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Beginning a conversation (choosing the right words)

November 4, 2016
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Effective communication between providers and patients is a key component to successful care. Less than effective communication potentially hinders interpersonal relationships, information exchange, and decision-making for both parties. Fortunately, there is a firm body of literature, which can inform both new and experienced practitioners about the art of communication. One such study, conducted by...
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Give yourself a break

October 14, 2016
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That’s right. Don’t be so hard on yourself. Not only will you feel better emotionally, you might also be physically healthier. A recent RCT published in Diabetes Care showed that an 8-week intervention using something called “Mindful Self-Compassion” resulted in a decrease in measures of depression, diabetes-specific distress and HbA1c. (1) What is mindful...
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Cervical Artery Dissection

October 12, 2016
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Several studies have shown that evidence is lacking for a causal relationship between cervical spine manipulation and cervical artery dissection. Recently, another systematic review and meta-analysis conducted within the Department of Neurosurgery at Penn State Hershey Medical Center independently came to the same conclusion (1). Study authors found an association between a visit to...
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A New Journal on Peer Review and Research Integrity

October 3, 2016
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One of the hallmarks of scientific journal publication is the peer review system. An editor cannot be knowledgeable about every possible area of research the journal he or she edits receives for consideration. So the paper is sent for review by people with expertise in the area the paper discusses, and the editor then...
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A New Publication World?

September 20, 2016
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First, a confession. I spent much of my career as a journal editor, and spend time now as a journal editor (Chiropractic Journal of Australia). I mention this because I want to discuss issues around journal publication. In the evidence-based world, journal articles are still seen as the primary means of obtaining important information...
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Narrative Medicine

September 9, 2016
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We have all heard that evidence-based clinical practice includes three essential components: best available research evidence; clinical experience; and patient values. Most programs in EBCP, including this blog, focus on the interpretation and application of research evidence. Lip service is given to clinician experience and patient values. I believe the reason for this is...
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