Open Thread Friday
American's generally believe ourselves to be a science based culture. Often arguing about whose science is better at supporting their side of proposed regulatory or legislative change. Persuading us which product to buy or treatment to have prescribed.
This round of writing I have noticed fewer full research articles are available. Abstracts do not provide enough information to evaluate the quality of the research.
Practicing doctors and other health care professionals will be familiar with how little of what they find in medical journals is useful. The term “clinical research” is meant to cover all types of investigation that address questions on the treatment, prevention, diagnosis/screening, or prognosis of disease or enhancement and maintenance of health. Experimental intervention studies (clinical trials) are the major design intended to answer such questions, but observational studies may also offer relevant evidence. “Useful clinical research” means that it can lead to a favorable change in decision making (when changes in benefits, harms, cost, and any other impact are considered) either by itself or when integrated with other studies and evidence in systematic reviews, meta-analyses, decision analyses, and guidelines.
Overall, not only are most research findings false, but, furthermore, most of the true findings are not useful. Medical interventions should and can result in huge human benefit. It makes no sense to perform clinical research without ensuring clinical utility. Reform and improvement are overdue.
Do we get too caught up into mimicking cultures?
Japan boasts one of the longest life expectancies on earth, and it also a world leader in “healthy life expectancy”—the number of years of good health people can expect on average. Since diet is believed to play a key role in a population’s health and longevity, researchers around the world have been studying the benefits of the Japanese diet for some time now.
But what exactly is the Japanese diet? The people of Japan do not dine primarily on sushi, tempura, or other well-known Japanese specialties. Moreover, their eating habits have changed over the years. For our research, we used national surveys to compile weekly menus representative of the Japanese diet at various points in time over the past half century. In the following, we will take a look at the comparative health effects of these menus.
Population-wide screening of high BP by law begun in 1960’s; therefore, detection and pharmaceutical treatment of hypertension effectively decreased the prevalence of hypertension especially in elder population. However, as the mean BP decreased in the whole population including the younger generations, such a phenomenon cannot be explained merely by the widespread use of anti-hypertensive agents (e.g. 30% in 1986 to 40% in 2002 in hypertensive men ), but should be largely due to a change in the Japanese lifestyle and dietary habits. BP decreased despite unfavorable trends of other risk factors such as increased obesity (excluding young women)  and an increase in alcohol consumption . A reduced consumption of salt would have contributed significantly to this decrease . Several decades ago, people living in the northern part of Japan consumed as much as 20 to 30 g of salt per day . The National Nutrition Survey reported that the daily salt intake of the Japanese decreased by 3.8 g, from 14.5 g in 1973 to 10.7 g in 2009—less than half of the estimated intake in the 1950s . The salt reduction in Japan was accomplished in part by a campaign to reduce salt intake initiated by the Japanese Government in 1960’s, in addition to a big lifestyle change during the past several decades. People now do not need to preserve foods using salt through the spread of refrigerator and the development of distribution system, and the westernization of dietary habits reduced the use of soy sauce and miso (fermented soybean paste) which are major dietary sources of salt in Japan.
1 tsp salt = 6 gm, 30 gm would be 5 teaspoonful a day.
Not a lifestyle change we can easily make happen Shorter men live longer, study shows
Short height and long life have a direct connection in Japanese men, according to new research. Shorter men are more likely to have a protective form of the longevity gene, FOXO3, leading to smaller body size during early development and a longer lifespan. Shorter men are also more likely to have lower blood insulin levels and less cancer.
The article America’s Radioactive Secret referenced in yesterday's "The Evening Blues - 1-23-20" had many disturbing examples of how fracking brine is being spread around the country. The following was a method I have not seen mentioned previously.
But the new buzzword in the oil-and-gas industry is “beneficial use” — transforming oil-and-gas waste into commercial products, like pool salts and home de-icers. In June 2017, an official with the Ohio Department of Natural Resources entered a Lowe’s Home Center in Akron and purchased a turquoise jug of a liquid de-icer called AquaSalina, which is made with brine from conventional wells. Used for home patios, sidewalks, and driveways — “Safe for Environment & Pets,” the label touts — AquaSalina was found by a state lab to contain radium at levels as high as 2,491 picocuries per liter. Stolz, the Duquesne scientist, also had the product tested and found radium levels registered about 1,140 picocuries per liter.
Continuing the Journey into Chinese Medicine
This weeks example is more of how topics of interest don't seem to change much. The following translation mentions unusual longevity of the Japanese and women rulers.
Ancient Chinese Historian Describes Japan "Wei-Zhi" (297 AD)