***Trends in management of acute otitis media by PCPs***
In 2004, the American Academy of Pediatrics and the American Academy of Family Physicians release guidelines on the antibiotic management of acute otitis media (your average ear infection). These are trade organizations that have the best interests of their members in mind. So, you would think that physicians would diligently adopt these recommendations because they would be in the best interests of their patients. So how many did in this study? 15%. Fifteen percent. That's 85% short of full participation. Quite frankly, this is appalling, sickening and unacceptable. As physicians, we have an OBLIGATION to do the best for our patients. And that includes staying current to at least a minor degree with medical literature and guidelines. What makes this all so much more bothersome is that ear infections are not that hard to fix, and use of antibiotics will likely increase risk of future infections by destroying normal, protective flora, not to mention the major negative effect years down the line by destroying a major factor in our overall health!! EESHH!! I feel better now...
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***Insulin Sensitivity after Metformin Suspension in Normal Weight Women with PCOS***
I have long asserted that we are handling infertility in a very poor manner. In most cases, infertility is related to poor lifestyle, and not addressing these lifestyle factors opens up an entire Pandora's Box of potential problems, both with pregnancy, pregnancy outcomes and the long term health of the child. So, the ONLY real answer is lifestyle changes. But alas, many women with PCOS (the main cause of infertility here in the US) are just given Metformin, a drug that increases insulin sensitivity in the liver. This study evaluated what happened when those patients were taken OFF of this drug. Interestingly, the women with PCOS were WORSE OFF after the treatment then before!! It just reinforces the idea that drugs are not the answer for this condition, and any other approach that doesn't address lifestyle is likely to make the condition worse. Also, consider that Metformin only works in the liver. A few articles back, we saw that insulin resistance in the muscle is a major factor in the development of MetS, and yet Metformin does nothing to address this aspect.
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***The Neuroprotective Effects of Caffeine***
Coffee has dealt with a bad rap for many years but this bad rap is not deserved. Much like chiropractic, the minivan and quiche. We have seen studies showing a protective effect of coffee consumption on Parkinson's risk. The bottom line is that coffee contains polyphenols, just like tea, dark chocolate and red wine. These compounds are well known to protect us from chronic disease. With this in mind, this study was designed to evaluate caffeine intake, but intake was based on "cups per day," which of course would include tea as well. But caffeine has its own set of benefits, although, like anything else, too much can create problems, in this case by overloading the adrenal glands. So caffeine is known to increase blood flow to the brain, and so increased nutrients to the brain would provide neurons with the ability to stay healthier.
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***Maternal Nutrient Supplementation Counteracts Bisphenol A induced DNA Hypomethylation in Early Development***
The average person may not be quite aware of the massive toxic load we are all exposed to on a daily basis (for a good scare, visit, (www.EWG.org). While we cannot eliminate our exposure, we can become cognizant and reduce our exposure as well as use diet and supplementation to mitigate the effects of this toxin exposure. In this mouse study, it was determined that Bisphenol A, a compound routinely found in plastics, damaged DNA. However, this damaged was avoided by folic acid supplementation. So, the best combined effect would be to reduce exposure while taking a good quality prenatal with adequate levels of folic acid.
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***DHA supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men***
It never ceases to amaze me the bias in medicine today against Mother Nature. We see clinical trials with statin drugs that lower levels of triglycerides maybe 20% and the medical community bows down before the might of the HMG CoA reductase inhibitors. Well, here we see good 'ole DHA drastically lowering both triglycerides (24%) and lowered large VLDL (the worst of the worst for lipids) and incredible 92%. So why on Earth do we still use the statin class of drugs? Incidentally, this study found that all the changes occurred up to 45 days and not beyond.
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***High dose probiotic and prebiotic cotherapy for remission induction of active Crohn’s disease***
While this is a small study, it's definitely an important one for a variety of reasons. First, much research suggests that altered bacterial flora plays almost the pivotal role in development of inflammatory bowel disease, but that this alteration occurs early in life. All the more reason to avoid antibiotics at all costs, especially in infants. Next, the levels used in this study were substantial, with the average being 45 billion CFUs for the entire 13 months of the study. Lastly, the response was quite strong, with NO side effects noted. Given the litany of problems associated with pharmaceutical treatment of IBD, this lack of side effects is a strong selling point.
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***Sulfonylurea and glinide reduce insulin content, functional expression of K ATP channels, and accelerate apoptotic beta-cell death in the chronic phase***
Wow. The biggest fear in most diabetics is the need to go on insulin. I can honestly say that, without exception, I have yet to see a diabetic follow mainstream medicine's protocols and get better. For all, it is a slow downward spiral of worsening glucose control ending up with insulin use or death from heart disease. Not a pretty picture, huh? If the outcome is not sickening enough, picture this--2 classes of commonly used drugs for diabetes kill off the very cells that make insulin in the pancreas. Read that last line again. That means that if you stay on your medication, it is likely to produce the very outcome most diabetics are trying desperately to avoid.
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***Association of Dietary Patterns With Cancer Recurrence and Survival in Patients With Stage III Colon Cancer***
There is an unfortunate attitude among many (if not most) oncologists in this country. Basically, the human body and its own inherent physiology no longer matters in the outcome of the cancer. Along these same lines, any type of supplementation or dietary change will be inconsequential in the total picture. However, this attitude is blatantly false with much research to back it up. That's all fine and dandy, but the patient's life is literally hanging in the balance. In today's day and age, with the amount of research backing it up, it should be considered malpractice for an oncologist NOT to fully integrate physiology-based natural interventions to lower the risk of side effects and increase the outcomes of cancer patients. In this study alone, we see patients adopting a typical Western-type diet having more than TRIPLE the risk of death or recurrence of colon cancer. Triple.
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***Probiotics for treatment of acute diarrhoea in children: randomised clinical trial of five different preparations***
The continued high use of inappropriate antibiotics in children doesn't seem to show any hint of waning. Some may look at this overuse of antibiotics in the short term and note that there is no harm in prescribing the antibiotics. I would suggest that "no harm" is the farthest thing from the truth. We are continually seeing probiotics being used therapeutically for the prevention and / or treatment of any number of problems. In this study, we see their use in children with acute diarrhea cutting down the number of hours of diarrhea from 115 to 70. That's almost 2 days less. However, if you read down to the conclusions of the authors, please refrain from laughing at the comment that "pediatricians should choose bacterial preparations based on effectiveness data." Heck, first they've have to actually admit that probiotics are effective before they'd even be concerned with more specific questions!
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***Treatment of irritable bowel syndrome with osteopathy: Results of a randomized controlled pilot study***
There has almost been much controversy about whether spinal adjusting has the ability to affect visceral function. Over the years, there has been a surprising number of studies (mostly in osteopathic journals) that do show an effect of manipulation on visceral function. In this small study we see that osteopathic manipulation was effective in symptom scores for irritable bowel syndrome. Couple manual therapy with some aggressive lifestyle changes and targeted suplementation and you've got quite a nice set of tools to drastically help IBS.
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James Bogash, DC and Amy Strock, DC
1830 S. Alma School Rd, Bldg 7, Ste 135, Mesa, AZ 85210
(Alma School Road, just south of the Superstition Freeway/Highway 60)
Chiropractic Health Care Chandler, Mesa, Gilbert & Tempe, Arizona
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