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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
April, 2013, Vol. 13, Issue 04
The Current Emphasis on Clinical Research and Essential Oils
By Shellie Enteen, RA, BA, LMBT
The use of essential oils to benefit body, mind and spirit greatly predates the modern era, the term "aromatherapy" and the current emphasis on clinical research. Empirical evidence and information passed down through generations and occasionally recorded in books was the norm.Despite the advent of the microscope and aromatherapy research pioneers such as Rene Maurice Gattefosse, scientific investigation into the affect of essential oil components was not common. And of course, the recipients of essential oil blends responded in a positive way, even before the chemical components were identified and classified.
But as we massage therapists know, today it is important to have evidence backed up by scientific studies to create agreed upon facts and practices. Those branches of the healing arts that are given the Complementary and Alternative Medicine (CAM) designation are working hard to present these facts. For aromatherapists, especially when they are hoping to teach this modality to other health professionals, the need to produce verification through research is paramount. The scientific community just won't respect this field without evidence that meets their criteria.
In the aromatherapy community, the idea of research and even the emphasis on the chemistry of essential oils has produced widely divergent points of view. Just as it would seem odd to have to prove the soothing effect of gentle effleurage, to some aromatherapists the historical evidence for the relaxing affect of lavender is enough. Some even fear that going the scientific route is an attack on the basic human element which is so important in both the selection and blending of essential oils. Some are in favor of the clinical case study as a middle ground for proving the reliability of their art. But, there is a growing movement in the aromatherapy community to investigate the chemicals on their own and find personal justification and acceptance through studies proving effects.
Salvatore Battaglia tells us that while research can help create clients who need this proof and that it can also provide recognition and legislation in favor of essential oils there are some basic problems when approaching research in this field. In my opinion, the most important is this: "The essential oils are complex pharmacologically active chemicals. The whole essential oil will have different properties from that of any single constituent alone. Most pharmacological studies involve the use of individual chemical constituents." (The Complete Guide to Aromatherapy, 2nd Edition, 2003.)
A principle that describes this is called the "quenching affect," wherein the presence of all chemical components may reduce the potential intensity of one component. An example would be the chemical limonene. Considered a strong skin irritant, limonene is present in many citrus and citrus note oils where it is brought to a manageable level due to its amount relative to the other chemicals present. However, the focus on the effect of limonene on its own has resulted in legislation in Europe that leaves perfumers with the great problem of no longer being able to use the essential oil of lemon (Citrus limon) in their formulas because it contains limonene. Many of these perfumes have been worn for hundreds of years without ill effect.
Another issue for research in the field of aromatherapy was simply lack of funds. Much of what we knew about physiological and skin care properties of essential oils came from research conducted for the cosmetic and food industries, where the funds and the need for specific research on affects have been vital to ensure public safety. But, as the need for more effective methods of treating chronic pain, anti-biotic resistant bacteria and other health related problems has grown, more research has been going into the relevant properties of essential oils.
If there is a need to find research regarding essential oils, there are some online resources that will yield results. PubMed is one: www.ncbi.nlm.nih.gov/pubmed. And there are good texts that provide research information as well. These include the Aromatherapy Practitioner Reference Manual by Sylla Sheppard-Hanger, Natural Aromatic Materials – Odours and Origins by Tony Burfield, Essential Oils 2008-2011 by Dr. Brian Lawrence. Aromatherapist Jane Buckle, PhD, RN teaches clinically based aromatherapy and has two books, Clinical Aromatherapy and Clinical Aromatherapy for Nurses. She has also authored an article on how to conduct clinical research for aromatherapy that can be found in a special e-book, published in 2012 by the National Association for Holistic Aromatherapy on the topic of research and essential oils.
On a happy research note, it can be said that the scientific conclusions about the dangers of lavender oil used by young boys has now been disproven. The New England Journal of Medicine had run an article some years ago concluding that the development of breast tissue in two pre-pubescent boys (gynecomastia) residing in the same town (not in the same family) was a result of minute amounts of lavender and tea tree essential oils in personal care products from the health food store. This prestigious scientific magazine was unwilling to publish letters from well known aromatherapists refuting this notion. Robert Tisserand, one of our foremost colleagues, posted a link on Facebook this week with the note, "Nice to know that Lavender oil is conclusively not estrogenic." (This hormone like effect was said to be the cause of the gynecomastia.) Read the whole story here: http://roberttisserand.com/2013/02/lavender-oil-is-not-estrogenic.
Click here for more information about Shellie Enteen, RA, BA, LMBT.
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