks are moving toward bigger cans with some products raising the caffeine content to gain a competitive edge, said John Sicher of Beverage Digest. The biggest, so far, is 680 ml.

Full of sugar and caffeine, energy drinks share the same health problems as soft drinks, says dietitian Molly Morgan. But some parents and coaches have bought the message that the drinks can enhance kids' performance in sports and increase concentration in school.
The evidence is weak, involving tiny studies. British research by a scientist who has since received funding from Red Bull found that among 36 volunteers, those who drank the product improved aerobic endurance and recalled numbers better. A British study of 42 people found Red Bull had no effect on memory, but did improve attention and verbal reasoning.
A University of Wisconsin study of 14 students found that two energy drink ingredients, caffeine and taurine, didn't improve short-term memory but led to slower heart rates and higher blood pressure. Since some energy drink ingredients generally speed up heart rates, the researchers could only speculate on the cause.

Carol Ann Rinzler, author of "Nutrition for Dummies," examined the labels of the top three energy drinks.

"The labels simply don't deliver all the facts," she said. "For example, while all list caffeine as an ingredient, and most tell you exactly how much caffeine is in the drink, they also list guarana, a caffeine source, as a separate ingredient but don't tell how much caffeine one gets from the guarana."

Rinzler said energy drinks also deliver a huge hit of sugar.
"Drink more than one and you get lots of sugar - 14 teaspoons (70 ml) in two cans, 21 teaspoons (105 ml) in three," she said. Add in megadoses of some vitamins; unnecessary nutrients (taurine) and more caffeine than plain sodas and you get "a fast up-and-down sugar high and a really rough caffeine buzz," she said. "And drinking two or three cans a day for a period of weeks or months might trigger some side effects from the vitamin megadoses."

Provided by: Associated PressWritten by: CARLA K. JOHNSON

Wednesday, November 01, 2006

National Institute of Health Researcher Leaving Due to Stricter Ethical Guidelines

Almost 40% of NIH tenure and tenure-track scientists have begun or have considered efforts to seek new employment because of new agency ethics rules "that have curtailed their opportunity to earn outside income," according to an internal survey, AP/USA Today reports. NIH implemented the rules last year after a review found that "dozens of scientists had run afoul of existing restrictions on private consulting deals that had enriched them with money from drug and biotechnology companies," AP/USA Today reports (Beamish, AP/USA Today, 10/28). Under the rules, the top 200 NIH officials must maintain holdings at or less than $15,000 in individual pharmaceutical and biotechnology companies. They also must limit their investments in health care sector funds at or less than $50,000. Lower-level NIH employees must inform their supervisors about potential conflicts of interest in their investments but do not have to file disclosures. In addition, NIH employees cannot accept consulting fees from pharmaceutical, biotech or medical device companies; health care providers; health insurers; or research institutions sponsored by the agency (Kaiser Daily Health Policy Report, 8/26/05).

Death Penalty and People with Mental Illness

Over the past thirty years, the number of people with mental illness and other mental disabilities on death row has steadily increased. Although precise statistics are not available, it is estimated that 5-10 percent of people on death row have a serious mental illness.

NMHA believes that mental illness can influence an individual’s mental state at the time he or she commits a crime, can affect how “voluntary” and reliable an individual’s statements might be, can compromise a person’s competence to stand trial and to waive his or her rights, and may have an effect upon a person’s knowledge of the criminal justice system.

The process of determining guilt and imposing sentence is necessarily more complex for individuals with mental illness. A high standard of care is essential with regard to legal representation as well as psychological / psychiatric evaluation for individuals with mental illness involved in death penalty cases. NMHA believes mental illness should always be taken into account during all phases of a potential death penalty case. Moreover, the assessment of competency to stand trial as well as competency to be executed should be conducted by a multi-disciplinary team of qualified professionals, including professionals with expertise in the defendant’s particular mental illness.

The National Mental Health Association offers a full position related to both adult and juvenile offenders and can be accessed at NMHA - Death Penalty.