Chiro.org - Chiropractic Resource Organization.     Support Chiropractic Research!

Monthly Archives: June 2012

Home/2012/June

The Supreme Court’s health care decision: What it does—and does not—mean

By |June 28, 2012|Health Care|

Source Harvard Health Blog

Anthony Komaroff, M.D., Editor in Chief, Harvard Health Publications

The passage of the Patient Protection and Affordable Care Act (which I’ll just call the Law) in 2010 was regarded as a landmark event in U.S. history. Today’s ruling by the Supreme Court, which largely upholds the Law, should also be viewed as a landmark event—whether one agrees with it or not.

Why? Three reasons: Everyone wants health care when they need it. Everyone wants to be spared financial devastation from the cost of that care. And health care accounts for 17% of the total U.S. economy, and is growing at a faster rate than the rest of the economy—putting the rest of the economy under enormous strain.

Before the Law was passed, I saw two huge challenges facing U.S. health care. The first was the fact that so many people did not have health insurance. The second was the high cost of health care.

For decades, the percentage of Americans with health insurance has been lower than in other developed nations. Passage of the Law did not immediately change things. At the time of a survey by the National Center for Health Statistics in 2011, 46 million Americans—15% of the population—had no health insurance. These people lived an automobile accident, a heart attack, or a stroke away from becoming destitute.

Who are they? Relatively few are unemployed adults. People who are chronically unemployed have often been able to get health insurance through Medicaid. In fact, most of the uninsured are working adults whose employers did not provide health insurance. Many are children—often, the children of employed but uninsured adults. A smaller fraction are adults under the age of 65 who are out of the labor force.

Another group of people without health insurance are healthy young adults who have simply decided not to pay for health insurance—and to take their chances. They know that if they become seriously injured or ill, they will receive health care somewhere—effectively paid for by the insurance payments that other people are making. They are “free riders.” In passing the Law, the President and Congress basically said to them, “That’s not fair.” (more…)

A Practical Guide to Avoiding Drug-Induced Nutrient Depletion

By |June 25, 2012|Clinical Decision-making, Complementary Medicine, Diagnosis, Drug-Induced Nutrient Depletion, Evaluation & Management, Evidence-based Medicine, Iatrogenic Injury, Supplementation|

A Practical Guide to Avoiding Drug-Induced Nutrient Depletion

The Chiro.Org Blog


SOURCE:   Nutrition Review ~ October 2011

By Hyla Cass, MD


A little known, but potentially life-saving fact is that common medications deplete your body of a host of vital nutrients essential to your health. This practical guide will show you how to avoid drug-induced nutrient depletion and discuss options for replacing nutrient-robbing medications with natural supplements.

America has been called a pill-popping society, and the statistics bear this out. Nearly 50 percent of all American adults regularly take at least one prescription drug, and 20 percent take three or more. [1] Our increasing reliance on prescription medications has contributed to the growing problem with nutrient depletion. The truth is that every medication, including over-the-counter drugs, depletes your body of specific, vital nutrients. This is especially concerning when you consider that most Americans are already suffering from nutrient depletion. Additionally, many of the conditions physicians see in their everyday practice may actually be related to nutrient depletion. The good news is that, armed with information and the right supplements, you can avoid the side effects of nutrient depletion, and even better, you may be able to control and prevent chronic diseases, such as diabetes, cardiovascular disease and osteoporosis.

There is more info like this at our:

Nutrient Depletion Page

A Common Scenario

(more…)

Neck and Back Pain in Children: Prevalence and Progression Over Time

By |June 19, 2012|Low Back Pain, Neck Pain, Pediatrics|

Neck and Back Pain in Children:
Prevalence and Progression Over Time

The Chiro.Org Blog


SOURCE:   BMC Musculoskelet Disord. 2011 (May 16); 12: 98 ~ FULL TEXT

Per Kjaer, Niels Wedderkopp, Lars Korsholm, and
Charlotte Leboeuf-Yde

Institute of Sports Science and Clinical Biomechanics,
Part of Clinical Locomotion Network,
University of Southern Denmark,
Campusvej 55, DK-5230, Odense, Denmark.


The following article appears to be the first study to track and review the progression of back pain in the same group of children, over a prolonged period, to see how (or if) it is a contributor to those same complains in adulthood.

Of particular interest is Table 2, because it breaks down and tracks complaints of either neck, mid back, or low back pain in the same group of children at 3 different time periods: ages 9, 13 and 15 years old.

Table 2: Prevalence rates of different types of back pain in a cohort of Danish children/ adolescents surveyed at three time points

  Age Group     Age 9     Age 13     Age 15  
Neck Pain
All children

Boys

Girls

10%

9%

11%
7%

5%

9%
15%

13%

18%
Mid Back Pain
All children

Boys

Girls

20%

22%

19%
13%

13%

13%
28%

22%

32%
Low Back Pain
All children

Boys

Girls

33%

32%

34%
28%

26%

30%
48%

39%

54%


The Abstract and Full Text Article: (more…)

Online Marketing: How’s Your Biography?

By |June 17, 2012|Marketing, Social Media|

Online Marketing: How’s Your Biography?

The Chiro.Org Blog


SOURCE:   ACA News

By Kim Beebe


Did you know that the Meet the Doctor section of a chiropractic website can account for nearly 50 percent of total page views of your site? In many cases that’s more than the About Us or Contact Us pages, which are often considered the most important website areas after the home page.

This bit of information is critical for two reasons. First, if you don’t have a Meet the Doctor or Meet the Staff area on your website, you’re missing out. Second, if your biography is incomplete, poorly written or boring, you could be unknowingly sabotaging one of the greatest (and simplest) patient-attraction strategies available.

A professional summary (biography), which highlights your background, experience and expertise, is a must for all professionals, regardless of field. Usually considered a tool for career advancement or peer-to-peer use, the standard utilitarian bio often makes its way onto the back of your office brochure, the About Us page of your website, your Facebook timeline and more. The problem is that typically this version is not suitable for Joe Public’s eyes.

Why? Because it doesn’t share what the average person (a.k.a. potential patient) really wants to know. It doesn’t engage them, inspire them or further your relationship in any way. However, with a few adjustments, your biography can be transformed into something people want to read from start to finish, leading them to feel a sense of familiarity and connection without ever having met you in person. Better yet, since biographies used for marketing purposes are often so poorly done, putting your and your team’s bios through this checklist will really make them stand out.

There are other helpful materials like this at our:

New DCs Page and our

Chiropractic Assistant (CA) Page

CV, Résumé or Biography?

(more…)

The Subluxation Complex Saves Diagnosis for Texas Chiropractors

By |June 14, 2012|Announcement, Diagnosis, Evaluation & Management, Subluxation|

The Subluxation Complex Saves Diagnosis for Texas Chiropractors

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic

By James Edwards, DC


On April 5, 2012, the Third Court of Appeals of Texas issued a 58-page opinion in Cause No. 03-10-673-CV – the Texas Board of Chiropractic Examiners (TBCE) and the Texas Chiropractic Association (TCA) vs. the Texas Medical Association (TMA), the Texas Medical Board (TMB) and the State of Texas.

According to an April 6, 2012 communication by the Texas Chiropractic Association [1], the case presented three questions for the court:

1) Are the two TBCE rules that allow chiropractors to make certain “diagnoses” valid?

2) Can chiropractors perform MUA?

3) Can chiropractors perform needle EMG?

Here’s what the Court of Appeals had to say in the matter:

Diagnosis

On the two most important issues presented by the TCA, the Court of Appeals upheld the validity of TBCE’s Rules 75.17(d)(1)(A) and (B) (“the scope of practice rules”). The first rule, 75.17(d)(1)(A), permits chiropractors to render diagnoses “regarding the biomechanical condition of the spine and musculoskeletal system,” and lists six typical diagnostic areas as examples of what is within the scope of practice. At the district court level, Judge Yelenosky had struck down that rule, stating that it created an unlimited authorization to diagnose any disease or condition, which, he said, exceeded chiropractors’ scope of practice.

The Court of Appeals disagreed and reversed Judge Yelenosky’s decision. The court found that the TBCE rule does not exceed the scope of practice because the rule limits chiropractors to making diagnoses of the biomechanical condition of the spine and musculoskeletal system.

The second rule, 75.17(d)(1)(B), permits chiropractors to diagnose subluxation complexes of the spine or musculoskeletal system, and lists three examples of what is within the scope of practice. The Texas Medical Association and Texas Medical Board had challenged that rule, claiming that the rule allowed chiropractors to diagnose neurological conditions, and pathological and neurophysiological consequences that affect the spine and musculoskeletal system. At the district court level, Judge Yelenosky agreed and struck down the rule because he found that it expanded the scope of chiropractic beyond what was allowed in the Chiropractic Act.

Again, the Court of Appeals disagreed with District Court Judge Yelenosky. The appeals court acknowledged that a subluxation complex could have functional or pathological consequences that affect essentially every part of the body. But the court found that the rule itself only allowed chiropractors to render a diagnosis regarding a subluxation complex of the spine or musculoskeletal system. That authority, the appeals court held, was consistent with the Chiropractic Act. (more…)

Strokes May Seem Rare, But Can Occur 230% More Often Using The Pill

By |June 14, 2012|Announcement, Oral Contraceptives, Public Health, Stroke|

Strokes May Seem Rare, But Can Occur 230% More Often Using The Pill

The Chiro.Org Blog


SOURCE: MedPage Today ~ June 13, 2012

By Todd Neale, Senior Staff Writer


A large Danish registry study found that the risks of thrombotic stroke or myocardial infarction (MI) roughly doubled in women taking oral contraceptives with low-to-moderate doses of ethinyl estradiol.

Note that the overall number of thrombotic strokes or MIs was small.

The relative risks of thrombotic stroke and myocardial infarction (MI) are higher among users of hormonal contraception, although absolute risks remain low, a Danish study showed.

Use of oral contraceptives combining low-to-moderate doses of ethinyl estradiol and various progestins was associated with up to 2.3 times the risks of thrombotic stroke or MI compared with non-use, according to Øjvind Lidegaard, DrMedSci, of Copenhagen University Hospital, and colleagues.

The type of progestin in the pill had little effect on the risks, the researchers reported in the June 14 issue of the New England Journal of Medicine.

To put the risk in perspective, they estimated that among 10,000 women taking a pill combining desogestrel with ethinyl estradiol at a dose of 20 μg for 1 year, two will have arterial thrombosis and seven will have venous thrombosis.

(more…)