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• {"link"=>{"url"=>"http://www.citeulike.org/user/haralanovsvet/article/12676249"}, "post_time"=>"2013-10-01 07:57:03", "tag"=>["depression", "drug_treatment_effects", "placebo", "psychology", "stimulation", "theoretical_issues", "treatment"], "linkout"=>{"type"=>"DOI", "url"=>"http://dx.doi.org/10.1371/journal.pmed.1001518"}, "username"=>"haralanovsvet", "article_id"=>"12676249"}

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{"title"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial", "type"=>"journal", "authors"=>[{"first_name"=>"Hugh", "last_name"=>"MacPherson", "scopus_author_id"=>"7006062923"}, {"first_name"=>"Stewart", "last_name"=>"Richmond", "scopus_author_id"=>"24382167500"}, {"first_name"=>"Martin", "last_name"=>"Bland", "scopus_author_id"=>"7202273887"}, {"first_name"=>"Stephen", "last_name"=>"Brealey", "scopus_author_id"=>"6701382260"}, {"first_name"=>"Rhian", "last_name"=>"Gabe", "scopus_author_id"=>"16233182600"}, {"first_name"=>"Ann", "last_name"=>"Hopton", "scopus_author_id"=>"36155495300"}, {"first_name"=>"Ada", "last_name"=>"Keding", "scopus_author_id"=>"36080578300"}, {"first_name"=>"Harriet", "last_name"=>"Lansdown", "scopus_author_id"=>"23967874700"}, {"first_name"=>"Sara", "last_name"=>"Perren", "scopus_author_id"=>"7102084277"}, {"first_name"=>"Mark", "last_name"=>"Sculpher", "scopus_author_id"=>"7006749329"}, {"first_name"=>"Eldon", "last_name"=>"Spackman", "scopus_author_id"=>"15063411100"}, {"first_name"=>"David", "last_name"=>"Torgerson", "scopus_author_id"=>"7102422382"}, {"first_name"=>"Ian", "last_name"=>"Watt", "scopus_author_id"=>"7102570285"}], "year"=>2013, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "scopus"=>"2-s2.0-84884667625", "sgr"=>"84884667625", "pui"=>"369899161", "isbn"=>"1549-1676", "pmid"=>"24086114", "doi"=>"10.1371/journal.pmed.1001518"}, "id"=>"52c21765-305c-3f09-af9b-934e1755d8d5", "abstract"=>"BACKGROUND: Depression is a significant cause of morbidity. Many patients have communicated an interest in non-pharmacological therapies to their general practitioners. Systematic reviews of acupuncture and counselling for depression in primary care have identified limited evidence. The aim of this study was to evaluate acupuncture versus usual care and counselling versus usual care for patients who continue to experience depression in primary care. METHODS AND FINDINGS: In a randomised controlled trial, 755 patients with depression (Beck Depression Inventory BDI-II score >/= 20) were recruited from 27 primary care practices in the North of England. Patients were randomised to one of three arms using a ratio of 2.2.1 to acupuncture (302), counselling (302), and usual care alone (151). The primary outcome was the difference in mean Patient Health Questionnaire (PHQ-9) scores at 3 months with secondary analyses over 12 months follow-up. Analysis was by intention-to-treat. PHQ-9 data were available for 614 patients at 3 months and 572 patients at 12 months. Patients attended a mean of ten sessions for acupuncture and nine sessions for counselling. Compared to usual care, there was a statistically significant reduction in mean PHQ-9 depression scores at 3 months for acupuncture (-2.46, 95% CI -3.72 to -1.21) and counselling (-1.73, 95% CI -3.00 to -0.45), and over 12 months for acupuncture (-1.55, 95% CI -2.41 to -0.70) and counselling (-1.50, 95% CI -2.43 to -0.58). Differences between acupuncture and counselling were not significant. In terms of limitations, the trial was not designed to separate out specific from non-specific effects. No serious treatment-related adverse events were reported. CONCLUSIONS: In this randomised controlled trial of acupuncture and counselling for patients presenting with depression, after having consulted their general practitioner in primary care, both interventions were associated with significantly reduced depression at 3 months when compared to usual care alone. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN63787732 Please see later in the article for the Editors' Summary.", "link"=>"http://www.mendeley.com/research/acupuncture-counselling-depression-primary-care-randomised-controlled-trial", "reader_count"=>193, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>5, "Librarian"=>4, "Student > Doctoral Student"=>6, "Researcher"=>14, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>7, "Other"=>13, "Student > Master"=>39, "Student > Bachelor"=>83, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>5, "Librarian"=>4, "Student > Doctoral Student"=>6, "Researcher"=>14, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>7, "Other"=>13, "Student > Master"=>39, "Student > Bachelor"=>83, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>8, "Agricultural and Biological Sciences"=>11, "Arts and Humanities"=>2, "Computer Science"=>1, "Engineering"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>22, "Medicine and Dentistry"=>119, "Neuroscience"=>3, "Design"=>1, "Psychology"=>14, "Social Sciences"=>7, "Immunology and Microbiology"=>2, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>119}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>14}, "Unspecified"=>{"Unspecified"=>8}, "Environmental Science"=>{"Environmental Science"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>1}, "Neuroscience"=>{"Neuroscience"=>3}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>11}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>22}}, "reader_count_by_country"=>{"New Zealand"=>2, "Canada"=>4, "Turkey"=>1, "United States"=>2, "Norway"=>1, "Denmark"=>1, "United Kingdom"=>5, "India"=>1}, "group_count"=>12}

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• {"referral"=>"http://www.jwatch.org/node/161862", "language"=>"English", "title"=>"Acupuncture for Depression Really Works!", "type"=>"Blog", "publication"=>"NEJM Journal Watch", "published_on"=>"2013-10-11T00:00:00Z", "link_state"=>"APPROVED"}
• {"referral"=>"http://www.medscape.com/viewarticle/811723", "language"=>"English", "title"=>"Acupuncture Equal to Talk Therapy for Recurring Depression", "type"=>"Blog", "publication"=>"", "published_on"=>"2014-01-22T00:00:00Z", "link_state"=>"REJECTED"}
• {"referral"=>"http://psychcentral.com/blog/?p=50453", "language"=>"English", "title"=>"Need Help For Depression? Try Acupuncture Instead of Counseling", "type"=>"Blog", "publication"=>"World of Psychology", "published_on"=>"2014-02-14T00:00:00Z", "link_state"=>"APPROVED"}
• {"referral"=>"http://blogs.plos.org/mindthebrain/?p=1763", "language"=>"English", "title"=>"I accepted PLOS One article about homeopathy for depression | Mind the Brain", "type"=>"Blog", "publication"=>"", "published_on"=>"", "link_state"=>"APPROVED"}
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Journal Comments | Further Information

• {"type"=>"COMMENT", "annotationUri"=>"info:doi/10.1371/annotation/2a76309f-921e-4bfb-9803-077c424ae8ec", "title"=>"Placebo effect?", "body"=>"The authors wrote, \"Because this trial was a pragmatic trial, these findings cannot indicate which aspects of acupuncture and counseling are likely to be most or least beneficial. Nevertheless they do provide an estimate of the overall effects of these complex interventions...\"\n\nPragmatic trial or no, I'm concerned that it there was no control for the placebo effect of acupuncture, which usually is done by utilizing \"fake\" points. It's encouraging that there appears to be some benefit for relieving depression over and above \"usual care.\" However, labeling that technique as \"acupuncture\"--with its implication of specialized knowledge and training--without ruling out a significant placebo effect is premature, in my opinion.\n\nIf anyone has information or an opinion to the contrary, I'd welcome seeing it.", "isRemoved"=>false, "created"=>"2013-09-26T19:40:04Z", "lastModified"=>"2013-09-26T19:40:04Z", "creator"=>{"userId"=>"371073"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>3, "mostRecentActivity"=>"2013-11-07T11:58:23Z", "replies"=>[{"type"=>"REPLY", "parentID"=>72403, "annotationUri"=>"info:doi/10.1371/reply/98bec6ef-ae29-4d81-a497-4d970bb7016d", "title"=>"RE: Placebo effect?", "body"=>"Hello Alex55,\nAs this is a pragmatic trial, by definition, the placebo element to all the interventions involved is irrelevant. Any intervention will inevitably involve a placebo component: the acupuncture, the counselling AND the standard care. Even if we hypothetically assume that the effect of all three interventions was entirely due to placebo, the pragmatic healthcare policy maker promotes the intervention with the best results; in this case acupuncture.", "isRemoved"=>false, "created"=>"2013-09-27T08:34:15Z", "lastModified"=>"2013-09-27T08:34:15Z", "creator"=>{"userId"=>"371191"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>true, "body"=>"I am an acupuncturist"}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2013-09-27T08:34:15Z", "replies"=>[]}, {"type"=>"REPLY", "parentID"=>72403, "annotationUri"=>"info:doi/10.1371/reply/991b45b8-1bdc-46cf-89f6-62ff5212583f", "title"=>"RE: Placebo effect?", "body"=>"Hi Alex55\n\nAll the treatments included 'usual care'. So acupuncture and counseling were \"extras\" over the usual care.\n\nNot too strange that patients with extra care feel better than the ones without it.\n\nI support your demand of control for the placebo effect. As seanbarkes says, 'any intervention will inevitably involve a placebo component', so two interventions should have more placebo effect than just one.", "isRemoved"=>false, "created"=>"2013-10-23T15:46:42Z", "lastModified"=>"2013-10-23T15:46:42Z", "creator"=>{"userId"=>"378017"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2013-10-23T15:46:42Z", "replies"=>[]}, {"type"=>"REPLY", "parentID"=>72403, "annotationUri"=>"info:doi/10.1371/reply/ae4343e5-d8ec-4847-9752-51a62c3f41ed", "title"=>"RE: Placebo effect?", "body"=>"In reply to comments by Alex55 we, the authors, would like to clarify the difference between clinical trials that focus on efficacy and those which concentrate on effectiveness. The former seeks to disentangle specific from non-specific treatment effects, by comparing highly standardised interventions against sham or placebo comparators within carefully controlled and largely artificial research environments. Trials of effectiveness, which include the ACUDep trial, seek to address a different research question. Their purpose is to evaluate how a new treatment compares against standard treatment provision within a real world environment. Such studies are also referred to as pragmatic trials. This emphasises the fact that ‘experimental’ and ‘control’ interventions are delivered in such a way as to closely mimic variations in actual practice, thereby enhancing external validity. Moreover, findings are expressed in terms of outcomes which are meaningful to patients concerned, and are generally of much greater relevance to healthcare policy makers than trials of efficacy. We would like to note that non-specific treatment effects are not unique to acupuncture. Indeed such effects are undoubtedly inherent components of every type of treatment involving any form of consultation process. We are therefore somewhat bemused as to why the commentator appears preoccupied by placebo effects in relation to acupuncture, but not those arising from counselling or usual care, which also featured in our study. For further discussion as to this issue we would like to refer readers to the following article:\n\nMacPherson H. Pragmatic clinical trials. Complementary Therapies in Medicine. 2004; 12: 134-140.", "isRemoved"=>false, "created"=>"2013-11-07T11:58:23Z", "lastModified"=>"2013-11-07T11:58:23Z", "creator"=>{"userId"=>"381681"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2013-11-07T11:58:23Z", "replies"=>[]}]}
• {"type"=>"COMMENT", "annotationUri"=>"info:doi/10.1371/annotation/b42d9d69-98ec-4183-95ab-6b97ccddc162", "title"=>"Dosage is a key issue whatever the intervention.", "body"=>"With any therapeutic intervention it is important to consider what might be the optimal dosage level, in this the case number of sessions of acupuncture or counseling. It is quite possible for a trial to be biased by prematurely terminating therapy and privileging one type of care over another - when therapies work in different ways. Here we have a population with (mostly) high levels of chronic and severe illness. The development of the acupuncture protocol was not specifically for this patient group. It is arguable whether such short courses of treatment were worthwhile investigating given existing knowledge about counseling, and it seems probable that a longer course of treatment might have had better results and more long lasting effects. Protective benefits are also an important consideration in an episodic condition such as depression and should be investigated - but if the initial course of therapy was rather inadequate the treatment is less likely to have sustained benefits. The finding that acupuncture patients took less analgesics is an interesting one given the high levels of pain co-morbidity in depressed populations. This trial certainly adds to knowledge.", "isRemoved"=>false, "created"=>"2013-10-01T09:06:29Z", "lastModified"=>"2013-10-01T09:06:29Z", "creator"=>{"userId"=>"372013"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>true, "body"=>"I conducted the preparatory research for this trial for my PhD and wanted to see longer courses of treatment investigated in the full scale trial, which I was not involved with."}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>1, "mostRecentActivity"=>"2013-11-07T12:05:11Z", "replies"=>[{"type"=>"REPLY", "parentID"=>72543, "annotationUri"=>"info:doi/10.1371/reply/c3286513-8384-4f18-ac8f-fac294743156", "title"=>"RE: Dosage is a key issue whatever the intervention.", "body"=>"In reply to the comments of sylvia16, we firmly reject any suggestion of bias with regards to our research. Participants allocated to either acupuncture or counselling were offered exactly the same number of ‘treatment’ sessions. The number of counselling sessions offered to research participants was twice that of routine NHS care. Statistical adjustments were also specified in advance to account for any differences in contact time and empathy between practitioners.\n\nSylvia16 has quite rightly declared a conflict of interests in this matter. We therefore feel it would be inappropriate to comment further.\n\nSincerely,\nDr S J Richmond - Trial Manager\nOn behalf of the ACUDep Trial Team", "isRemoved"=>false, "created"=>"2013-11-07T12:05:11Z", "lastModified"=>"2013-11-07T12:05:11Z", "creator"=>{"userId"=>"381681"}, "highlightedText"=>"", "competingInterestStatement"=>{"creatorWasPrompted"=>true, "hasCompetingInterests"=>false}, "parentArticle"=>{"doi"=>"info:doi/10.1371/journal.pmed.1001518", "state"=>"published", "journals"=>{"PLoSMedicine"=>{"journalKey"=>"PLoSMedicine", "eIssn"=>"1549-1676", "title"=>"PLOS Medicine"}}}, "replyTreeSize"=>0, "mostRecentActivity"=>"2013-11-07T12:05:11Z", "replies"=>[]}]}

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• {"id"=>"382611052007284736", "text"=>"This definitely won't be controversial: Study: acupuncture+\"usual care\" may improve depression (@PLOSMedicine) http://t.co/KkQ4lRIla0", "created_at"=>"2013-09-24T21:02:38Z", "user"=>"sethmnookin", "user_name"=>"Seth Mnookin", "user_profile_image"=>"http://a0.twimg.com/profile_images/2895645801/d556ecf78b6c4483f4d2856836d8a09f_normal.png"}
• {"id"=>"382612080739627008", "text"=>"I'm a believer, but I don't know why -- acupuncture+usual care may improve depression http://t.co/1Y15qvZuF6 … @sethmnookin", "created_at"=>"2013-09-24T21:06:43Z", "user"=>"varunfive", "user_name"=>"Varun Chirravuri", "user_profile_image"=>"http://a0.twimg.com/profile_images/2185503527/varun_normal.png"}
• {"id"=>"382628530766368768", "text"=>"#Acupuncture and counselling just as effective as usual care in patients with moderate to severe #depression http://t.co/IYVLrlKru5", "created_at"=>"2013-09-24T22:12:05Z", "user"=>"krothwell2014", "user_name"=>"Katie Rothwell", "user_profile_image"=>"http://a0.twimg.com/profile_images/3499110571/15b46879c521d92568f42fccdc189488_normal.jpeg"}
• {"id"=>"382643134313676800", "text"=>"PLOS Med: #Acupuncture & Counselling for #Depression in http://t.co/8MVJ6jkrfT @myCCNMResearch #MentalHealth #health http://t.co/IiOMe13TOq", "created_at"=>"2013-09-24T23:10:07Z", "user"=>"MHTuz", "user_name"=>"#MentalHealth", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000324582703/691f911c7704a2c5744ee0ece22a533b_normal.jpeg"}
• {"id"=>"382643691493404673", "text"=>"#Acupuncture performs as well counseling for depression: http://t.co/nKhnc8LjSl Both are probably better choices vs medications", "created_at"=>"2013-09-24T23:12:19Z", "user"=>"adamburrill", "user_name"=>"Adam Burrill, L.Ac.", "user_profile_image"=>"http://a0.twimg.com/profile_images/3383495182/8af98ad3916876cbcb727aeae95733e0_normal.jpeg"}
• {"id"=>"382652136250548224", "text"=>"Study shows that #acupuncture is of benefit to people with #depression.\nhttp://t.co/RV9LdG9B6m", "created_at"=>"2013-09-24T23:45:53Z", "user"=>"davidsibbritt", "user_name"=>"David Sibbritt", "user_profile_image"=>"http://a0.twimg.com/profile_images/3730042870/80e32cac78e8e9659b11311f0f54c225_normal.jpeg"}
• {"id"=>"382654018977140736", "text"=>"No surprise: \"Differences b/w acupuncture and counselling were not significant\": RCT for depression. http://t.co/zLtBEUXv3s", "created_at"=>"2013-09-24T23:53:22Z", "user"=>"PharmacistScott", "user_name"=>"Scott Gavura", "user_profile_image"=>"http://a0.twimg.com/profile_images/3146409042/d2755e47c960efda85f3583564fcd713_normal.jpeg"}
• {"id"=>"382669095617187840", "text"=>"#plos Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/wOA7x2C4Wd", "created_at"=>"2013-09-25T00:53:16Z", "user"=>"bookapharmacist", "user_name"=>"Kazeem Olalekan", "user_profile_image"=>"http://a0.twimg.com/profile_images/1859820850/3a_normal.png"}
• {"id"=>"382674618009387008", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/crEh01i9dd", "created_at"=>"2013-09-25T01:15:13Z", "user"=>"PeterRMartin", "user_name"=>"Peter R Martin", "user_profile_image"=>"http://a0.twimg.com/profile_images/3567790478/8da122f398217607b75b20a6e4574ee1_normal.jpeg"}
• {"id"=>"382731616948203520", "text"=>"#RCT finds #acupuncture & #counseling bth help reduce #depression cmprd to usual care alone http://t.co/c3GcyrFOiz #globalmentalhealth #NCDs", "created_at"=>"2013-09-25T05:01:42Z", "user"=>"AnantBhan", "user_name"=>"Anant Bhan", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000057988241/8241d852102b37737eca9a6e7ba8b9bc_normal.jpeg"}
• {"id"=>"382732126023454720", "text"=>"RT @AnantBhan: #RCT finds #acupuncture & #counseling bth help reduce #depression cmprd to usual care alone http://t.co/c3GcyrFOiz #globalme…", "created_at"=>"2013-09-25T05:03:44Z", "user"=>"tarshingo", "user_name"=>"TARSHI", "user_profile_image"=>"http://a0.twimg.com/profile_images/2622304098/ksa3ncpemtfifpu72eiv_normal.jpeg"}
• {"id"=>"382782822635012096", "text"=>"Acupuncture is as effective as counselling for patients with moderate or severe depression, according to a new... http://t.co/wLk6sXwaDk", "created_at"=>"2013-09-25T08:25:11Z", "user"=>"AnamMaiAcu", "user_name"=>"Anam Mai Acupuncture", "user_profile_image"=>"http://a0.twimg.com/profile_images/1894156592/logo_square_tile_normal.png"}
• {"id"=>"382782874967359488", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/drGNeYxFDE", "created_at"=>"2013-09-25T08:25:23Z", "user"=>"OrientalHealth", "user_name"=>"Dan Thompson", "user_profile_image"=>"http://a0.twimg.com/profile_images/1231768585/logo_new_normal.GIF"}
• {"id"=>"382784619940413440", "text"=>"A great study into the effectiveness of acupuncture in the treatment of depression. Results show that acupuncture... http://t.co/ZeVlMlmpQ6", "created_at"=>"2013-09-25T08:32:19Z", "user"=>"AbbeyAcu", "user_name"=>"Abbey Acupuncture", "user_profile_image"=>"http://a0.twimg.com/profile_images/344513261576706028/50cf2b8ecd17ce059a0c561c24155845_normal.png"}
• {"id"=>"382796189642801152", "text"=>"Acupuncture is as effective as counselling for patients with moderate or severe depression, according to a new... http://t.co/DgVyBELIi0", "created_at"=>"2013-09-25T09:18:18Z", "user"=>"AIMCBerkeley", "user_name"=>"AIMC Berkley", "user_profile_image"=>"http://a0.twimg.com/profile_images/1306683939/logo_normal.jpg"}
• {"id"=>"382799162053771264", "text"=>"Positive trial for acupuncture, compared to counselling, for depression with 755 patients. results published today http://t.co/6NyHG9pQji.", "created_at"=>"2013-09-25T09:30:06Z", "user"=>"NickPahlBAcCCEO", "user_name"=>"Nick Pahl", "user_profile_image"=>"http://a0.twimg.com/profile_images/1560936215/17898d5_normal.jpg"}
• {"id"=>"382800234050375680", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/IB5gqiPrFN", "created_at"=>"2013-09-25T09:34:22Z", "user"=>"info_TGHN", "user_name"=>"GlobalHealthNetwork", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000085601617/1198adecb890f73e565f065a7e196bae_normal.jpeg"}
• {"id"=>"382801681194295297", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/dmErT8ulDa", "created_at"=>"2013-09-25T09:40:07Z", "user"=>"CWCC995", "user_name"=>"Christopher Cole", "user_profile_image"=>"http://a0.twimg.com/profile_images/1597161213/carpet_smile_normal.JPG"}
• {"id"=>"382823206870343680", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/qnAmSPutTC", "created_at"=>"2013-09-25T11:05:39Z", "user"=>"SimplyAcpncture", "user_name"=>"Simply Acupuncture", "user_profile_image"=>"http://a0.twimg.com/profile_images/2945532366/62b0c16a0435db661fb8157dc13b9684_normal.jpeg"}
• {"id"=>"382824726865133568", "text"=>"Positive trial for #acupuncture, compared to counselling, for #depression with 755 patients. results published today http://t.co/aDEQfTwrXq.", "created_at"=>"2013-09-25T11:11:42Z", "user"=>"JTattersdill", "user_name"=>"Julie Tattersdill ", "user_profile_image"=>"http://a0.twimg.com/profile_images/3263013812/83b74bf69cbe7f77fa1a4cadab99edd3_normal.jpeg"}
• {"id"=>"382829914182787072", "text"=>"News - trial of acupuncture or counselling for depression published today in (open access) PLoS Medicine, \n http://t.co/igOA0lmFRv.", "created_at"=>"2013-09-25T11:32:18Z", "user"=>"YorkNCA", "user_name"=>"NCA", "user_profile_image"=>"http://a0.twimg.com/profile_images/1087816875/nca_circle_blue_normal.jpg"}
• {"id"=>"382832357683642368", "text"=>"Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T11:42:01Z", "user"=>"PLOSMedicine", "user_name"=>"PLOS Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/2436335697/k93oob5au2gllc775hk5_normal.jpeg"}
• {"id"=>"382834270735044608", "text"=>"RT @PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T11:49:37Z", "user"=>"masoodzangeneh", "user_name"=>"masood zangeneh", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000215281548/4d84990fdbb7cbb65406f9fceae85f2a_normal.jpeg"}
• {"id"=>"382837656020729856", "text"=>"RT @PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T12:03:04Z", "user"=>"CasesDatabase", "user_name"=>"Cases Database", "user_profile_image"=>"http://a0.twimg.com/profile_images/2998310243/4a27669c57cd840837bc76740d5bd747_normal.png"}
• {"id"=>"382840519065227265", "text"=>"RT @PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T12:14:27Z", "user"=>"karenwong1312", "user_name"=>"Wong Lam Lam", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000164252152/fd0a3f4f6378e78e9ae425bd5d42ad3a_normal.jpeg"}
• {"id"=>"382852167863787520", "text"=>"@PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/Uv37x31jL0", "created_at"=>"2013-09-25T13:00:44Z", "user"=>"VCUTMLibrary", "user_name"=>"VCU Tompkins-McCaw", "user_profile_image"=>"http://a0.twimg.com/profile_images/1105044198/icon_aug1_normal.png"}
• {"id"=>"382852168014786562", "text"=>"@PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/0to1g76OMc", "created_at"=>"2013-09-25T13:00:44Z", "user"=>"CarolinaFan1982", "user_name"=>"Roy Brown", "user_profile_image"=>"http://a0.twimg.com/profile_images/3759756782/62c60776473d4d09af440b988119c131_normal.jpeg"}
• {"id"=>"382852172808871936", "text"=>"@PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/2TUkj3lMS9", "created_at"=>"2013-09-25T13:00:45Z", "user"=>"VCUNursingLib", "user_name"=>"Roy Brown", "user_profile_image"=>"http://a0.twimg.com/profile_images/1881700595/vcu_50_normal.png"}
• {"id"=>"382856626526380034", "text"=>"RT @PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T13:18:27Z", "user"=>"dallsop", "user_name"=>"davidallsop", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000274167550/0985680657ab52f8c193507842362af1_normal.jpeg"}
• {"id"=>"382859315217842176", "text"=>"Acupuncture and counselling for depression both associated with significantly reduced depression at 3 months: http://t.co/J9rIXWbato", "created_at"=>"2013-09-25T13:29:08Z", "user"=>"CAMS_UoY", "user_name"=>"CAMS_UoY", "user_profile_image"=>"http://a0.twimg.com/profile_images/3722426974/29d0c801d3942a79dd810c55580ce630_normal.jpeg"}
• {"id"=>"382860285096112128", "text"=>"ACUDep: Acupuncture and counselling both associated with significantly reduced depression at 3 months: http://t.co/J9rIXWbato", "created_at"=>"2013-09-25T13:32:59Z", "user"=>"CAMS_UoY", "user_name"=>"CAMS_UoY", "user_profile_image"=>"http://a0.twimg.com/profile_images/3722426974/29d0c801d3942a79dd810c55580ce630_normal.jpeg"}
• {"id"=>"382862172784570368", "text"=>"Better outcomes w/ Rx + acupuncture or counseling... 'PLOS Medicine: Acupuncture/Counseling in Depression' http://t.co/YO5ZTMU3zm", "created_at"=>"2013-09-25T13:40:29Z", "user"=>"JohnSharpMD", "user_name"=>"John Sharp MD", "user_profile_image"=>"http://a0.twimg.com/profile_images/2328094440/kzxqnbhrnrooeb89p0kf_normal.jpeg"}
• {"id"=>"382865512780136448", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/NagO9ZaQWy", "created_at"=>"2013-09-25T13:53:46Z", "user"=>"ignaziofarci", "user_name"=>"ignazio farci", "user_profile_image"=>"http://a0.twimg.com/profile_images/1610271712/DSCF0024_normal.JPG"}
• {"id"=>"382866960482316288", "text"=>"My experience with Chinese medicine, with acupuncture and herbs and oils, is that it is effective in treating... http://t.co/of1tDCLN8q", "created_at"=>"2013-09-25T13:59:31Z", "user"=>"carolefavero", "user_name"=>"Carole Favero, L.Ac.", "user_profile_image"=>"http://a0.twimg.com/profile_images/3534856626/510cc3551b64cf3112abb97ba38ecfd9_normal.jpeg"}
• {"id"=>"382873186997501952", "text"=>"acupuncture as equally effective as counselling for depression http://t.co/mbP4SBBZuq", "created_at"=>"2013-09-25T14:24:15Z", "user"=>"rachfrost", "user_name"=>"Rachael Frost", "user_profile_image"=>"http://a0.twimg.com/profile_images/3463726160/575ba08fd10407e95a40521e8612fc5e_normal.jpeg"}
• {"id"=>"382873607698776064", "text"=>"Acupuncture or counseling plus usual care may improve depression symptoms @PLOSMedicine http://t.co/yasiBRy24C", "created_at"=>"2013-09-25T14:25:56Z", "user"=>"PLOS", "user_name"=>"PLOS", "user_profile_image"=>"http://a0.twimg.com/profile_images/2424363764/2etoq0zjwxicokm1woge_normal.jpeg"}
• {"id"=>"382873689462939648", "text"=>"RT @PLOS: Acupuncture or counseling plus usual care may improve depression symptoms @PLOSMedicine http://t.co/yasiBRy24C", "created_at"=>"2013-09-25T14:26:15Z", "user"=>"DrFerdowsi", "user_name"=>"Conciergedoc", "user_profile_image"=>"http://a0.twimg.com/profile_images/1773207404/sahba-ferdowsi-do--8db9f814-f594-4b55-b142-eeca6b4617a6large_normal.jpg"}
• {"id"=>"382874439311843328", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/64J4t8Ux8t", "created_at"=>"2013-09-25T14:29:14Z", "user"=>"Pdxacustudio", "user_name"=>"PDX Acu Studio", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000060975764/6d624dc205c397f837e62ca2d86c0a3e_normal.jpeg"}
• {"id"=>"382880914566426624", "text"=>"Acupuncture is as effective as counselling for patients with moderate or severe depression, according to a new... http://t.co/tFe7HdfapM", "created_at"=>"2013-09-25T14:54:58Z", "user"=>"therapy_centre", "user_name"=>"The Therapy Centre", "user_profile_image"=>"http://a0.twimg.com/profile_images/3510495145/5c60ee5888751f7eea99d1f29724d409_normal.jpeg"}
• {"id"=>"382880985873793025", "text"=>"Acupuncture is as effective as counselling for patients with moderate or severe depression, according to a new... http://t.co/d36hZKZNTU", "created_at"=>"2013-09-25T14:55:15Z", "user"=>"CityAcupuncture", "user_name"=>"Dudley Kent MBAcC ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2965852934/4dd3c3d29f351a806321721f4faef7e7_normal.jpeg"}
• {"id"=>"382882447265787904", "text"=>"RT @PLOS: Acupuncture or counseling plus usual care may improve depression symptoms @PLOSMedicine http://t.co/yasiBRy24C", "created_at"=>"2013-09-25T15:01:03Z", "user"=>"iWellAcupunctur", "user_name"=>"Infinite Well ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2846335285/021bf2805487b1b24feedf466c9a6cf8_normal.png"}
• {"id"=>"382882777445580800", "text"=>"RT @PLOSMedicine: Acupuncture or counseling plus usual care may improve depression symptoms http://t.co/cY345S8V6G", "created_at"=>"2013-09-25T15:02:22Z", "user"=>"iWellAcupunctur", "user_name"=>"Infinite Well ", "user_profile_image"=>"http://a0.twimg.com/profile_images/2846335285/021bf2805487b1b24feedf466c9a6cf8_normal.png"}
• {"id"=>"382902328329633792", "text"=>"http://t.co/YydFnhad9w http://t.co/9w5ECnWwPL", "created_at"=>"2013-09-25T16:20:03Z", "user"=>"HealingHandsAHC", "user_name"=>"Healing Hands AHC", "user_profile_image"=>"http://a0.twimg.com/profile_images/434269552/4959_98657382717_95443647717_2702155_3360762_n_normal.jpg"}
• {"id"=>"382912985988993024", "text"=>"New study from University of York shows acupuncture effective in the treatment of depression: http://t.co/9L6hh9USy5", "created_at"=>"2013-09-25T17:02:24Z", "user"=>"WorldTreeCo", "user_name"=>"Emma Houston", "user_profile_image"=>"http://a0.twimg.com/profile_images/2454481451/9a4v6fl58cnmyk7aknve_normal.jpeg"}
• {"id"=>"382920414294315008", "text"=>"RT @WorldTreeCo: New study from University of York shows acupuncture effective in the treatment of depression: http://t.co/9L6hh9USy5", "created_at"=>"2013-09-25T17:31:55Z", "user"=>"yorkherbalist", "user_name"=>"michaela scott", "user_profile_image"=>"http://a0.twimg.com/profile_images/1860985969/006_normal.JPG"}
• {"id"=>"382921237171036160", "text"=>"RT @WorldTreeCo: New study from University of York shows acupuncture effective in the treatment of depression: http://t.co/9L6hh9USy5", "created_at"=>"2013-09-25T17:35:11Z", "user"=>"ThelmaBK", "user_name"=>"Thelma Kristjansd...", "user_profile_image"=>"http://abs.twimg.com/sticky/default_profile_images/default_profile_4_normal.png"}
• {"id"=>"382941158890299392", "text"=>"@ChiswickAcu New study from University of York shows acupuncture effective in the treatment of depression: http://t.co/5Zd0iNRzTm", "created_at"=>"2013-09-25T18:54:21Z", "user"=>"EarthBoundBaby", "user_name"=>"Amanda Denton ", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000138127309/32b9898f11e157ec19170cf5c8fe88d7_normal.jpeg"}
• {"id"=>"382947595166826496", "text"=>"A new study from the University of York, England, says Acupuncture is as effective as counselling for patients... http://t.co/UP5z6iWQ5w", "created_at"=>"2013-09-25T19:19:56Z", "user"=>"qigongbyquist", "user_name"=>"Qigong by Quist", "user_profile_image"=>"http://a0.twimg.com/profile_images/1908211214/Qhand_normal.jpg"}
• {"id"=>"382956214595751936", "text"=>"#Acupuncture was as effective as counseling in primary care #patients with mild to moderate #depression http://t.co/JtCwxgRZAl #mhchat #mh", "created_at"=>"2013-09-25T19:54:11Z", "user"=>"GlobalMedEd", "user_name"=>"Global Med Education", "user_profile_image"=>"http://a0.twimg.com/profile_images/2915463549/376d13b61430e0db885fba45398c1c57_normal.png"}
• {"id"=>"382975988461617152", "text"=>"oh come on @PLOSMedicine - no sham acupuncture? really? wow. http://t.co/u3i3zw0fAk", "created_at"=>"2013-09-25T21:12:45Z", "user"=>"mgtmccartney", "user_name"=>"margaretmccartney", "user_profile_image"=>"http://a0.twimg.com/profile_images/2179603514/photo__8__normal.JPG"}
• {"id"=>"382977139873947648", "text"=>"RT @mgtmccartney: oh come on @PLOSMedicine - no sham acupuncture? really? wow. http://t.co/u3i3zw0fAk", "created_at"=>"2013-09-25T21:17:20Z", "user"=>"josephbush", "user_name"=>"Joseph Bush", "user_profile_image"=>"http://a0.twimg.com/profile_images/2438486893/of3ceyadi30eo10gojqa_normal.jpeg"}
• {"id"=>"382986333733806081", "text"=>"RT @mgtmccartney: oh come on @PLOSMedicine - no sham acupuncture? really? wow. http://t.co/u3i3zw0fAk", "created_at"=>"2013-09-25T21:53:52Z", "user"=>"mvholmes", "user_name"=>"Michael V Holmes", "user_profile_image"=>"http://a0.twimg.com/profile_images/1705831126/michael_prague_normal.jpg"}
• {"id"=>"383021583084036096", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/NgTKYNkuUQ", "created_at"=>"2013-09-26T00:13:56Z", "user"=>"EoHCentre", "user_name"=>"Elements of Health", "user_profile_image"=>"http://a0.twimg.com/profile_images/2368358449/r7a53ftbvp9nra8ut9ga_normal.jpeg"}
• {"id"=>"383025802083704832", "text"=>"Acupuncture was as effective as counseling in #primarycare #patients with mild to moderate #depression http://t.co/JtCwxgRZAl #psychiatry", "created_at"=>"2013-09-26T00:30:42Z", "user"=>"GlobalMedEd", "user_name"=>"Global Med Education", "user_profile_image"=>"http://a0.twimg.com/profile_images/2915463549/376d13b61430e0db885fba45398c1c57_normal.png"}
• {"id"=>"383057509419737088", "text"=>"A better link for the depression study:... http://t.co/kGLrmtWpqc", "created_at"=>"2013-09-26T02:36:41Z", "user"=>"ILaaom", "user_name"=>"ILaaom", "user_profile_image"=>"http://a0.twimg.com/profile_images/1535970750/dragonSub_normal.gif"}
• {"id"=>"383093378260684800", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/9dr79ZKTT5", "created_at"=>"2013-09-26T04:59:13Z", "user"=>"dryoginilinda", "user_name"=>"Linda Lee", "user_profile_image"=>"http://a0.twimg.com/profile_images/3178150118/69f73fe1eb2a2a29b10aacb963094dac_normal.jpeg"}
• {"id"=>"383149490036690944", "text"=>"\"L'#acupuncture ne présente pas plus d'avantage qu'une discussion sur le traitement.\" Bref, oui, c'est un #placebo. http://t.co/kKTv595pqV", "created_at"=>"2013-09-26T08:42:11Z", "user"=>"Curiolog", "user_name"=>"Florian G.", "user_profile_image"=>"http://a0.twimg.com/profile_images/3475050300/32096d4d090cca6da4197f6d27a72dde_normal.jpeg"}
• {"id"=>"383150101688221696", "text"=>"RT @Curiolog: \"L'#acupuncture ne présente pas plus d'avantage qu'une discussion sur le traitement.\" #placebo !. http://t.co/PgwuUefcDg", "created_at"=>"2013-09-26T08:44:37Z", "user"=>"j_pariente", "user_name"=>"Jonathan Parienté", "user_profile_image"=>"http://a0.twimg.com/profile_images/1590825537/jonathan_normal.jpg"}
• {"id"=>"383255985475039232", "text"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial. http://t.co/mSvrh2il15 via @PLOSMedicine", "created_at"=>"2013-09-26T15:45:22Z", "user"=>"Jasmine_PM", "user_name"=>"Jasmine Software", "user_profile_image"=>"http://a0.twimg.com/profile_images/3529128163/5f2a40f0ce3e21a813c3cf8d6c057f3e_normal.png"}
• {"id"=>"383264443691327488", "text"=>"#PLOSMedicine: Acupuncture & Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/bEtw9Eplgl #acupuncture", "created_at"=>"2013-09-26T16:18:58Z", "user"=>"DrAGuidolin", "user_name"=>"Dr. Andrea Guidolin", "user_profile_image"=>"http://a0.twimg.com/profile_images/2403085631/is783szg2d5d8u5b7xhh_normal.jpeg"}
• {"id"=>"383313611504254976", "text"=>"Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-26T19:34:21Z", "user"=>"BMAS_News", "user_name"=>"Brit Med Acup Soc", "user_profile_image"=>"http://a0.twimg.com/profile_images/142656060/zpfile003_normal.JPG"}
• {"id"=>"383313897526403072", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-26T19:35:29Z", "user"=>"drmike001", "user_name"=>"Mike Cummings", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000302668081/51a9bc383f154ad9af5906da46b1ad16_normal.jpeg"}
• {"id"=>"383314019064754176", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-26T19:35:58Z", "user"=>"AiMJournal_BMJ", "user_name"=>"AiMJournal_BMJ", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000409779442/de7f5de52b9c50ff8bbfed49438ddba4_normal.jpeg"}
• {"id"=>"383314435856932864", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-26T19:37:37Z", "user"=>"ICMART_", "user_name"=>"ICMART", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000400748881/47ab635597b41c21c73ec36ab5ef48f9_normal.jpeg"}
• {"id"=>"383321698235609088", "text"=>"acuepuncture is more effective than counseling for the treatment of depression ( but the study was not blinded) http://t.co/6aa2B5Q5Yv", "created_at"=>"2013-09-26T20:06:29Z", "user"=>"ebm_psmmc", "user_name"=>"EBM", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000389240743/ee47d1c832d755900479f43f9a6068e6_normal.jpeg"}
• {"id"=>"383340040379961345", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-26T21:19:22Z", "user"=>"ChiroGrantJSY", "user_name"=>"Grant Henderson", "user_profile_image"=>"http://a0.twimg.com/profile_images/3550475731/2449da33ddb58c819ffd03646c8f8575_normal.jpeg"}
• {"id"=>"383352146420576256", "text"=>"Science! http://t.co/cLLgpwbk5U", "created_at"=>"2013-09-26T22:07:28Z", "user"=>"gothamology", "user_name"=>"gothamology", "user_profile_image"=>"http://abs.twimg.com/sticky/default_profile_images/default_profile_0_normal.png"}
• {"id"=>"383418568462725121", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-27T02:31:24Z", "user"=>"cyberdrivel", "user_name"=>"Stiofan Mac Suibhne", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000378588215/0564a94573e34f86529ad9657b240dbc_normal.jpeg"}
• {"id"=>"383476107334258688", "text"=>"RT @davidsibbritt: Study shows that #acupuncture is of benefit to people with #depression.\nhttp://t.co/RV9LdG9B6m", "created_at"=>"2013-09-27T06:20:03Z", "user"=>"UTS_Health", "user_name"=>"UTS Health", "user_profile_image"=>"http://a0.twimg.com/profile_images/3748981746/efda1f69e41003d63452de684b7a81e7_normal.jpeg"}
• {"id"=>"383553528544759808", "text"=>"Puedes mejorar tu depresión con acupuntura o psicoterapia. Siempre que no abandones los antidepresivos. Tonto estudio http://t.co/wqfF2DJ0oM", "created_at"=>"2013-09-27T11:27:41Z", "user"=>"aflichten", "user_name"=>"Daniel Flichtentrei", "user_profile_image"=>"http://a0.twimg.com/profile_images/2772642048/b3119ed41589992813620fdf2f603909_normal.png"}
• {"id"=>"383571650316210176", "text"=>"RT @BMAS_News: Acupuncture and Counselling for Depression in Primary Care http://t.co/zW0TSes2ZW", "created_at"=>"2013-09-27T12:39:42Z", "user"=>"OsteopathKatie", "user_name"=>"Katie Johnston", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000470840028/3c7a26f078e87ea9f53116bd0de4a721_normal.jpeg"}
• {"id"=>"383660035773325312", "text"=>"RT @WorldTreeCo: New study from University of York shows acupuncture effective in the treatment of depression: http://t.co/9L6hh9USy5", "created_at"=>"2013-09-27T18:30:55Z", "user"=>"ShaftesburyC", "user_name"=>"Shaftesbury Clinic", "user_profile_image"=>"http://a0.twimg.com/profile_images/2701678049/896a25e0322848de37e41c3a7409a54b_normal.jpeg"}
• {"id"=>"383735507508674562", "text"=>"Acupuncture just as effective as talk therapy to treat depression: http://t.co/XHZNQeEH9r", "created_at"=>"2013-09-27T23:30:49Z", "user"=>"AskTheEthicist", "user_name"=>"Dr Katrina Bramstedt", "user_profile_image"=>"http://a0.twimg.com/profile_images/3347073514/2b711da5d473aca8ff30cba0348aedb4_normal.jpeg"}
• {"id"=>"383741109035216896", "text"=>"Talk to the needle: Acupuncture Equal to Talk Therapy for Recurring Depression. Medscape. Sep 26, 2013. http://t.co/zty5pIfpQK", "created_at"=>"2013-09-27T23:53:04Z", "user"=>"fbrodya", "user_name"=>"Abby Goldman Brody", "user_profile_image"=>"http://a0.twimg.com/profile_images/3747935522/cdacdd7f9faded19022b62284a30517f_normal.jpeg"}
• {"id"=>"383741230170927104", "text"=>"RT @AskTheEthicist: Acupuncture just as effective as talk therapy to treat depression: http://t.co/XHZNQeEH9r", "created_at"=>"2013-09-27T23:53:33Z", "user"=>"WhitePeoney", "user_name"=>"coeli", "user_profile_image"=>"http://a0.twimg.com/profile_images/2008081128/pix_normal.jpg"}
• {"id"=>"384149700879736832", "text"=>"Acupuncture as effective as talk therapy for depression http://t.co/ufRgmbg4Sw", "created_at"=>"2013-09-29T02:56:40Z", "user"=>"Maryjaneneumann", "user_name"=>"Mary Jane S Neumann", "user_profile_image"=>"http://a0.twimg.com/profile_images/1677362493/profile_normal.jpg"}
• {"id"=>"384250828229332992", "text"=>"@Janoh1 “talking therapy” that provides patients with a safe, non-judgmental place to express feelings and emotions http://t.co/HH2Wlo6jU7", "created_at"=>"2013-09-29T09:38:31Z", "user"=>"vmdb_nl", "user_name"=>"VMDB", "user_profile_image"=>"http://a0.twimg.com/profile_images/3777723055/7d763fd44f1492fbe08c61ec160a5bf2_normal.png"}
• {"id"=>"384626109322895360", "text"=>"http://t.co/s9z8kL1cPX", "created_at"=>"2013-09-30T10:29:45Z", "user"=>"dfordacupunture", "user_name"=>"dfordacupuncture", "user_profile_image"=>"http://a0.twimg.com/profile_images/1773910604/DFA-Logo-RGB_normal.jpg"}
• {"id"=>"384789646950940672", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/rMEg0oeOs9", "created_at"=>"2013-09-30T21:19:35Z", "user"=>"CWCC995", "user_name"=>"Christopher Cole", "user_profile_image"=>"http://a0.twimg.com/profile_images/1597161213/carpet_smile_normal.JPG"}
• {"id"=>"384936401927933952", "text"=>"Acupuncture and counselling are comparable to treating depression, a RCT has found. http://t.co/6OOBBmJo20", "created_at"=>"2013-10-01T07:02:44Z", "user"=>"AcuBalquees", "user_name"=>"Balquees Ali", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000182054519/d3aee1524b5edb368220922410fac6eb_normal.jpeg"}
• {"id"=>"384947343356731392", "text"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/2tshQ32dzX", "created_at"=>"2013-10-01T07:46:13Z", "user"=>"BrllntJade", "user_name"=>"BrilliantJade", "user_profile_image"=>"http://a0.twimg.com/profile_images/1307170908/Brilliant_Jade_Logo_normal.jpg"}
• {"id"=>"385027207174688770", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/A93X1yus5X", "created_at"=>"2013-10-01T13:03:34Z", "user"=>"qimover", "user_name"=>"Diane Macchiavelli", "user_profile_image"=>"http://a0.twimg.com/profile_images/1346058425/CCAlogo_normal.jpg"}
• {"id"=>"385135914092986370", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/KwOpE3sXVk", "created_at"=>"2013-10-01T20:15:32Z", "user"=>"UrsulaElmes", "user_name"=>"Elmes Acupuncture", "user_profile_image"=>"http://a0.twimg.com/profile_images/3639588944/29177a6f4c17611a59d8080b1e6cd877_normal.jpeg"}
• {"id"=>"385336050945511424", "text"=>"Flawed @PLOSMedicine study already has self-serving comment from acupuncturist posted. Sad. http://t.co/frocRAHkIx", "created_at"=>"2013-10-02T09:30:48Z", "user"=>"CoyneoftheRealm", "user_name"=>"James C.Coyne", "user_profile_image"=>"http://a0.twimg.com/profile_images/1508296653/Paris_Au_Revoir_normal.JPG"}
• {"id"=>"385340363612774400", "text"=>"Depression : non-pharmacological therapies work http://t.co/p27tRQjNpM", "created_at"=>"2013-10-02T09:47:56Z", "user"=>"LoloNeuro", "user_name"=>"LoloNeuro", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000244328789/bf4d0f30e9d4dbb479bd69f6f860cd55_normal.jpeg"}
• {"id"=>"385345799577948160", "text"=>"“@CoyneoftheRealm: Flawed @PLOSMedicine study already has self-serving comment from acupuncturist posted. Sad. http://t.co/tN1qEsfBJU”", "created_at"=>"2013-10-02T10:09:32Z", "user"=>"GrahamCLDavey", "user_name"=>"Graham Davey", "user_profile_image"=>"http://a0.twimg.com/profile_images/3183331477/5fb3d06bd68361bf01436ea91fafc7b9_normal.jpeg"}
• {"id"=>"385348252217774080", "text"=>"RT @CoyneoftheRealm: Flawed @PLOSMedicine study already has self-serving comment from acupuncturist posted. Sad. http://t.co/frocRAHkIx", "created_at"=>"2013-10-02T10:19:17Z", "user"=>"Keith_Laws", "user_name"=>"Keith R Laws", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000511338925/8dd8e994fb60a4e05791995df3e0bd56_normal.jpeg"}
• {"id"=>"386220188519399424", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/iRqu901pfV", "created_at"=>"2013-10-04T20:04:03Z", "user"=>"goldacupuncture", "user_name"=>"Anna Hsieh Gold", "user_profile_image"=>"http://a0.twimg.com/profile_images/3172293987/543a1ca96e3d93076c56e29ea4bdca2e_normal.jpeg"}
• {"id"=>"387002203212238848", "text"=>"Recent Research: Effectiveness of Acupuncture and Counselling for Depression in Primary Care: http://t.co/vbvFWfB6GU #mentalhealth", "created_at"=>"2013-10-06T23:51:30Z", "user"=>"EAC_64", "user_name"=>"Eduardo Castro", "user_profile_image"=>"http://a0.twimg.com/profile_images/1759612274/Twitter_Pic_normal.jpg"}
• {"id"=>"387583301440901120", "text"=>"New research by Hugh MacPherson et al looked at 755 patients with depression, and the use of acupuncture. positive. http://t.co/di5Eyg5AfE", "created_at"=>"2013-10-08T14:20:34Z", "user"=>"AcuClinicLondon", "user_name"=>"Acupuncture clinic ", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000425918579/733f2851989527dbfdafe6ef145986ab_normal.jpeg"}
• {"id"=>"388498021668773888", "text"=>"@kara_woo Like this one, which didn't use a sham comparator for acupuncture? http://t.co/KvCdHMhztg", "created_at"=>"2013-10-11T02:55:20Z", "user"=>"AdamGDunn", "user_name"=>"Adam Dunn", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000446790300/b611e7cceb8dd874ffb4cf7fcca1c1d1_normal.jpeg"}
• {"id"=>"389718347383721984", "text"=>"RCT #Acupuncture & Counselling for #Depression in #PrimaryCare http://t.co/itFgRYPZlQ #IntegrativeMedicine #MentalHealth", "created_at"=>"2013-10-14T11:44:29Z", "user"=>"patrickdherron", "user_name"=>"Patrick D. Herron", "user_profile_image"=>"http://a0.twimg.com/profile_images/3464170056/eb67a01e10b6853494d8113ce2cf4c3d_normal.jpeg"}
• {"id"=>"390152584964472832", "text"=>"#Accupuncture & Counseling for #Depression together work best! http://t.co/kcqIKzZkd5", "created_at"=>"2013-10-15T16:29:59Z", "user"=>"kimmcdt", "user_name"=>"Kim McDonald-Taylor", "user_profile_image"=>"http://a0.twimg.com/profile_images/2867679484/c0b49e508166bb492553f4296ae56348_normal.png"}
• {"id"=>"390182046766608384", "text"=>"Acupuncture or counselling: it doesn't matter. http://t.co/YZpt3HaRaP", "created_at"=>"2013-10-15T18:27:03Z", "user"=>"in_psych", "user_name"=>"Joe Hayes", "user_profile_image"=>"http://a0.twimg.com/profile_images/1671176713/joe_normal.jpg"}
• {"id"=>"390196806803787776", "text"=>"Very interesting and superbly written paper on trial of counselling and acupuncture for depression http://t.co/F0xwqP7tZ2", "created_at"=>"2013-10-15T19:25:42Z", "user"=>"cityalan", "user_name"=>"Alan Simpson", "user_profile_image"=>"http://a0.twimg.com/profile_images/1311018568/425fd1a4-551a-4761-8479-235c414e59eb_normal.jpg"}
• {"id"=>"390223103902904320", "text"=>"RT @cityalan: Very interesting and superbly written paper on trial of counselling and acupuncture for depression http://t.co/F0xwqP7tZ2", "created_at"=>"2013-10-15T21:10:12Z", "user"=>"warnetony", "user_name"=>"Tony Warne", "user_profile_image"=>"http://a0.twimg.com/profile_images/2220187053/114c_normal.jpg"}
• {"id"=>"390300277426749440", "text"=>"Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T02:16:52Z", "user"=>"PLOSMedicine", "user_name"=>"PLOS Medicine", "user_profile_image"=>"http://a0.twimg.com/profile_images/2436335697/k93oob5au2gllc775hk5_normal.jpeg"}
• {"id"=>"390300529374404608", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T02:17:52Z", "user"=>"shyduroff", "user_name"=>"shyduroff", "user_profile_image"=>"http://a0.twimg.com/profile_images/3695201339/dcec331712656e45a8bbeebc392e5ec8_normal.jpeg"}
• {"id"=>"390301757412098048", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T02:22:45Z", "user"=>"dallsop", "user_name"=>"davidallsop", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000274167550/0985680657ab52f8c193507842362af1_normal.jpeg"}
• {"id"=>"390302773709139968", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T02:26:47Z", "user"=>"hernoperea", "user_name"=>"Hernán Perea", "user_profile_image"=>"http://a0.twimg.com/profile_images/1486640626/DSC05456_normal.JPG"}
• {"id"=>"390303892497768448", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T02:31:14Z", "user"=>"kimmcdt", "user_name"=>"Kim McDonald-Taylor", "user_profile_image"=>"http://a0.twimg.com/profile_images/2867679484/c0b49e508166bb492553f4296ae56348_normal.png"}
• {"id"=>"390326242102493186", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T04:00:02Z", "user"=>"AcuPainCare", "user_name"=>"Ali Kareem", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000189097009/98ca5d79539f7107fb544b8466b75b9a_normal.jpeg"}
• {"id"=>"390344369938907137", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T05:12:04Z", "user"=>"karenwong1312", "user_name"=>"Wong Lam Lam", "user_profile_image"=>"http://a0.twimg.com/profile_images/378800000164252152/fd0a3f4f6378e78e9ae425bd5d42ad3a_normal.jpeg"}
• {"id"=>"390344794045939712", "text"=>"Después dl empujón d NICE en la cefalea crónica, ahora acupuntura en depresión? http://t.co/vLWfFeGG8A", "created_at"=>"2013-10-16T05:13:45Z", "user"=>"RaulCalvoRico", "user_name"=>"Raul Calvo Rico", "user_profile_image"=>"http://a0.twimg.com/profile_images/3609406312/5e9176783f4efbca9ed4f2f4f0d577be_normal.jpeg"}
• {"id"=>"390366088984154112", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T06:38:22Z", "user"=>"CampOther", "user_name"=>"Camp Öther", "user_profile_image"=>"http://a0.twimg.com/profile_images/2829928375/b08e1071cf4a39d1984cebe9a22c1590_normal.jpeg"}
• {"id"=>"390373934740160512", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-16T07:09:33Z", "user"=>"jamesbrazel", "user_name"=>"w.james brazel", "user_profile_image"=>"http://abs.twimg.com/sticky/default_profile_images/default_profile_0_normal.png"}
• {"id"=>"390521226214379520", "text"=>"Acupuntura, rol beneficioso en depresión http://t.co/yECZXhUuLq", "created_at"=>"2013-10-16T16:54:50Z", "user"=>"luisfcifuentes", "user_name"=>"Luis F Cifuentes, MD", "user_profile_image"=>"http://a0.twimg.com/profile_images/3474059473/d3db7ecf871c4371faa97efe2ccd3b3c_normal.jpeg"}
• {"id"=>"390714726184804352", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-17T05:43:44Z", "user"=>"MargaretWinker", "user_name"=>"Margaret Winker", "user_profile_image"=>"http://a0.twimg.com/profile_images/2983052692/1b2a84d1eebafe82a7e439775128e8ef_normal.jpeg"}
• {"id"=>"390726565807390720", "text"=>"#PLOSMedicine: #Acupuncture and Counselling for #Depression in Primary Care: Trial http://t.co/kAthaSEjcL", "created_at"=>"2013-10-17T06:30:47Z", "user"=>"TenderDaily", "user_name"=>"Tender-Daily", "user_profile_image"=>"http://a0.twimg.com/profile_images/2391112609/1avumxp4io7y1okqbfk5_normal.png"}
• {"id"=>"390901510751936512", "text"=>"RT @RaulCalvoRico: Después dl empujón d NICE en la cefalea crónica, ahora acupuntura en depresión? http://t.co/vLWfFeGG8A", "created_at"=>"2013-10-17T18:05:57Z", "user"=>"OrtegaMyDoc", "user_name"=>"Víctor M. Ortega", "user_profile_image"=>"http://a0.twimg.com/profile_images/3393055073/48a69a3bc7d32f9878986e1112ceb558_normal.jpeg"}
• {"id"=>"391002110805815298", "text"=>"#Depression responds to an integrative approach. #Acupuncture and counselling both work! http://t.co/1YTQjJSbU2", "created_at"=>"2013-10-18T00:45:42Z", "user"=>"DrLydiaND", "user_name"=>"Lydia Thurton ND", "user_profile_image"=>"http://pbs.twimg.com/profile_images/3525905969/f68c1851e38319a679f85dd2e5f5bff9_normal.jpeg"}
• {"id"=>"391096406095986688", "text"=>"#acupuncture OR counseling, alongside with care in primary settings, could benefit depressed patients http://t.co/LJDa1hmepx @plosmedicine", "created_at"=>"2013-10-18T07:00:24Z", "user"=>"RiccardoGuidi87", "user_name"=>"Riccardo Guidi", "user_profile_image"=>"http://a0.twimg.com/profile_images/1870395509/Riccardo-Profile3_normal.jpg"}
• {"id"=>"391198000325722112", "text"=>"New research; acupuncture & counselling more effective than anti-depressants alone for moderate to severe depression: http://t.co/5HmYx8J9wT", "created_at"=>"2013-10-18T13:44:06Z", "user"=>"USWWellbeing", "user_name"=>"SouthWales Wellbeing", "user_profile_image"=>"http://a0.twimg.com/profile_images/3323996113/d43749c3bcdd945319f34079fee84bb7_normal.jpeg"}
• {"id"=>"392359463648493568", "text"=>"RT @PLOSMedicine: Acupuncture for Depression: @JWatch on @PLOSMedicine paper http://t.co/oCgutKy41y read the paper > http://t.co/cY345S8V6G", "created_at"=>"2013-10-21T18:39:20Z", "user"=>"iWellAcupunctur", "user_name"=>"Infinite Well ", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2846335285/021bf2805487b1b24feedf466c9a6cf8_normal.png"}
• {"id"=>"395418648585990144", "text"=>"PLOS Medicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised... http://t.co/DXtqx5rlly", "created_at"=>"2013-10-30T05:15:27Z", "user"=>"dryoginilinda", "user_name"=>"Linda Lee", "user_profile_image"=>"http://pbs.twimg.com/profile_images/3178150118/69f73fe1eb2a2a29b10aacb963094dac_normal.jpeg"}
• {"id"=>"395914232560373760", "text"=>"Study: for every 7 people taking #antidepressants, 1 felt less #depression after #acupuncture. http://t.co/68MsyV3ZYg", "created_at"=>"2013-10-31T14:04:43Z", "user"=>"drcadesky", "user_name"=>"Eric Cadesky", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1418369865/Africa_profile_pic_normal.jpg"}
• {"id"=>"397356868751749121", "text"=>"#Acupunctuur helpt bij #depressiviteit, recent brits onderzoek bevestigd dit: http://t.co/1LWC2oy3pE en http://t.co/Dw7NB1oWe0", "created_at"=>"2013-11-04T13:37:14Z", "user"=>"AcupunctuurMill", "user_name"=>"Marcel Peters", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1581262828/ACUPUNC1_normal.JPG"}
• {"id"=>"397459973354958848", "text"=>"Acupuntura para Depressão ... parece que funciona :\n#PLOSMedicine: Acupuncture and Counselling for Depression http://t.co/nBRjY9MMCy", "created_at"=>"2013-11-04T20:26:56Z", "user"=>"LuzCoelho_R", "user_name"=>"Rogerio Luz Coelho", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000611794181/2c7c3009218295ca4bef363fc268434b_normal.jpeg"}
• {"id"=>"397724575691059200", "text"=>"Interesting evidence supporting acupuncture for depression. http://t.co/A62HTAJs80", "created_at"=>"2013-11-05T13:58:22Z", "user"=>"ppstresscenter", "user_name"=>"postpartumstress.com", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2078344074/new_avatar_normal.jpg"}
• {"id"=>"397788211994296320", "text"=>"Acupuncture might help treat depression: http://t.co/H9GexMOtsT", "created_at"=>"2013-11-05T18:11:14Z", "user"=>"drjulieb", "user_name"=>"Dr. Julie Bindeman", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2578072269/rk5un9h3pad7s9u4vc6j_normal.jpeg"}
• {"id"=>"397788314805493760", "text"=>"RT @drjulieb: Acupuncture might help treat depression: http://t.co/H9GexMOtsT", "created_at"=>"2013-11-05T18:11:39Z", "user"=>"MDPsychAssn", "user_name"=>"MD Psych Association", "user_profile_image"=>"http://pbs.twimg.com/profile_images/822491044/Maryland_normal.jpg"}
• {"id"=>"398871133333618688", "text"=>"Acupuntura para la depresión. http://t.co/h9nhr2fFtl\nArtículo completo:\nhttp://t.co/N2rixjmKus", "created_at"=>"2013-11-08T17:54:23Z", "user"=>"davidmoleiroPsi", "user_name"=>"David Moleiro", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000710959933/28332e7ce2cc608da5a6ef8f02c6bd62_normal.jpeg"}
• {"id"=>"417739648106917889", "text"=>"#Acupuncture & Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/qtIs423IfD #AcupunctureHour", "created_at"=>"2013-12-30T19:31:07Z", "user"=>"AcuHour", "user_name"=>"Acupuncture Hour", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000842208675/ed7781ae22859323872c19f38b83a913_normal.jpeg"}
• {"id"=>"417740838924713984", "text"=>"RT @AcuHour: #Acupuncture & Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/qtIs423IfD #AcupunctureH…", "created_at"=>"2013-12-30T19:35:51Z", "user"=>"deb_connor", "user_name"=>"Deb Connor", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2240171984/China2007-07-06_7_normal.JPG"}
• {"id"=>"417740989118566400", "text"=>"RT @AcuHour: #Acupuncture & Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/qtIs423IfD #AcupunctureH…", "created_at"=>"2013-12-30T19:36:27Z", "user"=>"chrishorricks31", "user_name"=>"6MusicChris", "user_profile_image"=>"http://pbs.twimg.com/profile_images/414476091416666113/rSYQn1jq_normal.jpeg"}
• {"id"=>"417741088129286145", "text"=>"RT @AcuHour: #Acupuncture & Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/qtIs423IfD #AcupunctureH…", "created_at"=>"2013-12-30T19:36:51Z", "user"=>"AcuDoc4Health", "user_name"=>"Debra Gaffney, A.P.", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2453195164/DebGaffney_head_normal.jpg"}
• {"id"=>"420276891698737152", "text"=>"#Acupuncture and Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/xl4gugnl80 #AcupuncturrHour", "created_at"=>"2014-01-06T19:33:14Z", "user"=>"deb_connor", "user_name"=>"Deb Connor", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2240171984/China2007-07-06_7_normal.JPG"}
• {"id"=>"420277185895989248", "text"=>"RT @deb_connor: #Acupuncture and Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/xl4gugnl80 #Acupunc…", "created_at"=>"2014-01-06T19:34:24Z", "user"=>"AcuHour", "user_name"=>"Acupuncture Hour", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000842208675/ed7781ae22859323872c19f38b83a913_normal.jpeg"}
• {"id"=>"420277688629485568", "text"=>"RT @deb_connor: #Acupuncture and Counselling for #Depression in Primary Care: A Randomised Controlled Trial http://t.co/xl4gugnl80 #Acupunc…", "created_at"=>"2014-01-06T19:36:24Z", "user"=>"bcentralclinic", "user_name"=>"BirminghamCentralAcu", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2914365098/5d5df2254c5021b1d45c755d425c2206_normal.jpeg"}
• {"id"=>"423378145824079872", "text"=>"@matteocerri acupuncture true effects are true placebo http://t.co/zrcHcnd3Qk via @PlosOne", "created_at"=>"2014-01-15T08:56:30Z", "user"=>"RiccardoGuidi87", "user_name"=>"Riccardo Guidi", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1870395509/Riccardo-Profile3_normal.jpg"}
• {"id"=>"434368952605483008", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/XXFkVegi4m", "created_at"=>"2014-02-14T16:50:03Z", "user"=>"AcupunctureEDH", "user_name"=>"Drum Acupuncture", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1703529081/acucenter_logo_normal.jpg"}
• {"id"=>"434727226119307264", "text"=>"Acpuncture for depression http://t.co/X55EjSM0bB", "created_at"=>"2014-02-15T16:33:42Z", "user"=>"MarieBrobyn", "user_name"=>"Marie Brobyn", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000515807892/070cf6787aa56fbdaa1b2fd98708c34c_normal.jpeg"}
• {"id"=>"435377316168888321", "text"=>"http://t.co/JYBkMPFrbc", "created_at"=>"2014-02-17T11:36:55Z", "user"=>"offjeczka", "user_name"=>"blacksheep", "user_profile_image"=>"http://pbs.twimg.com/profile_images/417392066927157249/ec3ABDzV_normal.jpeg"}
• {"id"=>"436859696901652480", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/vL91bpVND4", "created_at"=>"2014-02-21T13:47:22Z", "user"=>"LisaHrfacu", "user_name"=>"Lisa Dronen", "user_profile_image"=>"http://pbs.twimg.com/profile_images/422050369556865024/RazEdiku_normal.jpeg"}
• {"id"=>"444109524266655744", "text"=>"#Acupuncture, counselling in addition to usual primary care help with #depression. http://t.co/GQY8S1jIFG", "created_at"=>"2014-03-13T13:55:36Z", "user"=>"drcadesky", "user_name"=>"Eric Cadesky", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1418369865/Africa_profile_pic_normal.jpg"}
• {"id"=>"452164370517467136", "text"=>"#acupuncture shown better than standard care and as good as counselling for #depression http://t.co/zNYNqs9UC6", "created_at"=>"2014-04-04T19:22:41Z", "user"=>"acubodywork", "user_name"=>"Duncan McGechie", "user_profile_image"=>"http://pbs.twimg.com/profile_images/1299657635/acupuncture_bodywork_normal.jpg"}
• {"id"=>"452166367639519232", "text"=>"RT @acubodywork: #acupuncture shown better than standard care and as good as counselling for #depression http://t.co/zNYNqs9UC6", "created_at"=>"2014-04-04T19:30:37Z", "user"=>"AcuDoc4Health", "user_name"=>"Debra Gaffney, A.P.", "user_profile_image"=>"http://pbs.twimg.com/profile_images/2453195164/DebGaffney_head_normal.jpg"}
• {"id"=>"464164912403476481", "text"=>"#PLOSMedicine: Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial http://t.co/jNW9tZEmlg #akupunktur", "created_at"=>"2014-05-07T22:08:33Z", "user"=>"MereteLD", "user_name"=>"Merete Lindén Dahle", "user_profile_image"=>"http://pbs.twimg.com/profile_images/453980033543983104/I1sFLDq8_normal.jpeg"}
• {"id"=>"533015686923046912", "text"=>"Acupuncture provides relief from depression. http://t.co/rE05jX7R6K", "created_at"=>"2014-11-13T21:56:57Z", "user"=>"BarefootAcu", "user_name"=>"Barefoot Acupuncture", "user_profile_image"=>"http://pbs.twimg.com/profile_images/502457110429315073/fVDZGk4q_normal.jpeg"}
• {"id"=>"534438455540219904", "text"=>"@AcuHour @BellaRoseT Try this for starters. http://t.co/mLUgJhMKzp #AcupunctureHour", "created_at"=>"2014-11-17T20:10:31Z", "user"=>"ElyAcupuncture", "user_name"=>"Anthony Sigrist", "user_profile_image"=>"http://pbs.twimg.com/profile_images/411993178409938945/14PsxyZv_normal.jpeg"}
• {"id"=>"534438579746127872", "text"=>"Starter for 10 - http://t.co/mLUgJhMKzp", "created_at"=>"2014-11-17T20:11:01Z", "user"=>"ElyAcupuncture", "user_name"=>"Anthony Sigrist", "user_profile_image"=>"http://pbs.twimg.com/profile_images/411993178409938945/14PsxyZv_normal.jpeg"}
• {"id"=>"534439642112995328", "text"=>"RT @ElyAcupuncture: @AcuHour @BellaRoseT Try this for starters. http://t.co/mLUgJhMKzp #AcupunctureHour", "created_at"=>"2014-11-17T20:15:14Z", "user"=>"BellaRoseT", "user_name"=>"Annabel Tindale", "user_profile_image"=>"http://pbs.twimg.com/profile_images/518678996347674624/fXnDAyyx_normal.jpeg"}
• {"id"=>"534439887446237184", "text"=>"RT @ElyAcupuncture: @AcuHour @BellaRoseT Try this for starters. http://t.co/mLUgJhMKzp #AcupunctureHour", "created_at"=>"2014-11-17T20:16:13Z", "user"=>"AcuHour", "user_name"=>"#AcupunctureHour", "user_profile_image"=>"http://pbs.twimg.com/profile_images/378800000842208675/ed7781ae22859323872c19f38b83a913_normal.jpeg"}
• {"id"=>"534447529971417089", "text"=>"RT @ElyAcupuncture: @AcuHour @BellaRoseT Try this for starters. http://t.co/mLUgJhMKzp #AcupunctureHour", "created_at"=>"2014-11-17T20:46:35Z", "user"=>"deb_connor", "user_name"=>"Deb Connor", "user_profile_image"=>"http://pbs.twimg.com/profile_images/435771716556820480/ftm0LX74_normal.jpeg"}
• {"id"=>"750999300235104256", "text"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial: https://t.co/Vu9g20E1GC", "created_at"=>"2016-07-07T10:26:00Z", "user"=>"IFIHMed", "user_name"=>"IFIHMed", "user_profile_image"=>"http://pbs.twimg.com/profile_images/697189284227362816/5w1J_ql3_normal.jpg"}
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• {"id"=>"838452187848114176", "text"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial - https://t.co/fqmdLroW9G https://t.co/nrfiRlEdHA", "created_at"=>"2017-03-05T18:12:33Z", "user"=>"torrylad", "user_name"=>"David Elliott", "user_profile_image"=>"http://pbs.twimg.com/profile_images/239705466/lobby2_normal.JPG"}
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• {"id"=>"913121128318685184", "text"=>"Acupuncture and Counselling for Depression: RCT - both associated with significantly reduced depression\n https://t.co/fVuXfJaZf3", "created_at"=>"2017-09-27T19:20:16Z", "user"=>"CommunityBands", "user_name"=>"Community Bands", "user_profile_image"=>"http://pbs.twimg.com/profile_images/835479590369955840/B59jRXfz_normal.jpg"}

Wikipedia | Further Information

• {"title"=>"Hugh MacPherson", "url"=>"http://en.wikipedia.org/wiki/Hugh_MacPherson", "timestamp"=>"2018-12-09T06:00:21Z"}

Wordpress.com | Further Information

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Figshare

• {"files"=>["https://ndownloader.figshare.com/files/1214301"], "description"=>"<p>Percent given out of non-missing data, percent missing given out of applicable group total.</p><p>A BDI-II score of 20 or above was required to be eligible for the trial.</p>", "links"=>[], "tags"=>["variables"], "article_id"=>807125, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.t001", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographics_and_variables_of_interest_at_bastline_/807125", "title"=>"Demographics and variables of interest at bastline.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214300"], "description"=>"a<p>ANCOVA, effect of trial arm on imputed PHQ-9 at 3 months (adjusting for baseline PHQ-9).</p>b<p>Mixed, effect of trial arm on PHQ-9 over 12 months, (mixed effects model, including time, trial arm x time, baseline PHQ-9, baseline expectation of counselling and baseline expectation of allocated treatment. For the comparison between acupuncture and counselling, treatment time by 3 months and practitioner's empathy were additionally included.)</p>c<p>AUC, effect of trial arm on average PHQ-9 depression over 12 months (adjusting for Baseline PHQ-9).</p><p>SE, standard error.</p>", "links"=>[], "tags"=>["phq-9"], "article_id"=>807124, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.t003", "stats"=>{"downloads"=>0, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_of_trial_arm_on_PHQ_9_depression_/807124", "title"=>"Effect of trial arm on PHQ-9 depression.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214297"], "description"=>"<p>CONSORT flow diagram.</p>", "links"=>[], "tags"=>[], "article_id"=>807121, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.g001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_CONSORT_flow_diagram_/807121", "title"=>"CONSORT flow diagram.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214306", "https://ndownloader.figshare.com/files/1214307", "https://ndownloader.figshare.com/files/1214308", "https://ndownloader.figshare.com/files/1214310", "https://ndownloader.figshare.com/files/1214311", "https://ndownloader.figshare.com/files/1214312", "https://ndownloader.figshare.com/files/1214313", "https://ndownloader.figshare.com/files/1214314", "https://ndownloader.figshare.com/files/1214315", "https://ndownloader.figshare.com/files/1214316"], "description"=>"<div><p>Background</p><p>Depression is a significant cause of morbidity. Many patients have communicated an interest in non-pharmacological therapies to their general practitioners. Systematic reviews of acupuncture and counselling for depression in primary care have identified limited evidence. The aim of this study was to evaluate acupuncture versus usual care and counselling versus usual care for patients who continue to experience depression in primary care.</p><p>Methods and Findings</p><p>In a randomised controlled trial, 755 patients with depression (Beck Depression Inventory BDI-II score ≥20) were recruited from 27 primary care practices in the North of England. Patients were randomised to one of three arms using a ratio of 2∶2∶1 to acupuncture (302), counselling (302), and usual care alone (151). The primary outcome was the difference in mean Patient Health Questionnaire (PHQ-9) scores at 3 months with secondary analyses over 12 months follow-up. Analysis was by intention-to-treat.</p><p>PHQ-9 data were available for 614 patients at 3 months and 572 patients at 12 months. Patients attended a mean of ten sessions for acupuncture and nine sessions for counselling. Compared to usual care, there was a statistically significant reduction in mean PHQ-9 depression scores at 3 months for acupuncture (−2.46, 95% CI −3.72 to −1.21) and counselling (−1.73, 95% CI −3.00 to −0.45), and over 12 months for acupuncture (−1.55, 95% CI −2.41 to −0.70) and counselling (−1.50, 95% CI −2.43 to −0.58). Differences between acupuncture and counselling were not significant. In terms of limitations, the trial was not designed to separate out specific from non-specific effects. No serious treatment-related adverse events were reported.</p><p>Conclusions</p><p>In this randomised controlled trial of acupuncture and counselling for patients presenting with depression, after having consulted their general practitioner in primary care, both interventions were associated with significantly reduced depression at 3 months when compared to usual care alone.</p><p>Trial Registration</p><p>Controlled-Trials.com <a href=\"http://www.controlled-trials.com/ISRCTN63787732/ISRCTN63787732\" target=\"_blank\">ISRCTN63787732</a></p><p><i>Please see later in the article for the Editors' Summary</i></p></div>", "links"=>[], "tags"=>["counselling", "randomised", "controlled"], "article_id"=>807129, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001518.s001", "https://dx.doi.org/10.1371/journal.pmed.1001518.s002", "https://dx.doi.org/10.1371/journal.pmed.1001518.s003", "https://dx.doi.org/10.1371/journal.pmed.1001518.s004", "https://dx.doi.org/10.1371/journal.pmed.1001518.s005", "https://dx.doi.org/10.1371/journal.pmed.1001518.s006", "https://dx.doi.org/10.1371/journal.pmed.1001518.s007", "https://dx.doi.org/10.1371/journal.pmed.1001518.s008", "https://dx.doi.org/10.1371/journal.pmed.1001518.s009", "https://dx.doi.org/10.1371/journal.pmed.1001518.s010"], "stats"=>{"downloads"=>59, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Acupuncture_and_Counselling_for_Depression_in_Primary_Care_A_Randomised_Controlled_Trial_/807129", "title"=>"Acupuncture and Counselling for Depression in Primary Care: A Randomised Controlled Trial", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214303"], "description"=>"a<p>All percentages given out of total number of patients with valid responses.</p>", "links"=>[], "tags"=>["patients", "taking", "prescribed", "preceding"], "article_id"=>807127, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.t005", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_patients_taking_prescribed_medication_in_the_preceding_3_months_/807127", "title"=>"Number of patients taking prescribed medication in the preceding 3 months.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214302"], "description"=>"a<p>ANCOVA, effect of trial arm on imputed BDI-II at 12 months (adjusting for baseline BDI-II, baseline expectation of counselling and baseline expectation of allocated treatment. For the comparison between acupuncture and counselling, treatment time by 3 months and practitioner's empathy were additionally included.)</p>", "links"=>[], "tags"=>["bdi-ii"], "article_id"=>807126, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.t004", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_of_trial_arm_on_BDI_II_depression_/807126", "title"=>"Effect of trial arm on BDI-II depression.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214299"], "description"=>"<p>Unadjusted depression outcomes.</p>", "links"=>[], "tags"=>[], "article_id"=>807123, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.t002", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Unadjusted_depression_outcomes_/807123", "title"=>"Unadjusted depression outcomes.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-09-24 01:28:30"}
• {"files"=>["https://ndownloader.figshare.com/files/1214298"], "description"=>"<p>Acupuncture, black line; counselling, grey line; usual care, dashed line.</p>", "links"=>[], "tags"=>["phq-9", "scores", "baseline", "12"], "article_id"=>807122, "categories"=>["Biological Sciences"], "users"=>["Hugh MacPherson", "Stewart Richmond", "Martin Bland", "Stephen Brealey", "Rhian Gabe", "Ann Hopton", "Ada Keding", "Harriet Lansdown", "Sara Perren", "Mark Sculpher", "Eldon Spackman", "David Torgerson", "Ian Watt"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001518.g002", "stats"=>{"downloads"=>0, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Unadjusted_PHQ_9_mean_scores_from_baseline_to_12_months_/807122", "title"=>"Unadjusted PHQ-9 mean scores from baseline to 12 months.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-09-24 01:28:30"}

PMC Usage Stats | Further Information

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Relative Metric

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F1000Prime | Further Information

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• {"year"=>2019, "month"=>7, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-07-29T08:41:17Z"}
• {"year"=>2019, "month"=>8, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-08-26T08:41:08Z"}
• {"year"=>2019, "month"=>9, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-09-30T08:41:08Z"}
• {"year"=>2019, "month"=>10, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-10-28T08:41:07Z"}
• {"year"=>2019, "month"=>11, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-11-25T09:41:11Z"}
• {"year"=>2019, "month"=>12, "doi"=>"10.1371/journal.pmed.1001518", "f1000_id"=>"718130027", "url"=>"https://f1000.com/prime/718130027", "score"=>2, "classifications"=>["new_finding"], "updated_at"=>"2019-12-09T09:41:02Z"}