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Yearly Archives: 2015

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Year End Review

By |December 31, 2015|News|

“Americans’ Perceptions of Chiropractic”

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorial


As 2015 draws to a close, let’s review one of the most interesting events of the year.

As tweeted by researcher Dr. Dana Lawrence on September 8th:

Gallup and Palmer College release first-ever national survey on Americans’ perception of chiropractic.


I am highlighting this Gallup survey for several reasons. The main reason is because we have so many different sources to draw from. I was particularly excited by the Palmer Homecoming presentation from Gallup researcher Cynthia English and the Dynamic Chiropractic webinar discussion by Dennis Marchiori, D.C., Ph.D. and William Meeker, D.C., M.P.H.

I hope you will find the following interviews as exciting as I did.


September 8th was when JMPT pre-published the article:

Public Perceptions of Doctors of Chiropractic


Gallup also released their own press release on the study on September 8th:

Majority in U.S. Say Chiropractic Works for Neck, Back Pain


You will also enjoy this fascinating Palmer Homecoming presentation from Gallup researcher Cynthia English about the gathering and meaning of the data they collected.

Gallup-Palmer Presentation from Palmer College of Chiropractic on Vimeo.


According to NewsUSA – Far more adults than anyone thought are seeking help from chiropractors, according to a new nationwide Gallup report.


The complete report “Americans’ Perceptions of Chiropractic
is available for your review.


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Flu Vaccine for All: A Critical Look at the Evidence

By |December 30, 2015|Vaccination|

Flu Vaccine for All:
A Critical Look at the Evidence

The Chiro.Org Blog


SOURCE:   Medscape
NOTE: you need to create a free account to view this source


Question

Does the evidence support the call for universal influenza vaccination?

Response from Eric A. Biondi, MD, MS
Assistant Professor of Pediatrics, Pediatric Hospitalist, University of Rochester Medical Center, Rochester, New York
Response from C. Andrew Aligne, MD, MPH
Assistant Professor of Pediatrics, Director of The Hoekelman Center, University of Rochester School of Medicine & Dentistry, Rochester, New York

Influenza vaccination is a yearly ritual. The Advisory Committee on Immunization Practices (ACIP) and the American Academy of Pediatrics (AAP) recommend annual influenza vaccination for all healthy persons 6 months of age or older who are without contraindications.

In an interview published in The Atlantic, Tom Jefferson, head of the Vaccine Field Group at the Cochrane Database Collaboration (the world’s leading producer of evidence-based medical reviews), voiced serious reservations about the data supporting influenza vaccine recommendations, stating that “The vast majority of the studies [are] deeply flawed. Rubbish is not a scientific term, but I think it’s the term that applies.”

A critical look at the evidence raises further questions about the flu shot recommendations. A 2012 Cochrane review examining the efficacy of pediatric influenza vaccination noted that:

…industry-funded studies were published in more prestigious journals and cited more than other studies, independent of methodological quality and size. Studies funded from public sources were significantly less likely to report conclusions favorable to [influenza] vaccines… reliable evidence on influenza vaccines is thin but there is evidence of widespread manipulation of conclusions and spurious notoriety of the studies.

And a 2014 Cochrane review examining use of flu vaccine in healthy adults, including pregnant women, concluded that:

[Influenza] vaccination shows no appreciable effect on working days lost or hospitalization.

Read about the virology of influenza and it’s relationship with vitamin D.
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Chiropractic:   Profession or Modality?

By |December 28, 2015|News|

Chiropractic:   Profession or Modality?

The Chiro.Org Blog


SOURCE:   Dynamic Chiropractic ~ December 15, 2015


AND FROM:   HuffPost ~ 11-19-2015


Are you a thing or are you a human?

If someone wishes to assess your potential contributions to this life we live, what is the best starting assumption: thing or human?

The questions may seem silly. But a recent report from the RAND Corporation bores in on how regular medicine reduced complementary and alternative medicine professionals to “thing” status — as “modalities” — in the first years of the integrative medicine era.

The title of the report is “Complementary and Alternative Medicine: Professions or Modalities?”.  The discussions among policy makers, practitioners and delivery system leaders synthesized in the 75-page document beg a more significant question: Does the emergence of values-based medicine urge a major re-think regarding the potential contributions of these professionals?

The case statement by RAND’s Patricia Herman, ND, PhD and Ian Coulter, PhD begins with a blunt irony. “One of the hallmarks of complementary and alternative medicine (CAM) is treatment of the whole person.” Yet in the fee-for-service procedure and production orientation of the medical industry, licensed practitioners of chiropractic, acupuncture and Oriental medicine, and naturopathic medicine were typically stripped of this core value — treating the whole person — before being put to any use.

Read More Now

New RAND report examines the policy implications.

Dynamic Chiropractic ~ December 15, 2015


Is chiropractic a profession or a modality?

That’s the thought-provoking question explored in a new RAND report funded by the NCMIC Foundation.

“Complementary and Alternative Medicine: Professions or Modalities?”   focuses on

“a problem that confronts the complementary and alternative medicine (CAM) professions whereby a profession is defined politically not by its full professional scope but by its treatment modalities.”

Authored by Patricia Herman, ND, PhD, and Ian Coulter, PhD, the RAND report highlights chiropractic and four other major CAM disciplines:   acupuncture and Oriental medicine, massage therapy and naturopathic medicine, examining how the “profession vs. modalities” issue affects “policy implications for coverage, licensure, scope of practice, institutional privileges, and research.”

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Chronic Pain Reconsidered

By |December 27, 2015|Chronic Pain|

Chronic Pain Reconsidered

The Chiro.Org Blog


SOURCE:   Pain. 2008 (Aug 31); 138 (2): 267–276 ~ FULL TEXT

Michael Von Korff, and Kate M. Dunn

Group Health Center for Health Studies,
1730 Minor Avenue, Suite 1600,
Seattle, WA 98101-1448, USA.


Chronic pain has been traditionally defined by pain duration, but this approach has limited empirical support and does not account for chronic pain’s multi-dimensionality. This study compared duration-based and prospective approaches to defining chronic pain in terms of their ability to predict future pain course and outcomes for primary care patients with three common pain conditions: back pain (n=971), headache (n=1078), or orofacial pain (n=455).   At baseline, their chronic pain was classified retrospectively based on Pain Days in the prior six months and prospectively with a prognostic Risk Score identifying patients with “possible” or “probable” chronic pain.   The 0-28 Risk Score was based on pain intensity, pain-related activity limitations, depressive symptoms, number of pain sites, and Pain Days.   Pain and behavioral outcomes were assessed at six-month follow-up, and long-term opioid use was assessed two to five years after baseline.   Risk Score consistently predicted clinically significant pain at six months better than did Pain Days alone (area under the curve of 0.74-0.78 for Risk Score vs. 0.63-0.73 for Pain Days).   Risk Score was a stronger predictor of future SF-36 Physical Function, pain-related worry, unemployment, and long-term opioid use than Pain Days alone.   Thus, for these three common pain conditions, a prognostic Risk Score had better predictive validity for pain outcomes than did pain duration alone.   However, chronic pain appears to be a continuum rather than a distinct class, because long-term pain outcomes are highly variable and inherently uncertain.

Keywords:   chronic pain, back pain, headache, orofacial pain, classification, epidemiology


From the FULL TEXT Article:

1.   Introduction

Patients seeking care for pain want to know whether their pain is likely to improve or run a chronic course, not only its cause and how it might be relieved and managed [13, 24]. Physicians’ abilities to provide guidance regarding pain’s likely course, as well as clinical and epidemiologic research, are hampered by lack of clear-cut, evidence-based operational criteria for classifying chronic pain [2, 6, 23, 26].

There are more articles like this @ our:

Chiropractic and Pain Page

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Chiropractic Care during Pregnancy

By |December 26, 2015|Pediatrics|

Chiropractic Care during Pregnancy: Survey of 100 Patients Presenting to a Private Clinic in Oslo, Norway

The Chiro.Org Blog


J Clin Chiro Peds 2010 (Dec); 11 (2): 771—774 ~ FULL TEXT

Elisabeth Aas-Jakobsen, BS, DC, MSc and
Joyce E. Miller, BS, DC, DABCO

Private practice,
Oslo, Norway


Introduction

Musculoskeletal (MSK) problems in pregnancy constitute a tremendous cost to society, both in regards to sick leave and chronic pain, and are a major public health concern. (In Norway one-third of all pregnant women are on sick leave at any given time, and many of these because of back pain). There is little agreement on the best treatment for the various MSK problems in pregnancy and very little is known about the efficacy of chiropractic treatment in pregnancy. However, chiropractic care has been shown to be both popular with patients during pregnancy, as well as being considered safe and appropriate by chiropractors. The purpose of this paper is to describe a survey which investigated the characteristics of pregnant women who sought chiropractic care in Norway.


Methods

There are more articles like this @ our:

Chiropractic Pediatrics Page

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