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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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A clinical resource to help manage chronic pain

September 9, 2016
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Chronic pain, one of the most common and costly global health problems, can represent a substantial challenge for both patients and clinicians. Goal setting with patients, considered a “Best Practice” activity is a clinical practice inherent to chiropractic care and other health professions. However, there are relatively few resources to assist clinicians with helping...
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A Simple Guide to Critical Appraisal

September 6, 2016
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When I review a clinical trial, I ask myself a set of questions to help me understand how well I think the paper makes its case. This is something I have come up with on my own, after many years as a joural editor, educator and teacher of evidence-based practice. Of course, there exist...
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