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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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
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.
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.
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.
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."
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
September, 2013, Vol. 13, Issue 09
Educate Your Clients: The Advantages of Baby Wearing
By Claudia Anrig, DC
Since the beginning of the "Back to Sleep" program, which recommended that babies be placed on their backs in order to reduce the risk of SIDS, babies spend more time on their backs than ever.When we add in the time spent in baby carriers, it's no wonder there has been a significant increase in the number of babies with "flat head syndrome."1 However, the bigger concern here is not cosmetic, but instead the issue of cranial distortions potentially resulting in compromised neurological function.1 If you have a clients thinking about or just beginning to add to their families, you can encourage them to educate themselves and look into the reasons why infants should spend less of their awake time on their backs and the alternative ways available to accommodate improved baby positioning.
Why to Encourage Baby Wearing
The benefits of baby wearing are vast. For instance, research has shown that babies who are carried cry 43 percent less than those who aren't and 54 percent less during the evening hours, when colicky babies may be the most fussy.2
Babies that are worn while awake also spend much more time in a quiet and alert state, which is ideal for learning. Since they feel safe and secure, they are more open to outside stimuli, which is the world from their carrier's point of view, not the limited view available from their crib, car seat or stroller. Since they are closer to people and can study facial expressions, carried infants also are more socialized and will typically learn to speak sooner and be more familiar with body language, becoming independent at an earlier age.3
Carried or worn infants are also calmer because all their needs are being met, both their primal and survival needs. They can see, hear, smell, touch and even taste their primary caregiver. According to Dr. William Sears, the pediatrician who coined the phrase, "attachment parenting," being in this position for most of an infant's waking hours provides a motion that has shown to be beneficial for neural development, as well as gastrointestinal and respiratory health. The parental rhythms (walking, heartbeat, etc.) have a balancing and soothing effect on the infant.3 Due to the decreased amount of time spent on their backs, the risk of plagiocephaly or the above-mentioned "flat head syndrome" also is significantly reduced.4
Other Benefits to Baby Wearing
In many cultures, if the baby is awake, then it is being worn or carried by mom, dad or another caregiver. Anthropologists and psychologists studying the behavior of mother and child have determined that their interaction actually shapes behavior. When the baby seems in distress, mother offers a soothing touch or word. When the baby seems hungry, she offers her breast. When the baby focuses on her, she focuses back while smiling or talking in a loving tone. For each action of the baby, the mother responds. According to an article published by the La Leche League, "these sensitive, personality-shaping interactions happen most readily when babies are in the arms of their parents."5
Baby wearing is an opportunity to provide closeness, even when the parent cannot be providing the baby with their undivided attention. This also allows for multitasking: cooking, cleaning, running after a toddler, grocery shopping or performing any other typical parental task, while providing the infant continued security.5
Baby wearing also has physiological benefits for the mother, including increased oxytocin levels, leading to a more intimate maternal bond, easier breast-feeding and improved care, potentially lowering the incidence of postpartum depression.6
Additionally, since the hormone relaxin may be present up to nine months following delivery, this may be healthier for the mother's spine by preventing increased repetitive movements such as carrying her baby and less lifting of car seats, which may lead to postural or spinal misalignments.1
In fact, car seats should only be used while the infant is in the car. The American Academy of Pediatrics recommends that infants spend the least amount possible in seating that maintains a supine or reclined position, including car seats, unless they are actually a passenger in a vehicle. It is best for infants to be upright while being held, carried or worn.7
Some parents have expressed concern that a baby who is constantly held or worn will become fussy and demanding of attention, but studies have actually shown the opposite is true. Apparently, babies who are worn tend to be more satisfied and secure.5
How to Wear a Baby
With the increase in information available, baby wearing has become more popular, so a wide variety of slings and carriers is now available. Slings with rings can be used for newborns, older babies and toddlers. The sling is typically adjusted by running the tail fabric through the rings and then tightening or loosening it until the wearer feels comfortable. With a sling, the baby can be positioned on the parent's front, side or back. Pouch carriers are similar to slings, but offer fewer options for adjustment and generally hold the baby in the front or back only.5 Another option is long, tied wraps, which are 12 feet long and made of woven or knit fabric. The wearer wraps and ties the fabric around her and the baby to keep the infant secure.5
More common, but not always the best, is the backpack or front carrier. Since the design is more rigid in structure, it doesn't always offer options for infant positioning, and they are not flexible from one wearer to the next. Should parents choose to go this route, tell them it would be wise to purchase two so the straps and clips don't have to be adjusted when being used by more than one wearer.5
Recommendations for Choosing a Carrier
When considering the purchase of a baby carrier, tell parents to be sure to think about the following:1
Source: International Chiropractic Pediatric Association, 2008.
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