Is mental health care reform the answer to mass shootings?

In the wake of mass shootings like 2011’s Tucson shooting; 2012’s Aurora, Colorado, shootings; the 2013 mass slayings at Sandy Hook Elementary School; and this month’s mass murder near U.C. Santa Barbara, there are two issues you can count on to come up. (Via Wikimedia Commons / Steve Karp, Algr, Voice of America)

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“Saturday’s attack and Jared Loughner’s apparent mental health problems have shown a spotlight on issues surrounding mental health treatment in Arizona.” (Via Democracy Now!)

“If Adam Lanza had a gun safe in his room and all of these guns and ammunition … why was he allowed to possess such things?” (Via CNN)

Mental illness and gun control have become the two dominant parts of the national discussion around mass shootings.

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The reaction to Friday’s shooting in California is no different. But while efforts to tighten restrictions on guns have failed, lawmakers are responding to the recent tragedy by focusing on mental health. (Via KSBY, YouTube / Elliot Rodger)

Rep. Tim Murphy of Pennsylvania, a clinical psychologist, is pushing a new bill that would give families greater rights to intervene if they believe their loved one was becoming a threat. (Via C-SPAN)

“These parents knew. The parents of Adam Lanza knew, the parents of Jared Loughner knew something terrible was going wrong, but so often doctors and police would say, ‘Look, we can’t do anything about it until they practically have a knife to their throat or someone else’s.’” (Via CNN)

A competing bill sponsored by Rep. Ron Barber of Arizona seeks to expand federal mental health programs. (Via Office of Rep. Ron Barber)

And California’s legislature is working on its own bills linking gun control to mental health. (Via Office of Assemblymember Nancy Skinner)

“Two California lawmakers are working on a law that would create a gun violence restraining order that could be requested by law enforcement, family members and friends.” (Via KABC)

But are these measures really part of the solution? Some psychiatrists say there are inherent problems with making it easier to lock up people with mental health issues.

An op-ed in The New York Times makes the point that, even for trained mental health professionals, it’s not easy to predict who will become violent. “If we can’t reliably identify people who are at risk of committing violent acts, then how can we possibly prevent guns from falling into the hands of those who are likely to kill? … A normal-appearing killer who is quietly planning a massacre can easily evade detection.”

The killer in Friday’s rampage, Elliot Rodger, was interviewed by law enforcement last month at the request of his parents. Police determined he was not a threat, something the sheriff said he regrets.

“We certainly wish that we could turn the clock back and maybe change some things, but at the time that the deputies interacted with him, he was able to convince them that he was OK.” (Via CBS)

Typically, authorities can detain someone for mental health reasons only if they present an imminent threat to themselves or others. In light of suggestions to make the rule less strict, mental health advocates remind us there are civil rights issues at play here as well.

A social worker writing for The Atlantic says: “The civil mental health system is set up the way it is now … to protect citizens. … Our history of abuse-ridden mental hospitals where people were indefinitely detained demonstrates how such institutions can operate without strict oversight.”

So while mental health reforms have some bipartisan support, split opinion on their effectiveness and their potential for abuse could make those reforms divisive, as well.

Functional magnetic resonance imaging (rfMRI) could be useful in providing early and accurate diagnosis of ADHD.

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Using resting-state functional magnetic resonance imaging, researchers have uncovered disrupted connections between different brain areas in children and adolescents with attention deficit hyperactivity disorder.

The research team, including Dr. Qiyong Gong of the Department of Radiology at West China Hospital of Sichuan University in China, says their findings show that resting-state functional magnetic resonance imaging (rfMRI) could be useful in providing early and accurate diagnosis of the condition.

Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral developmental condition that causes concentration problems, uncontrollable behavior and overactivity.

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The disorder affects children and adults, although it is much more common among children, particularly boys. According to a study from the Centers for Disease Control and Prevention, approximately 6.4 million children aged 4 to 17 years were diagnosed with ADHD in 2011-12 – a 42% increase from 2003-4.

In the past, ADHD studies using functional magnetic resonance imaging (fMRI) – which monitors brain activity as a person is focusing on a task – have identified activity in the frontostriatal circuit of the brain. This is an assortment of neural pathways in the brain’s frontal lobe that helps control a person’s behavior.

However, the investigators of this most recent study say that using fMRI, researchers have been unable to determine the “specific brain physiology” that underlies ADHD.

Therefore, the team wanted to see whether rfMRI could shed any light on such physiology. This is a technique that measures brain activity when a person is not focusing on a specific task.

ADHD patients ‘may have more widespread brain abnormalities than previously shown’

For their study, published in the journal Radiology, the researchers used rfMRI on 33 boys with ADHD aged 6 to 16 years old and compared the results with that of 32 similarly aged boys without the disorder.

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Researchers say rfMRI may be a useful tool in providing accurate and early diagnosis of ADHD.

All participants were required to undergo executive function tests, which measure a person’s control of cognitive processes including planning, working memory, problem solving and reasoning. Individuals with ADHD tend to have impaired executive function. The results of rfMRIs were correlated with results of the executive function tests.

The team found that the boys with ADHD had altered structure and function in certain areas of the brain, such as the orbitofrontal cortex – an area involved in strategic planning. Such alterations were also found in the globus pallidus. This brain area plays a part in executive inhibitory control – the ability to control inappropriate behaviors or responses.

The researchers say these findings suggest that abnormalities in these brain regions may cause the attention problems and hyperactivity that individuals with ADHD experience.

In addition, the team discovered abnormalities in the connections between resting-state brain networks linked to executive dysfunction – abnormalities that cause cognitive, emotional and behavioral difficulties.

According to Dr. Gong, these findings show there may be more widespread brain impairments involved in ADHD than had previously been shown.

He notes that rfMRI may be a useful tool to further investigate the link between brain activity and executive function, which may lead to better characterization of ADHD patients and better understanding of underlying mechanisms of the condition.

Dr. Gong adds:

“Our results suggest the potential clinical utility of the rfMRI changes as a useful marker, which may help in diagnosis and in monitoring disease progression and, consequently, may inform timely clinical intervention in the future.”

The researchers conclude that although their findings are promising, larger studies are needed to validate them.

For future research, the team plans to investigate how resting-state brain network connectivity changes over time in ADHD patients. Furthermore, the want to look at such connectivity in ADHD subtypes.

Written by Honor Whiteman

New ‘T-ray’ tech converts light to sound for weapons detection, medical imaging

Mark Cathey's Tech Site

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ANN ARBOR—A device that essentially listens for light waves could help open up the last frontier of the electromagnetic spectrum—the terahertz range.

So-called T-rays, which are light waves too long for human eyes to see, could help airport security guards find chemical and other weapons. They might let doctors image body tissues with less damage to healthy areas. And they could give astronomers new tools to study planets in other solar systems. Those are just a few possible applications.

But because terahertz frequencies fall between the capabilities of the specialized tools presently used to detect light, engineers have yet to efficiently harness them. The U-M researchers demonstrated a unique terahertz detector and imaging system that could bridge this terahertz gap.

“We convert the T-ray light into sound,” said Jay Guo, U-M professor of electrical engineering and computer science, mechanical engineering, and macromolecular science and engineering. “Our detector is sensitive, compact…

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Water pipe smoking is ‘less safe’ than commonly thought

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Though often perceived as harmless – and even considered suitable for children by some – water pipe smoking may be associated with significant harms, according to a new study published in the journal Cancer Epidemiology, Biomarkers & Prevention.

“Water pipes” typically consist of a head that is connected to a water jar, with an attached hose and mouthpiece. Tobacco and a moist fruit preparation are placed below burning charcoal in the head of the contraption.

When a smoker inhales through the mouthpiece, the air from the burning charcoal is pulled through the layer of tobacco and then through the water – where it is cooled – as bubbles, before being breathed in through the hose and mouthpiece.

This is a traditional smoking method going back centuries, known across various cultures as hookah, shisha, sheesha, hubble-dubble and many other names.

Studies report that in some regions, such as the US, Europe and the eastern Mediterranean, there has been a significant recent increase in water pipe smoking, particularly among the young. Research suggests that as many as 40% of college students in the US report ever having used a water pipe, with 20% reporting having smoked using a water pipe in the past 30 days.

New study challenges perception of water pipe smoking as ‘safe’

Despite a popular opinion that water pipe smoking is less harmful than cigarette smoking, water pipe users are exposed to significant levels of carbon monoxide, nicotine, tobacco-specific nitrosamines (TSNA), carcinogenic polycyclic aromatic hydrocarbons and volatile aldehydes over the duration of the smoking session.

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As many as 40% of US college students report ever having used a water pipe, with 20% reporting having smoked using a water pipe in the past 30 days.

The new study, funded by the National Institutes of Health and the California Tobacco-related Disease Research Program, used biomarkers to investigate the extent to which smokers are exposed to nicotine, TSNAs and volatile organic compounds over the course of one evening’s smoking at a hookah bar.

The team recruited 55 healthy and experienced water pipe smokers for the study, who were aged 18-48. The participants provided a urine sample before smoking water pipes at a hookah bar of their choice in the San Francisco Bay area. They were also asked to refrain from any form of smoking for a week before the experiment.

Both immediately after the visit and the morning after smoking, the participants again provided the researchers with urine samples. They also filled in questionnaires providing details on total time spent smoking, number of bowls smoked and number of shared users.

On average, the people in the study spent 74 minutes smoking and smoked an average of 0.6 bowls of water pipe tobacco each.

Elevated levels of nicotine, cotinine and 4-(methylnitrosamino)-1-(3-pyr- idyl)-1-butanol were found in the participants’ urine immediately after smoking. In the next-day urine sample, these substances also remained in significant levels.

The researchers say the average increase in nicotine levels was comparable to the increase in nicotine a person would get after smoking at least one cigarette.

What policy implications might this research have?

Lead author Gideon St. Helen, PhD – from the Center for Tobacco Control Research and Education at the University of California, San Francisco – told Medical News Today that the study has clear policy implications:

“One public health concern is the use of water pipes among adolescents and young adults and whether it leads to nicotine dependence. This is an area that warrants further research, as the answer is not clear. However, our study showed substantial intake of nicotine in users of water pipes in the hookah bar setting.”

Dr. St. Helen said that previous studies suggest that the average increase in nicotine levels the team measured in these water pipe users were high enough to cause physiological changes in the brain that can sustain nicotine addiction.

“Also important is the exposure to cancer-causing compounds in water pipe smoke such as benzene, which is known to cause leukemia, the most common cancer in children and teens,” said Dr. Helen, who claims to have seen entire families – including young children – smoking water pipes in the belief that they are “totally safe.”

“Thus, restrictions on sale to minors and banning the use of water pipes by minors in public places or commercial establishments are sensible public health policies,” he said.

Although the study did not assess cancer risk from water pipe smoking, Dr. St. Helen told us that the team “believe that smoking water pipes increases the user’s risk for cancer, depending on the frequency of use and lifetime smoking duration.”

“Our study provides important exposure data that can help epidemiologists determine the magnitude of the cancer risk,” he concluded.

Written by David McNamee

Shocking Body-Image News: 97% of Women Will Be Cruel to Their Bodies Today

Scary but true: In an exclusive Glamour survey, young women recorded an average of 13 brutal thoughts about their bodies each day. We say: Enough!

Read these words: “You are a fat, worthless pig.” “You’re too thin. No man is ever going to want you.” “Ugly. Big. Gross.” Horrifying comments on some awful website? The rant of an abusive, controlling boyfriend? No; shockingly, these are the actual words young women are saying to themselves on any typical day. For some, such thoughts are fleeting, but for others, this dialogue plays on a constant, punishing loop, according to a new exclusive Glamour survey of more than 300 women of all sizes. Our research found that, on average, women have 13 negative body thoughts daily—nearly one for every waking hour. And a disturbing number of women confess to having 35, 50 or even 100 hateful thoughts about their own shapes each day.

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Our experiment went like this: We challenged young women across the country to note every negative or anxious thought they had about their bodies over the course of one full day. The results shocked us: A whopping 97 percent admitted to having at least one “I hate my body” moment.

“That is a lot, yet I’m not totally surprised,” says Ann Kearney-Cooke, Ph.D., a Cincinnati psychologist who specializes in body image and helped Glamour design the survey. “It’s become such an accepted norm to put yourself down that if someone says she likes her body, she’s the odd woman out. I was in a group discussion recently, and when one woman said, ‘I actually feel OK about the way I look,’ another woman scrunched up her face and said, ‘I have never in my whole life heard anyone say that—and I’m not sure I even believe you.’ That’s how pervasive this negative body talk is. It’s actually more acceptable to insult your body than to praise it.”

And we seem to be well aware of how hard we are on ourselves. Nearly 63 percent of Glamour’s survey respondents said they had roughly the same number of negative thoughts as they expected. But few realized how venomous those thoughts were until they were down on paper. So how has this become OK?

Our unattainable cultural beauty ideals, our celebrity worship—those all play a part, says Kearney-Cooke. But another big reason is that we’ve actually trained ourselves to be this way. “Neuroscience has shown that whatever you focus on shapes your brain. If you’re constantly thinking negative thoughts about your body, that neural pathway becomes stronger—and those thoughts become habitual,” she explains. “Imagine a concert pianist. Her brain would have stronger neural pathways that support musicality and dexterity than someone who hadn’t spent her life practicing.”

Our “training” begins early. In a University of Central Florida study of three- to six-year-old girls, nearly half were already worried about being fat—and roughly a third said they wanted to change something about their body. “There are only so many times you can be hit with the message that your body isn’t ‘right’—whether you see it on TV, hear it from your mom or just feel it in the ether—before you internalize it and start beating yourself up for not being as perfect as you ‘should’ be,” says Nichole Wood—Barcalow, Ph.D., a psychologist at the Laureate Eating Disorders Program in Tulsa, Oklahoma. As Maureen Dorsett, 28, of Washington, D.C., who counted 11 negative thoughts the day she did our experiment, puts it: “I always saw my negative thoughts as a way of improving myself—of calling attention to what I need to work on. If a guy said to me, ‘Wow, your belly looks flabby today,’ that would be really offensive. Somehow, these thoughts never seemed as degrading coming from my own mind. Maybe I had just gotten so used to having them.”

To make matters worse, negative talk has become part of the way women bond. “Friends getting together and tearing themselves down is such a common thing that it’s hard to avoid,” says Kearney-Cooke. The chatter happens on Facebook and among coworkers, and is broadcast with surprising viciousness on shows like Real Housewives and Bridalplasty (on which one perfectly cute contestant declared, “I want this butt face fixed!”). And all that public bashing makes the internal insult-athon seem normal. As one woman told us, “When others make comments about their bodies, it makes me think about mine more.”

Hmm. If our brains are virtually wired this way—and outside cultural forces aren’t helping—how can we stop the self-hate? We were determined to find out.

Why Your Body May Not Be the Problem

When Glamour analyzed the data to look for a cause of these ruthless thoughts, a fascinating trend emerged: Respondents who were unsatisfied with their career or relationship tended to report more negative body thoughts than women who were content in those areas. What’s more, feeling uncomfortable emotions of any sort—stress, loneliness, even boredom—made many women start berating their looks. “If we’re having a bad day, we often take those negative emotions out on our body, rather than directing them at what’s really troubling us, like our boss or boyfriend,” says Wood-Barcalow. In fact—and this part’s important—whether you’re unhappy in general is a much larger factor in how you feel about your body than what your body actually looks like. In our survey, thin and average-weight women were just as likely to insult themselves as overweight ones. As Wood-Barcalow recites to her patients: “It’s all about your body—and absolutely nothing about your body.”

Consider: “Let’s say you’re in a meeting and you suddenly think, Ew, my arms are huge,” says Kearney-Cooke. “Well, you’ve had those same arms all day. Why are you suddenly feeling bad about them now? Maybe it’s because you don’t think your professional ideas are being valued or you’re not fulfilled in your job. Instead of focusing on the real issue, all you can think of is hating your arms. And it becomes a vicious cycle: All the push-ups in the world won’t make you feel better, because your arms weren’t the problem to begin with.”

Silencing Your Inner “Mean Girl”

So how can you muzzle that insulting internal voice and get on with your life? “I’m way too hard on myself, but I don’t know how to lessen my negative thoughts,” admits Rebecca Illson, 25, of Birmingham, Michigan, who counted 50 of them over the course of the day. And that age-old advice to “love your body” is—let’s be honest—trite and unhelpful. “It’s not about achieving a ‘perfect’ body image. That’s not realistic,” says Wood-Barcalow. “Even the most confident women have doubts. But they’ve learned to combat those thoughts rather than allow them to take over.”

It’s worth it for not just the mental peace but your physical health as well. Research at the University of British Columbia, Vancouver, suggests that women who obsess over their body and diet have chronically elevated levels of the stress hormone cortisol (even when their life is not otherwise stressed)—and, as a result, may suffer from elevated blood pressure, lower bone density, higher amounts of unhealthy belly fat and even menstrual problems. “And this was among women in their twenties!” exclaims lead researcher Jennifer Bedford, Ph.D. “If you continue on this path, it could have a real impact on heart, bone and reproductive health 10 or 20 years down the road.”

Hope for Real Change

Not convinced you can stop the snark? Wood-Barcalow thinks you can. She recently conducted one of the few studies of young women with good body image—and was surprised to discover that 80 percent of them had struggled with negative body thoughts earlier in their life. “The fact that they were able to boost themselves up is proof that it’s possible for all women to adopt a better outlook on their body.” Here, seven ways to do just that:

1. Rewire your brain. If you know that constantly thinking negatively about your body teaches your brain to focus on the bad stuff, why not flip the script? “It’s absolutely possible to create neural pathways that favor affirming thoughts,” says Kearney-Cooke. She suggests keeping a pen handy to note things you do that make you feel good about your body. “One of my patients is doing this, and she came in so excited to tell me, ‘Look at my list now: It’s so big!’ Doing this puts positive stuff front-of-mind and starts becoming instinctive.”

2. Ask yourself: Is this really about my body? Or am I trying to distract myself from being upset with someone or something else? This is another exercise Kearney-Cooke does with women. “I had a patient who came in and lamented, ‘My body is disgusting today!’ After she stopped to think about it for a minute, she realized it wasn’t about her body at all. She admitted she got drunk the night before and was embarrassed about it. That’s the issue she needs to address—drinking too much—not the size of her butt.”

3. Exercise! Survey respondents who worked out regularly tended to report fewer harsh thoughts than those who didn’t. And it’s not just that being physically active improves your shape and health; it actually boosts your mind-set, too. One new study found that women felt better about themselves after exercising even when their bodies didn’t change, suggesting that the feeling of “That was challenging, and I did it!” played a bigger role than weight loss in boosting body image. “Hitting the gym or horseback riding makes me feel like a fitness rock star. It’s the biggest confidence booster for me,” says Margo Short, 22, of Dallas, who counted four negative thoughts—about two-thirds fewer than the average respondent. (For a workout you can do at home, click here.)

4. Say “stop!”—literally, that word—when your mind goes all negative. “Just imagine a giant screaming stop sign,” says Kearney-Cooke. Emily Catalano, 22, of Boston, who logged just three bad body thoughts, does this: “It’s funny, but it really does shut up that negative voice and clears my head.”

5. Remind yourself that obsessing about what you eat or look like doesn’t make you look any better. Bedford’s study found that young women who obsess over their diet don’t actually weigh less than those who generally eat what they want. “Some women look at a brownie and think: Ooh, that looks good, but brownies are ‘bad’. I wonder how many calories are in that? Maybe I could just have a teeny bite, and on and on. A woman with a healthier relationship with food would either eat the brownie, or not, and be done,” explains Bedford. At the end of the day, both get the same number of calories. The message: Fretting over every bite gets you nowhere. Eating mindfully—enjoying food and putting your fork down before you get too full—feels better and works better.

6. Appreciate your body for what it does, rather than how it looks. In our survey, 55 percent of women had abusive thoughts about their overall weight or size; 43 percent said they targeted specific areas (the most berated: belly and thighs). “Next time you’re, say, cursing your wobbly arms, pause and think of their purpose—is it to make you feel bad? Or to let you hug your friends and enjoy life?” says Wood-Barcalow. It may seem a bit “Kumbaya,” but this mental tweak helped many respondents think less negatively. Jenni Schaefer, 34, of Austin, Texas, who reported only two bad body thoughts on the day in question, points to her ability to “be grateful that I can walk and that my body is healthy.”

7. Finally, play up your strengths. “Comparing yourself with others doesn’t help anything,” reminds Kearney-Cooke. “Focus on making the most of what you’ve got. Hold your head a little higher and walk a little taller: That attitude is absolutely magnetic.” Hear that? You’re magnetic. And don’t forget to tell yourself so, either. We all could use a few more compliments!

Humana reports lower profit due to marketing costs

Humana reports lower profit due to marketing costs, Humana Inc, Medicare Advantage, Humana, Reuters, Inc, Wednesday, Medicare, Advantage, Obamacare Image by Yahoo!News.Click to open from original location
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(Reuters) – Humana Inc said on Wednesday that first-quarter profit fell as it spent more on marketing and investments related to new products, such as certain Medicare Advantage and Obamacare exchange plans, as well as healthcare reform taxes and fees. The company reported net profit of $368 million, or $2.35 per share, down from $473 million, or $2.95 per share a year

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