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Random Thoughts about Living in an Evidence-Based World

May 16, 2016
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  When I first began teaching evidence-based practice, one of the comments I sometimes heard was that all we needed was evidence of subluxation or joint dysfunction. This created a great teaching moment, because if you think about it, identifying the presence of subluxation is actually like diagnosis- that is, you are determining that...
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Therapeutic Illusion

May 13, 2016
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There was an interesting commentary in the March 31st issue of the New England journal of Medicine called “The Science of Choosing Wisely-Overcoming Therapeutic Illusion.” The article pointed out the propensity of human beings to overestimate the effects of their actions. This is an...
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Vertebral artery blood flow

May 5, 2016
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For the past several decades, one consistent question that is yet to be completely answered could be stated as; what is the potential risk of vertebral artery damage during upper cervical manipulation? Here is some of what we know: • Vertebral artery damage can...
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FDA Hierarchy of Trials

May 2, 2016
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Sometimes when we look up information we may find some research-related terminology that does not make much sense to us. For example, while we do not prescribe drugs we...
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Journal Impact Factor

April 18, 2016
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The Impact Factor (IF) of a journal is a measure of how often that journal is cited in other journals. It is seen as a proxy measure of journal...
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A model for doctors to follow with patients experiencing emotional distress

April 7, 2016
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Being an effective caregiver includes many challenges. One includes the ability to effectively consult with patients in emotional distress. Fortunately, there are resources available to help practitioners and students...
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