Paul Krugman: America’s Greatest Public Health Champion? Last week the New York Times reported on a study which documents a reversing trend in life expectancy for the least educated whites in the US.
The study shows that since 1990, life expectancy for white Americans without a high school diploma has fallen by five years for women and three years for men. Reading this article, one is likely to deduce that these declines are largely the result of individual health behaviours and life style choices. Per the NYT, reasons offered by researchers for this decline include “a spike in prescription drug overdoses among young whites, higher rates of smoking among less educated white women, rising obesity, and a steady increase in the number of the least educated Americans who lack health insurance”. A range of public health experts are also quoted in the piece and offer roughly the same type of behavioural explanations. Is this surprising? Not all survival rate studies are bad. I’ve always been partial to the BMJ’s Christmas issue.
Way back in 2007 they published a phenomenal article on medical myths. Then in 2008, they published another on festive medical myths. This year, they have another masterpiece. It’s entitled, “The survival time of chocolates on hospital wards: covert observational study.” Here’s the abstract: Objective To quantify the consumption of chocolates in a hospital ward environment.Design Multicentre, prospective, covert observational study.Setting Four wards at three hospitals (where the authors worked) within the United Kingdom.Participants Boxes of Quality Street (Nestlé) and Roses (Cadbury) on the ward and anyone eating these chocolates.Intervention Observers covertly placed two 350 g boxes of Quality Street and Roses chocolates on each ward (eight boxes were used in the study containing a total of 258 individual chocolates).
Go read the whole thing. @aaronecarroll. L'odeur des hôpitaux et la confiture de coings. Science-Based Medicine. Behind The Curtain: Study Reveals Big Role of Medical Communication Companies. Keeping you up to date about PubMed Commons. Interventions visant à faciliter le retour au travail des patients atteints de cancer. Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication - The Cochrane Library - Ammendolia. Background Lumbar spinal stenosis with neurogenic claudication is one of the most commonly diagnosed and treated pathological spinal conditions.
It frequently afflicts the elderly population. Objectives To systematically review the evidence for the effectiveness of nonoperative treatment of lumbar spinal stenosis with neurogenic claudication. Search methods CENTRAL, MEDLINE, CINAHL, and Index to Chiropractic Literature (ICL) databases were searched up to June 2012. Selection criteria Randomized controlled trials published in English, in which at least one arm provided data on nonoperative treatments Data collection and analysis We used the standard methodological procedures expected by The Cochrane Collaboration.
Main results From the 8635 citations screened, 56 full-text articles were assessed and 21 trials (1851 participants) were included. Authors' conclusions Non-surgical treatment for spinal stenosis with leg pain Review question Background Study characteristics Key results Epidural injections. Scope - medical blog - Stanford University School of Medicine. Black bean burgers with chipotle ketchup. Dietitian's tip: These black bean burgers may be prepared ahead of time and frozen.
They're higher in fiber and lower in saturated fat and cholesterol, so they make an excellent stand-in for regular hamburgers. Number of servings Serves 6 Ingredients 1 1/4 cups dried black beans, picked over and rinsed, soaked overnight, and drained 3 cups water 1 bay leaf 2 plum (Roma) tomatoes, peeled and seeded then diced 1 yellow onion, chopped 4 cloves garlic, minced 1 tablespoon tomato paste 1 tablespoon wine vinegar 1 chipotle chili in adobo sauce, minced 1 3/4 teaspoons ground cumin 1 teaspoon salt 1 1/2 tablespoons canola oil 1/2 red bell pepper (capsicum), seeded and chopped 1/2 cup cooked brown rice 1/4 cup chopped pecans 1 green (spring) onion, thinly sliced 1 egg, lightly beaten 3/4 cup fresh whole-grain bread crumbs 6 whole-grain hamburger buns 6 slices tomato 6 slices red onion 3 bibb lettuce leaves, halved Directions In a large saucepan over high heat, combine the beans, water and bay leaf.
Attitudinal Healing International. CardioBrief. Cylindres urinaires.