Wednesday, December 13, 2006

migraine news roundup 26

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If you feel that your co-workers or boss show little patience toward your migraines, you are not alone. An Australian study found that migraineurs do experience problems in the work place and that the struggles worsen when they experience increased frequency of attacks.

Migraine sufferers misunderstood: survey
One of the key findings was while 64 per cent of sufferers felt family and friends were very supportive, only 26 per cent said the same of their managers and 29 per cent for co-workers.

The level of support dropped as the severity and incidence of migraines increased, the survey showed.

The Mayo Clinic website has a great video explaining how antidepressants work:

Antidepressants: How they help relieve depression

We have known for some time that there is a connection between migraine disease and genetics, but a study published in the Annals of Family Medicine emphasizes the usefulness of attention to such patterns:

All in the Family: Headaches and Abdominal Pain as Indicators for Consultation Patterns in Families
Family similarity has been studied before, but never before have family patterns been studied in relation to specific relatives in the family and diagnoses resulting from the consultations. Our findings support the hypothesis that visits for headaches or abdominal pain can be seen as indicators of consultation patterns within families. This association becomes especially clear when one looks at the contact frequencies of mothers and children, and to a lesser extent, fathers and children. The much higher percentage of contextual variance at the level of the family as compared with the level of the practice reveals a powerful family-related influence on consultation behavior. In families in which a child makes a visit for headache or abdominal pain, the percentage of variance that can be ascribed to family-level factors is the highest, which means that those families have more similarity in contact frequencies than the other groups of families. For individual consultation behavior, the family context is more influential than the broader context, in this case, the practice. Research into consultation behavior will benefit from adding a family level as a unit of analysis.

Even though the need for a family approach may seem obvious, extra effort and know-how are needed to use a family approach in primary care. Evidence-based medicine and standards are primarily focused on illnesses and episodes, whereas family medicine is based on continuity of care and requires a different approach.

These self-care strategies for managing depression may at first seem obvious, but when you're in the middle of a depressive episode, you need every bit of help you can get to get back on track:

Five Self-Care Strategies For Depression
1. Keep active.
2. Eat well.
3. Get adequate sleep.
4. Control stress.
5. Stay connected.

Changes in the way drug companies develop new products may be on the horizon:

Industry seeks cheaper ways to develop drugs
Put simply, the industry's approach to research is in desperate need of an overhaul, they say. Health plans are calling the shots about how much they'll pay for medicines, and they are very choosy about how much they'll spend. So drugmakers must find ways to produce new drugs more efficiently and cheaply.

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