Monthly Archives

September 2018

The medical profession oversells the benefits of drugs for chronic disease since so few patients would apparently take them if doctors divulged the truth.   References: B Hudson, A Zarifeh, L Young, J E Wells. Patients' expectations of screening and preventive treatments. Ann Fam Med. 2012 Nov-Dec;10(6):495-502. P Lytsy, R Westerling. Patient expectations on lipid-lowering drugs. Patient Educ Couns. 2007 Jul;67(1-2):143-50. P N Trewby, A V Reddy, C S Trewby, V J Ashton, G Brennan, J Inglis. Are preventive drugs preventive enough? A study of patients' expectatio n of benefit from preventive drugs. Clin Med. 2002 Nov-Dec;2(6):527-33. H Leaman, P R Jackson. What benefit do patients expect from adding second and third antihypertensive drugs? Br J Clin Pharmacol. 2002 Jan;53(1):93-9. C B Jr Esselstyn, G Gendy, J Doyle, M Golubic, M F Roizen. A way to reverse CAD? J Fam Pract. 2014 Jul;63(7):356-364b.
More people might be open to changing their diet and lifestyle if they knew how little modern medicine has to offer for combating chronic diseases.   References: T V Pereira, R I Horwitz, J P Ioannidis. Empirical evaluation of very large treatment effects of medical interventions. JAMA. 2012 Oct 24;308(16):1676-84. B Starfield. Is US health really the best in the world? JAMA. 2000 Jul 26;284(4):483-5. Y Ishida. Deficiencies in US medical care. JAMA. 2000 Nov 1;284(17):2185; author reply 2186-7. K Gilbert, C Stafford, K Crosby, E Flemming, R Gaynes. Does hand hygiene compliance among health care workers change when patients are in contact precaution rooms in ICUs? Am J Infect Control. 2010 Sep;38(7):515-7. R Nasr, SL Traboulsi, R Rami, A Ghaida, J Bakhach. Iatrogenic Penile Glans Amputation: Major Novel Reconstructive Procedure. Case Reports in Urology Volume 2013 (2013). L L Leape, D M Berwick. Five years after To Err Is
What is the latest science on the performance-enhancing qualities of nitrate-rich vegetables?   References: A M Jones. Influence of dietary nitrate on the physiological determinants of exercise performance: a critical review. Appl Physiol Nutr Metab. 2014 Sep;39(9):1019-28. W T Clements, S R Lee, R J Bloomer. Nitrate ingestion: a review of the health and physical performance effects. Nutrients. 2014 Nov 18;6(11):5224-64. F Wang, S Dai, M Wang, H Morrison. Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men. Urology. 2013 Dec;82(6):1330-5. F J Larsen, T A Schiffer, S Borniquel, K Sahlin, B Ekblom, J O Lundberg, E Weitzberg. Dietary inorganic nitrate improves mitochondrial efficiency in humans. Cell Metab. 2011 Feb 2;13(2):149-59. M Murphy, K Eliot, R M Heuertz, E Weiss. Whole beetroot consumption acutely improves running performance. J Acad Nutr Diet. 2012 Apr;112(4):548-52. D A Hobbs, M G Goulding, A Nguyen, T Malaver, C F Walker, T W George, L
Those eating a more plant-based diet may naturally have an enhanced antioxidant defense system to counter the DNA damage caused by free radicals produced by high-intensity exercise.   References: A. Mastaloudis, T.-W. Yu, R. P. O'Donnell, B. Frei, R. H. Dashwood, M. G. Traber. Endurance exercise results in DNA damage as detected by the comet assay. Free Radic. Biol. Med. 2004 36(8):966 - 975 M. C. Fogarty, C. M. Hughes, G. Burke, J. C. Brown, T. R. Trinick, E. Duly, D. M. Bailey, G. W. Davison. Exercise-induced lipid peroxidation: Implications for deoxyribonucleic acid damage and systemic free radical generation. Environ. Mol. Mutagen. 2011 52(1):35 - 42 M. C. Fogarty, C. M. Hughes, G. Burke, J. C. Brown, G. W. Davison. Acute and chronic watercress supplementation attenuates exercise-induced peripheral mononuclear cell DNA damage and lipid peroxidation. Br J Nutr. 2013 109(2):293-301 N. A. Casanova, M. A. Carballo. Antigenotoxic activity of watercress
  Physical fitness authorities seem to have fallen into the same trap as the nutrition authorities—recommending what they think may be achievable, rather than simply informing us what the science says, and letting us make up our own mind.   References: Archer E, Hand GA, Blair SN (2013) Correction: Validity of U.S. Nutritional Surveillance: National Health and Nutrition Examination Survey Caloric Energy Intake Data, 1971–2010. PLoS ONE 8(10): Blair SN. Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med. 2009 Jan;43(1):1-2. Centers for Disease Control and Prevention (CDC). Adult participation in aerobic and muscle-strengthening physical activities--United States, 2011. MMWR Morb Mortal Wkly Rep. 2013 May 3;62(17):326-30. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, Atkinson C, Bacchus LJ, Bahalim AN, Balakrishnan K, Balmes J, Barker-Collo S, Baxter A, Bell ML, Blore JD,