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Archive for May, 2014

Is this a good source?

It sometimes surprises me when fellow clinicians put greater weight in what I would consider a relatively weak source of information as opposed to something more scholarly. I guess it shouldn’t surprise me. Certainly when I was a student I received no training in critical appraisal. Additionally, the markers of quality are not always...
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Doctor – Patient Relationships

In case you were in doubt, there is yet more evidence to support the importance of the doctor-patient relationship. Recently, over 4000 surgical patients from 14 countries were asked to respond to questions relating to their pain management. Results show that patient satisfaction with postoperative pain treatment was related to the pain experience, being...
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Clinical Reasoning in Spine Pain, Volume 1: Review

From our blogger Dr. Robert Cooperstein comes this review of the new text from Dr. Donald Murphy. Donald Murphy has written a book entitled Clinical Reasoning in Spine Pain, Volume I. He authored most of it himself but there is contributed material from Gary Jacob, David R, Seaman, and Steven Heffner. About half an...
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Confidence Intervals

I would guess that by now you have come across the term “confidence interval” while reading a clinical trial or another kind of paper. This is a critically important concept for clinicians and academics in healthcare to grasp. CIs are typically used when, instead of wanting the mean value of a sample, we instead...
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Posted in Chiropractic, Evidence-Based Clinical Practice | No Comments »

Do you determine the palpatory systolic pressure prior to auscultating to assess blood pressure? Is it really necessary?

This became a topic of conversation among a group of teaching clinicians in the Palmer Clinics in Davenport. We knew what our students were taught and what the text books said, but we were also aware that this was not universally practiced regardless of health care discipline. After sharing our opinions, which were largely...
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CAM for Cancer Patients

Perhaps, because of my experience in a variety of practice settings and in research, a recent article caught my attention. The article, published in the Journal of Complementary and Integrative Medicine, describes a survey of patients at a regional outpatient cancer center in Australia quantifying patient’s use of and attitudes toward complementary and alternative...
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