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<title>Cutting Edge ChiroWeekly</title><link>http://www.webfactory.com.au/index.html</link><description>All The Latest</description><dc:language>en</dc:language><dc:creator>info@spine.net.au</dc:creator><dc:rights>Copyright 2007 Joseph Ierano</dc:rights><dc:date>2008-05-08T20:43:06+10:00</dc:date><admin:generatorAgent rdf:resource="http://www.realmacsoftware.com/" />
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<lastBuildDate>Wed, 14 May 2008 17:56:20 +1000</lastBuildDate><item><title>Issue 22</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-05-08T20:43:06+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/38065857a1ac94b4394596da2e657975-24.html#unique-entry-id-24</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/38065857a1ac94b4394596da2e657975-24.html#unique-entry-id-24</guid><content:encoded><![CDATA[From the date the parents receive official notification of their convictions they have 15 days to ask for a new hearing in Judge Meganck&rsquo;s court, allowing them to appear this time with legal representation and to testify. 

...The university -- which this week introduced a revamped medical curriculum, featuring greatly increased teaching time for basic sciences such as anatomy -- opened its laboratories for a series of voluntary, supervised dissection classes over the holiday break, with some students travelling 90 minutes each way on public transport so they could take part.


...One student said their "only regret is that it didn't happen earlier in the medical degree", while another said it "was part of what I had always hoped medical school would include". 

...John Mitrofanis, appointed last week as Sydney University's first professor of anatomy in medical education, says he will be "making hopefully a strong case to have this (dissection) as part of the core curriculum" following the success of the Christmas pilot.


..."Once they see how (Sydney's) graduates come out with a much better understanding of how the body works and how it's structured, I really think it will be a change of direction for the medical education system." 
]]></content:encoded></item><item><title>Issue 21</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-04-23T11:50:19+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/7c57d440309af392000866c4ba500f83-22.html#unique-entry-id-22</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/7c57d440309af392000866c4ba500f83-22.html#unique-entry-id-22</guid><content:encoded><![CDATA[Professor John Quin, executive director of surgical affairs at the Royal Australasian College of Surgeons, said the study was interesting and showed promise, but it was still not clear whether better performance in simulated surgery translated into better performance in surgery on a live patient.


"What it shows at the moment is only that if you repeatedly play video games you get better at playing video games," he said, adding the RACS was conducting a Federal Government-aided study to determine the effectiveness of simulated surgery.


...Although this is a relatively new area, progress is being made to determine the mechanisms that affect immune functioning through exercise, and more importantly, whether these changes in immune functioning can reduce the risk of developing a disease, or at the very least, delay its progression.


...At the moment the overwhelming majority of people are having stents and if these figures apply to Australia &ndash; albeit that not everyone's suited to surgery &ndash; there may be five or six preventable deaths a year per thousand people having their arteries unblocked.


...He says while the study by Oswald and Blanchflower is impressive in its size, pooling data from so many different countries would have made it difficult to identify factors that influence depression in middle age.
]]></content:encoded></item><item><title>Issue 20</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-03-03T09:45:00+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/be539ae0f52ac9ff29d9eeef85c7f244-21.html#unique-entry-id-21</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/be539ae0f52ac9ff29d9eeef85c7f244-21.html#unique-entry-id-21</guid><content:encoded><![CDATA[The report, co-authored by Dr Stephen Corbett, who heads up the centre for population health at Sydney West Area Health Service, found fish is good for children's nutrition so long as it's the right type in the right quantity.....


...The Associazione Italiana Chiropratici (AIC) has announced that 17 years after the presentation of the first law proposal for professional recognition, on December 21, 2007, chiropractic was recognized by the Italian Parliament as a primary health care profession!   

...In the Camera, which is the lower house of Italy&rsquo;s bi-cameral Parliament, the amendment&rsquo;s passage was the target of an extensive lobbying attack on the part of the Italian Medical Association, who was trying to monopolize non-conventional medicine through their own legislation, and the Italian Health Minister who was opposed to recognizing chiropractic as a primary contact profession.


...The AIC responded blow by blow with its own lobbying efforts through the bi-partisan support of several parliamentarians favorable to chiropractic, and again, Senator Lusi was indomitable in his untiring support of chiropractic by explaining the cost-effectiveness advantages to his colleagues in the House Budget Committee, convincing them that chiropractic was a good investment for Italy&rsquo;s financially burdened healthcare system.  


..."While there are 23 cough and cold medicines registered with the TGA that can be sold from outlets other than pharmacies, most of these medicines do not have dosage instructions for use in children under two years of age."
]]></content:encoded></item><item><title>Issue 19</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-01-30T15:26:14+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/7ac80265e8aa199aa1a712b4491e06c6-20.html#unique-entry-id-20</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/7ac80265e8aa199aa1a712b4491e06c6-20.html#unique-entry-id-20</guid><content:encoded><![CDATA[He ignores research which says it's unlikely that chiropractic adjustment causes dissections (7), that we only seriously hurt one person in every 48 chiropractic careers (8) and BMJ article stating manual therapy is better than phsyio or GP for neck ache (9). 

...Avoid a chiropractor who uses x-rays to locate your Subluxation and probably any chiropractor who has an x-ray machine in their office.*right, the x ray machine should be outside the office, to allow the rays to escape easily, and to show that the chiro is honest and does not shield his antics from view with lead sheeting. (probably he believes in Superman, too, which is not a good sign, as it reveals guilt) 

...Avoid a chiropractor who wants to see you a given number of times per week in an effort to get you to the point of being "on a maintenance schedule" and probably any who use the word "maintenance" as a goal of treatment.*right, the practice of legitimate medicine makes No allowance for maintenance...also, avoid ANY automobile manual that speaks of so-called&nbsp;maintenance...it is a Saudi-Arabic ploy to build more hotels in the UAE. 

...And while you are at it, avoid anyone who invents words that really don't exist, like "chiropraxis" or "chiropractice"...oh, yes...remember, no MD was ever against chiropractic and the Wilk, et al case that found the AMA guilty of conspiracy to eradicate chiropractors was invented by the same paranoid Jew that wrongly accused Hitler of trying to eradicate him. 

...Seek a chiropractor who when asked, "What techniques do you practice" says that their treatment will depend on what's wrong with you, and not some chiropractic abstraction of your complaint.*correct: avoid a chiro who will not state this exact answer, or to extract a dental cavity, does not use traction, but instead tries an Activator because its gentler. ]]></content:encoded></item><item><title>Issue 18</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-01-09T11:33:58+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/2ab55ba00fe2431d8e631e3c2239e17f-19.html#unique-entry-id-19</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/2ab55ba00fe2431d8e631e3c2239e17f-19.html#unique-entry-id-19</guid><content:encoded><![CDATA[November 13, 2007 &mdash; Patients with acute low back pain receiving recommended first-line care did not recover more quickly with the addition of diclofenac or spinal manipulative therapy, according to the results of a randomized controlled trial in the November 8 issue of The Lancet.


...In this community-based study, 240 patients with acute low back pain who had been given advice and paracetamol by their general practitioner were randomized to receive diclofenac 50 mg twice daily and placebo manipulative therapy (n = 60), spinal manipulative therapy and placebo drug


...Up to 12 mothers who had disabled children after a drug trial could sue a hospital for millions of dollars after it agreed to pay more than $750,000 to a woman whose child was born with cerebral palsy. more


UP TO 12 mothers who had disabled children after a drug trial could sue a hospital for millions of dollars after it agreed to pay more than $750,000 to a woman whose child was born with cerebral palsy.


...The uncomfortable truth is that, for the vast majority of drugs used in children, there is very little proper scientific data to reassure doctors about the drugs' safety and side effects, how well they work -- if at all -- or what dosages are best.
]]></content:encoded></item><item><title>Issue 17</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2008-01-07T10:14:31+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/705ec7247491b886a5feae6827170857-18.html#unique-entry-id-18</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/705ec7247491b886a5feae6827170857-18.html#unique-entry-id-18</guid><content:encoded><![CDATA[The Chiropractors&rsquo; Association of Australia (National) (CAA) believes that confusion may arise over a newly released study by the Back Pain Research Group at the University of Sydney, which claims that painkillers should be the treatment of choice over spinal manipulative therapy for patients with acute 


...Compared with the 14-month follow-up, the percentage of children at 36 months who took medication more than 50% of the time decreased in the medication groups (from 91% to 71%), increased in the behavior-management alone group (from 14% to 45%), and remained the same in the community-treatment group. 

...This study suggests that commonly used methods to assess flexion-extension X-rays of the cervical spine may not provide reliable clinical information about intervertebral motion abnormalities, and that validated, computer-assisted methods can dramatically improve agreement among clinicians. 

...Provided there are no warning signs of serious underlying pathologic conditions, the patient should be encouraged to minimize bed rest and to remain as active as possible, to use ice or heat compresses, to take anti-inflammatory or analgesic medications as needed, to exercise at home, and to return to work as soon as possible.


...Because radiography and magnetic resonance imaging findings do not correlate with clinical symptoms of nonspecific low back pain or ability to work, these studies should be reserved for patients with radicular symptoms who do not respond to conservative care and for those with worsening neurologic findings, objective weakness, uncontrolled pain, or suspected cauda equina syndrome.
]]></content:encoded></item><item><title>Issue 16</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-12-04T13:52:43+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/a75f342e34ca6c0e7f76b3993219cc53-17.html#unique-entry-id-17</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/a75f342e34ca6c0e7f76b3993219cc53-17.html#unique-entry-id-17</guid><content:encoded><![CDATA["This reflects a common misperception that these medications are insignificant or benign when actually their chronic use, particularly among the elderly and those with conditions such as arthritis, is linked to serious and potentially fatal GI injury and bleeding," said Dr David Johnson, one of the researchers. 


...October 3, 2007 &mdash; Patients prefer patient-physician email communication, which takes less time for physicians than does telephone messaging, according to the results of a survey reported in the October issue of Pediatrics.


...The goals of this study were to evaluate the patterns of patients using a patient-physician email service, to measure physician time required to answer a patient question via email vs via telephone, and to assess the satisfaction of families who were provided email access to their child's rheumatologist.


...Limitations of the study include lack of generalizability to practices in other pediatric subspecialties or in general pediatrics; lack of measurement of the impact of the email service on the number of telephone calls to the office; survey instrument used to evaluate patient satisfaction not being a validated tool; and only 41% of surveys returned, introducing sampling bias.


...Reports were included if they (1) were a primary investigation of spinal manipulation (eg, observation studies, controlled trials, surveys), (2) included a study population of children who were aged 18 years or younger, and (3) reported data on adverse events. ]]></content:encoded></item><item><title>Issue 15</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-11-07T11:00:45+11:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/85268b3b3baa2bd28c6a1fae6f8a4130-15.html#unique-entry-id-15</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/85268b3b3baa2bd28c6a1fae6f8a4130-15.html#unique-entry-id-15</guid><content:encoded><![CDATA[Serious adverse events, defined as "referred to hospital A&E and/or severe onset/worsening of symptoms immediately after treatment and/or resulted in persistent or significant disability/incapacity," and minor adverse events reported by patients as a worsening of presenting symptoms or onset of new symptoms, were recorded immediately, and up to 7 days, after treatment.


...This translates to an estimated risk of a serious adverse event of, at worse [almost equal to]1 per 10,000 treatment consultations immediately after cervical spine manipulation, [almost equal to]2 per 10,000 treatment consultations up to 7 days after treatment and [almost equal to]6 per 100,000 cervical spine manipulations. ...  Up to 7 days after treatment, these risks were headache in, at worse [almost equal to]4 per 100, numbness/tingling in upper limbs in, at worse [almost equal to]15 per 1000 and fainting/dizziness/light-headedness in, at worse [almost equal to]13 per 1000 treatment consultations.


...Although minor side effects following cervical spine manipulation were relatively common, the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low.


...Scores &mdash; even for items least related to depression (e.g., self-reported vision and mobility, overall health) &mdash; were much lower in respondents with comorbid depression than in those with only a physical condition.
]]></content:encoded></item><item><title>Issue 14</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-10-16T13:44:59+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/d4a98848959685ff3949b57defef05ca-14.html#unique-entry-id-14</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/d4a98848959685ff3949b57defef05ca-14.html#unique-entry-id-14</guid><content:encoded><![CDATA[Recommendation 7: For patients who do not improve with self-care options, clinicians should consider the addition of nonpharmacologic therapy with proven benefits&mdash;for acute low back pain, spinal manipulation; for chronic or subacute low back pain, intensive interdisciplinary rehabilitation, exercise therapy, acupuncture, massage therapy, spinal manipulation, yoga, cognitive-behavioral therapy, or progressive relaxation (weak recommendation, moderate-quality evidence).


...September 28, 2007 &mdash; With traumatic brain injury (TBI) being the signature wound of the current conflicts in Iraq and Afghanistan, the US government is being asked to establish 6 epilepsy centers of excellence (CoEs) to identify, treat, and monitor the thousands of returning head-injured veterans at potential risk of developing posttraumatic epilepsy (PTE).


..."There was a great deal of concern among our members that much of this traumatic brain injury among returning vets was, over time, going to manifest itself in [posttraumatic] epilepsy and that the Veterans Administration [VA] was terribly unprepared for this," Mike Amery, who is the AAN legislative counsel at its Office for Federal Affairs, told Medscape Neurology & Neurosurgery.


Data from the Vietnam War show that 53% of soldiers who survived penetrating head wounds subsequently developed posttraumatic epilepsy, some up to 15 years later, says John Booss, MD, former national director, neurology service, Department of Veterans Affairs, who is also a member of the AAN Legislative Affairs Committee and a volunteer advocate for the proposed legislation.


...Federal guidelines say these drugs are very safe and may be used by people with LDL levels as low as 130, or even 100 if they are at very high risk of heart attack. 
]]></content:encoded></item><item><title>Issue 13</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-10-10T18:16:04+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/1f6e3f7bca5d2f8a9c7316009346ce60-13.html#unique-entry-id-13</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/1f6e3f7bca5d2f8a9c7316009346ce60-13.html#unique-entry-id-13</guid><content:encoded><![CDATA[Over the same period the number of deaths relating to drugs nearly tripled, from 5519 to 15 107, show data from the US Food and Drug Administration's adverse event reporting system, which collects all reports of adverse events submitted voluntarily to the agency either directly or through drug manufacturers (Archives of Internal Medicine 2007;167:1752-9).


Using extracts from the system that were published for use by researchers, the study's authors&mdash;Thomas Moore and Michael Cohen, of the Institute for Safe Medication Practices at Wake Forest University, Winston-Salem, North Carolina, and Curt Furberg, of the university's public health sciences division&mdash;analysed all adverse drug events and treatment errors reported to the agency from 1998, when the FDA started operating the system, to 2005.


...Ateev Mehrotra and colleagues from the University of Pittsburgh Medical Center examined data from 2002, 2003, and 2004 from the US national ambulatory medical care survey and the national hospital ambulatory medical care survey, which record visits made by patients with health insurance to office based physicians and to hospital outpatient departments for annual check-ups and gynaecological examinations.


Dr Mehrotra, the lead author and an assistant professor at the University of Pittsburgh Centre for Research on Health Care, said that no major North American clinical organisation recommends check-ups and no medical organisation specifies what should be included in one. 

...This translates to an estimated risk of a serious adverse event of, at worse approximately 1 per 10,000 treatment consultations immediately after cervical spine manipulation, approximately 2 per 10,000 treatment consultations up to 7 days after treatment and approximately 6 per 100,000 cervical spine manipulations. ]]></content:encoded></item><item><title>Issue 12</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-09-26T09:39:37+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/60b9f59e72762a498dc0beafb9216533-12.html#unique-entry-id-12</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/60b9f59e72762a498dc0beafb9216533-12.html#unique-entry-id-12</guid><content:encoded><![CDATA[The clinicians were asked to determine the side of the short leg with knees extended and if a change in leg length occurred with head rotation or when the knees were flexed. 

...The results indicate that 2 clinicians show good reliability in determining the side of the short leg in the prone position with knees extended but show poor reliability when determining the precise amount of that leg length difference. ...  There does not appear to be any correlation between the side of pain noted by the patient and the side of the short leg as observed by the clinicians; all 45 patients in this sample were found to have a short leg by both clinicians.


...In a study that appears in the October issue of the Journal of General Internal Medicine, they evaluate the usefulness of a scale that asks patients in primary care to rate their current pain from 0 (no pain) to 10 (worst pain). 


...Even more impressive, the data suggest that while spinal manipulation may increase the risk of an embolism in those with a VAD in progress, which can then lead to a stroke, the association between the stroke and the office visit was no higher in patients who seek the care of a chiropractor than in patients who seek the care of a general physician.
]]></content:encoded></item><item><title>Issue 11</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-09-13T19:55:55+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/56629bb0ac37a4fbdae49cd2bd2c7c7b-11.html#unique-entry-id-11</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/56629bb0ac37a4fbdae49cd2bd2c7c7b-11.html#unique-entry-id-11</guid><content:encoded><![CDATA[Results: Plasma LDL-cholesterol concentrations were reduced by 9.5% and 7.8% after 3 and 6 wk, respectively, in the 1.6-g/d PS group compared with the control group, whereas plasma triacylglycerol and HDL-cholesterol concentrations were not significantly affected.   In addition, there were no significant changes in serum &szlig;-carotene on normalization to LDL cholesterol during the study period in both groups, whereas plasma concentrations of oxidized LDL were reduced significantly in the PS group compared with the control group (&ndash;1.73 compared with 1.40 U/L, respectively; P < 0.05). 

...Results: In 23 statin treatment arms with 309,506 person-years of follow-up, there was no significant relationship between percent LDL-C lowering and rates of elevated liver enzymes (R2 <0.001, p = 0.91) or rhabdomyolysis (R2 = 0.05, p = 0.16). 

...In my 21-year Cleveland Clinic nutritional study,[1] I arrested and reversed advanced coronary artery disease in patients who had already undergone bypasses and angioplasties; some had even been told by their cardiologist that they had less than a year to live.


...George Brooks from the University of California at Berkeley recently found that lactic acid is taken up and burned for energy by your mitochondria &ndash; the energy factories in your muscle cells.1 What's more, it can not create the after workout soreness because it is rapidly removed as you burn it for fuel. ]]></content:encoded></item><item><title>Issue 10</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-09-09T16:40:08+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/74f487771c361090e505c0d882f5e746-10.html#unique-entry-id-10</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/74f487771c361090e505c0d882f5e746-10.html#unique-entry-id-10</guid><content:encoded><![CDATA[Dr Ian Haines said that because pharmaceutical companies were the only group who could afford to fund trials of expensive drugs, they had enormous control over the scientific evidence that dictates how they should be used.


Writing in the world's foremost cancer journal, he cites an emerging body of evidence that many of these new and expensive cancer drugs may be just as effective - and produce fewer side-effects - if taken over shorter periods and in lower doses."

...Dr Haines was joined by several other cancer experts who said this week that both state and Federal Governments must spend more on analysing drug data after a new medicine is made available.


..."We've got Medicare data on the use of all these services, we've got the hospital data on what goes on there and we could link all of this to the mortality statistics," said Professor Richardson, who is the director of Monash University's Centre for Health Economics. 

...Many elderly people with bronchitis or emphysema, known collectively as Chronic Obstructive Pulmonary Disease (COPD), are likely to end up in hospital &ndash; but it's because of the drugs they're taking, not the disease.
]]></content:encoded></item><item><title>Issue 9</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-08-26T21:08:38+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/aa14b957a617c0be36859142f59f3b25-9.html#unique-entry-id-9</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/aa14b957a617c0be36859142f59f3b25-9.html#unique-entry-id-9</guid><content:encoded><![CDATA[[1] Cardiologists asked hypothetically about their motives for choosing PCI even in patients who might do just as well or better with medical therapy acknowledged that PCI instinctively seemed a better choice, or that past experiences or anticipated regret sometimes guided their decision.


...And people still told us that they would feel much worse about a heart attack or sudden death that could have been prevented than a complication of a PCI, and even though there is no data that they actually would be preventing a heart attack or sudden death by doing PCI."


...According to Redberg, there is a heightened awareness about the lack of benefit of PCI in stable CAD patients in the wake of the COURAGE trial, "but even before COURAGE came out, people really knew that there never had been a study that found a benefit of PCI over medical therapy, and we do report that data in our paper.... 

...I think most people feel that they practice according to the best evidence, but even when we tried to be quite clear that there is just no evidence to support what people are telling us they would do, I don't think anyone changed their minds. 

...An accompanying editorial by Dr Mauro Moscucci (University of Michigan, Ann Arbor) points out that PCI is not without its risks: "Inappropriate procedures will put patients who are unlikely to benefit from the procedure at substantial risk of fatal and nonfatal complications," he writes. ]]></content:encoded></item><item><title>Issue 8</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-08-14T13:03:18+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/d6cd8ca6a3477a1fa9474ec526451550-8.html#unique-entry-id-8</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/d6cd8ca6a3477a1fa9474ec526451550-8.html#unique-entry-id-8</guid><content:encoded><![CDATA[Two hundred and forty adults with non-specific low back pain greater-or-equal, slanted3 months were allocated to groups that received 8 weeks of general exercise, motor control exercise or spinal manipulative therapy. ...  The motor control exercise group had slightly better outcomes than the general exercise group at 8 weeks (between-group difference: PSFS 2.9, 95% CI: 0.9&ndash;4.8; GPE 1.7, 95% CI: 0.9&ndash;2.4), as did the spinal manipulative therapy group (PSFS 2.3, 95% CI: 0.4&ndash;4.2; GPE 1.2, 95% CI: 0.4&ndash;2.0). 


...Motor control exercise and spinal manipulative therapy produce slightly better short-term function and perceptions of effect than general exercise, but not better medium or long-term effects, in patients with chronic non-specific back pain.


...Now Jim Deuchars and colleagues at the University of Leeds, UK, have found a direct neural connection between these neck muscles and a part of the brainstem - called the nucleus tractus solitarius (NTS) - which plays a crucial role in regulating heart rate and blood pressure.


...Chemical stimulation of the InM resulted in (1) a depolarization of NTS neurons that were blocked by NBQX (2,3-dioxo-6-nitro-1,2,3,4-tetrahydrobenzo[f]quinoxaline-7-sulfonoamide) or kynurenic acid and (2) a hyperpolarization of NTS neurons that were blocked by bicuculline. ]]></content:encoded></item><item><title>Issue 7</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-08-06T12:14:51+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/280f52fdaa7ffa9f1d65dfb21582b716-7.html#unique-entry-id-7</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/280f52fdaa7ffa9f1d65dfb21582b716-7.html#unique-entry-id-7</guid><content:encoded><![CDATA[President Bush is to veto a bill that would ban mercury in flu vaccines for children despite its known links to autism and other neurological disorders and despite the fact that he pledged in 2004 to support such a move when campaigning for re-election.


...Bush would veto the FY 2008 HHS-Labor-Education Appropriations Bill because of the cost and "objectionable provisions" such as a measure to ban the use of childhood flu vaccines that contain thimerosal, a mercury-based preservative, a press release from Autism advocacy group Safe Minds on the PRNewswire-USNewswire states.


...The flu vaccine, which continues to be manufactured with mercury, is recommended for all pregnant women, infants and children despite the fact that the Institute of Medicine in 2001 recommended against the policy of


...Despite these facts, sickening reports such as the one below continue to make out that injecting the second most poisonous substance in the world into babies is actually GOOD for their health:


...Japanese and Danish researchers have found that men who exercise for two 30 minute stretches, taking a 20 minute break in between, burn more fat than when they exercise for a single 60 minute session and then rest afterwards.
]]></content:encoded></item><item><title>Issue 6</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-07-21T11:39:54+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/c8daf9ab191103a40e3e9c61f4d8db78-6.html#unique-entry-id-6</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/c8daf9ab191103a40e3e9c61f4d8db78-6.html#unique-entry-id-6</guid><content:encoded><![CDATA[The report's authors say the reasons for doctors and nurses not reporting mistakes in the past include "fear of litigation and adverse publicity'', and admit that while low, the numbers of sentinel events in this week's report are likely to rise in future editions as doctors and nurses start to feel more comfortable about owning up after something has gone wrong. 

...Bolsin points to the findings of the groundbreaking Quality in Australian Health Care Study (QAHCS), published in the Medical Journal of Australia 12 years ago (1995;163:458-71), which claimed that up to 16 per cent of hospitalised patients would suffer an adverse event, and that 50 per cent of these would be preventable. 

...For the pilot, 14 anaesthetic registrars used personal digital assistants (PDAs) fitted with special software to report adverse events to a central database, identifying them in one of four categories - events causing death, serious outcomes such as extended hospital stay or permanent harm, transient or minor harm, and "near miss'' adverse events that had no bad effect on the patient. 

...The findings, reported last year in the International Journal for Quality in Health Care (2006;18(6):452-7), found an adverse incident was reported for 156, or 3.5 per cent of the 4441 anaesthetic procedures reported, nearly half (46.2 per cent) of which were near misses.


...&ndash; "He who is often sick does not only have a much greater enjoyment of health on account of the frequency with which he gets well: he also has a greatly enhanced sense of what is healthy and what is sick in works and actions, his own and those of others: so that it is precisely the sickliest writers, for example &ndash; and almost all the great writers are, unfortunately, among them &ndash; who usually evidence in their writings a much steadier and more certain tone of health, because they understand the philosophy of psychical health and recovery better and are better acquainted with its teachers &ndash; morning, sunshine, forests and springs &ndash; than the physically robust.&rdquo;
]]></content:encoded></item><item><title>Issue 5</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-07-09T12:15:47+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/e8561e59d9b7b348d285db3d608d37f7-5.html#unique-entry-id-5</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/e8561e59d9b7b348d285db3d608d37f7-5.html#unique-entry-id-5</guid><content:encoded><![CDATA[Nobuhiko Okabe, director of the institute's infectious disease surveillance centre, warned last week that the gaps in immunisation coverage had led to the virus affecting older age groups than usual, causing greater risk of this extremely infectious disease spreading in the general population.


...Although there is no comprehensive count of patients with measles, a nationwide survey by the institute of about 450 medical institutions found 286 people aged 15 years and older had contracted the disease by 20 May, and there had been about 907 cases in children.


Peter Strebel, of WHO's expanded programme on immunisation, told the BMJ, "In general, outbreaks of measles that affect teenagers and young adults are usually the result of the accumulation of susceptible persons who either have never been vaccinated&mdash;for example, as a result of earlier years in which routine vaccination coverage was less than 95%&mdash;or who were vaccinated but did not respond&mdash;so called vaccine failures because the vaccine is approximately 85-95% effective depending on the age at which it is given.


...Although there is no comprehensive count of patients with measles, a nationwide survey by the institute of about 450 medical institutions found 286 people aged 15 years and older had contracted the disease by 20 May, and there had been about 907 cases in children.


...Peter Strebel, of WHO's expanded programme on immunisation, told the BMJ, "In general, outbreaks of measles that affect teenagers and young adults are usually the result of the accumulation of susceptible persons who either have never been vaccinated&mdash;for example, as a result of earlier years in which routine vaccination coverage was less than 95%&mdash;or who were vaccinated but did not respond&mdash;so called vaccine failures because the vaccine is approximately 85-95% effective depending on the age at which it is given.
]]></content:encoded></item><item><title>Issue 4</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-07-08T21:43:42+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/e9c43615bd8c0a087c3e74b1c5c8f117-4.html#unique-entry-id-4</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/e9c43615bd8c0a087c3e74b1c5c8f117-4.html#unique-entry-id-4</guid><content:encoded><![CDATA[The objectives of the present study were, firstly, to test the assumption that long-term non-specific LBP leads to a decrease of the level of physical activity (disuse), secondly, to evaluate any development of physical deconditioning as a result of disuse in CLBP, and thirdly, to evaluate predictors for disuse in CLBP. 

...Robertson, MD, investigators at the University of Alberta, in Edmonton, found that from 1974 to 1994 there was a steady increase in the prevalence of CP, which peaked at an all-time high of 131 per 1000 live births in 1994. 

...In part, they write, this has been due to a lack of consistency in study criteria used by different research groups, including the use of different birth years, gestational ages, selection of study population by birth weight vs gestational age, and reporting rates among hospital survivors rather than gestation age&ndash;specific live births.


...Considered a source of major morbidity among preterm children, CP's steady 20-year increase paralleled an increase in population-based survival rates among very premature infants, with similar trends for gestational age groups of 20 to 25 weeks and 26 to 27 weeks.


For example, over the 30-year study period, population-based survival among infants 20 to 25 weeks increased from 4% to 31%, while CP prevalence per 1000 live births increased from 0 at study outset to 110 until 1992 to 1994, when it dropped to 22 in the years 2001 to 2003.
]]></content:encoded></item><item><title>Issue 3</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-06-07T21:37:34+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/94c867823e9e95d9ac7183a6b6c2f1a6-2.html#unique-entry-id-2</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/94c867823e9e95d9ac7183a6b6c2f1a6-2.html#unique-entry-id-2</guid><content:encoded><![CDATA[The primary aims of this study were to determine the major frequencies and powers of oscillations in cerebrospinal fluid (CSF) pressure in the anesthetized rat, and determine whether the CSF pressure oscillations correlated with the major oscillation frequencies in the cardiovascular and respiratory systems as proposed by some chiropractic theories.


...Antibiotics may be helpful for acute purulent rhinitis but may also be harmful, according to the results of a meta-analysis reported in the July 21 Online First issue of the BMJ. 

..."Most guidelines recommend that antibiotics should not be used for this condition, citing one study that found no evidence that antibiotics reduce the duration of acute purulent rhinitis," write B. 

...They then did a review and meta-analysis of data from double-blind, randomized, placebo-controlled trials comparing antibiotics with placebo for acute purulent rhinitis of duration less than 10 days.


...Interventions: Heart rate variability was monitored continuously by means of a palm-sized electrocardiographic monitor (which facilitated spectral analysis of the RR interval) while participants walked for 30&nbsp;minutes (first with, then without, the study dog, or vice versa); three participants underwent this intervention on 3&nbsp;consecutive days. ]]></content:encoded></item><item><title>Issue 2</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-05-16T20:34:02+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/066e7b049dddddb7a10a275fc4bcb1e2-1.html#unique-entry-id-1</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/066e7b049dddddb7a10a275fc4bcb1e2-1.html#unique-entry-id-1</guid><content:encoded><![CDATA[Patients express greater satisfaction with the care from chiropractors and osteopaths, because they are perceived as having more empathy, diagnostic skill and effective treatment, but their attitude to a GP providing an osteopathy service is unknown.


...Objective: The purpose of this article is to discuss an evidence-based algorithm that can be implemented by the primary care physician in his/her daily clinical practice for the treatment of patients with neuropathic pain conditions. 

...A "...recent analysis supports ... that patients enrolled in the chiropractic network experienced fewer hospital visits, spent less time in the hospital for care, underwent fewer surgeries and used far fewer pharmaceuticals than other HMO patients who received traditional medical care, resulting in low utilization costs and high patient satisfaction scores. 

...&ldquo;The study really shows the enormous power and benefit of two things: 1) the utilization of chiropractic in a primary care setting; and 2) the magnitude of outcomes, both clinical and cost, that can be achieved when all members of the health sciences work together as a team for the betterment of the patient, putting aside all professional rivalries. 

...Conclusion: This open study indicates that hyperexcitable children have low ERC-Mg with normal serum Mg2+ values, and that Mg2+/vitamin B6 supplementation can restore normal ERC-Mg levels and improve their abnormal behavior.
]]></content:encoded></item><item><title>Inaugural Digest</title><dc:creator>info@spine.net.au</dc:creator><dc:subject>Cutting Edge ChiroWeekly</dc:subject><dc:date>2007-05-15T22:11:14+10:00</dc:date><link>http://www.webfactory.com.au/infoierano/files/26dabb6d683681f7d8f40dfa0fb4ce9b-0.html#unique-entry-id-0</link><guid isPermaLink="true">http://www.webfactory.com.au/infoierano/files/26dabb6d683681f7d8f40dfa0fb4ce9b-0.html#unique-entry-id-0</guid><content:encoded><![CDATA[We report on the findings of a Specific cohort of patients from our larger multi center study that presented specifically with MVA related complications and how these patients were successfully treated with what is defined as Stereotactic Cervical Alignment (SCALE) methods. 


...May 9, 2007 &mdash; Head and neck injury (HANI) is a significant risk factor for the occurrence of chronic daily headaches (CDH), with a dose-response relationship between the 2 conditions, results of a large, population-based study indicate.


...Subjects who reported having frequent headaches were asked whether they ever had an injury to the head or neck and, if so, whether the injury was followed by fainting or loss of consciousness. 

..."This is the first study to look at head and neck injury as a risk factor for chronic daily headache using a control population," Dr. 

...The investigators found that after adjustment for age, sex, and headache type, CDH cases were more likely to have experienced HANI than episodic headache controls, and the odds of CDH in association with a potentially precipitating injury were also elevated.
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