Showing posts with label benefit. Show all posts
Showing posts with label benefit. Show all posts

Review of Cinnamon Studies Finds No Significant Benefit

Monday, February 24, 2014

Heres the latest bit of research on the use of cinnamon to help control blood glucose:

Effect of Cinnamon on Glucose Control and Lipid Parameters

It appeared in this months issue of Diabetes Care. Researchers performed a meta-analysis (a study of studies) of five randomized placebo-controlled trials using cinnamon. Their conclusion:
"Cinnamon does not appear to improve A1C, fasting blood glucose, or lipid parameters in patients with type 1 or type 2 diabetes."
This is not a new investigation, but an analysis of older studies.

NutraIngredients.com has a good run-down:
Meta-Analysis Questions Cinnamons Diabetes Benefits
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What The Debate Over Birth Control Pills As An Essential Benefit Tells Us About National Health Policy Making

Sunday, February 16, 2014

While the physician Disease Management Care Blog understands the logic behind essential health benefit determinations, believes good health care includes access to reproductive services and also knows that an unintended pregnancy poses special threats to a womans health, it also sympathizes with the U.S. Catholic Bishops stand on birth control pills. 

Such is the luxury of cognitive dissonance.  Yet, the DMCBs real discomfort is over the broader health policy implications of defining BCPs as an essential health benefit that must be covered with only a few exceptions:

1. There are really two ultimate paths to a federal takeover health care.  The first is obvious: formal through the "nationalization" of either the payment or delivery of services. The second is de facto is through the creation of laws, regulations and standards that amount to an expanding domination of the payment or delivery of services. From an end-user perspective, the DMCB thinks there is little difference between the two and believes we are underestimating the ultimate end game for this and multiple other rules and regulations.

2. Decision-making like this can cut both ways.  While womens health advocates can take comfort in the Obama Administrations courage in the face of the Bishops push-back, its possible that future hyper-rational, inflexible, evidence-based, legalistic, uniformist and technocratic decision-making like this will result in endless legalistic, politically charged and awkward decision-making that will always vex some big constituency.  This is the same science used to provoke the controversy over the merits of mammography in women less than age 50 as well as prostate cancer screening in men.  To make the point, the DMCB poses this silly but troubling thought experiment:  since men are just as responsible and should be given every incentive to not cause unwanted pregnancy, should condoms be an essential health benefit?  If persons with cancer run out of treatment options, should a right to control their own bodies and its technical availability make assisted suicide an essential health benefit? 

This time it was the Catholics turn.  The next one could be yours.

3.  Without some sort of accommodation (which may be in the works), the Bishops arent going to back down.  While a majority of their parishioners may believe in and have used birth control, that test fails at two levels: 1) societys institutions are supposed to stand for a higher standard and 2) decades and even centuries of religious interpretation are not up for a vote.  Standing for something is what faith is all about and Church leaders are simply not going to roll over on insurance that covers birth control for their employees and theyre not going to offer access to birth control pills in the course of the provision of health care. Their only choice, other than millions in fines is to exit the health care arena.  David Brooks has an excellent discussion of why thats a problem. 

4.  It is said that the art of politics is the art of the possible: to work out compromise where everyone can walk away a winner.  While coverage of birth control pills is a victory for womens health advocates that a "base" can feel good about, this is also arguably a failure for a President who was committed to bridging differences and creating a health care system that had broad support.

Image from Wikipedia
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Sunshine could benefit health and prolong life

Tuesday, January 14, 2014



Exposing skin to sunlight may help to reduce blood pressure, cut the risk of heart attack and stroke – and even prolong life, a study suggests.

Researchers have shown that when our skin is exposed to the suns rays, a compound is released in our blood vessels that helps lower blood pressure.

The findings suggest that exposure to sunlight improves health overall, because the benefits of reducing blood pressure far outweigh the risk of developing skin cancer.

The study has been carried out by the University of Edinburgh.

Heart disease and stroke linked to high blood pressure are estimated to lead to around 80 times more deaths than those from skin cancer, in the UK.

Production of this pressure-reducing compound – called nitric oxide – is separate from the bodys manufacture of vitamin D, which rises after exposure to sunshine. Until now it had been thought to solely explain the suns benefit to human health, the scientists add.

The landmark proof-of-principle study will be presented on Friday in Edinburgh at the worlds largest gathering of skin experts.

Researchers studied the blood pressure of 24 volunteers who sat beneath tanning lamps for two sessions of 20 minutes each. In one session, the volunteers were exposed to both the UV rays and the heat of the lamps. In the other, the UV rays were blocked so that only the heat of the lamps affected the skin.

The results showed that blood pressure dropped significantly for one hour following exposure to UV rays, but not after the heat-only sessions. Scientists say that this shows that it is the suns UV rays that lead to health benefits. The volunteers vitamin D levels remained unaffected in both sessions.

Dr Richard Weller, Senior Lecturer in Dermatology at the University of Edinburgh, said: "We suspect that the benefits to heart health of sunlight will outweigh the risk of skin cancer. The work we have done provides a mechanism that might account for this, and also explains why dietary vitamin D supplements alone will not be able to compensate for lack of sunlight.

"We now plan to look at the relative risks of heart disease and skin cancer in people who have received different amounts of sun exposure. If this confirms that sunlight reduces the death rate from all causes, we will need to reconsider our advice on sun exposure."

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