Higher Blood Glucose Levels Tied To Increased Dementia Risk.

The AP (8/8, Marchione) reports that according to a study published Aug. 8 in the New England Journal of Medicine, “higher blood-sugar levels, even those well short of diabetes, seem to raise the risk of developing dementia.” For that reason, investigators theorize that “keeping glucose at a healthy level” might be one way of trying to prevent Alzheimer’s.

Related Links:

— “Study ties higher blood sugar to dementia risk, “By Marilynn Marchione, Associated Press, August 8, 2013.

Psychiatrist Details Need For Mental Healthcare For Uninsured.

Psychiatrist and author Christine Montross, MD, wrote in an opinion piece for the New York Times (8/4, SR5, Montross, Subscription Publication) that there are “countless psychiatric patients who have nowhere to turn for care, other than the” emergency department. “It is well known that millions of uninsured Americans, who can’t afford regular medical care, use the country’s emergency rooms for primary healthcare.” She asserted that the failure to provide care for these people is detrimental to society in general. Montross suggested that “a basic level of outpatient psychiatric care” be offered to help stem the problem.

Related Links:

— “The Woman Who Ate Cutlery, “Christine Montross, The New York Times, August 4, 2013.

Psychiatrists: Focus On Mental-Health System Reveals Its Inadequacies.

In a 10,000-word cover story, the Christian Science Monitor (8/4, Paulson) reported that although “mass shooters are the catalyst forcing the public to focus on mental health care, the reality, say psychiatrists, is that predicting the one person in thousands who will act on such violent impulses, even among those suffering from a serious mental illness, is nearly impossible.” However, “the focus on the system is exposing how vastly inadequate it is,” psychiatrists say. Currently, just “four in 10 people with a serious mental illness have access to any treatment” whatsoever, and the number of psychiatric beds is just five percent of what is was five decades ago.

Related Links:

— “Mental health in the US: New ideas on care emerge, “Amanda Paulson, The Christian Science Monitor, August 4, 2013.

CDC: Gun Suicides Rise As Gun Murders Fall.

On its website, NBC News (8/2, Fox) reports that statistics from a Centers for Disease Control and Prevention study, published in Aug. 2 in the Morbidity and Mortality Weekly Report, found that “the rate of suicide using guns has gone up in most of the 50 most populous US metropolitan areas, but the murder rate has fallen.” The study suggests that “the economy is a clear factor in the rise in suicides, as is access to guns.” The report focused on large metropolitan areas, and people aged from 10 to 19.

According to HealthDay (8/2, Reinberg), the report “found that the overall gun-murder rate dropped by about 15 percent overall between 2006-2007 and 2009-2010 in a majority of the nation’s 50 largest cities,” but in the same time frame, “the suicide-by-gun rate rose 10 to 15 percent in nearly three-quarters of those cities.” Overall, “more than 22,500 gun murders and more than 38,000 gun suicides were tallied for 2009-2010.”

Related Links:

— “Gun suicides up, murders down in US cities, CDC finds, “Maggie Fox, NBC News, August 1, 2013.

CMS Announces Increase In Payments For Inpatient Psychiatric Care.

CQ (7/30, Reichard, Subscription Publication) reports that yesterday the Centers for Medicare and Medicaid Services announced a 2.3 percent increase in “Medicare payment rates to 481 freestanding inpatient psychiatric facilities and 1,143 psych units of acute care hospitals” for fiscal year 2014. CMS estimates an overall increase of $115 million in inpatient psychiatric care payments for the year starting October 1.

Kids Raised With Disabled Siblings May Have More Behavioral Problems.

HealthDay (7/31, Gray) reports that according to a study published online July 29 the journal Pediatrics, youngsters “raised in the shadow of a sibling with significant health problems or disabilities may experience more behavioral and emotional problems.” Researchers arrived at this conclusion after studying data on some “6,500 siblings…living in homes with only typically developing children and 245 siblings who lived in homes in which at least one other child had a disability.” Reuters(7/31, Grens) also covers the story.

Related Links:

— “Siblings of Disabled Kids May Show Emotional Effects, “Barbara Bronson Gray, HealthDay, July 30, 2013.

Campaign Encourages Young Adults To Open Up About Mental Illness.

USA Today (7/28, Waseem) reports that the National Association of Broadcasters has launched a “television and radio campaign,” called OK2TALK, “to encourage young adults to open up about their experiences with mental illness.” The campaign directs viewers to “OK2TALK.org, where young adults can share their stories of recovery on a safe, moderated social-media platform.” This “site will also provide resources on spotting mental illness and coping with it.”

Related Links:

— “Campaign tells teens with mental illness it’s ‘OK2TALK’, “Fatimah Waseem, USA Today, July 28, 2013.

Fewer Physicians Accepting Medicare Patients.

According to health experts, fewer American physicians are treating Medicare patients due to frustration with the program’s payment rates and rules, the Wall Street Journal (7/29, A1, Beck, Subscription Publication) reports in a front-page story. The Centers for Medicare and Medicaid Services revealed that the number of physicians who opted out of Medicare last year almost tripled from three years ago. Although officials claimed that the number of physicians withdrawing from the program is not expected to undermine the ACA, they warned that Medicare patients may have a hard time finding a doctor who do accept their benefits.

Related Links:

— “More Doctors Steer Clear of Medicare, The Wall Street Journal, July 29, 2013.

Progress Reported In Development Of Blood Test For Alzheimer’s.

BBC News (7/29, Gallagher) reports that according to research published July 26 in the journal Genome Biology, investigators report progress in the development of “a blood test that could diagnose Alzheimer’s.” The test, which in trials involving 202 people showed an accuracy rate of 93%, “showed differences in the tiny fragments of genetic material floating in the blood” may be used to help identify patients with Alzheimer’s. In particular, the test focuses on “12 microRNAs in the blood which were present in markedly different levels” in patients with Alzheimer’s.

Related Links:

— “Alzheimer’s blood test edges closer, “James Gallagher, BBC News, July 28, 2013.

Study Associates Reduced Suicide Risk With Coffee Consumption.

Time (7/26, Groden) reported on a study by the Harvard School of Public Health in “The World Journal of Biological Psychiatry” showing a decreased chance of suicide attempts among caffeine users, primarily coffee drinkers. The study reportedly followed 200,000 people for over 16 years and found suicide risk cut by 50 percent. Head researcher Michel Lucas said caffeine may act like “a mild anti-depressant.” Additionally, a “2011 study found that women who drink coffee cut their risk of depression by 15 percent compared to those who don’t.”

Forbes (7/28) contributor David DiSalvo explained the scientific link to coffee and antidepressants. “By mimicking adenosine, caffeine blocks receptors in the nervous system from receiving the signals to decrease energy expenditure. When that happens, levels of the brain’s homegrown neuro-stimulants – dopamine and glutamate – increase, and we experience the brain stimulating effects associated with drinking” coffee.

FOX News (7/26) reported on the study, saying “During the 20-year study period, 277 deaths in the cohort were linked to suicide.” The article concludes by noting that researchers found “little further benefit” in consumption above 400 mg, or 2-3 cups, per day.

The CBS News (7/27, Castillo) website listed other studied benefits of coffee, including “a 20 percent lower stroke risk” and “a 50 percent lower chance of dying from oral and pharyngeal cancers” among those who had four or more cups a day.

“The research was designed to analyze all forms of caffeine consumption, but coffee was the main source of caffeine, making up 71 percent across the three studies,” reported theSyracuse (NY) Post-Standard (7/28, Axelson), which incorporated the study into an analysis of which factors contribute to the happiest people in society.

The Daily Mail (UK) (7/27, Robertson) pointed out that the limit on the benefit is unsupported by a previous study, which observed “a maximal effect among those who drank four or more cups per day.”

The Daily Telegraph (UK) (7/27, Gray), Daily Caller (7/26, Cohen), and the New York Daily News (7/26, Settembre) also reported on the story.

Related Links:

— “How Coffee Could Save Your Life, “Claire Groden, TIME, July 26, 2013.