Look Into My Eyes: Hypnotic Technique to Treat PTSD

A new hypnotic technique for treating combat-related posttraumatic stress disorder: a prospective open study. Many combat veterans with posttraumatic stress disorder (PTSD) have an olfactory component to their traumatic memories that might be utilized by a technique called hypnotherapeutic olfactory conditioning (HOC). Thirty-six outpatients with chronic PTSD, featuring resistant olfactory-induced flashbacks, were treated with six 1.5-hour sessions using hypnosis. The authors used the revised Impact of Events Scale (IES-R), Beck Depression Inventory, and Dissociative Experiences Scale as outcome measures. Significant reductions in symptomatology were recorded by the end of the 6-week treatment period for the IES-R, as well as for the Beck Depression Inventory and the Dissociative Experiences Scale; 21 (58%) of the subjects responded to treatment by a reduction of 50% or more on the IES-R. Improvement was maintained at 6-month and 1-year follow-ups. Use of medication was curtailed. HOC shows potential for providing benefit to individuals suffering from PTSD with olfactory components. The International Journal of Clinical and Experimental Hypnosis via PubMed

VAOIG Report to Congress

Office of Inspector General Department of Veterans Affairs Semiannual Report to Congress (SAR) October 1, 2009 - March 31 2010 05/29/2010. The Semiannual Report to Congress summarizes the results of OIG oversight, provides statistical information, and lists all reports issued October 1, 2009 - March 31, 2010. During this reporting period, OIG audits, investigations, inspections, evaluations, and other reviews identified over $673 million in monetary benefits for a return of $14 for every dollar invested in OIG oversight. OIG issued a total of 120 reports on VA programs and operations and OIG investigations led to 269 arrests and 232 administrative sanctions. VAOIG

U.S. Medicine Report: Veterans Underserved by VA & Material Exposure a Major Concern

Gulf War Vets Underserved by VA, Hazardous Material Exposure a Major Concern 05/29/2010. This year marks the 20th anniversary of the start of deployment for Operations Desert Shield and Desert Storm—the defining combat operations of the Gulf War. According to a report released last month by a VA task force, veterans of that war—of which there are nearly 700,000—are being underserved by VA, and the agency needs to readjust its outreach and treatment strategies to in order to address their needs. U.S. Medicine

GAO Report States VA Workload for Mental Health Services Could Be Improved.

VA Health Care: Reporting on Spending and Workload for Mental Health Services Could Be Improved. 05/29/2010.  The Department of Veterans Affairs (VA) provides, or pays for, a range of mental health services for veterans. To effectively manage resources and ensure access to eligible veterans, VA needs complete spending and workload information for mental health services. This information is also important for congressional oversight.  GAO was asked to examine VA’s mental health spending and workload. GAO

VA Implements New Onsite Inspections Following Recent Data Breacch

VA begins on-site audits following data breaches 05/29/2010.   The Department of Veterans Affairs began on-site inspections of its contractors' security procedures this week following two recent data breaches that put at risk the financial identities of 4,000 veterans, VA assistant secretary for information and technology Roger Baker said today. Government Health IT

Novel Treatments for Battlefield Injuries and Scars

Supporting Human Studies Of Novel Treatments For Battlefield Injuries And Scars 05/29/2010. A two-year, $12 million contract with the U.S. Department of Defense Office of Technology Transition (OTT) will jumpstart human trials of three innovative research programs that aim to replace scars and defects with healthy, functional tissues, announced officials of the University of Pittsburgh and the McGowan Institute for Regenerative Medicine today at the Institute's Second Annual Open Session, Soldiers and Sailors Memorial Hall, Oakland.   University of Pittsburgh Schools of the Health Sciences via Medical News Today

New PubMed Articles 29 May 2010

1.

"Could I Add Something?": Teaching Communication by Intervening in Real Time During a Clinical Encounter.

Back AL, Arnold RM, Tulsky JA, Baile WF, Edwards K.

Acad Med. 2010 Jun;85(6):1048-1051.PMID: 20505408 [PubMed - as supplied by publisher]Related citations

2.

Operative Blood Loss, Blood Transfusion, and 30-Day Mortality in Older Patients After Major Noncardiac Surgery.

Wu WC, Smith TS, Henderson WG, Eaton CB, Poses RM, Uttley G, Mor V, Sharma SC, Vezeridis M, Khuri SF, Friedmann PD.

Ann Surg. 2010 May 25. [Epub ahead of print]PMID: 20505504 [PubMed - as supplied by publisher]Related citations

3.

Effect of trajectories of glycemic control on mortality in type 2 diabetes: a semiparametric joint modeling approach.

Gebregziabher M, Egede LE, Lynch CP, Echols C, Zhao Y.

Am J Epidemiol. 2010 May 15;171(10):1090-8. Epub 2010 Apr 27.PMID: 20427326 [PubMed - indexed for MEDLINE]Related citations

4.

Association between blood lead and the risk of amyotrophic lateral sclerosis.

Fang F, Kwee LC, Allen KD, Umbach DM, Ye W, Watson M, Keller J, Oddone EZ, Sandler DP, Schmidt S, Kamel F.

Am J Epidemiol. 2010 May 15;171(10):1126-33. Epub 2010 Apr 20.PMID: 20406759 [PubMed - indexed for MEDLINE]Related citations

New PubMed Articles 28 May 2010

1.

Better But Not Ideal Acceptance of Routine Inpatient HIV Point-of-Care Testing Among Veterans in a High Prevalence Area.

Siegel M, Kennedy L, Rexroth K, Lankford M, Turner M, McKnight A, Cummins S, Benator D, Kan V.

J Acquir Immune Defic Syndr. 2010 May 20. [Epub ahead of print]PMID: 20502345 [PubMed - as supplied by publisher]Related citations

2.

VA strengthens critical patient-safety procedure. Two systems replace traditional paper-based informed-consent process with an electronic time-out checklist integrated into electronic records.

[No authors listed]

Health Manag Technol. 2010 Apr;31(4):28-9. No abstract available. PMID: 20419958 [PubMed - indexed for MEDLINE]Related citations

Five New VA Tweets

VeteransHealth: Hey Vets! We now have a rating system for each medical center to ensure all surgeries are as safe as possible: http://ow.ly/1Qbo9

VeteransHealth: Hey Women Vets! We have a lot of programs specially designed for you: http://ow.ly/1Mfzm

VeteransHealth: Dental services? Yes, please! You may qualify for VA dental benefits. Check out the details: http://ow.ly/1Mfu7 #veteran #oef/#oif

VeteransHealth: RT @VA_PTSD_Info Learn about effective #PTSD treatments: Prolonged Exposure Therapy and Cognitive Processing Therapy http://ow.ly/1GO82

VeteransHealth: Watch this video about Vet Centers. There are many ways they can help #Veterans – for free! http://ow.ly/1MxNb

Quercetin Administration May Decrease Extent of SCI

Quercetin administration after spinal cord trauma changes S-100 levels. 05/28/2010. Administration of quercetin results in modification of S-100beta levels in the setting of experimental spinal cord trauma. The kinetic patterns of the S-100beta fluctuations in serum and tissue suggest that post-traumatic administration of quercetin decreases the extent of CNS injury. The Canadian Journal of Neurological Sciences via PubMed

NAFC Assist Spinal Cord Injured Veterans With Continence Issues

National Organization Strives To Serve Veterans 05/28/2010.   The National Association For Continence (NAFC), with targeted donations from the public, will support and educate our nation’s injured veterans, about management and treatment options, through its educational materials about intermittent self-catheterization and continence care following spinal cord injuries. National Association For Continence (NAFC) via NewsWise

New PubMed Articles 27 May 2010

1.

Effect of Verification Bias on the Sensitivity of Fecal Occult Blood Testing: a Meta-Analysis.

Rosman AS, Korsten MA.

J Gen Intern Med. 2010 May 25. [Epub ahead of print]PMID: 20499198 [PubMed - as supplied by publisher]Related citations

2.

Evidence for mesenchymal-like sub-populations within squamous cell carcinomas possessing chemoresistance and phenotypic plasticity.

Basu D, Nguyen TT, Montone KT, Zhang G, Wang LP, Diehl JA, Rustgi AK, Lee JT, Weinstein GS, Herlyn M.

Oncogene. 2010 May 24. [Epub ahead of print]PMID: 20498638 [PubMed - as supplied by publisher]Related citations

3.

Diagnosis of a Bilobed Left Atrial Appendage and Pectinate Muscles Mimicking Thrombi on Real-time 3-Dimensional Transesophageal Echocardiography.

Willens HJ, Qin JX, Keith K, Torres S.

J Ultrasound Med. 2010 Jun;29(6):975-80.PMID: 20498471 [PubMed - in process]Related citations

4.

Comparison of Anticancer Drug Coverage Decisions in the United States and United Kingdom: Does the Evidence Support the Rhetoric?

Mason A, Drummond M, Ramsey S, Campbell J, Raisch D.

J Clin Oncol. 2010 May 24. [Epub ahead of print]PMID: 20498408 [PubMed - as supplied by publisher]Related citations

5.

The Effect of Facility Complexity on Perceptions of Safety Climate in the Operating Room: Size Matters.

Carney BT, West P, Neily J, Mills PD, Bagian JP.

Am J Med Qual. 2010 May 24. [Epub ahead of print]PMID: 20498383 [PubMed - as supplied by publisher]Related citations

6.

Cortisol, dehydroepiandrosterone sulphate, their ratio and all-cause and cause-specific mortality in the Vietnam Experience Study.

Philips A, Carroll D, Gale C, Lord J, Arlt W, Batty G.

Eur J Endocrinol. 2010 May 24. [Epub ahead of print]PMID: 20498139 [PubMed - as supplied by publisher]Related citations

7.

Encounter Frequency and Blood Pressure in Hypertensive Patients With Diabetes Mellitus.

Turchin A, Goldberg SI, Shubina M, Einbinder JS, Conlin PR.

Hypertension. 2010 May 24. [Epub ahead of print]PMID: 20497991 [PubMed - as supplied by publisher]Related citations

8.

Predicting quality of life in veterans with heart failure: the role of disease severity, depression, and comorbid anxiety.

Cully JA, Phillips LL, Kunik ME, Stanley MA, Deswal A.

Behav Med. 2010 Apr-Jun;36(2):70-6.PMID: 20497945 [PubMed - in process]Related citations

9.

Nutrition and the aging male.

Morley JE.

Clin Geriatr Med. 2010 May;26(2):287-99.PMID: 20497847 [PubMed - in process]Related citations

10.

The effect of etanercept on suppression of the systemic inflammatory response in chronic hemodialysis patients.

Don BR, Kim K, Li J, Dwyer T, Alexander F, Kaysen GA.

Clin Nephrol. 2010 Jun;73(6):431-8.PMID: 20497755 [PubMed - in process]Related citations

11.

Analgesic Effects of Ethanol Are Influenced by Family History of Alcoholism and Neuroticism.

Ralevski E, Perrino A, Acampora G, Koretski J, Limoncelli D, Petrakis I.

Alcohol Clin Exp Res. 2010 May 21. [Epub ahead of print]PMID: 20497133 [PubMed - as supplied by publisher]Related citations

12.

Measuring patient satisfaction in the pharmacy specialty immunization clinic: a pharmacist-run Immunization Clinic at the Veterans Affairs San Diego Healthcare System.

Bounthavong M, Christopher ML, Mendes MA, Foster EB, Johns ST, Lim L, Rubin LM, Patel JJ, Stewart AG.

Int J Pharm Pract. 2010 Apr;18(2):100-7.PMID: 20441119 [PubMed - indexed for MEDLINE]Related citations

13.

Test acceptability and confidence levels in older adults referred for fitness-to-drive evaluations.

Dalchow JL, Niewoehner PM, Henderson RR, Carr DB.

Am J Occup Ther. 2010 Mar-Apr;64(2):252-8.PMID: 20437912 [PubMed - indexed for MEDLINE]Related citations

14.

The impact of self-reported arthritis and diabetes on response to a home-based physical activity counselling intervention.

Huffman KM, Sloane R, Peterson MJ, Bosworth HB, Ekelund C, Pearson M, Howard T, Pieper CF, Morey MC.

Scand J Rheumatol. 2010 May;39(3):233-9.PMID: 20429674 [PubMed - indexed for MEDLINE]Related citations

15.

Observing the biofilm matrix of Staphylococcus epidermidis ATCC 35984 grown using the CDC biofilm reactor.

Williams DL, Bloebaum RD.

Microsc Microanal. 2010 Apr;16(2):143-52. Epub 2010 Mar 8.PMID: 20205969 [PubMed - indexed for MEDLINE]Related citations

16.

Adverse safety events in chronic kidney disease: the frequency of "multiple hits".

Chapin E, Zhan M, Hsu VD, Seliger SL, Walker LD, Fink JC.

Clin J Am Soc Nephrol. 2010 Jan;5(1):95-101. Epub 2009 Dec 3.PMID: 19965526 [PubMed - indexed for MEDLINE]Related citations

17.

The effect of body mass index on fasting blood glucose and development of diabetes mellitus after initiation of extended-release niacin.

Libby A, Meier J, Lopez J, Swislocki AL, Siegel D.

Metab Syndr Relat Disord. 2010 Feb;8(1):79-84.PMID: 19943800 [PubMed - indexed for MEDLINE]Related citations

18.

Activation of mitogen-activated protein kinases by a splice variant of GHRH receptor.

Barabutis N, Siejka A, Schally AV, Block NL, Cai R, Varga JL.

J Mol Endocrinol. 2010 Feb;44(2):127-34. Epub 2009 Nov 6.PMID: 19897610 [PubMed - indexed for MEDLINE]Related citations

19.

Craniotomy for resection of meningioma in the elderly: a multicentre, prospective analysis from the National Surgical Quality Improvement Program.

Patil CG, Veeravagu A, Lad SP, Boakye M.

J Neurol Neurosurg Psychiatry. 2010 May;81(5):502-5. Epub 2009 Oct 13.PMID: 19828483 [PubMed - indexed for MEDLINE]Related citations

Medical Devices Have Compromized VA Security

VA Security Compromised By Medical Devices 05/26/2010. At a congressional hearing last week, Roger Baker, assistant secretary for information and technology at the Department of Veterans Affairs, said during the past 14 months more than 122 medical devices have been compromised by malware. InformationWeek Healthcare

Three New VA Tweets

VeteransHealth: Watch this video about Vet Centers. There are many ways they can help #Veterans – for free! http://ow.ly/1MxNb

VeteransHealth: RT @VA_PTSD_Info Learn about effective #PTSD treatments: Prolonged Exposure Therapy and Cognitive Processing Therapy http://ow.ly/1GO82

VeteransHealth: Don’t be so tense! Here are some healthy ways to loosen up and promote emotional health: http://ow.ly/1MdNM #militarymon

Compound Reduces Damage From TBI

Researchers Report Thymosin Beta 4 Significantly Reduces Damage From Traumatic Brain Injury And Improves Brain Function In Experimental Animals 05/26/2010.  RegeneRx Biopharmaceuticals, Inc. (NYSE Amex:RGN) announced today that in a preclinical research paper published in the May 2010 issue of the Journal of Neurosurgery, (online ahead of publication), scientists found that the systemic administration of thymosin beta 4, or Tβ4, significantly reduced brain tissue damage and improved brain function in rats with traumatic brain injury, or TBI. RegeneRx Biopharmaceuticals, Inc. via Medical News Today

New PubMed Articles 25 May 2010

1.

Pharmacologic prophylaxis and risk factors for intraoperative floppy-iris syndrome in phacoemulsification performed by resident physicians.

Chen AA, Kelly JP, Bhandari A, Wu MC.

J Cataract Refract Surg. 2010 Jun;36(6):898-905.PMID: 20494759 [PubMed - in process]Related citations

2.

History of Post-traumatic Stress Disorder Is Associated With Impaired Neuropsychometric Performance After Coronary Artery Surgery.

Hudetz JA, Gandhi SD, Iqbal Z, Patterson KM, Byrne AJ, Warltier DC, Pagel PS.

J Cardiothorac Vasc Anesth. 2010 May 20. [Epub ahead of print]PMID: 20494591 [PubMed - as supplied by publisher]Related citations

3.

Associations of coping processes with posttraumatic stress disorder symptoms in national guard/reserve service members deployed during the OEF-OIF era.

Rodrigues CS, Renshaw KD.

J Anxiety Disord. 2010 May 20. [Epub ahead of print]PMID: 20494548 [PubMed - as supplied by publisher]Related citations

4.

Extended Transcervical Thymectomy: The Ultimate Minimally Invasive Approach.

Shrager JB.

Ann Thorac Surg. 2010 Jun;89(6):S2128-S2134.PMID: 20493996 [PubMed - as supplied by publisher]Related citations

5.

Mediastinoscopy: Still the Gold Standard.

Shrager JB.

Ann Thorac Surg. 2010 Jun;89(6):S2084-S2089.PMID: 20493986 [PubMed - as supplied by publisher]Related citations

6.

Evans Calcaneal Osteotomy Using an Anterior Lumbar Distractor-Inserter.

Shibuya N, Agarwal MR.

J Foot Ankle Surg. 2010 May 19. [Epub ahead of print]PMID: 20493727 [PubMed - as supplied by publisher]Related citations

7.

Functional connectivity between ventral prefrontal cortex and amygdala at low frequency in the resting state in bipolar disorder.

Chepenik LG, Raffo M, Hampson M, Lacadie C, Wang F, Jones MM, Pittman B, Skudlarski P, Blumberg HP.

Psychiatry Res. 2010 May 19. [Epub ahead of print]PMID: 20493671 [PubMed - as supplied by publisher]Related citations

8.

The angiotensin-converting enzyme inhibitor perindopril treatment alters cardiovascular and subjective effects of methamphetamine in humans.

Newton TF, De La Garza R 2nd, Grasing K.

Psychiatry Res. 2010 May 19. [Epub ahead of print]PMID: 20493549 [PubMed - as supplied by publisher]Related citations

9.

Early mortality experience in a large military cohort and a comparison of mortality data sources.

Hooper TI, Gackstetter GD, Leardmann CA, Boyko EJ, Pearse LA, Smith B, Amoroso PJ, Smith TC, Millennium Cohort Study Team FT.

Popul Health Metr. 2010 May 24;8(1):15. [Epub ahead of print]PMID: 20492737 [PubMed - as supplied by publisher]Related citations

10.

Hepatitis C treatment completion in veterans: authors reply.

Butt AA, Justice AC.

Liver Int. 2010 May 14. [Epub ahead of print] No abstract available. PMID: 20492498 [PubMed - as supplied by publisher]Related citations

11.

EGFR(s) in Aging and Carcinogenesis of the Gastrointestinal Tract.

Nautiyal J, Kanwar SS, Majumdar AP.

Curr Protein Pept Sci. 2010 May 24. [Epub ahead of print]PMID: 20491625 [PubMed - as supplied by publisher]Related citations

12.

Surface signs. Cutaneous manifestations of systemic disease.

Bogal CB.

Adv Nurse Pract. 2010 May;18(5):27-8. No abstract available. PMID: 20491189 [PubMed - in process]Related citations

13.

Efficacy of cholesterol uptake inhibition added to statin therapy among subjects following a low-carbohydrate diet: a randomized controlled trial.

Chirinos JA, Williams MM, Bregman DB, Ashfaq H, Khayyam U, Iqbal N.

Am Heart J. 2010 May;159(5):918.e1-6.PMID: 20435205 [PubMed - indexed for MEDLINE]Related citations

14.

Anxiety disorders increase risk for incident myocardial infarction in depressed and nondepressed Veterans Administration patients.

Scherrer JF, Chrusciel T, Zeringue A, Garfield LD, Hauptman PJ, Lustman PJ, Freedland KE, Carney RM, Bucholz KK, Owen R, True WR.

Am Heart J. 2010 May;159(5):772-9.PMID: 20435185 [PubMed - indexed for MEDLINE]Related citations

15.

Mode of death in patients with heart failure and a preserved ejection fraction: results from the Irbesartan in Heart Failure With Preserved Ejection Fraction Study (I-Preserve) trial.

Zile MR, Gaasch WH, Anand IS, Haass M, Little WC, Miller AB, Lopez-Sendon J, Teerlink JR, White M, McMurray JJ, Komajda M, McKelvie R, Ptaszynska A, Hetzel SJ, Massie BM, Carson PE; I-Preserve Investigators.

Circulation. 2010 Mar 30;121(12):1393-405. Epub 2010 Mar 15.PMID: 20231531 [PubMed - indexed for MEDLINE]Related citations

16.

Attachment representations in Dutch veterans with and without deployment-related PTSD.

Harari D, Bakermans-Kranenburg MJ, de Kloet CS, Geuze E, Vermetten E, Westenberg HG, van IJzendoorn MH.

Attach Hum Dev. 2009 Nov;11(6):515-36.PMID: 20183554 [PubMed - indexed for MEDLINE]Related citations

17.

Trends during 1993-2004 in the availability and use of revascularization after acute myocardial infarction in markets affected by certificate of need regulations.

Vaughan Sarrazin MS, Bayman L, Cram P.

Med Care Res Rev. 2010 Apr;67(2):213-31. Epub 2009 Oct 12.PMID: 19822880 [PubMed - indexed for MEDLINE]Related citations

18.

A new approach to resident morning report: introducing "VAVUM".

Huffman MD, Kaufman SR, Saint S.

Intern Emerg Med. 2010 Feb;5(1):81-2. Epub 2009 Sep 12. No abstract available. PMID: 19756952 [PubMed - indexed for MEDLINE]Related citations

19.

Effect of a hybrid peptide derived from platelet type I and type III collagen receptors on CHO-65 cells.

Chiang TM.

Cardiovasc Hematol Disord Drug Targets. 2009 Sep;9(3):167-71.PMID: 19534659 [PubMed - indexed for MEDLINE]Related citations

Warrior Gateway: New Portal for Digital-aged Veterans

Web portal Warrior Gateway helps digital-age vets 05/25/2010.  For young veterans returning from duty in Iraq or Afghanistan, the process of re-entering society can be daunting, especially if they have been injured or have struggled with mental health problems.  A new, free Web portal wants to help these warriors find the services they need in an environment they are comfortable in: the Internet.  Warrior Gateway is designed with Google Inc. and social media in mind to make its intended audience as comfortable as possible. Veterans returning from Iraq and Afghanistan, generally in their mid-20s, grew up with e-mail, keep in touch using Facebook and are familiar with online communities that stretch across time zones. AP

New PubMed Articles 25 May 2010

1.

History of Post-traumatic Stress Disorder Is Associated With Impaired Neuropsychometric Performance After Coronary Artery Surgery.

Hudetz JA, Gandhi SD, Iqbal Z, Patterson KM, Byrne AJ, Warltier DC, Pagel PS.

J Cardiothorac Vasc Anesth. 2010 May 20. [Epub ahead of print]PMID: 20494591 [PubMed - as supplied by publisher]

2.

Associations of coping processes with posttraumatic stress disorder symptoms in national guard/reserve service members deployed during the OEF-OIF era.

Rodrigues CS, Renshaw KD.

J Anxiety Disord. 2010 May 20. [Epub ahead of print]PMID: 20494548 [PubMed - as supplied by publisher]

3.

Early mortality experience in a large military cohort and a comparison of mortality data sources.

Hooper TI, Gackstetter GD, Leardmann CA, Boyko EJ, Pearse LA, Smith B, Amoroso PJ, Smith TC, Millennium Cohort Study Team FT.

Popul Health Metr. 2010 May 24;8(1):15. [Epub ahead of print]PMID: 20492737 [PubMed - as supplied by publisher]

4.

Hepatitis C treatment completion in veterans: authors reply.

Butt AA, Justice AC.

Liver Int. 2010 May 14. [Epub ahead of print] No abstract available. PMID: 20492498 [PubMed - as supplied by publisher]

5.

Initiation and duration of proton pump inhibitors in the Australian veteran population.

Gadzhanova SV, Roughead EE, Mackson JM.

Intern Med J. 2010 May 11. [Epub ahead of print]PMID: 20492006 [PubMed - as supplied by publisher]

TBI Linked to Sleep Loss

Study: Brain injuries tied to trouble sleeping 05/24/2010.  People with brain injuries may produce low amounts of melatonin, which affects their sleep, according to a study published in the May 25, 2010, print issue of Neurology®, the medical journal of the American Academy of Neurology.  For the study, 23 people who had a severe traumatic brain injury an average of 14 months earlier and 23 healthy people of the same age spent two nights in a sleep laboratory. American Academy of Neurology via Eurekalert!

American Combat Troops Have More PTSD Than British Counterparts

U.S. Troops Suffer More Stress Than Britons, Study Says 05/23/2010. British troops who have fought in Iraq or Afghanistan suffer far lower rates of post-traumatic stress than Americans do, according to the most rigorous psychiatric study of Britain’s military so far. While estimated rates of the condition in troops returning to the United States range from 10 to 15 percent, the new study found a rate of just 4 percent among Britons — even though they and the Americans have seen equal amounts of combat in recent years. The findings, being reported in the current issue of The Lancet, are likely to stir debate about why the numbers are so different. Lancet via NYT