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California Restaurant Association Asks U.S. Supreme Court To Weigh Employer Mandate Question
A California Restaurant Association has asked the Supreme Court to rule on the legality of San Francisco"s mandate that employers pay for health care coverage for employees, The San Francisco Chronicle reports. Don't forget to buy zoloft online no prescription.

Psychiatrists Begin Revising Diagnostic Manual For Mental Illnesses
Over the next 18 months, psychiatrists will revise the American Psychiatric Association"s Diagnostic and Statistical Manual of Mental Disorders, which is used to determine how U.S. residents" mental health is assessed, diagnosed and treated, the Los Angeles Times reports. Since the manual was last updated in 1994, technologies such as brain imaging and new understandings of the biological and genetic causes of many disorders have "almost guaranteed alterations" in the number of mental disorders included in fifth DSM volume, which is scheduled to be published in 2012, the Times reports.While some psychiatrists argue the manual should be broad enough to determine treatment for those who need it, others are concerned that if too broad, the manual will diagnose conditions that would otherwise be considered normal human behavior. David Kupfer, a psychiatrist at the University of Pittsburgh"s Western Psychiatric Institute and Clinics and chair of the DSM-V task force, said the DSM-V will recognize variations of disorders that have not been seen as part of "classic" illnesses, and will describe disorders in more detail, including how they differ based on race, gender, age, physical health and culture. Health insurance companies use the manual to determine coverage options for certain treatments.People involved in the revisions said the manual will be a better reflection of mental conditions of "real" people, rather than just those with the most severe cases of disorders or obvious diagnoses, the Times reports (Roan, Los Angeles Times, 5/26).

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SOMỌ€¢INSIGHT Clinical Study Detects First Cancer In Mammographically Negative Breast Screening Patient At OSF Saint Francis Medical Center
U-Systems, the leader in dedicated breast ultrasound systems, together with Medical Director Jessica A. Guingrich, MD of OSF Saint Francis Medical Center, Susan G. Komen Breast Center and Centers for Breast Health announced that they have initiated the SOMỌ€¢INSIGHT Clinical Study. The first participants have been enrolled and the first pathologically confirmed cancer has been detected in a mammographically-negative screening patient. The clinical study is examining whether Digital Mammography along with the somọ€¢v™ Automated Breast Ultrasound (ABUS) is more sensitive to detecting breast lesions when compared to Mammography alone in women with dense breasts.
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Sleep Duration Associated With Variations In Levels Of Inflammatory Markers In Women

A study in the July 1 issue of the journal SLEEP demonstrates that levels of inflammatory markers varied significantly with self-reported sleep duration in women but not men. The study found that both interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hs-CRP) levels varied with sleep duration in women following multiple adjustments for a number of confounding factors. Compared with women who reported sleeping seven hours on an average weekday, IL-6 levels were significantly lower in women who reported sleeping eight hours. Levels of hs-CRP were significantly higher in women who reported sleeping 5 hours or less. In contrast, adjusted results show no significant variations in inflammatory markers with sleep duration in men. The study reports that hs-CRP, a nonspecific marker of acute-phase inflammatory response, is predictive of future cardiovascular morbidity, and the relationship of IL-6 to coronary heart disease is similar to that of CRP. According to lead author Michelle A Miller, PhD, associate professor (reader) of biochemical medicine at the University of Warwick Medical School in the U.K., short-term sleep deprivation studies have shown that inflammatory markers are elevated in sleep-deprived individuals, suggesting that inflammatory mechanisms may play a role in the cardiovascular risk associated with sleep deprivation. "Our study may provide some insight into a potential mechanism for the observation in previous studies which indicates an increased risk of death from cardiovascular disease in individuals who have less than five hours sleep per night and increased risk of non-cardiovascular death in long sleepers," said Miller. Results indicate that participants of both sexes sleeping five hours or less had a poorer health status and lifestyle profile. This was particularly evident in males. Men sleeping five hours or less were more likely to be in the lowest employment grade, to be unmarried, to have a higher body mass index and waist circumference, to have lower mental and physical health scores, to smoke and have a higher diastolic blood pressure. Women were more likely to be unmarried, have lower physical health scores, to smoke and have higher systolic blood pressure. Men and women sleeping nine hours or more were also more likely to have decreased physical health scores. The study involved more than 4,600 White participants from the University College London based Whitehall II cohort study; 73 percent were men. Participants between the ages of 35 and 55 years were recruited between 1985 and 1988 from 20 London-based civil service departments. Data for this study is from the phase 3 follow-up (1991-1993). Sleep duration was determined by subjective questionnaires, and general health was assessed during a screening examination. According to the authors, these findings add to the growing body of evidence which suggests that there is a non-linear relationship between cardiovascular risk factors and duration of sleep. Furthermore, they support the idea that short sleep is associated with an increase in cardiovascular risk and that the association between sleep duration and cardiovascular risk is markedly different in men and women. Further prospective studies are required to ascertain causality but the results also are consistent with the idea that sleeping seven or eight hours per night appears to be optimal for health. The study: "Gender Differences in the Cross-Sectional Relationships Between Sleep Duration and Markers of Inflammation: Whitehall II Study" Kelly Wagner American Academy of Sleep Medicine


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