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 By Frank M. Painter, D.C. in Acupuncture on April 2nd, 2013 at 8:09 pm
Updated Reference Guide to Dr. Richard C. Schafer’s Articles
The Chiro.Org Blog
There are now 62 different Chapters from Dr. Schafer’s various best-selling textbooks for your review, available exclusively at Chiro.Org
These learned articles by Dr. Schafer can also be found again easily by selecting the EDUCATION Category, on the right-hand side of this page, just below Recent Comments. We hope you will find them of interest.
Our thanks to ACAPress for access to these materials!
By Frank M. Painter, D.C. in Announcement on June 14th, 2012 at 4:14 pm
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.
Continue reading …
Where the U.S. Spends its Spine Dollars: Expenditures on Different Ambulatory Services for the Management of Back and Neck Conditions
The Chiro.Org Blog
SOURCE: Spine (Phila Pa 1976). 2012 (Mar 16)
Davis, Matthew A. DC, MPH; Onega, Tracy PhD; Weeks, William MD, MBA; Lurie, Jon MD, MS
Study Design Serial, cross-sectional, nationally representative surveys of non-institutionalized adults.
Objective To examine expenditures on common ambulatory health services for the management of back and neck conditions.
Summary of Background Data Although it is well recognized that national costs associated with back and neck conditions have grown considerably in recent years, little is known about the costs of care for specific ambulatory health services that are used to manage this population.
Methods We used the Medical Expenditure Panel Survey (MEPS) to examine adult (age ≥ 18 years) respondents from 1999 to 2008 who sought ambulatory health services for the management of back and neck conditions. We used complex survey design methods to make national estimates of mean inflation-adjusted annual expenditures on medical care, chiropractic care, and physical therapy per user for back and neck conditions.
Results Approximately 6% of US adults reported an ambulatory visit for a primary diagnosis of a back or neck condition (13.6 million in 2008).
Between 1999 and 2008, the mean inflation-adjusted annual expenditures on medical care for these patients increased by 95% (from $487 to $950); most of the increase was accounted for by increased costs for medical specialists, as opposed to primary care physicians.
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By John in Public Health on March 24th, 2012 at 8:28 pm
Source NY Times
The Obama administration must warn drug makers that the government may soon ban agricultural uses of some popular antibiotics that many scientists say encourage the proliferation of dangerous infections and imperil public health, a federal magistrate judge ruled on Thursday.
The order, issued by Judge Theodore H. Katz of the Southern District of New York, effectively restarts a process that the Food and Drug Administration began 35 years ago, but never completed, intended to prevent penicillin and tetracycline, widely used antibiotics, from losing their effectiveness in humans because of their bulk use in animal feed to promote growth in chickens, pigs and cattle.
The order comes two months after the Obama administration announced restrictions on agricultural uses of cephalosporins, a critical class of antibiotics that includes drugs like Cefzil and Keflex, which are commonly used to treat pneumonia, strep throat and skin and urinary tract infections.
Siobhan DeLancey, an F.D.A. spokeswoman, would not say whether the government planned to appeal. “We are studying the opinion and considering appropriate next steps,” she said.
In a separate move, the F.D.A. is expected to issue draft rules within days that ask drug makers to voluntarily end the use of antibiotics in animals without the oversight of a veterinarian.
Continue reading …
By Frank M. Painter, D.C. in Cost-Effectiveness on February 24th, 2012 at 2:26 pm
Chiropractic Research & Practice
State of the Art
The Chiro.Org Blog
Cleveland Chiropractic College
By Daniel Redwood, D.C., professor, Cleveland Chiropractic College
Peer Reviewers: Carl S. Cleveland III, D.C., J. Michael Flynn, D.C., Cheryl Hawk, D.C., PhD., Anthony Rosner, PhD.
©2010 Cleveland Chiropractic College – Kansas City and Los Angeles
Chiropractic Research & Practice
State of the Art
Since chiropractic’s breakthrough decade in the 1970s — when the U.S. federal government included chiropractic services in Medicare and federal workers’ compensation coverage, approved the Council on Chiropractic Education (CCE) as the accrediting body for chiropractic colleges, and sponsored a National Institutes of Health (NIH) conference on the research status of spinal manipulation — the profession has grown and matured into an essential part of the nation’s healthcare system.
Chiropractic was born in the United States in the late 19th century and the U.S. is home to approximately 65,000 of the world’s 90,000 chiropractors. [ 1] The chiropractic profession is the third largest independent health profession in the Western world, after medicine and dentistry. Doctors of chiropractic are licensed throughout the English-speaking world and in many other nations as primary contact providers, licensed for both diagnosis and treatment without medical referral. In 2005, the World Health Organization (WHO) published WHO Guidelines on Basic Training and Safety in Chiropractic, which documented the status of chiropractic education and practice worldwide and sought to ensure high standards in nations where chiropractic is in the early stages of development. [ 2]
Rigorous educational standards are supervised by government-recognized accrediting agencies in many nations, including CCE in the United States. After fulfilling college science prerequisites similar to those required to enter medical schools, chiropractic students must complete a chiropractic college program of four academic years, which includes a wide range of courses in anatomy, physiology, pathology, and diagnosis, as well as spinal adjusting, physiotherapy, rehabilitation, public health and nutrition.
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By Steve Vaitl in Ethics on February 23rd, 2012 at 9:08 am
One current trend into fighting antibiotic resistant bacteria is developing a new class refered to as antimicrobial peptides (AMP’s). However a newly published study published1 a proof of concept that bacteria will develop not only resistance to these new drugs but to our own innate immune response peptides as well.
A very nice summary of the findings was published in the latest issue of The Scientist online magazine.2
1. G. J. L. Habets, Michelle, and Michael Brockhurst. “Therapeutic
antimicrobial peptides may compromise natural immunity .” Biology Letters. N.p., n.d. Web. 23 Feb. 2012. <http://rsbl.royalsocietypublishing.org/content/early/2012/01/20/rsbl.2011.1203
2. Richards, Sabrina. “Antimicrobial Cross-Resistance Risk | The Scientist.” The Scientist. N.p., 24 Jan. 2012. Web. 23 Feb. 2012. <http://the-scientist.com/2012/01/24/antimicrobial-cross-resistance-risk/
By Brett Kinsler in Podcast on May 24th, 2011 at 10:39 pm
 There are new opportunities opening up every day for integrated chiropractic professionals and with those opportunities, there are an increasing number of non-traditional chiropractors out there. And though many chiropractors may feel they are precluded from certain positions, Dr. Paul Dougherty has broken through many perceived boundaries. He is truly blazing new trails for the profession. He is a faculty member at New York Chiropractic College and also a clinical faculty member in Department of Orthopedics at University of Rochester School of Medicine. Dr. Dougherty serves as a clinician and research scientist at the VA (Veterans Health Administration), and chair of the American Public Health Association Chiropractic Section. Dr. Dougherty spoke live in the OnTheOtherHand studio with podcast host Dr. Brett Kinsler.
Dr. Dougherty spoke about the pros and cons of practicing chiropractic in a salaried system, the model of the VA clinics for the civilian world, advantages of an integrated EHR and the clinical trials he’s running including those involving clinical prediction rules, functional MRI and psychosocial factors of back pain.
Search “OnTheOtherHand Podcast” on iTunes or click here.
By Brett Kinsler in Podcast on May 16th, 2011 at 3:25 pm
When we are measuring the impact chiropractors have by their presence in the health care system, and not just in spine care, but our presence overall, there may be something missing. Many chiropractors have had a dramatic effect on the public’s health by being properly trained in diagnosis and emergency procedures. By being a portal of contact for a patient who is discovered to have a life threatening condition, the chiropractor may be integral in starting the chain of survival much sooner than the natural history. Or, the chiropractor may actually perform an emergency procedure that leads to an immediate change in a patient’s ability to survive.
Continue reading …
By Brett Kinsler in Education on March 31st, 2011 at 11:20 am
It was called House Bill 127 (HB 127) and with it, the New Mexico State Senate considered legislation to permit limited prescription drug rights to a group of “Advanced Practice” Chiropractors. The bill passed the house but not the full senate. The chiropractic formulary was to include some anti-inflammatories, a common muscle relaxer, and several other topical and internal substances. Proponents said this law would permit chiropractors to help with the drastic shortage of PCP’s in NM and also help patients reduce their medication usage. Opponents said this law flew in the face of our chiropractic forefathers who fought hard to preserve our drugless profession.
Continue reading …
By Brett Kinsler in Podcast on March 25th, 2011 at 2:03 pm
J David Cassidy, DC DrMedSc, PhD is a senior scientist in the Division of Health Care & Outcomes Research at Toronto Western Research Institute (TWRI). He is also a professor in the Division of Epidemiology at the Dalla Lana School of Public Health and professor in Clinical Epidemiology in the Department of Health Policy, Management and Evaluation in the Faculty of Medicine at the University of Toronto. Dr. Cassidy also holds the Research Directorship in Artists’ Health at the University Health Network.
Originally trained as a chiropractor, Dr. Cassidy practiced in both Ontario and Saskatchewan, where he was a member of the Medical-Dental Staff at the Royal University Hospital and a consultant chiropractor to the Division of Orthopedic Surgery. He also holds a Bachelor’s degree in Anatomy, a Master of Science in Surgery and a Doctorate in Anatomical Pathology from the University of Saskatchewan. His second doctoral degree (Dr.Med.Sc.) was earned in Epidemiology and Injury Prevention at the Karolinska Institute in Stockholm, Sweden.
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By John in Public Health on November 9th, 2010 at 2:08 pm
Source ABC News
Australian pilots are monitoring moves by their American counterparts who have been told to boycott controversial full-body scanners that capture images of a passenger’s naked body. The Allied Pilots Association, which represents more than 12,000 pilots in the US, says the security devices at airports pose serious health risks and breach privacy.
With the technology soon to be introduced in Australia, the vice-president of the Australian and International Pilots Association (AIPA), Captain Richard Woodward, says pilots here have similar concerns. “The principal issue is not only privacy. It’s total radiation exposure,” he said. “The allowable limit for radiation workers is 20 mSv per annum. And the average pilot, depending on where they’re flying, gets between three and six.
Continue reading …
By John in Public Health on December 11th, 2009 at 10:33 am
Source Newsweek
It’s been nearly a decade since U2 frontman Bono turned the entire continent of Africa into a pet cause, drawing attention to the problems of -developing-world health like never before. By some accounts, that publicity has started to pay off: since 2000, malaria incidence is down 50 percent in some of the hardest-hit regions, and in the past five years, the number of people with access to life-saving HIV medications has increased 10-fold. But while First World philanthropists and rock-star do-gooders were out to conquer AIDS and malaria, they left a far more ancient killer to fester. Tuberculosis has been traced back as far as the Egyptian mummies. It still kills 5,000 people every day—more people than swine flu has killed in the past year. And right now, natural selection and human fallibility are conspiring to make the germ indestructible.
Since the first effective medications were made available in 1944, Mycobacterium tuberculosis has routinely developed resistance to one drug after another. But in the late 1990s a more disturbing trend emerged: strains of tuberculosis called multidrug-resistant, or MDR-TB, that were resistant to not one but several of the most effective medications (called first-line drugs), began popping up in Africa, Asia, and Eastern Europe. Now those strains have evolved into something even more deadly: extensively drug-resistant, or XDR-TB, which is impervious to first-, second-, and third-line drugs—virtually all the antibiotics in existence. It’s the kind of bug that gives epidemiologists nightmares. And in the past two years, while the world was distracted by the financial crisis, it has emerged in nearly every country on the planet. Experts say it’s time to start worrying. In a 2009 speech delivered to the U.N., World Health Organization director Margaret Chan warned that without swift, decisive action, we might soon find ourselves back in “an era that predates the development of antibiotics,” when tuberculosis was completely incurable. In country after country, drug-resistant strains will start to replace drug-susceptible strains, spreading from the inner cities to the suburbs and from the slums to the countryside. And as scientists start from scratch in a hunt for effective antibiotics, the death toll will steadily rise in rich countries as well as poor.
Continue reading …
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