CAM and the American College of Physicians

The Physicians’ Information and Education Resource (PIER) was developed by the American College of Physicians (ACP). It includes tools designed by the Ambulatory Care Quality Alliance (AQA) that are intended to help improve preventive health services and patient outcomes in asthma, coronary artery disease, diabetes, depression, falls, and heart failure.

Interestingly, the PIER modules include information on CAM, as well as ethical and legal issues, and procedures for screening and prevention. PIER is available online to members of the American College of Physicians. This is good because attention to CAM by ACP enhances its perceived worth among its members.

But what about the rest of us?

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More evidence that policosanol does not lower cholesterol

Policosanol is available in the United States as a nutritional supplement with claims that it lowers cholesterol levels. It has been covered extensively on this blog.

With the increase in combination therapy to control hypercholesterolemia, its now been tried and failed when used in combination with atorvastatin (Lipitor).

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Using behavioral therapy to treat generalized anxiety disorder

Generalized anxiety disorder (GAD) is characterized by chronic anxiety and exaggerated worry and tension even when there is little or nothing to provoke it.

Based on the results of clinical studies, psychological therapy based on cognitive behavioral therapy (CBT) principles is effective treatment for (GAD) — at least short-term.

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Acupressure to treat agitation in people with dementia

Agitated behavior occurs in nearly half of patients with dementia. It can be the difference between a person qualifying for different levels (and cost) of nursing home care.

The problem is that the nursing staff is limited in using drugs to control it.

Now, the results of a small study at the National Yang-Ming University in Taipei, Taiwan suggest that acupressure might be a useful alternative.

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Crisco eliminates trans fat

Did you know that when it debuted in 1911, Crisco, the queen (oops; sexist reference) of trans fat products, was hailed as a healthful alternative to butter and lard.

Times have changed, and Crisco has eliminated trans fats from its formula.

This doesn’t automatically mean it’s healthy. We’ll see if the change is for the better.

1/27/07 00:16 JR

The limits of sunscreen to prevent skin cancer

It’s estimated that regular use of sun protective factor (SPF) 15 during the first 18 years of life would reduce the lifetime incidence of nonmelanoma skin cancers by 78%.

It turns out that sunscreen protects against squamous cell carcinomas (SCCs) but is marginal at best against basal cell carcinomas (BCCs) — two cancers that affect different layers in the skin.

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The use of CAM by people with asthma

During the most recent meeting of the American College of Chest Physicians Dr. Paul Blanc from the University of California at San Francisco reported that half of all people with asthma use CAM.

Here are the highlights from Medscape.

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Yoga improves quality of life in patients with chronic pancreatitis

Chronic pancreatitis is most often caused by alcoholism and alcohol abuse. The ability to get these patients to commit and stick with yoga classes twice weekly for 12 weeks is a major accomplishment. Improved quality of life is a bonus.

Here are the results from two studies.

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