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Psychiatry

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Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to

CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

Patients skipping doses, taking less medication or delaying filling prescriptions
Sleeping well during middle age may be an investment that leads to better mental functioning later in life

Sleeping Well in Middle Age May Pay Off Later in Life

Better functioning reported decades afterward, researchers find
Higher cumulative use of anticholinergics may increase the risk of dementia

Cumulative Use of Anticholinergic Medication Tied to Dementia

Class of drugs interferes with a key brain chemical, but study doesn't prove cause and effect
Childhood neglect is associated with changes in the brain's white matter

Childhood Neglect Appears to Affect White Matter Integrity

Changes less significant in children placed in high-quality foster care at an early age
For patients with diabetes

Self-Management Program Cuts Depressive Symptoms in Diabetes

DIAMOS program also linked to significant reduction in risk of incident major depression
Current targets call for 150 minutes of weekly exercise -- or 30 minutes of physical activity at least five days a week -- to reduce the risk of chronic diseases such as diabetes and cardiovascular disease. Although these standards don't need to be abandoned

Smaller Goals to Start Could Boost Activity in Sedentary

For those who are inactive, any activity may be better than none
Physicians have ranked electronic health record systems based on five key performance areas

Physicians Rank the Best EHR Systems of 2014

EHRs ranked in five performance areas, including quality of care, patient portal, technical support
Researchers have summarized and clarified what is known about depression treatment in primary care. The reports have been published in the January/February issue of the Annals of Family Medicine.

Reviews Summarize Efficacy of Depression Tx in Primary Care

Sets stage for implementation leading to successful clinical improvement in primary care
For 8- to 11-year-olds

Bullying Linked to Lower Urinary Tract Symptoms in Children

Vancouver Symptom Score linked to bullying victimization and perpetrator scores
The terms in health care payer contracts are not immutable

Docs Should Negotiate Health Care Payer Contracts

Items to negotiate include easing of prior authorization process, extension for submitting claim