Podcasts about ecollection

Welcome to the final episode of the Evidence-Based Hair Podcast for 2024, hosted by Dr. Jeff Donovan, a leading dermatologist and hair loss specialist. In this episode, Dr. Donovan dives into the complex relationship between alopecia areata and cardiovascular risk, exploring recent studies that offer conflicting conclusions. Dr. Donovan reviews a notable study published in JAD International, which leverages the All of Us Research Program database to investigate whether alopecia areata patients are at increased risk for cardiovascular diseases. The study reveals intriguing findings, suggesting a potential link with chronic kidney disease and hyperlipidemia, but not with heart disease. As the podcast unfolds, Dr. Donovan discusses the broader implications of these findings, the need for long-term studies, and the ongoing debate in the medical community. He also invites listeners to a special event celebrating the top 20 studies of 2024. Join Dr. Donovan as he navigates through the complexities of hair loss research, empowering practitioners and patients alike with evidence-based insights. For more information on the Donovan Hair Academy's programs, visit their website.     STUDIES REFERENCED IN THIS EPISODE Ambika Nohria, Jill T Shah, Deesha Desai, Lina Alhanshali, Jenne Ingrassia, Alisa Femia, Michael Garshick, Jerry Shapiro, Kristen I Lo Sicco. Alopecia areata and cardiovascular comorbidities: A cross-sectional analysis of the All of Us research program. JAAD Int. 2024 Apr 8:16:46-48. doi: 10.1016/j.jdin.2024.03.024. eCollection 2024 Sep.   Lee et al. Alopecia areata is not a risk factor for heart diseases: A 10-year retrospective cohort study. PLoS One. 2021. Conic RRZ et al. Prevalence of cardiac and metabolic diseases among patients with alopecia areata. JEADV 2021  

Welcome to the Evidence-Based Hair Podcast, hosted by dermatologist and hair loss specialist Dr. Jeff Donovan. In this episode, Dr. Donovan explores a groundbreaking study published in the journal Curious, highlighting the effectiveness of the JAK1 inhibitor, upadacitinib, in treating recalcitrant dissecting cellulitis of the scalp. Dissecting cellulitis, a challenging form of scarring alopecia, often affects males and presents with debilitating symptoms. While traditional treatments like isotretinoin and antibiotics offer relief for some, they aren't always effective. The study discusses a case where upadacitinib brought significant improvement after conventional options were exhausted. Dr. Donovan provides a comprehensive overview of the study, emphasizing the potential of JAK inhibitors as third-line treatments in managing persistent dissecting cellulitis. He also shares insights on the broader implications for future research and treatment strategies. Join Dr. Donovan next week for an analysis of a study on alopecia areata and cardiovascular comorbidities, and don't miss the annual "Top 20 of 2024" event on December 30th. For more information about the Donovan Hair Academy's programs, visit their website.     STUDY REFERENCED IN THIS EPISODE Zahidul Islam, Michelle Toker, Isha M Gandhi, Ariel Sher, Kristina Campto. Improvement of Recalcitrant Dissecting Cellulitis of the Scalp After a Trial of Upadacitinib. Cureus . 2024 Jan 16;16(1):e52377. doi: 10.7759/cureus.52377. eCollection 2024 Jan.  

Welcome to the latest episode of the Evidence-Based Hair Podcast, hosted by dermatologist and hair loss specialist, Dr. Jeff Donovan. As the director of the Donovan Hair Academy, Dr. Donovan is dedicated to educating both the public and hair loss practitioners about the complexities of hair loss. In this episode, Dr. Donovan delves into a fascinating study from JAAD Case Reports, which explores the potential benefits of the diabetes drug terzepatide for treating androgenetic alopecia. This groundbreaking case report suggests that medications targeting insulin resistance could offer new strategies for hair growth. Join Dr. Donovan as he breaks down the study, discusses the implications of using GLP-1/GIP receptor agonists for hair loss, and highlights the importance of understanding the metabolic connections to androgenetic alopecia. Discover how these findings could pave the way for novel treatment approaches and what it means for patients worldwide. Whether you're a practitioner, researcher, or someone affected by hair loss, this episode provides insightful perspectives on the future of hair loss treatment. Tune in to learn more about the potential of terzepatide and similar medications in addressing hair loss challenges.     STUDY REFERENCED Gordon E, Musleh S,  Bordone LA. Treatment of insulin resistance with tirzepatide leading to improvement of hair loss. JAAD Case Rep . 2024 Jun 11:50:123-125. doi: 10.1016/j.jdcr.2024.06.001. eCollection 2024 Aug.

Welcome to the Evidence-Based Hair Podcast, hosted by dermatologist and hair loss specialist, Dr. Jeff Donovan. In this episode, we delve into a crucial study exploring the unexpected side effects of steroid injections used in treating alopecia areata, particularly focusing on central serous chorioretinopathy (CSC). This condition, characterized by fluid accumulation beneath the retina, can lead to vision problems and retinal detachment. Dr. Donovan reviews a compelling paper published in JAAD Case Reports, highlighting two cases where patients developed CSC after receiving steroid injections for hair loss. The episode emphasizes the importance of recognizing blurry vision as a potential warning sign and the need for immediate consultation with an eye specialist. Join us as we discuss the implications of this study for hair loss specialists and the necessity of ongoing research to better understand the risks associated with long-term steroid use. Stay tuned for next week's episode, where we'll explore the role of tirzepatide in androgenetic hair loss treatment.   STUDIES REFERENCED IN THIS EPISODE Deesha Desai, Ambika Nohria, Lina Alhanshali, Michael Buontempo, Kristen I Lo Sicco, Craig Fern, Jerry Shapiro. Central serous chorioretinopathy after scalp and eyebrow intralesional triamcinolone acetonide injections: Report of two cases. JAAD Case Rep . 2024 Jul 14:51:86-91. doi: 10.1016/j.jdcr.2024.06.034. eCollection 2024 Sep.

Este podcast está presentado por los médicos neonatólogos Dani de Luis Rosell, Elena Itriago, Carolina Michel y Juliana Castellanos; y su anfitriona Maria Flores Cordova, médico residente de pediatría.No dudes en enviarnos preguntas, comentarios o sugerencias a nuestro correo electrónico: nicupodcast@gmail.comLos artículos que se tratan en el episodio de hoy están listados aquí:Time to regain birthweight and association with neurodevelopmental outcomes among extremely preterm newborns.Valentine GC, Perez KM, Wood TR, Mayock DE, Law JB, Kolnik S, Strobel KM, Brandon OC, Comstock BA, Heagerty PJ, Juul SE.J Perinatol. 2024 Apr;44(4):554-560. doi: 10.1038/s41372-024-01869-8. Epub 2024 Jan 9. Perinatal optimisation for periviable birth and outcomes: a 4-year network analysis (2018-2021) across a change in national guidance.Peterson J, Smith DM, Johnstone ED, Mahaveer A.Front Pediatr. 2024 Apr 17;12:1365720. doi: 10.3389/fped.2024.1365720. eCollection 2024.Tadalafil in Neonates and Infants With Pulmonary Hypertension Secondary to Bronchopulmonary Dysplasia.Kiskaddon A, Dang T, Mauriello D.J Pediatr Pharmacol Ther. 2024 Apr;29(2):140-143. doi: 10.5863/1551-6776-29.2.140. Epub 2024 Apr 8. Bienvenidos a La Incubadora: una conversación sobre neonatología y medicina basada en evidencia. Nuestros episodios ofrecen la dosis ideal (en mg/kg) de los más recientes avances para el neonato y para las increíbles personas que forman parte de la medicina neonatal. Soy tu host, Maria Flores Cordova, MD. Presentado por los Neonatólogos Elena Itriago MD, Dani de Luis Rosell MD, Carolina Michel MD, las futuras doctoras Marla Fortoul, Valentina Giraldo, Laura Molina. Creado originalmente por Ben Courchia MD y Daphna Yasova Barbeau MD http://www.the-incubator.org

Este podcast está presentado por los médicos neonatólogos Dani de Luis Rosell, Elena Itriago, Carolina Michel y Juliana Castellanos; nuestras futuras doctoras Valentina Giraldo y Laura Molina y su anfitriona Maria Flores Cordova, médico residente de pediatría. No dudes en enviarnos preguntas, comentarios o sugerencias a nuestro correo electrónico: nicupodcast@gmail.comLos artículos que se tratan en el episodio de hoy están listados aquí: Expectant Management or Early Ibuprofen for Patent Ductus Arteriosus.Hundscheid T, Onland W, Kooi EMW, Vijlbrief DC, de Vries WB, Dijkman KP, van Kaam AH, Villamor E, Kroon AA, Visser R, Mulder-de Tollenaer SM, De Bisschop B, Dijk PH, Avino D, Hocq C, Zecic A, Meeus M, de Baat T, Derriks F, Henriksen TB, Kyng KJ, Donders R, Nuytemans DHGM, Van Overmeire B, Mulder AL, de Boode WP; BeNeDuctus Trial Investigators.N Engl J Med. 2023 Mar 16;388(11):980-990. doi: 10.1056/NEJMoa2207418. Epub 2022 Dec 6.Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants.Hammitt LL, Dagan R, Yuan Y, Baca Cots M, Bosheva M, Madhi SA, Muller WJ, Zar HJ, Brooks D, Grenham A, Wählby Hamrén U, Mankad VS, Ren P, Takas T, Abram ME, Leach A, Griffin MP, Villafana T; MELODY Study Group.N Engl J Med. 2022 Mar 3;386(9):837-846. doi: 10.1056/NEJMoa2110275.Antenatal dexamethasone for late preterm birth: A multi-centre, two-arm, parallel, double-blind, placebo-controlled, randomized trial.WHO ACTION Trials Collaborators.EClinicalMedicine. 2022 Feb 12;44:101285. doi: 10.1016/j.eclinm.2022.101285. eCollection 2022 Feb.Trial of Erythropoietin for Hypoxic-Ischemic Encephalopathy in Newborns.Wu YW, Comstock BA, Gonzalez FF, Mayock DE, Goodman AM, Maitre NL, Chang T, Van Meurs KP, Lampland AL, Bendel-Stenzel E, Mathur AM, Wu TW, Riley D, Mietzsch U, Chalak L, Flibotte J, Weitkamp JH, Ahmad KA, Yanowitz TD, Baserga M, Poindexter BB, Rogers EE, Lowe JR, Kuban KCK, O'Shea TM, Wisnowski JL, McKinstry RC, Bluml S, Bonifacio S, Benninger KL, Rao R, Smyser CD, Sokol GM, Merhar S, Schreiber MD, Glass HC, Heagerty PJ, Juul SE; HEAL Consortium.N Engl J Med. 2022 Jul 14;387(2):148-159. doi: 10.1056/NEJMoa2119660. Bienvenidos a La Incubadora: una conversación sobre neonatología y medicina basada en evidencia. Nuestros episodios ofrecen la dosis ideal (en mg/kg) de los más recientes avances para el neonato y para las increíbles personas que forman parte de la medicina neonatal. Soy tu host, Maria Flores Cordova, MD. Presentado por los Neonatólogos Elena Itriago MD, Dani de Luis Rosell MD, Carolina Michel MD, las futuras doctoras Marla Fortoul, Valentina Giraldo, Laura Molina. Creado originalmente por Ben Courchia MD y Daphna Yasova Barbeau MD http://www.the-incubator.org

Nelson y Matías comentan la falacia de la tasa basal, ejemplificada en la dyskinesis escapular. Artículos citados J Orthop Sports Phys Ther . 2017 Aug;47(8):530-537. doi: 10.2519/jospt.2017.7268. Epub 2017 Jul 6. Observational Scapular Dyskinesis: Known-Groups Validity in Patients With and Without Shoulder Pain Hillary A Plummer, Jonathan C Sum, Federico Pozzi, Rini Varghese, Lori A Michener PMID: 28683230 DOI: 10.2519/jospt.2017.7268 Orthop J Sports Med . 2016 Feb 17;4(2):2325967115627608. doi: 10.1177/2325967115627608. eCollection 2016 Feb. Prevalence of Scapular Dyskinesis in Overhead and Nonoverhead Athletes: A Systematic Review Matthew B Burn 1, Patrick C McCulloch 1, David M Lintner 1, Shari R Liberman 1, Joshua D Harris 1 Affiliations expand PMID: 26962539 PMCID: PMC4765819 DOI: 10.1177/2325967115627608  Braz J Phys Ther . 2014 May-Jun;18(3):282-9. doi: 10.1590/bjpt-rbf.2014.0025. Can clinical observation differentiate individuals with and without scapular dyskinesis? [Article in English, Portuguese] Newton Y Miachiro 1, Paula M F Camarini 1, Helga T Tucci 2, Kevin J McQuade 3, Anamaria S Oliveira 1 Affiliations expand PMID: 25003282 PMCID: PMC4183499 DOI: 10.1590/bjpt-rbf.2014.0025  Arthroscopy . 2009 Nov;25(11):1240-8. doi: 10.1016/j.arthro.2009.06.007. Evaluation of clinical assessment methods for scapular dyskinesis Tim L Uhl 1, W Ben Kibler, Ben Gecewich, Brady L Tripp Affiliations expand PMID: 19896045 DOI: 10.1016/j.arthro.2009.06.007 Int J Sports Phys Ther . 2023 Jun 1;V18(3):558-576. doi: 10.26603/001c.74388. eCollection 2023. Is it Time to Normalize Scapular Dyskinesis? The Incidence of Scapular Dyskinesis in Those With and Without Symptoms: a Systematic Review of the Literature Paul A Salamh, William J Hanney, Trey Boles, Daniel Holmes, Alex McMillan, Austin Wagner, Morey J Kolber PMID: 37425102 PMCID: PMC10324350 DOI: 10.26603/001c.74388  Phys Ther . 2016 Aug;96(8):1162-9. doi: 10.2522/ptj.20140230. Epub 2016 Feb 4. Critical and Theoretical Perspective on Scapular Stabilization: What Does It Really Mean, and Are We on the Right Track? Kevin J McQuade 1, John Borstad 2, Anamaria Siriani de Oliveira 3 Affiliations expand PMID: 26847012 DOI: 10.2522/ptj.20140230 Arch Phys Med Rehabil . 2017 Oct;98(10):1915-1923.e3. doi: 10.1016/j.apmr.2017.05.023. Epub 2017 Jun 24. Effects of Scapular Stabilization Exercise Training on Scapular Kinematics, Disability, and Pain in Subacromial Impingement: A Randomized Controlled Trial Elif Turgut 1, Irem Duzgun 2, Gul Baltaci 3 Affiliations expand PMID: 28652066 DOI: 10.1016/j.apmr.2017.05.023

Eosinophilic Oesophagitis (EoE) is a confronting TH2-dominant disorder mainly picked up in infancy and childhood but not uncommonly missed until adulthood. It's aetiology is unknown although it can occur with atopic conditions such as asthma. EoE can present as vomiting or spitting food up in youngsters but may also present as hiccups or food impaction. It's noteworthy that Coeliac (Celiac) Disease and Ehlers-Danlos Syndrome may be co-morbidities with EoE.Nicole Hannan is an expert in EoE by necessity (her daughter has EoE) and is now completing her PhD in this area and today we learn all about the hallmarks, the prevalence, concomitant disorders, the treatments and the precautions of EoE. Listen in to this full episode and an urgent call-out to both patients and practitioners in a short episode on EoE to further research into this condition.Patients are encouraged to fill out a 15 minute survey using this link .While practitioners are urged to join the focus group if you have cared for a patient with EoE in the past 5 years (06.2017-06.2022).RESOURCES:Hannan N, McMillan SS, Tiralongo E, et al. Treatment Burden for Pediatric Eosinophilic Esophagitis: A Cross-Sectional Survey of Carers. J Pediatr Psychol. 2021 Jan 20;46(1):100-111. Yaxley JP, Chakravarty B. Eosinophilic oesophagitis - A guide for primary care. Aust.Fam Phys. 2015 Oct;44(10):723-727.   Gonsalves NP, Aceves SS. Diagnosis and treatment of Eosinophilic Esophagitis. J Allergy Clin Immunol. 2020 Jan;145(1):1-7. Feo-Ortega S, Lucendo AJ. Evidence-based treatments for eosinophilic esophagitis: insights for the clinician. Therap Adv Gastroenterol. 2022 Jan 19;15:17562848211068665 eCollection 2022. 

Dr. Anne Bunner and Dr. Don Marion discuss a study comparing rates of depression in men and women following a traumatic brain injury (TBI). Publication discussed: Lavoie, S., Sechrist, S., Quach, N., Ehsanian, R., Duong, T., Gotlib, I. H., & Isaac, L. (2017). Depression in Men and Women One Year Following Traumatic Brain Injury (TBI): A TBI Model Systems Study. Frontiers in Psychology, (8)634, eCollection. doi: 10.3389/fpsyg.2017.00634 PubMed link: www.ncbi.nlm.nih.gov/pubmed/28529492 CUBIST is a podcast for health care providers produced by the Traumatic Brain Injury Center of Excellence. We discuss the latest research on traumatic brain injury (TBI) most relevant to patient care. For more about TBI, including clinical tools, go to www.health.mil/TBICoE or email us at dha.ncr.j-9.mbx.tbicoe-info@mail.mil. The views, opinions, and/or findings in this podcast are those of the host and subject matter experts. They should not be construed as an official Department of Defense position, policy, or decision unless designated by other official documentation. Our theme song is “Upbeat-Corporate' by WhiteCat, available and was used according to the Creative Commons Attribution-Noncommercial 4.0 license.

Can the brain repair itself? Can it regenerate after damage? Will there be a full recovery after a brain injury?  I bring in a friend to talk about the latest advances in neuronal repair. In practice since 2001, Dr. Greg Eckel, co-founder of Nature's Cure clinic in Portland where he shares what he calls "Sarieah's gifts" with the world, has focused on chronic degenerative and neurodegenerative diseases for many years. Between the latest online fads and the crazy media headlines, it's easier more than ever to get confused about your health. If you want to make better decisions about your health so you can feel better and live longer, you've come to the right place. As a loving husband and clinician, he took a deep dive into medical research looking for cures to his wife's Creutzfeldt-Jakob disease, a rare, chronic neurodegenerative condition with no known cure. While he didn't find a solution for Sarieah, the information he discovered and now uses in his clinic is showing promise for thousands of people.    Key takeaways: [1:37] Introduction to Dr. Greg Eckel[2:24] Can the brain really regenerate?[6:11] What is the time frame for the brain to regenerate and what is the success rate?[7:20] VSEL's - Very Small Embryonic-Like Stem Cells[9:18] Main diseases' underlying categories for neurodegeneration - prion, auto-immune and traumatic brain injuries.[11:25] FAN-C approach - a framework that Dr. Eckel have created to evaluate, explore and develop a program for proper diagnosis.[12:43] How Dr. Eckel got into prionic activity.[14:00] Clinician's own grief as experience and inspiration to help people. [17:45] Getting your grief and emotions out.[24:27] What happens in the neurodegeneration FAN-C approach assessment?[25:15] Other causes of neurodegeneration[26:00] Why do proteins misfold? [26:50] The Braak's hypothesis of parkinson's disease[30:02] Homeodynamic regulation[32:14] Cellular regeneration - VSEL's[36:53] Hyperbaric oxygen - originally designed and developed for divers and helps heal the brain for regeneration.[39:41] Photobiomodulation - a light therapy using low level laser.[40:45] Acupuncture and Chinese medicine encourage proper blood flow and help the body and the brain heal.[42:56] Nature Cures Clinic and the Cloudhands and superbrain yoga videos.[43:35] Closing Topic references:   https://naturecuresclinic.com/brain-regeneration/   https://poddtoppen.se/podcast/1339733591/the-spectrum-of-health-with-dr-christine-schaffner/the-future-is-brain-regeneration-dr-greg-eckel-with-dr-christine-schaffner   https://pubmed.ncbi.nlm.nih.gov/28243222/   https://sitn.hms.harvard.edu/flash/2010/issue65/   https://www.nigms.nih.gov/education/fact-sheets/Pages/regeneration.aspx For more details about Dr. Greg Eckel, visit his website www.naturecuresclinic.com or join his exercises, QI gong and Super Brain yoga through www.naturecuresclinic.com/qigong. You can also book a consultation call with his team through naturecuresclinic.com/book-a-call.   Follow Dr. Greg Eckel on his social media accounts:Facebook: https://www.facebook.com/pg/NatureCuresClinic/posts/  Instagram: https://www.instagram.com/naturecurespdx/?hl=en LinkedIn: https://www.linkedin.com/in/drgregeckel/  Twitter: @drgreckel     HBOT and Brain health Resources:   “Hyperbaric Oxygen Alleviates Secondary Brain Injury After Trauma Through Inhibition of TLR4/NF-κB Signaling Pathway”. Meng XE, Zhang Y, Li N, Fan DF, Yang C, Li H, Guo DZ, Pan SY. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research. 2016 Jan 26; 22: 284-288 PMC [article] PMCID: PMC4734681, PMID: 26812205, DOI: 10.12659/MSM.894148 Boussi-Gross R, Golan H, Fishlev G, Bechor Y, Volkov O, Bergan J, Friedman M, Hoofien D, Shlamkovitch N, Ben-Jacob E, Efrati S. “Hyperbaric oxygen therapy can improve post concussion syndrome years after mild traumatic brain injury - randomized prospective trial”. PLoS One. 2013 Nov 15;8(11):e79995. doi: 10.1371/journal.pone.0079995. eCollection 2013. PubMed [citation] PMID: 24260334, PMCID: PMC3829860 Thom SR, Bhopale VM, Velazquez OC, Goldstein LJ, Thom LH, Buerk DG. “Stem cell mobilization by hyperbaric oxygen”. Am J Physiol Heart Circ Physiol. 2006 Apr;290(4):H1378-86. Epub 2005 Nov 18. PubMed [citation] PMID: 16299259 “ROS and Brain Diseases: The Good, the Bad, and the Ugly”. Popa-Wagner A, Mitran S, Sivanesan S, Chang E, Buga AM. “Oxidative Medicine and Cellular Longevity”. 2013 Dec 5; 2013: 963520 PMC [article] PMCID: PMC3871919, PMID: 24381719, DOI: 10.1155/2013/963520 “Hyperbaric oxygen therapy promotes neurogenesis: where do we stand?”. Mu J, Krafft PR, Zhang JH. Medical Gas Research. 2011 Jun 27; 1: 14 PMC [article] PMCID: PMC3231808, PMID: 22146131, DOI: 10.1186/2045-9912-1-14   PARKINSONS REFERENCES:  (etiology, causes, treatments)   “d-β-Hydroxybutyrate protects neurons in models of Alzheimer's and Parkinson's Disease”. Kashiwaya Y, Takeshima T, Mori N, Nakashima K, Clarke K, Veech RL. Proceedings of the National Academy of Sciences of the United States of America. 2000 May 9; 97(10): 5440-5444 PMC [article] PMCID: PMC25847, PMID: 10805800, DOI: 10.1073/pnas.97.10.5440 Han L, Xie YH, Wu R, Chen C, Zhang Y, Wang XP. “Traditional Chinese medicine for modern treatment of Parkinson's disease”. Chin J Integr Med. 2017 Aug;23(8):635-640. doi: 10.1007/s11655-016-2537-7. Epub 2017 Jan 20. Review. PubMed [citation] PMID: 28108911 Karlsson O, Lindquist NG. “Melanin affinity and its possible role in neurodegeneration”. J Neural Transm (Vienna). 2013 Dec;120(12):1623-30. doi: 10.1007/s00702-013-1062-5. Epub 2013 Jul 3. Review. PubMed [citation] PMID: 23821370 “Therapeutic potential of autophagy-enhancing agents in Parkinson's disease”. Moors TE, Hoozemans JJ, Ingrassia A, Beccari T, Parnetti L, Chartier-Harlin MC, van de Berg WD. Molecular Neurodegeneration. 2017 Jan 25; 12: 11 PMC [article] PMCID: PMC5267440, PMID: 28122627, DOI: 10.1186/s13024-017-0154-3 Goldman SM. “Environmental toxins and Parkinson's disease”. Annu Rev Pharmacol Toxicol. 2014;54:141-64. doi: 10.1146/annurev-pharmtox-011613-135937. Epub 2013 Sep 16. Review. PubMed [citation] PMID: 24050700 Agim ZS, Cannon JR. “Dietary factors in the etiology of Parkinson's disease”. Biomed Res Int. 2015;2015:672838. doi: 10.1155/2015/672838. Epub 2015 Jan 20. Review. PubMed [citation] PMID: 25688361, PMCID: PMC4320877 Montgomery EB Jr. “Heavy metals and the etiology of Parkinson's disease and other movement disorders”. Toxicology. 1995 Mar 31;97(1-3):3-9. Review. PubMed [citation] PMID: 7716790 Ward RJ, Dexter DT, Crichton RR. “Chelating agents for neurodegenerative diseases”. Curr Med Chem. 2012;19(17):2760-72. Review. PubMed [citation] PMID: 22489724 Hozumi I, Hasegawa T, Honda A, Ozawa K, Hayashi Y, Hashimoto K, Yamada M, Koumura A, Sakurai T, Kimura A, Tanaka Y, Satoh M, Inuzuka T. “Patterns of levels of biological metals in CSF differ among neurodegenerative diseases”. J Neurol Sci. 2011 Apr 15;303(1-2):95-9. doi: 10.1016/j.jns.2011.01.003. Epub 2011 Feb 2. PubMed [citation] PMID: 21292280 Chu Y, Kordower JH. “The prion hypothesis of Parkinson's disease”. Curr Neurol Neurosci Rep. 2015 May;15(5):28. doi: 10.1007/s11910-015-0549-x. PubMed [citation] PMID: 25868519   What did you learn about today's topic? Let us know by leaving a review! Visit these links to learn more: https://www.drchristianson.com/ Dr. Christianson on Facebook (http://www.facebook.com/DrAlanChristianson/) Dr. Christianson on Instagram (http://www.instagram.com/dralanchristianson/) Subscribe for more Medical Myths, Legends, & Fairytales: Apple Podcasts (https://podcasts.apple.com/us/podcast/medical-myths-legends-fairytales/id1467232418) Spotify (https://open.spotify.com/show/0HaZ75TpOCazsRQSG0AOFs) YouTube (https://www.youtube.com/user/Alannmd/videos)

Neste episódio, contamos com a participação do Dr. Gustavo Resende, médico reumatologista do Hospital das Clínicas da UFMG. Referências: 1)Schett G, Lories RJ, D'Agostino M-A, Elewaut D, Kirkham B, Soriano ER, et al. Enthesitis: from pathophysiology to treatment. Nat Rev Rheumatol. 2017;13(12):731-41. https://doi.org/10.1038/nrrheum.2017.188. 2)Mathew AJ, Østergaard M. Magnetic Resonance Imaging of Enthesitis in Spondyloarthritis, Including Psoriatic Arthritis-Status and Recent Advances. Front Med (Lausanne). 2020 Jun 30;7:296. eCollection 2020. https://doi. org/10.3389/fmed.2020.00296. 3)Balint PV, Terslev L, Aegerter P, Bruyn GAW, Chary-Valckenaere I, Gandjbakhch F, et al.; OMERACT Ultrasound Task Force members. Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative. Ann Rheum Dis. 2018 Dec;77(12):1730-5 4) Coates LC, Kavanaugh A, Mease PJ et al. Group for Research and Assessment of Psoriasis and Psoriatic Arthritis 2015 treatment recommendations for psoriatic arthritis. Arthritis Rheumatol 2016;68:1060–71.

We Need More Illustrations of People of Color in Medical Textbooks— The lack of diversity perpetuates health inequality and stereotypes "The consequences of primarily depicting White, lighter skinned individuals with Eurocentric features in medical images supports the persuasive concept of White supremacy. It perpetuates the belief that the White male body is "the standard" to which all other bodies should be compared. It leads to inequality in medical education and further perpetuates harmful stereotypes of Black individuals. As a result, this issue plays a role in inappropriate diagnosis and health management of Black individuals. Furthermore, medical care becomes subjective, discriminatory, and filled with speculatory assumptions based on stereotypes." Jenna C. Lester is founder of the Skin of Color dermatology program at UCSF, which addresses the  persistent issues that arise from the exclusion and marginalization of non-white patients in medical  research and practice. She is combatting medical disparities due to racial inequality, working to fill education gaps in textbooks and curriculum about non-white skin and training a new generation of  doctors. A graduate of Harvard University and The Warren Alpert Medical School of Brown University, she is an assistant professor of dermatology at UCSF where she practices and teaches general dermatology. Jenna's TedX Talk Susan Y. Chon, a 1991 Brown graduate with an independent concentration in children's literature, is a professor in the Department of Dermatology at the University of Texas M.D. Anderson Cancer Center. Prior to joining the faculty, she earned her M.D. from Stanford University School of Medicine. She then completed her internship in internal medicine and her dermatology residency at Stanford University Hospital. Chon specializes in treating patients with skin cancers, melanomas and skin disorders from cancer treatments. She is a medical educator and an active mentor for medical students and dermatology residents. She is also director of the Skin Cancer Screening and Prevention Program and founded the volunteer physician program for the Brookwood Community, a residential and vocational program for adults with disabilities. Chon is the president of the Brown Club of Houston, helping to maintain the connection between Brown and its graduates throughout the world, and serves as a member of the Women's Leadership Council, Women's Launch Pad and Philanthropy Advisory Group.  Under-representation of skin of colour in dermatology images: not just an educational issue.Lester JC, Taylor SC, Chren MM.Br J Dermatol. 2019 Jun;180(6):1521-1522. doi: 10.1111/bjd.17608.PMID: 31157429 No abstract available.  Clinical photography in skin of colour: tips and best practices.Lester JC, Clark L Jr, Linos E, Daneshjou R.Br J Dermatol. 2021 Jun;184(6):1177-1179. doi: 10.1111/bjd.19811. Epub 2021 Mar 18.PMID: 33448346 No abstract available.  Integrating skin of color and sexual and gender minority content into dermatology residency curricula: A prospective program initiative.Jia JL, Gordon JS, Lester JC, Linos E, Nord KM, Bailey EE.J Am Acad Dermatol. 2021 Apr 16:S0190-9622(21)00816-1. doi: 10.1016/j.jaad.2021.04.018. Online ahead of print.PMID: 33872717 No abstract available. Two pandemics: Opportunities for diversity, equity and inclusion in dermatology.Lester JC, Taylorf SC.Int J Womens Dermatol. 2021 Jan 17;7(2):137-138. doi: 10.1016/j.ijwd.2021.01.015. eCollection 2021 Mar.PMID: 33937478 Free PMC article. No abstract available. Encouraging the next generation of skin of color researchers: Funding skin of color research in medical school and residency.Jia JL, Amuzie AU, Lester JC.J Am Acad Dermatol. 2021 Sep;85(3):e161-e163. doi: 10.1016/j.jaad.2020.11.048. Epub 2020 Nov 27.PMID: 33253843 No abstract available. Skin Cancer in People of Color: A Systematic Review.Zakhem GA, Pulavarty AN, Lester JC, Stevenson ML.Am J Clin Dermatol. 2021 Dec 13. doi: 10.1007/s40257-021-00662-z. Online ahead of print.PMID: 34902111BACKGROUND: People of African, Asian, Hispanic or Latino, Pacific Islander, and Native Indian descent are considered people of color by the Skin of Color Society (SOCS). OBJECTIVES: In this study, we assess incidence, risk factors, clinical characteristics, histopathology,  Skin-of-color article representation in dermatology literature 2009-2019: Higher citation counts and opportunities for inclusion.Amuzie AU, Jia JL, Taylor SC, Lester JC.J Am Acad Dermatol. 2021 Mar 24:S0190-9622(21)00617-4. doi: 10.1016/j.jaad.2021.03.063. Online ahead of print.PMID: 33771597 No abstract available. Establishing the diagnosis of rosacea in skin of color patients.Onalaja AA, Lester JC, Taylor SC.Cutis. 2019 Jul;104(1):38-41.PMID: 31487335Rosacea is a chronic inflammatory cutaneous disorder that may be underreported and underrecognized in skin of color (SOC) patients. There are several skin disorders that can present with the classic features of rosacea, such as erythema, papules, and pustules, which … Absence of images of skin of colour in publications of COVID-19 skin manifestations.Lester JC, Jia JL, Zhang L, Okoye GA, Linos E.Br J Dermatol. 2020 Sep;183(3):593-595. doi: 10.1111/bjd.19258. Epub 2020 Jul 16.PMID: 32471009 Free PMC article.Mounting evidence shows that COVID-19 impacts several organ systems, including the s

Neste episódio, contamos com a participação do Dr. Gustavo Resende, médico reumatologista do Hospital das Clínicas da UFMG.  Referências:  1)Schett G, Lories RJ, D'Agostino M-A, Elewaut D, Kirkham B, Soriano ER, et al. Enthesitis: from pathophysiology to treatment. Nat Rev Rheumatol. 2017;13(12):731-41. https://doi.org/10.1038/nrrheum.2017.188. 2)Mathew AJ, Østergaard M. Magnetic Resonance Imaging of Enthesitis in Spondyloarthritis, Including Psoriatic Arthritis-Status and Recent Advances. Front Med (Lausanne). 2020 Jun 30;7:296. eCollection 2020. https://doi. org/10.3389/fmed.2020.00296. 3)Balint PV, Terslev L, Aegerter P, Bruyn GAW, Chary-Valckenaere I, Gandjbakhch F, et al.; OMERACT Ultrasound Task Force members. Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative. Ann Rheum Dis. 2018 Dec;77(12):1730-5

Join us as Dr. Dawn Sears reminds moms in medicine: You're not alone. You don't have to be perfect. Your “good enough” is way more than good enough. You are enough!    ACE Conference: https://www.authenticphysicians.com Dawn's Twitter: https://twitter.com/GutGirlMD Dawn's Youtube Channel: https://www.youtube.com/channel/UC4a1MubzSrKMBaAHwHCe0DQ Dawn's Website: https://www.gutgirlmdconsulting.com 10 Replaceable Thoughts Blog Post: https://www.gutgirlmdconsulting.com/blog/10-replaceable-thoughts-and-15-books-to-help-you-survive-burnout   Dawn Sears is a gastroenterologist and hepatologist who can be reached on Twitter @GutGirlMD, YouTube, and at GutGirlMD Consulting. Dr. Sears is passionate about helping physicians thrive in health care. She is a successful wellness grant recipient who ran a two-year women leaders in medicine program which moved the needle for engagement, retention and burnout.   Her latest passion is forming GutGirlMD Consulting to provide a roadmap to formulating women in medicine programs at any institution, consulting and executive coaching. She works with organizations to leverage their strengths and understand their unique challenges to create thriving environments to help retain their most valuable asset: their physicians. You can download a free 18-page PDF of business cases, agendas, timelines, budgets, and sample surveys for your women in medicine program.   Dr. Sears is also the lead author of the papers, Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related conditions and Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure origin.   Lancet Gastroenterol Hepatol. 2021 Nov;6(11):881-884. doi: 10.1016/S2468-1253(21)00339-3.   Proc (Bayl Univ Med Cent). 2019 Aug 12;32(4):477-480. doi: 10.1080/08998280.2019.1646591. eCollection 2019 Oct.PMID: 31656400

If we knew the real power of the breath in our bodies, we would never breathe shallow again. 'From ancient wisdom to modern day science, the gifts of breath go beyond our heart pumping, to our emotional capacity for spiritual awakening. Learn two vital breath techniques for supporting your best self, and the mysterious ways our breath is our best friend. 02:34 - the science of mind/body connection and practices 10:30 - the wisdom traditions around breath 14:44 - breath work in trauma 19:52 - 2 breath techniques to try It's Her Turn website and social media links:  website http://www.katedow.com (www.katedow.com)   My Book Fear-Less:The Art of Using Anxiety to Your Advantage https://bit.ly/Fear-LessBook (https://bit.ly/Fear-LessBook) Podcast Dr Kate Dow FB page https://www.facebook.com/drkatedowfemininewisdom (https://www.facebook.com/drkatedowfemininewisdom) FB Community group Fearless Feminine Wisdom https://bit.ly/FFWfacebookgroup (https://bit.ly/FFWfacebookgroup)  Show Resources: Bhajan, Yogi The Aquarian Teacher (Kundalini Research Institute, 2003) Doll A, https://www.ncbi.nlm.nih.gov/pubmed/?term=H%C3%B6lzel%20BK%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Hölzel BK), https://www.ncbi.nlm.nih.gov/pubmed/?term=Mulej%20Bratec%20S%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Mulej Bratec S), https://www.ncbi.nlm.nih.gov/pubmed/?term=Boucard%20CC%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Boucard CC), https://www.ncbi.nlm.nih.gov/pubmed/?term=Xie%20X%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Xie X), https://www.ncbi.nlm.nih.gov/pubmed/?term=Wohlschl%C3%A4ger%20AM%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Wohlschläger AM), https://www.ncbi.nlm.nih.gov/pubmed/?term=Sorg%20C%5BAuthor%5D&cauthor=true&cauthor_uid=27033686 (Sorg C) Mindful attention to breath regulates emotions via increased amygdala-prefrontal cortex connectivity. (https://www.ncbi.nlm.nih.gov/pubmed/?term=Mindful+attention+to+breath+regulates+emotions (Neuroimage) 2016 Jul 1;134:305-313. doi: 10.1016/j.neuroimage.2016.03.041) Epub 2016 Mar 24.) Cho H, https://www.ncbi.nlm.nih.gov/pubmed/?term=Ryu%20S%5BAuthor%5D&cauthor=true&cauthor_uid=27764151 (Ryu S), https://www.ncbi.nlm.nih.gov/pubmed/?term=Noh%20J%5BAuthor%5D&cauthor=true&cauthor_uid=27764151 (Noh J), https://www.ncbi.nlm.nih.gov/pubmed/?term=Lee%20J%5BAuthor%5D&cauthor=true&cauthor_uid=27764151 (Lee J). The Effectiveness of Daily Mindful Breathing Practices on Test Anxiety of Students. (Plos One 2016 Oct 20;11(10):e0164822. doi: .1371/journal.pone.0164822. eCollection 2016.) Brown RP, https://www.ncbi.nlm.nih.gov/pubmed/?term=Gerbarg%20PL%5BAuthor%5D&cauthor=true&cauthor_uid=15750381 (Gerbarg PL). Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model. (https://www.ncbi.nlm.nih.gov/pubmed/15750381 (J Altern Complement Med.) 2005 Feb;11(1):189-201.)

Treinos online, Nerdflix, Franquia Person@ll, livros, artigos científicos, grupo do Telegram, cursos e muito mais em: https://www.paulogentil.com/bio/ Instagram – https://www.instagram.com/drpaulogentil/ (@drpaulogentil)Facebook – https://www.fb.com/drpaulogentil Artigo citado:Seifert JG, Connor DA. The influence of commercial energy shots on response time and power output in recreational cyclists. J Int Soc Sports Nutr. 2014 Dec 10;11(1):56. doi: 10.1186/s12970-014-0056-5. eCollection 2014.

Dr. Brian Cameron is a pediatric surgeon at McMaster University in Hamilton, Ontario. He has dedicated himself both to pediatric surgery and to global surgery, and has worked around the world in resource-limited settings. This was a particularly memorable episode for us because Dr. Cameron retires this year! This episode was a chance for us to ask him about his career, his life story, and of course, global surgery. Congratulations again to Dr. Cameron on his well-earned retirement! Links: 1. Establishing disability weights for congenital pediatric surgical conditions: a multi-modal approach. Poenaru D, Pemberton J, Frankfurter C, Cameron BH, Stolk E. Popul Health Metr. 2017 Mar 4;15(1):8. doi: 10.1186/s12963-017-0125-5. PMID: 28259148 Free PMC article. 2. Procedural skills training for Canadian medical students participating in international electives. Margolick J, Kanters D, Cameron BH. Can Med Educ J. 2015 Apr 20;6(1):e23-33. eCollection 2015. PMID: 26451227 Free PMC article. 3. Surgical training in Guyana: the next generation. Cameron BH, Martin C, Rambaran M. Can J Surg. 2015 Feb;58(1):7-9. doi: 10.1503/cjs.010414. PMID: 25621909 Free PMC article. 4. Evaluating the long-term impact of the Trauma Team Training course in Guyana: an explanatory mixed-methods approach. Pemberton J, Rambaran M, Cameron BH. Am J Surg. 2013 Feb;205(2):119-24. doi: 10.1016/j.amjsurg.2012.08.004. Epub 2012 Dec 13. PMID: 23246285 5. International surgery: the development of postgraduate surgical training in Guyana. Cameron BH, Rambaran M, Sharma DP, Taylor RH. Can J Surg. 2010 Feb;53(1):11-6. PMID: 20100407 Free PMC article. 6. Teaching in Fiji: practising medicine, coping with coups. Cameron BH. CMAJ. 1989 Apr 1;140(7):833-5. PMID: 2924235 Free PMC article. No abstract available. 7. Lancet commission on global surgery: https://www.thelancet.com/commissions/global-surgery 8. Bethune Roundtable: https://www.cnis.ca/what-we-do/public-engagement-in-canada/bethune-round-table/ 9. Morad Hameed Trauma system app: https://www.em-consulte.com/article/859211/the-electronic-trauma-health-record-design-and-usa 10. Masters of Global Surgical Care at UBC: https://www.grad.ubc.ca/prospective-students/graduate-degree-programs/master-global-surgical-care Bio ( from https://www.ccghr.ca/q-brian-cameron/): Dr. Brian Cameron is a Professor of Pediatric Surgery at McMaster University and a pediatric surgeon at McMaster Children Hospital. He is the director of both the McMaster International Surgery Desk and MacGlObAS. His research interests include global surgical research and education.

Timestamps:00:00 Intro01:00 How does the cardiovascular laboratory support patient care?01:47 Can you tell us a bit about ceramides? What are they?04:14 When should ceramides be tested? 06:04 Can you modify someone’s ceramides such that the test can be repeated and monitored, or is it once in a lifetime because ceramides or more static?08:05 What is the controversary around ceramides? 09:52 Could you give our listeners an introduction to Lipoprotein(a)?11:45 Who should be tested for Lipoprotein(a)?13:59 How do we treat elevated Lipoprotein(a)? 17:20 How did your interests in laboratory medicine develop? How has this brought meaning for you in your career professionally? 19:23 Outro Resources:1.  Ceramides and Ceramide Scores: Clinical Applications for Cardiometabolic Risk Stratification. Hilvo M, Vasile VC, Donato LJ, Hurme R, Laaksonen R. Front Endocrinol (Lausanne). 2020 Sep 29;11:570628. doi: 10.3389/fendo.2020.570628. eCollection 2020. PMID: 33133018 Free PMC article. Review. 2.  Measuring the contribution of Lp(a) cholesterol towards LDL-C interpretation. Fatica EM, Meeusen JW, Vasile VC, Jaffe AS, Donato LJ. Clin Biochem. 2020 Dec;86:45-51. doi: 10.1016/j.clinbiochem.2020.09.007. Epub 2020 Sep 28. PMID: 32997972 3.  Ceramides improve atherosclerotic cardiovascular disease risk assessment beyond standard risk factors. Meeusen JW, Donato LJ, Kopecky SL, Vasile VC, Jaffe AS, Laaksonen R. Clin Chim Acta. 2020 Dec;511:138-142. doi: 10.1016/j.cca.2020.10.005. Epub 2020 Oct 12. PMID: 33058843 4.  Ceramide Scores Predict Cardiovascular Risk in the Community. Vasile VC, Meeusen JW, Medina Inojosa JR, Donato LJ, Scott CG, Hyun MS, Vinciguerra M, Rodeheffer RR, Lopez-Jimenez F, Jaffe AS. Arterioscler Thromb Vasc Biol. 2021 Apr;41(4):1558-1569. doi: 10.1161/ATVBAHA.120.315530. Epub 2021 Feb 18. PMID: 33596665 5.  High-Sensitivity Cardiac Troponin for the Diagnosis of Patients with Acute Coronary Syndromes. Vasile VC, Jaffe AS. Curr Cardiol Rep. 2017 Aug 24;19(10):92. doi: 10.1007/s11886-017-0904-4. PMID: 28840515 Review. 6.  Natriuretic Peptides and Analytical Barriers. Vasile VC, Jaffe AS. Clin Chem. 2017 Jan;63(1):50-58. doi: 10.1373/clinchem.2016.254714. Epub 2016 Oct 10. PMID: 28062611 Review. 7.  Diseased skeletal muscle: a noncardiac source of increased circulating concentrations of cardiac troponin T. Jaffe AS, Vasile VC, Milone M, Saenger AK, Olson KN, Apple FS. J Am Coll Cardiol. 2011 Oct 18;58(17):1819-24. doi: 10.1016/j.jacc.2011.08.026. Epub 2011 Sep 29. PMID: 21962825 8.  Elevated cardiac troponin T levels in critically ill patients with sepsis. Vasile VC, Chai HS, Abdeldayem D, Afessa B, Jaffe AS. Am J Med. 2013 Dec;126(12):1114-21. doi: 10.1016/j.amjmed.2013.06.029. Epub 2013 Sep 28. PMID: 24083646

xxxPeriodized resistance training for persistent non-specific low back pain: a mixed methods feasibility study. Tjøsvoll SO, Mork PJ, Iversen VM, Rise MB, Fimland MS. BMC Sports Sci Med Rehabil. 2020 May 8;12:30. doi: 10.1186/s13102-020-00181-0. eCollection 2020. PMID: 32411374 --- Send in a voice message: https://anchor.fm/moveman/message

One Year of Yoga Training Alters Ghrelin Axis in Centrally Obese Adults With Metabolic Syndrome. Yu AP, Ugwu FN, Tam BT, Lee PH, Lai CW, Wong CSC, Lam WW, Sheridan S, Siu PM. Front Physiol. 2018 Sep 20;9:1321. doi: 10.3389/fphys.2018.01321. eCollection 2018. PMID: 30294284 --- Send in a voice message: https://anchor.fm/moveman/message

Variation in lifting kinematics related to individual intrinsic lumbar curvature: an investigation in healthy adults. Pavlova AV, Meakin JR, Cooper K, Barr RJ, Aspden RM. BMJ Open Sport Exerc Med. 2018 Jul 15;4(1):e000374. doi: 10.1136/bmjsem-2018-000374. eCollection 2018. PMID: 30057776 --- Send in a voice message: https://anchor.fm/moveman/message

High intensity, circuit-type integrated neuromuscular training alters energy balance and reduces body mass and fat in obese women: A 10-month training-detraining randomized controlled trial.  Batrakoulis A, Jamurtas AZ, Georgakouli K, Draganidis D, Deli CK, Papanikolaou K, Avloniti A, Chatzinikolaou A, Leontsini D, Tsimeas P, Comoutos N, Bouglas V, Michalopoulou M, Fatouros IG.  PLoS One. 2018 Aug 23;13(8):e0202390.   doi: 10.1371/journal.pone.0202390. eCollection 2018.  PMID: 30138475 --- Send in a voice message: https://anchor.fm/moveman/message

Dr. Veronica Segarra is an Assistant Professor and Interim Chair of Biology at High Point University. To learn more about her NSF-funded work to enhance the diversity of individuals working in STEM fields, see the following:https://www.nsf.gov/awardsearch/simpleSearchResult?queryText=1445076&ActiveAwards=true1.  | Scientific Societies Fostering Inclusive Scientific Environments through Travel Awards: Current Practices and Recommendations. Segarra VA, Vega LR, Primus C, Etson C, Guillory AN, Edwards A, Flores SC, Fry C, Ingram SL, Lawson M, McGee R, Paxson S, Phelan L, Suggs K, Vuong E, Hammonds-Odie L, Leibowitz MJ, Zavala M, Lujan JL, Ramirez-Alvarado M.CBE Life Sci Educ. 2020 Jun;19(2):es3. doi: 10.1187/cbe.19-11-0262.PMID: 324536762.  | Scientific societies fostering inclusivity through speaker diversity in annual meeting programming: a call to action. Segarra VA, Primus C, Unguez GA, Edwards A, Etson C, Flores SC, Fry C, Guillory AN, Ingram SL, Lawson M, McGee R, Paxson S, Phelan L, Suggs K, Vega LR, Vuong E, Havran JC, Leon A, Burton MD, Lujan JL, Ramirez-Alvarado M.Mol Biol Cell. 2020 Nov 1;31(23):2495-2501. doi: 10.1091/mbc.E20-06-0381.PMID: 331194603.  | Scientific Societies Advancing STEM Workforce Diversity: Lessons and Outcomes from the Minorities Affairs Committee of the American Society for Cell Biology.Segarra VA, Blatch S, Boyce M, Carrero-Martinez F, Aguilera RJ, Leibowitz MJ, Zavala M, Hammonds-Odie L, Edwards A.J Microbiol Biol Educ. 2020 Apr 10;21(1):21.1.8. doi: 10.1128/jmbe.v21i1.1941. eCollection 2020.PMID: 32313596 Free PMC article.4.  | The Minorities Affairs Committee of the American Society for Cell Biology-Fostering the Professional Development of Scientists from Underrepresented Minority Backgrounds.Segarra VA, Carrero-Martínez F, Shugart E.CBE Life Sci Educ. 2017 Summer;16(2):le1. doi: 10.1187/cbe.16-10-0288.PMID: 28389427 Free PMC article. To learn more about HPU's Mobile Lab, visithttp://www.highpoint.edu/community/mobilelab/ .***********************************Music for this podcast (“Spitfire”) is written by Nathan Daughtrey for Dr. Brian Meixner, Associate Professor of Music and Director of Instrumental Studies at High Point University. Dr. Meixner is the performer of this piece.Thanks to our podcast editor, Johanna Seal (High Point University student within the Nido Qubein School of Communication) for her excellent work in preparing this podcast.

Listen as chiropractor and founder of the Cox Technic, Dr. James Cox explains what Cox Technic is and why it is so effective for treating back pain. James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H) Dr. Cox is the developer of Cox® Technic Flexion Distraction Manipulation and the proud participant in the on-going federal research projects involving the Keiser University, National University of Health Sciences, Palmer College of Chiropractic Research Center, Loyola Stritch School of Medicine, University of Illinois, University of Iowa, Auburn University, etc. He is a member of the postgraduate faculty of the National University of Health Sciences and has been privileged to speak throughout the world. Resources: About Dr. Cox curriculum vitae  More about Cox Technic Find a Back Doctor The Cox 8 Table by Haven Medical References: Chesterton P, Evans W, Wright M, Lolli L, Richardson M, Atkinson G. Influence of Lumbar Mobilizations During the Nordic Hamstring Exercise on Hamstring Measures of Knee Flexor Strength, Failure Point, and Muscle Activity: A Randomized Crossover Trial. J Manipulative Physiol Ther. 2020 Nov 25:S0161-4754(20)30201-3. doi: 10.1016/j.jmpt.2020.09.005. Epub ahead of print. PMID: 33248746. INFLUENCE OF LUMBAR MOBILIZATIONS DURING THE NORDIC HAMSTRING EXERCISE ON HAMSTRING MEASURES OF KNEE FLEXOR STRENGTH, FAILURE POINT, AND MUSCLE ACTIVITY: A RANDOMIZED CROSSOVER TRIAL. AFTER SPINAL MOBILIZATION, IMMEDIATE CHANGES IN BILATERAL HAMSTRING FORCE PRODUCTION AND PEAK TORQUE OCCURRED DURING THE NHE. THE EFFECT ON THE NHE FAILURE POINT WAS UNCLEAR. ELECTROMYOGRAPHIC ACTIVITY INCREASED ON THE IPSILATERAL SIDE. Meet the Nordic hamstring exercise, also known as the Nordic hamstring curl—your potential new favorite go-to that can help keep you healthy while boosting your performance.  me 19 Lead researcher Nicol van Dyk, Ph.D., of Aspetar Orthopaedic and Sports Medicine Hospital in Qatar, told Runner's World the move is simple: Begin in a kneeling position with both ankles secured—tucking your feet under a bar, for example, or having a running buddy hold them down—and then progressively lean forward as slowly as possible while keeping your back straight. When you can't resist anymore, just fall forward, catching yourself with your hands against the floor. Check out the video below for how to do it properly.   Ekşi MŞ, Özcan-Ekşi EE, Özmen BB, Turgut VU, Huet SE, Dinç T, Kara M, Özgen S, Özek MM, Pamir MN. Lumbar intervertebral disc degeneration, end-plates and paraspinal muscle changes in children and adolescents with low-back pain. J Pediatr Orthop B. 2020 Nov 27. doi: 10.1097/BPB.0000000000000833. Epub ahead of print. PMID: 33252539. FATTY INFILTRATION IN THE PARASPINAL MUSCLES AND IVDD WERE CLOSELY ASSOCIATED WITH MODIC CHANGES IN CHILDREN AND ADOLESCENTS WITH LBP. LUMBAR IVDD IN CHILDREN AND ADOLESCENTS COULD BE THE RESULT OF A MECHANICAL PATHOLOGY   Karartı C, Özüdoğru A, Basat HÇ, Özsoy İ, Özsoy G, Kodak Mİ, Sezgin H, Uçar İ. Determination of Biodex Balance System Cutoff Scores in Older People With Nonspecific Back Pain: A Cross-sectional Study. J Manipulative Physiol Ther. 2020 Nov 25:S0161-4754(20)30153-6. doi: 10.1016/j.jmpt.2020.07.006. Epub ahead of print. PMID: 33248744. DETERMINATION OF BIODEX BALANCE SYSTEM CUTOFF SCORES IN OLDER PEOPLE WITH NONSPECIFIC BACK PAIN: A CROSS-SECTIONAL STUDY BBS CUTOFF SCORES ARE SENSITIVE AND SPECIFIC IN DISTINGUISHING BETWEEN POOR AND GOOD POSTURAL PERFORMANCE IN OLDER PEOPLE WITH NSLBP.   TRACTION EFFECTS: TRACTION AND DISTRACTION STUDIES ON WHICH OUR WORK IS BASED. Luigi Albano, DC introduced the first paper on which I built the remaining studies. This gives us foundational understanding as to the benefits of placing a spine into distraction prior to producing ranges of motion – IT FIRST REDUCES STENOTIC EFFECTS THAT COULD CAUSE GREATER NERVE AND DRG COMPRESSION AND CHEMICAL INFLAMMATORY IRRITATION. - JMC   Gaowgzeh RAM, Chevidikunnan MF, BinMulayh EA, Khan F. Effect of spinal decompression therapy and core stabilization exercises in management of lumbar disc prolapse: A single blind randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(2):225-231. doi: 10.3233/BMR-171099. PMID: 31282394. A COMBINATION OF SPINAL DECOMPRESSION THERAPY WITH CORE STABILIZATION EXERCISE HAS PROVEN TO BE MORE SIGNIFICANT WHEN COMPARED WITH CSE ALONE TO REDUCE PAIN AND DISABILITY IN SUBJECTS WITH CHRONIC LDP.   Demirel A, Yorubulut M, Ergun N. Regression of lumbar disc herniation by physiotherapy. Does non-surgical spinal decompression therapy make a difference? Double-blind randomized controlled trial. J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):1015-1022. doi: 10.3233/BMR-169581. PMID: 28505956. THIS STUDY SHOWED THAT PATIENTS WITH LHNP RECEIVED PHYSIOTHERAPY HAD IMPROVEMENT BASED ON CLINICAL AND RADIOLOGIC EVIDENCE. NON-INVASIVE SPINAL DECOMPRESSION THERAPY (NSDT) CAN BE USED AS ASSISTIVE AGENT FOR OTHER PHYSIOTHERAPY METHODS IN TREATMENT OF LUMBAR DISC HERNIATION.   Karimi N, Akbarov P, Rahnama L. Effects of segmental traction therapy on lumbar disc herniation in patients with acute low back pain measured by magnetic resonance imaging: A single arm clinical trial. J Back Musculoskelet Rehabil. 2017;30(2):247-253. doi: 10.3233/BMR-160741. PMID: 27636836. SEGMENTAL TRACTION THERAPY MIGHT PLAY AN IMPORTANT ROLE IN THE TREATMENT OF ACUTE LBP STIMULATED BY LDH.   Kamanli A1, Karaca-Acet G, Kaya A, Koc M, Yildirim H Conventional physical therapy with lumbar traction; clinical evaluation and magnetic resonance imaging for lumbar disc herniation. Journal of Back and Musculoskeletal Rehabilitation, vol. 30, no. 2, pp. 247-253, 2017 CONVENTIONAL PHYSICAL THERAPIES WITH LUMBAR TRACTION WERE EFFECTIVE IN THE TREATMENT OF PATIENT WITH SUBACUTE LDH. THESE RESULTS SUGGEST THAT CLINICAL IMPROVEMENT IS NOT CORRELATED WITH THE FINDING OF MRI. PATIENTS WITH LDH SHOULD BE MONITORED CLINICALLY   Choi J, Lee S, Hwangbo G. Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. J Phys Ther Sci. 2015 Feb;27(2):481-3. doi: 10.1589/jpts.27.481. Epub 2015 Feb 17. PMID: 25729196; PMCID: PMC4339166. SPINAL DECOMPRESSION THERAPY AND GENERAL TRACTION THERAPY ARE EFFECTIVE AT IMPROVING THE PAIN, DISABILITY, AND SLR OF PATIENTS WITH INTERVERTEBRAL DISC HERNIATION. THUS, SELECTIVE TREATMENT MAY BE REQUIRED   JUDOVICH BD. Herniated cervical disc; a new form of traction therapy. Am J Surg. 1952 Dec;84(6):646-56. doi: 10.1016/0002-9610(52)90127-x. PMID: 12986095. CLINICAL STUDIES INDICATE THAT IN THE AVERAGE INTRACTABLE CASE THE CERVICAL SPINE SHOULD BE STRETCHED BY FORCE RANGING FROM 25 TO 45 POUNDS. ALMOST HALF THE PATIENTS IN A SERIES OF SIXTY CASES EXPERIENCED PARTIAL OR COMPLETE MOMENTARY RELIEF WHEN THIS FORCE WAS APPLIED. ROENTGEN STUDIES REVEAL THAT IN THE AVERAGE PATIENT THE INTERVERTEBRAL SPACES OF THE CERVICAL SPINE BEGIN TO SHOW MEASURABLE WIDENING WITH TRACTION FORCE RANGING FROM 25 TO 50 POUNDS. THE NECESSARY FORCE TO RELIEVE PAIN CANNOT BE TOLERATED BY THE AVERAGE PATIENT WHEN IT IS ADMINISTERED AS A CONSTANT PULL. IF ADMINISTERED INTERMITTENTLY, ADEQUATE AND MUCH GREATER TRACTION LOAD CAN BE TOLERATED WITHOUT THE DISCOMFORT WHICH WOULD NORMALLY ACCOMPANY SUCH FORCE. A NEW METHOD OF MOTORIZED INTERMITTENT TRACTION IS PRESENTED. THE CLINICAL RESULTS OF INTERMITTENT TRACTION, BECAUSE OF ADEQUATE FORCE, HAVE BEEN EXCELLENT AS COMPARED TO CONVENTIONAL TRACTION METHODS.   Burton AK, Tillotson KM, Cleary J. Single-blind randomised controlled trial of chemonucleolysis and manipulation in the treatment of symptomatic lumbar disc herniation. Eur Spine J. 2000 Jun;9(3):202-7. doi: 10.1007/s005869900113. PMID: 10905437; PMCID: PMC3611397. BECAUSE OSTEOPATHIC MANIPULATION PRODUCED A 12-MONTH OUTCOME THAT WAS EQUIVALENT TO CHEMONUCLEOLYSIS, IT CAN BE CONSIDERED AS AN OPTION FOR THE TREATMENT OF SYMPTOMATIC LUMBAR DISC HERNIATION, AT LEAST IN THE ABSENCE OF CLEAR INDICATIONS FOR SURGERY. Further study into the value of manipulation at a more acute stage is warranted.   Kirkaldy-Willis WH, Cassidy JD. Spinal manipulation in the treatment of low-back pain. Can Fam Physician. 1985 Mar;31:535-40. PMID: 21274223; PMCID: PMC2327983. RESULTS OF SPINAL MANIPULATION IN 283 PATIENTS WITH LOW BACK PAIN ARE PRESENTED. THE PHYSICIAN WHO MAKES USE OF THIS RESOURCE WILL PROVIDE RELIEF FOR MANY PATIENTS.   Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manipulative Physiol Ther. 2004 Mar-Apr;27(3):197-210. doi: 10.1016/j.jmpt.2003.12.023. PMID: 15129202. THE APPARENT SAFETY OF SPINAL MANIPULATION, ESPECIALLY WHEN COMPARED WITH OTHER “MEDICALLY ACCEPTED” TREATMENTS FOR LDH, SHOULD STIMULATE ITS USE IN THE CONSERVATIVE TREATMENT PLAN OF LDH.   Kane MD, Karl RD, Swain JH. Effects of Gravity-Facilitated Traction on lntervertebral Dimensions of the Lumbar Spine*. J Orthop Sports Phys Ther. 1985;6(5):281-8. doi: 10.2519/jospt.1985.6.5.281. PMID: 18802302. MEAN POSTERIOR SEPARATION WAS SIGNIFICANT AT ALL LEVELS EXCEPT L1-L2 AND L5-S1. MEAN INTERVERTEBRAL FORAMINAL SEPARATION WAS SIGNIFICANT AT ALL LEVELS BUT L5-S1. IF INCREASES IN INTERVERTEBRAL DIMENSIONS PLAY A ROLE IN THE RELIEF OF LOW BACK SYNDROME, THEN GRAVITY-FACILITATED TRACTION MAY BE AN EFFECTIVE MODALITY IN THE TREATMENT OF THIS CONDITION.   Unlu Z, Tasci S, Tarhan S, Pabuscu Y, Islak S. Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging. J Manipulative Physiol Ther. 2008 Mar;31(3):191-8. doi: 10.1016/j.jmpt.2008.02.001. PMID: 18394495. TRACTION, ULTRASOUND, AND LOW POWER LASER THERAPIES WERE ALL EFFECTIVE IN THE TREATMENT OF THIS GROUP OF PATIENTS WITH ACUTE LDH. THESE RESULTS SUGGEST THAT CONSERVATIVE MEASURES SUCH AS TRACTION, LASER, AND ULTRASOUND TREATMENTS MIGHT HAVE AN IMPORTANT ROLE IN THE TREATMENT OF ACUTE LDH   Chung TS, Yang HE, Ahn SJ, Park JH. Herniated Lumbar Disks: Real-time MR Imaging Evaluation during Continuous Traction. Radiology. 2015 Jun;275(3):755-62. doi: 10.1148/radiol.14141400. Epub 2015 Jan 22. Erratum in: Radiology. 2015 Jun;275(3):934-5. PMID: 25611735. HERNIATED LUMBAR DISKS: REAL-TIME MR IMAGING EVALUATION DURING CONTINUOUS TRACTION CONTINUOUS TRACTION ON HERNIATED LUMBAR DISKS AND SURROUNDING STRUCTURES RESULTED IN CHANGE IN DISK SHAPE, DISK REDUCTION WITH OPENING IN THE INTERVERTEBRAL DISK, REDUCTION OF HERNIATED DISK VOLUME, SEPARATION OF THE DISK AND ADJOINING NERVE ROOT, AND WIDENING OF THE FACET JOINT.   Isner-Horobeti ME, Dufour SP, Schaeffer M, Sauleau E, Vautravers P, Lecocq J, Dupeyron A. High-Force Versus Low-Force Lumbar Traction in Acute Lumbar Sciatica Due to Disc Herniation: A Preliminary Randomized Trial. J Manipulative Physiol Ther. 2016 Nov-Dec;39(9):645-654. doi: 10.1016/j.jmpt.2016.09.006. Epub 2016 Nov 9. PMID: 27838140. HIGH-FORCE VERSUS LOW-FORCE LUMBAR TRACTION IN ACUTE LUMBAR SCIATICA DUE TO DISC HERNIATION: A PRELIMINARY RANDOMIZED TRIAL PATIENTS WITH ACUTE LUMBAR SCIATICA SECONDARY TO DISC HERNIATION WHO RECEIVED 2 WEEKS OF LUMBAR TRACTION REPORTED REDUCED RADICULAR PAIN AND FUNCTIONAL IMPAIRMENT AND IMPROVED WELL-BEING REGARDLESS OF THE TRACTION FORCE GROUP TO WHICH THEY WERE ASSIGNED. THE EFFECTS OF THE TRACTION TREATMENT WERE INDEPENDENT OF THE INITIAL LEVEL OF MEDICATION AND APPEARED TO BE MAINTAINED AT THE 2-WEEK FOLLOW-UP. DURING THE 2-WEEK FOLLOW-UP AT DAY 28, ONLY THE LT10 GROUP IMPROVED (P < .05) IN VAS (–52%) AND EIFEL SCORES (–46%).   Onel D, Tuzlaci M, Sari H, Demir K. Computed tomographic investigation of the effect of traction on lumbar disc herniations. Spine (Phila Pa 1976). 1989 Jan;14(1):82-90. doi: 10.1097/00007632-198901000-00017. PMID: 2913674. COMPUTED TOMOGRAPHIC INVESTIGATION OF THE EFFECT OF TRACTION ON LUMBAR DISC HERNIATIONS. CHANGES OCCURRING UNDER THE EFFECT OF A TRACTION LOAD OF 45 KG HAVE BEEN EVALUATED IN 30 PATIENTS WITH LUMBAR DISC HERNIATION WITH CT INVESTIGATION. THE HERNIATED NUCLEAR MATERIAL (HNM) HAS RETRACTED IN 11 (78.5%) OF MEDIAN, SIX (66.6%) OF POSTEROLATERAL, AND FOUR (57.1%) OF LATERAL HERNIATIONS.   Clarke J, van Tulder M, Blomberg S, de Vet H, van der Heijden G, Bronfort G. Traction for low back pain with or without sciatica: an updated systematic review within the framework of the Cochrane collaboration. Spine (Phila Pa 1976). 2006 Jun 15;31(14):1591-9. doi: 10.1097/01.brs.0000222043.09835.72. PMID: 16778694. INTERMITTENT OR CONTINUOUS TRACTION AS A SINGLE TREATMENT FOR LBP CANNOT BE RECOMMENDED FOR MIXED GROUPS OF PATIENTS WITH LBP WITH AND WITHOUT SCIATICA. NEITHER CAN TRACTION BE RECOMMENDED FOR PATIENTS WITH SCIATICA BECAUSE OF INCONSISTENT RESULTS AND METHODOLOGICAL PROBLEMS IN MOST OF THE STUDIES INVOLVED. HOWEVER, BECAUSE HIGH-QUALITY STUDIES WITHIN THE FIELD ARE SCARCE, BECAUSE MANY ARE UNDERPOWERED, AND BECAUSE TRACTION OFTEN IS SUPPLIED IN COMBINATION WITH OTHER TREATMENT MODALITIES, THE LITERATURE ALLOWS NO FIRM NEGATIVE CONCLUSION THAT TRACTION, IN A GENERALIZED SENSE, IS NOT AN EFFECTIVE TREATMENT FOR PATIENTS WITH LBP   Beattie PF, Nelson RM, Michener LA, Cammarata J, Donley J. Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study. Arch Phys Med Rehabil. 2008 Feb;89(2):269-74. doi: 10.1016/j.apmr.2007.06.778. PMID: 18226650. TRACTION APPLIED IN THE PRONE POSITION USING THE VAX-D FOR 8 WEEKS WAS ASSOCIATED WITH IMPROVEMENTS IN PAIN INTENSITY AND RMDQ SCORES AT DISCHARGE, AND AT 30 AND 180 DAYS AFTER DISCHARGE IN A SAMPLE OF PATIENTS WITH ACTIVITY-LIMITING LBP. CAUSAL RELATIONSHIPS BETWEEN THESE OUTCOMES AND THE INTERVENTION SHOULD NOT BE MADE UNTIL FURTHER STUDY IS PERFORMED USING RANDOMIZED COMPARISON GROUPS.   REAL-TIME MR IMAGING WHILE PERFORMING TRACTION IS POSSIBLE. Mitchell UH, Beattie PF, Bowden J, Larson R, Wang H. Age-related differences in the response of the L5-S1 intervertebral disc to spinal traction. Musculoskelet Sci Pract. 2017 Oct;31:1-8. doi: 10.1016/j.msksp.2017.06.004. Epub 2017 Jun 9. PMID: 28624722. TO DETERMINE DIFFERENCES IN THE APPARENT DIFFUSION COEFFICIENT (ADC) OBTAINED WITH LUMBAR DIFFUSION-WEIGHTED IMAGING (DWI) OF THE L5-S1 IVD BEFORE, AND DURING, THE APPLICATION OF LUMBAR TRACTION STATIC TRACTION WAS ASSOCIATED WITH AN INCREASE IN DIFFUSION OF WATER WITHIN THE L5-S1 IVDS OF MIDDLE-AGE INDIVIDUALS, BUT NOT IN YOUNG ADULTS, SUGGESTING AGE-RELATED DIFFERENCES IN THE DIFFUSION RESPONSE. FURTHER STUDY IS NEEDED TO ASSESS THE RELATIONSHIP BETWEEN THESE FINDINGS AND THE SYMPTOMS OF BACK PAIN. HIGHLIGHTS: STATIC TRACTION IS ASSOCIATED WITH AN INCREASE IN ADC IN OLDER DISCS, NOT YOUNGER. INVERSE RELATIONSHIP BETWEEN BASELINE ADC AND PERCENT INCREASE WITH TRACTION. FINDINGS SUGGEST PRESENCE OF AGE-RELATED CHANGES IN THE RATE OF DIFFUSION RESPONSE.   SAAL, JEFFREY A., MD; SAAL, JOEL S., MD Nonoperative Treatment of Herniated Lumbar Intervertebral Disc with Radiculopathy: An Outcome Study, Spine: April 1989 - Volume 14 - Issue 4 - p 431-437 64 PATIENTS WITH LUMBAR HERNIATED NUCLEUS PULPOSUS WITHOUT SIGNIFICANT STENOSIS WERE TREATED NON SURGICALLY. 90% GOOD OR EXCELLENT OUTCOME WITH A 92% RETURN TO WORK RATE. FOR THE SUBGROUPS WITH EXTRUDED DISCS AND SECOND OPINIONS, 87% AND 83% HAD GOOD OR EXCELLENT OUTCOMES, RESPECTIVELY, ALL (100%) OF WHOM RETURNED TO WORK. SICK LEAVE TIME FOR THESE SUBGROUPS WAS 2.9 MONTHS (+/- 1.4 MONTHS) AND 3.4 MONTHS (+/- 1.7 MONTHS), RESPECTIVELY. THESE RESULTS COMPARED FAVORABLY WITH PREVIOUSLY PUBLISHED SURGICAL STUDIES. FOUR OF SIX PATIENTS WHO REQUIRED SURGERY WERE FOUND TO HAVE STENOSIS AT OPERATION.   Sari H, Akarirmak U, Karacan I, Akman H. Computed tomographic evaluation of lumbar spinal structures during traction. Physiother Theory Pract. 2005 Jan-Mar;21(1):3-11. PMID: 16385939. DURING TRACTION OF INDIVIDUALS WITH ACUTE LDH THERE WAS A REDUCTION OF THE SIZE OF THE HERNIATION, INCREASED SPACE WITHIN THE SPINAL CANAL, WIDENING OF THE NEURAL FORAMINA, AND DECREASED THICKNESS OF THE PSOAS MUSCLE.   Park WM, Kim K, Kim YH. Biomechanical analysis of two-step traction therapy in the lumbar spine. Man Ther. 2014 Dec;19(6):527-33. doi: 10.1016/j.math.2014.05.004. Epub 2014 May 22. PMID: 24913413. A COMBINATION OF GLOBAL AXIAL TRACTION AND LOCAL DECOMPRESSION WOULD BE HELPFUL FOR REDUCING TENSILE STRESS ON THE FIBERS OF THE ANNULUS FIBROSUS AND LIGAMENTS, AND INTRADISCAL PRESSURE IN TRACTION THERAPY. THIS STUDY COULD BE USED TO DEVELOP A SAFER AND MORE EFFECTIVE TYPE OF TRACTION THERAPY   Chow DHK, Yuen EMK, Xiao L, Leung MCP. Mechanical effects of traction on lumbar intervertebral discs: A magnetic resonance imaging study. Musculoskelet Sci Pract. 2017 Jun;29:78-83. doi: 10.1016/j.msksp.2017.03.007. Epub 2017 Mar 20. PMID: 28347933. HORIZONTAL TRACTION WAS EVIDENTLY EFFECTIVE IN INCREASING THE DISC HEIGHT OF LOWER LUMBAR LEVELS, PARTICULARLY IN THE POSTERIOR REGIONS OF THE DISCS. FURTHER EVIDENCE OF THE EFFECTS OF TRACTION OF DIFFERENT MODES, MAGNITUDES, AND DURATIONS ON THE CHANGE IN DISC HEIGHT IS REQUIRED FOR PROPER CONTROL OF TRACTION APPLIED TO SPECIFIC DISC LEVELS. HIGHLIGHTS: MECHANICAL EFFECTS OF TRACTION ON LUMBAR DISCS WAS EVALUATED USING MRI. HORIZONTAL TRACTION USING 42% OF BODY WEIGHT WAS ASSOCIATED WITH AN INCREASED DISC HEIGHT OF LOWER LUMBAR DISCS. HORIZONTAL TRACTION ALSO RESULTED IN REDUCED LORDOSIS AND CHANGE IN TILT ANGLE. THE EFFECTS WERE MORE PROMINENT AT THE POSTERIOR DISCAL REGIONS.   Qaseem A, Wilt TJ, McLean RM, Forciea MA; Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530. doi: 10.7326/M16-2367. Epub 2017 Feb 14. PMID: 28192789. a  systematic  review  of  randomized, controlled  trials  and  systematic  reviews  published  through  April 2015  on  noninvasive  pharmacologic  and  nonpharmacologic treatments  for  low  back  pain.  Updated  searches  were  performed through  November  2016. Recommendation  1: Given  that  most  patients  with  acute  or subacute  low  back  pain  improve  over  time  regardless  of  treat-ment,  clinicians  and  patients  should  select  nonpharmacologic treatment  with  superficial  heat  (moderate-quality  evidence),  massage,  acupuncture,  or  spinal  manipulation  (low-quality  evidence). If  pharmacologic  treatment  is  desired,  clinicians  and  patients should  select  nonsteroidal  anti-inflammatory  drugs  or  skeletal muscle  relaxants  (moderate-quality  evidence).  (Grade:  strong recommendation) Recommendation  2: For  patients  with  chronic  low  back  pain, clinicians  and  patients  should  initially  select  nonpharmacologic treatment  with  exercise,  multidisciplinary  rehabilitation,  acupuncture,  mindfulness-based  stress  reduction  (moderate-quality  evidence),  tai  chi,  yoga,  motor  control  exercise,  progressive relaxation,  electromyography  biofeedback,  low-level  laser therapy,  operant  therapy,  cognitive  behavioral  therapy,  or  spinal manipulation  (low-quality  evidence).  (Grade:  strong recommendation) Recommendation  3: In  patients  with  chronic  low  back  pain  who have  had  an  inadequate  response  to  nonpharmacologic  therapy, clinicians  and  patients  should  consider  pharmacologic  treatment with  nonsteroidal  anti-inflammatory  drugs  as  first-line  therapy,  or tramadol  or  duloxetine  as  second-line  therapy.  Clinicians  should only  consider  opioids  as  an  option  in  patients  who  have  failed  the aforementioned  treatments  and  only  if  the  potential  benefits  out-weigh  the  risks  for  individual  patients  and  after  a  discussion  of known  risks  and  realistic  benefits  with  patients.  (Grade:  weak  recommendation,  moderate-quality  evidence) Low  back  pain  is  one  of  the  most  common  reasons for  physician  visits  in  the  United  States.  Most  Americans  have  experienced  low  back  pain,  and  approximately  one  quarter  of  U.S.  adults  reported  having  low back  pain  lasting  at  least  1  day  in  the  past  3  months  (1).Low  back  pain  is  associated  with  high  costs,  including those  related  to  health  care  and  indirect  costs  from missed  work  or  reduced  productivity  (2).  The  total  costs attributable  to  low  back  pain  in  the  United  States  were estimated  at  $100  billion  in  2006,  two  thirds  of  which were  indirect  costs  of  lost  wages  and  productivity  (3).Low  back  pain  is  frequently  classified  and  treated on  the  basis  of  symptom  duration,  potential  cause, presence  or  absence  of  radicular  symptoms,  and  corresponding  anatomical  or  radiographic  abnormalities. Acute  back  pain  is  defined  as  lasting  less  than  4  week   Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, Fu R, Dana T, Kraegel P, Griffin J, Grusing S, Brodt ED. Nonpharmacologic Therapies for Low Back Pain: A Systematic Review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2017 Apr 4;166(7):493-505. doi: 10.7326/M16-2459. Epub 2017 Feb 14. PMID: 28192793. Background: A  2007  American  College  of  Physicians  guideline addressed  nonpharmacologic  treatment  options  for  low  back pain. The  current  evidence  on  non-pharmacologic  therapies  for  acute  or  chronic  nonradicular  or  ra-dicular  low  back  pain from  MEDLINE  (January  2008  through  February 2016),  Cochrane  Central  Register  of  Controlled  Trials,  CochraneDatabase  of  Systematic  Reviews,  and  reference  lists. Evidence  continues  to  support  the  effectiveness  of  exercise,  psychological  therapies,  multidisciplinary  rehabilitation,  spinal  manipulation,  massage,  and  acupuncture  for  chronic  low  back  pain. Funding  Source:Agency  for  Healthcare  Research  and Quality.  (PROSPERO:  CRD42014014735)Ann  Intern  Med.2017;166:xxx-xxx.  doi:10.7326/M16-2459Annals.org the  American  College  of  Physicians  (ACP)and  American  Pain  Society  (APS)  recommended  spinal manipulation  as  a  treatment  option  for  acute  low  back pain  and  several  nonpharmacologic  therapies  for  sub-acute  or  chronic  low  back  pain.    Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, Andersen MØ, Fournier G, Højgaard B, Jensen MB, Jensen LD, Karbo T, Kirkeskov L, Melbye M, Morsel-Carlsen L, Nordsteen J, Palsson TS, Rasti Z, Silbye PF, Steiness MZ, Tarp S, Vaagholt M. National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J. 2018 Jan;27(1):60-75. doi: 10.1007/s00586-017-5099-2. Epub 2017 Apr 20. PMID: 28429142. Purpose: To summarise recommendations about 20 non-surgical interventions for recent onset ( If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids.   Krekoukias G1, Gelalis ID1,2, Xenakis T1, Gioftsos G3, Dimitriadis Z4, Sakellari V3. Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial. J Man Manip Ther. 2017 May;25(2):66-73. doi: 10.1080/10669817.2016.1184435. Epub 2016 Jun 23. MANUAL THERAPY SPINAL MOBILIZATION IS PREFERABLE TO CONVENTIONAL PHYSIOTHERAPY IN ORDER TO REDUCE THE PAIN INTENSITY AND DISABILITY IN SUBJECTS WITH CHRONIC LBP AND ASSOCIATED DISK DEGENERATION. THE FINDINGS OF THIS STUDY MAY LEAD TO THE ESTABLISHMENT OF SPINAL MOBILIZATION AS ONE OF THE MOST PREFERABLE APPROACHES FOR THE MANAGEMENT OF LBP DUE TO DISK DEGENERATION.   REFERENCES FOR 25% RELIEF PAPER BY WIRTH ET AL Wirth B1, Riner F1, Peterson C1, Humphreys BK1, Farshad M2, Becker S3, Schweinhardt P1. An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment. Chiropr Man Therap. 2019 Feb 5;27:6. doi: 10.1186/s12998-018-0225-8. eCollection 2019. Refs on minimal clinical improvement determination: Farrar JT, Young JP, Jr, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94:149–158. doi: 10.1016/S0304-3959(01)00349-9. [PubMed] [CrossRef] Kovacs FM, Abraira V, Royuela A, Corcoll J, Alegre L, Cano A, et al. Minimal clinically important change for pain intensity and disability in patients with nonspecific low back pain. Spine (Phila Pa 1976) 2007;32:2915–2920. doi: 10.1097/BRS.0b013e31815b75ae. [PubMed] [CrossRef] Salaffi F, Stancati A, Silvestri CA, Ciapetti A, Grassi W. Minimal clinically important changes in chronic musculoskeletal pain intensity measured on a numerical rating scale. Eur J Pain. 2004;8:283–291. doi: 10.1016/j.ejpain.2003.09.004. [PubMed] [CrossRef] Robinson-Papp J, George MC, Dorfman D, Simpson DM. Barriers to chronic pain measurement: a qualitative study of patient perspectives.Pain Med. 2015;16:1256–1264. doi: 10.1111/pme.12717. [PMC free article] [PubMed] [CrossRef] Ostelo RW, Deyo RA, Stratford P, Waddell G, Croft P, Von Korff M, et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976) 2008;33:90–94. doi: 10.1097/BRS.0b013e31815e3a10. [PubMed] [CrossRef]   Chung TS1, Yang HE, Ahn SJ, Park JH. Herniated Lumbar Disks: Real-time MR Imaging Evaluation during Continuous Traction. Radiology 2015 Jan 22:141400. CONTINUOUS TRACTION ON HERNIATED LUMBAR DISKS AND SURROUNDING STRUCTURES RESULTED IN CHANGE IN DISK SHAPE, DISK REDUCTION WITH OPENING IN THE INTERVERTEBRAL DISK, REDUCTION OF HERNIATED DISK VOLUME, SEPARATION OF THE DISK AND ADJOINING NERVE ROOT, AND WIDENING OF THE FACET JOINT.    Wong A, Parent E, Dhillon S, Prasad N, Kawchuk G: Do Participants With Low Back Pain Who Respond to Spinal Manipulative Therapy Differ Biomechanically From Nonresponders, Untreated Controls or Asymptomatic Controls? Spine: 01 September 2015 - Volume 40 - Issue 17 - p 1329–1337  doi: 10.1097/BRS.0000000000000981 PARTICIPANTS WITH LBP AND ASYMPTOMATIC CONTROLS ATTENDED 3 SESSIONS FOR 7 DAYS. ON SESSIONS 1 AND 2, PARTICIPANTS WITH LBP RECEIVED SMT (+LBP/+SMT, N = 32) WHEREAS ASYMPTOMATIC CONTROLS DID NOT (−LBP/−SMT, N = 57). IN THESE SESSIONS, SPINAL STIFFNESS AND MULTIFIDUS THICKNESS RATIOS WERE OBTAINED BEFORE AND AFTER SMT AND ON DAY 7. RESULTS. AFTER THE FIRST SMT, SMT RESPONDERS DISPLAYED STATISTICALLY SIGNIFICANT DECREASES IN SPINAL STIFFNESS AND INCREASES IN MULTIFIDUS THICKNESS RATIO SUSTAINED FOR MORE THAN 7 DAYS; THESE FINDINGS WERE NOT OBSERVED IN OTHER GROUPS. SIMILARLY, ONLY SMT RESPONDERS DISPLAYED SIGNIFICANT POST-SMT IMPROVEMENT IN APPARENT DIFFUSION COEFFICIENTS.     Wong AYL1,2, Parent EC3, Dhillon SS4, Prasad N5, Samartzis D6, Kawchuk GN3. Differential patient responses to spinal manipulative therapy and their relation to spinal degeneration and post-treatment changes in disc diffusion. Eur  Spine J. 2019 Jan 2. doi: 10.1007/s00586-018-5851-2. NON-SPECIFIC LOW BACK PAIN PATIENTS WHO RESPOND WITH >30% RELIEF SHOW HIGHER APPARENT DIFFUSION COEFFICIENT DISC DIFFUSION OF WATER THAN NON POSITIVE RESPONDERS. MRI WAS PERFORMED BEFORE AND AFTER SMT ON DAY 1 OF CARE. OSWESTRY DISABILITY TEST WAS ALSO USED.     Beattie PF, Butts R, Donley JW, Liuzzo DM. The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1. Orthop Sports Phys Ther. 2013 Nov 21. Doctoral Program in Physical Therapy, Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC. STUDY TO DETERMINE DIFFERENCES IN THE CHANGES IN DIFFUSION OF WATER WITHIN THE LUMBAR INTERVERTEBRAL DISCS BETWEEN THOSE SUBJECTS WITH LOW BACK PAIN (LBP) WHO DID, AND DID NOT, REPORT A WITHIN-SESSION REDUCTION IN PAIN INTENSITY FOLLOWING A SINGLE TREATMENT OF SPINAL MANIPULATIVE THERAPY (SMT) WAS DONE. CHANGES IN THE DIFFUSION OF WATER WITHIN THE LUMBAR INTERVERTEBRAL DISCS AT THE L1-2, L2-3, AND L5-1 LEVELS APPEAR TO BE RELATED TO DIFFERENCES IN WITHIN-SESSION PAIN REPORTS FOLLOWING A SINGLE TREATMENT OF SPINAL MANIPULATIVE THERAPY. PARTICIPANTS UNDERWENT T2- AND DIFFUSION-WEIGHTED LUMBAR MAGNETIC RESONANCE IMAGING SCANS IMMEDIATELY BEFORE, AND AFTER, RECEIVING A SINGLE TREATMENT OF SMTJ     Kuo, Ya-Wen PhD; Hsu, Yu-Chun MS; Chuang, I-Ting MS; Chao, Pen-Hsiu Grace PhD; Wang, Jaw-Lin PhD Spinal Traction Promotes Molecular Transportation in a Simulated Degenerative Intervertebral Disc Model. Spine: April 20th, 2014 - Volume 39 - Issue 9 - p E550 Traction biomechanics studied in the porcine model biomechanical benefits include disc height recovery, foramen enlargement, and intradiscal pressure reduction. 48 thoracic discs were dissected from 8 porcine spines and then divided into 3 groups: intact, degraded without traction, and degraded with traction. From Day 4 to Day 6, half of the degraded discs received a 30 min traction treatment per day (traction force: 20 kg, loading: unloading = 30 sec: 10 sec). Traction treatment is effective in enhancing nutrition supply and promoting disc cell proliferation of the degraded discs.  

Listen as spine specialist and founder of the Cox Technic, Dr. James Cox discuss the non-surgical treatment of scoliosis. James M. Cox, DC, DACBR, FICC, Hon.D.Litt., FACO(H) Dr. Cox is the developer of Cox® Technic Flexion Distraction Manipulation and the proud participant in the on-going federal research projects involving the Keiser University, National University of Health Sciences, Palmer College of Chiropractic Research Center, Loyola Stritch School of Medicine, University of Illinois, University of Iowa, Auburn University, etc. He is a member of the postgraduate faculty of the National University of Health Sciences and has been privileged to speak throughout the world. Resources: About Dr. Cox curriculum vitae  More about Cox Technic Find a Back Doctor The Cox 8 Table by Haven Medical References: McAviney J1, Roberts C2, Sullivan B2, Alevras AJ2, Graham PL3, Brown BT4,5. The prevalence of adult de novo scoliosis: A systematic review and meta-analysis. Eur Spine J. 2020 May 22. doi: 10.1007/s00586-020-06453-0. [Epub ahead of print] Dai F1, Yu PF1, Liu JT1, Jiang H1. [A 5 year follow-up study on non-surgical treatment of ruptured lumbar disc herniation]. Zhongguo Gu Shang. 2020 May 25;33(5):414-9. doi: 10.12200/j.issn.1003-0034.2020.05.005. [Article in Chinese] Minetama, Masakazu PT, PhD; Kawakami, Mamoru MD, PhD; Teraguchi, Masatoshi MD, PhD; Kagotani, Ryohei MD, PhD; Mera, Yoshimasa MD; Therapeutic Advantages of Frequent Physical Therapy Sessions for Patients With Lumbar Spinal Stenosis. SPINE: June 1, 2020 - Volume 45 - Issue 11 - p E639-E646 Spears CA1, Hodges SE1, Kiyani M1, Yang Z2, Edwards RM1, Musick A1, Park C1, Parente B1, Lee HJ2, Lad SP1. Healthcare Resource Utilization and Management of Chronic, Refractory Low Back Pain in the United States. Spine (Phila Pa 1976). 2020 May 21. doi: 10.1097/BRS.0000000000003572. [Epub ahead of print] Tian G, Shen MR, Jiang WG, Xie FR, Wei WW. Case-control study on spinal leveraging manipulation and medicine for the treatment of degenerative scoliosis]. Zhongguo Gu Shang. 2015 Jun;28(6):508-11 Faraj SSA1, Haanstra TM1, Martijn H1, de Kleuver M2, van Royen BJ1. Functional outcome of non-surgical and surgical management for de novo degenerative lumbar scoliosis: a mean follow-up of 10 years. Scoliosis Spinal Disord. 2017 Dec 5;12:35. doi: 10.1186/s13013-017-0143-x. eCollection 2017. Bao H, Zhu F, Liu Z, et al. Coronal curvature and spinal imbalance in degenerative lumbar scoliosis: disc degeneration is associated. Spine (Phila Pa 1976). 2014;39(24):E1441–E1447. doi:10.1097/BRS.0000000000000603 Kobayashi K1, Ando K1, Nakashima H1, Machino M1, Morozumi M1, Kanbara S1, Ito S1, Inoue T1, Yamaguchi H1, Mishima K1, Ishiguro N1, Imagama S1. Scoliosis Caused by Limb-Length Discrepancy in Children. Asian Spine J. 2020 May 21. doi: 10.31616/asj.2019.0374. [Epub ahead of print] Aspegren DD1, Cox JM. Correction of progressive idiopathic scoliosis utilizing neuromuscular stimulation and manipulation: a case report. J Manipulative Physiol Ther. 1987 Aug;10(4):147-56. Tomoki Oshikawa, Gen Adachi, Hiroshi Akuzawa, Yu Okubo, Koji Kaneoka. Change in Regional Activity of the Quadratus Lumborum During Bridge Exercises. J Sport Rehabil. 2020 Apr 22;1-9.   doi: 10.1123/jsr.2019-0225. Online ahead of print. Abdulmonem Alsiddiky 1, Rheema Alfadhil 1, Maram Al-Aqel 1, Noura Ababtain 1, Norah Almajed 1, Khalid Bakarman 1, Waleed Awwad 1, Raheef Alatassi . Assessment of Serum Vitamin D Levels in Surgical Adolescent Idiopathic Scoliosis Patients. BMC Pediatr. 2020 May 11;20(1):202.  doi: 10.1186/s12887-020-02114-9. Erwin J1, Carlson BB1, Bunch J1, Jackson RS1, Burton D2. Impact of unoperated adolescent idiopathic scoliosis in adulthood: a 10-year analysis. Spine Deform. 2020 May 28. doi: 10.1007/s43390-020-00142-0. [Epub ahead of print] Mariscal G1, Nuñez JH2,3, Figueira P4, Malo A5, Montiel V2, López MA6, Castro M7, Barrios C1, Fern PD8. Validation of the concavity-convexity quotient as a new method to measure the magnitude of scoliosis. J Craniovertebr Junction Spine. 2020 Jan-Mar;11(1):31-35. doi: 10.4103/jcvjs.JCVJS_22_20. Epub 2020 Apr 4.

Patreon and Masterclass:  https://www.patreon.com/thegaitguys join us at the 40$ level,   VIMEO on demand (pssst, the 40$ patreon level is a better deal  !) https://vimeo.com/ondemand/thegaitmasterclass   *The Masterclass in Gait, with the Gait Guys join us monthly at: https://www.patreon.com/thegaitguys for the monthly Masterclass installment hour. Formal presentations, slides, videos, demos, deep dives on topics you will not hear anywhere but here ! We hit gait, biomechanics, neurology and orthopedics of all of the gait topics we present. This is not for the weak and timid, this is the deep dive you have been waiting for. Join us while we turn our normal 50 minute presentations into 3.5 hours on a regular basis ! The 40$ Patreon level will give you the best deal on the Masterclass and also get you the $20, $10, and 5$ Patreon level content. What a deal ! It will not be here forever so lock in now ! Note, the 40$ Patreon level gets you more Masterclass content than the $40 VIMEO purchases. Links to find the podcast: Look for us on Apple Podcasts, Google Play, Podbean, PlayerFM, RADIO and more. Just Google "the gait guys podcast". _______________________________________________________________________________ Our Websites: www.thegaitguys.com Find Exclusive content at: https://www.patreon.com/thegaitguys doctorallen.co summitchiroandrehab.com shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20). Our podcast is on iTunes and just about every other podcast harbor site, just google "the gait guys podcast", you will find us. Where to find us, the podcast Links: Apple podcasts: https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138?mt=2 Google Play: https://play.google.com/music/m/Icdfyphojzy3drj2tsxaxuadiue?t=The_Gait_Guys_Podcast Links to today's show:   Gait Posture. 2020 Feb 20;78:54-59. doi: 10.1016/j.gaitpost.2020.02.014. [Epub ahead of print]   Muscle capacity to accelerate the body during gait varies with foot position in cerebral palsy. Hegarty AK1, Kurz MJ2, Stuberg W2, Silverman AK3. J Sport Rehabil. 2020 Mar 31:1-9. doi: 10.1123/jsr.2019-0211. [Epub ahead of print] Effects of a 4-Week Short-Foot Exercise Program on Gait Characteristics in Patients With Stage II Posterior Tibial Tendon Dysfunction. Kim J, Lee SC, Chun Y, Jun HP, Seegmiller JG, Kim KM, Lee SY. Hum Mov Sci. 2020 Apr;70:102584. doi: 10.1016/j.humov.2020.102584. Epub 2020 Feb 8. Gait control in children with attention-deficit/hyperactivity disorder. Simmons RW1, Taggart TC2, Thomas JD3, Mattson SN3, Riley EP3. Gait Posture. 2020 Mar 17;78:30-34. doi: 10.1016/j.gaitpost.2020.03.009. [Epub ahead of print] Navicular drop is negatively associated with flexor hallucis brevis thickness in community-dwelling older adults. Fukumoto Y1, Asai T2, Ichikawa M3, Kusumi H3, Kubo H4, Oka T5, Kasuya A6. Front Pediatr. 2020 Feb 28;8:75. doi: 10.3389/fped.2020.00075. eCollection 2020. Effects of Selective Dorsal Rhizotomy on Ankle Joint Function in Patients With Cerebral Palsy. Ates F1, Brandenburg JE2,3,4, Kaufman KR1. Gait Posture. 2020 Mar 4;78:26-29. doi: 10.1016/j.gaitpost.2020.03.003. [Epub ahead of print] Higher visual reliance during single-leg balance bilaterally occurring following acute lateral ankle sprain: A potential central mechanism of bilateral sensorimotor deficits. Kim KM1.

Ini adalah episode dalam bahasa Inggris yang pertama. Wawancara sama temen baik, Emilie Rembert (@emilierembert), yang adalah seorang peneliti di bidang plant-based diet. Dia sekarang kerja Clinical Research Department di Physician Committee for Responsible Medicine (PCRM) - @physiciancommittee di Washington DC. Dia akan sharing gimana dia menemukan plant-based diet dan akhirnya terjun ke dunia research. Kita juga akan mendengarkan penelitian apa yang baru dilakukan oleh PCRM dan juga update mengenai research-research yang baru mereka publikasikan. Walaupun episode ini di dalam bahasa Inggris, akan ada rangkuman apa yang Emilie bilang di dalam bahasa Indonesia setelah bagian-bagian tertentu di podcast ini. Jadi kalian bisa ngerti 100% apa yang Emilie bilang juga! Kalian bisa check pcrm.org untuk melihat penelitian-penelitian, resep-resep plant-based dan resources lainnya! Check juga The Exam Room Podcast dari PCRM. Ini beberapa paper yang mereka keluarkan belakangan ini. 1. The role of nutrition in asthma prevention and treatment, Nutrition Reviews, , nuaa005, https://doi.org/10.1093/nutrit/nuaa005 2. Nutrition Interventions in Rheumatoid Arthritis: The Potential Use of Plant-Based Diets. A Review. Front Nutr. 2019 Sep 10;6:141. doi: 10.3389/fnut.2019.00141. eCollection 2019. 3. The Effects of Vegetarian and Vegan Diets on Gut Microbiota. Front Nutr. 2019 Apr 17;6:47. doi: 10.3389/fnut.2019.00047. eCollection 2019. Semoga ini menginspirasi kalian dan menjadi berkat. Salam sehat!

Contributor: Dave Rosenberg, MD Educational Pearls: White noise is all the surrounding sound frequencies mixed together that your brain tunes down so you don’t get distracted while you're sleeping Pink noise, or deep soothing noises, is the accentuated bass sounds like falling rain or waves crashing your brain keys into while sleeping. Brain electrical waves during stage 4 sleep (the deepest of sleeps), cause sudden increases and decreases in cerebral blood flow allowing for CSF washing of the brain, which helps eliminate beta amyloid - the misfolded protein linked to Alzheimers Pink noise during sleep has been shown to increase stage 4, creating more CSF washout of beta amyloid. References 1. Spinedi, E. Cardinali, DP. Neuroendocrine Metabolic Dysfunction and Sleep Disturbances in Neurodegenerative Disorders: Focus on Alzhimer's Disease and Melatonin. Neuroendocrinology. 2019;108(4):354-364. doi: 10.1159/000494889. Epub 2018 Oct 28. 2. Zee, P. Papalambros NA. et al. Acoustic Enhancement of Sleep Slow Oscillations and Concomitant Memory Improvement in Older Adults. Front Hum Neurosci. 2017 Mar 8;11:109. doi: 10.3389/fnhum.2017.00109. eCollection 2017.   Summarized by Jackson Roos, MS3 | Edited by Erik Verzemnieks, MD

Brought to you by CSMi In this episode we review an article about causal fallacies but, more importantly, changes are coming in 2020 to PT Inquest! Tune in to hear all about it. Also, PATREON!!! Core stability and low-back pain: a causal fallacy. Open Science Collaboration. J Exerc Rehabil. 2019 Jun 30;15(3):493-495. doi: 10.12965/jer.1938198.099. eCollection 2019 Jun. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases. The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial. Darlow B, Stanley J, Dean S, Abbott JH, Garrett S, Wilson R, Mathieson F, Dowell A. PLoS Med. 2019 Sep 9;16(9):e1002897. doi: 10.1371/journal.pmed.1002897. eCollection 2019 Sep. To order the rheumatology booklet created by Jack March that we discussed on the podcast head to his website: https://rheumatology.physio/ Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Dr. Anne Bunner and Dr. Don Marion discuss a study comparing rates of depression in men and women following a traumatic brain injury (TBI). Publication discussed: 
Lavoie, S., Sechrist, S., Quach, N., Ehsanian, R., Duong, T., Gotlib, I. H., & Isaac, L. (2017). Depression in Men and Women One Year Following Traumatic Brain Injury (TBI): A TBI Model Systems Study. Frontiers in Psychology, (8)634, eCollection. doi: 10.3389/fpsyg.2017.00634 PubMed link: www.ncbi.nlm.nih.gov/pubmed/28529492 CUBIST is a podcast for health care providers produced by the Defense and Veterans Brain Injury Center. We discuss the latest research on traumatic brain injury (TBI) most relevant to patient care. For more about TBI, including clinical tools, go to dvbic.dcoe.mil or email us at dha.DVBICinfo@mail.mil The views, opinions and/or findings contained in this podcast are those of the host and subject matter experts. They should not be construed as an official Department of Defense position, policy or decision unless so designated by other official documentation. All music in this podcast was used according to Creative Commons licensing. Our theme song is "Dog Wind" by Skill_Borrower, and our credit music is "Esaelp Em Xim" by Pitx, both from CCmixter.org. All music in this podcast was used according to Creative Commons licensing.

Brought to you by CSMi "How do you feel now compared to how you felt before surgery?" is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment symptoms have on perception of progress? Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up. Hope D, French J, Pizzari T, Hoy G, Barwood S. Orthop J Sports Med. 2019 Jun 12;7(6):2325967119851084. doi: 10.1177/2325967119851084. eCollection 2019 Jun. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Contributor: Michael Hunt, MD Educational Pearls: Due to the efficacy of vaccination, epiglottitis is now more common in adults than children Risk factors include smoking and other immunocompromising co-morbidities, such as diabetes Epiglottitis can present with sore throat and fever, with potential rapid progression to respiratory distress and stridor Diagnosis can include x-ray to look for the “thumbprint sign," nasofiberoptics, and/or CT Antibiotics are mainstay of treatment but severe cases may need establishment of a definitive airway, typically done with fiberoptics in the operating room due to the potential to irritate the epiglottitis with traditional laryngoscopy References Li RM, Kiemeney M. Infections of the Neck. Emerg Med Clin North Am. 2019 Feb;37(1):95-107. doi: 10.1016/j.emc.2018.09.003. Review. PubMed PMID: 30454783. Tsai YT, Huang EI, Chang GH, Tsai MS, Hsu CM, Yang YH, Lin MH, Liu CY, Li HY. Risk of acute epiglottitis in patients with preexisting diabetes mellitus: A population-based case-control study. PLoS One. 2018;13(6):e0199036. doi: 10.1371/journal.pone.0199036. eCollection 2018. PubMed PMID: 29889887; PubMed Central PMCID: PMC5995441. Guerra AM, Waseem M. Epiglottitis. [Updated 2018 Nov 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430960/ Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD

Brought to you by CSMi Epidemiology studies are a fascinating snapshot of injuries in a population, but they also provide insight on how we interpret data. How common are lumbar spine injuries amongst elite athletes? How are they defined? How limiting are they? Is there a group we should address and another group we should leave alone? Lumbar Spine Injuries in National Collegiate Athletic Association Athletes: A 6-Season Epidemiological Study. Hassebrock JD, Patel KA, Makovicka JL, Chung AS, Tummala SV, Peña AJ, Williams KE, Hartigan DE, Chhabra A. Orthop J Sports Med. 2019 Jan 23;7(1):2325967118820046. doi: 10.1177/2325967118820046. eCollection 2019 Jan. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

E aí Legião, no episódio de hoje vamos falar sobre Aeróbico em Jejum. Será que é bom, será que é ruim? Existe alguma maneira de você ensinar o seu corpo a queimar mais gordura? Vem escutar o episódio de hoje que vamos te contar tudo! Dá o play e vem saber mais com a gente! Compartilhe esse Podcast e um abraço Legião AF. Quer se juntar a nossa Legião? espaco.autoridadefitness.com/ Também estamos por aqui: Instagram > instagram.com/afnoinsta Youtube > www.youtube.com/c/AutoridadeFitnessOficial Facebook > www.facebook.com/autoridadefitness/ Fontes: Effects of aerobic exercise performed in fasted v. fed state on fat and carbohydrate metabolism in adults: a systematic review and meta-analysis. British Journal of Nutrition, Volume 116, Issue 7. October 2016, pp. 1153-1164. Body composition changes associated with fasted versus non-fasted aerobic exercise. J Int Soc Sports Nutr. 2014 Nov 18;11(1):54. doi: 10.1186/s12970-014-0054-7. eCollection 2014. PAOLI, Antonio. Exercising Fasting or Fed to Enhance Fat Loss? Influence of Food Intake on Respiratory Ratio and Excess Postexercise Oxygen Consumption After a Bout of Endurance Training. International Journal of Sport Nutrition and Exercise Metabolism, 21, 2011, p. 48-54. 2011. Aird, T. P., Davies, R. W., & Carson, B. P. (2018). Effects of fasted vs fed-state exercise on performance and post-exercise metabolism: A systematic review and meta-analysis. Scandinavian Journal of Medicine & Science in Sports, 28(5), 1476–1493. doi:10.1111/sms.13054

Los alimentos altos en FODMAPs pueden desencadenar o empeorar las molestias digestivas de hinchazón o diarreas propias del colon irritable, y por eso hay muchos estudios que han demostrado la eficacia de una Dieta baja en Fodmaps en esta condición. Pero no deberías quedarte para siempre con una dieta baja en FODMAPs, sino más bien irlos reintroduciendo poco a poco para saber cuáles toleras y en qué cantidades. Porque a la larga necesitas FODMAPs en tu dieta para tener mayor población de bacterias saludables y favorecer un buen equilibrio en la microbiota intestinal. Hoy te cuento como ayudo a mis pacientes a personalizar la dieta FODMAP, reintroduciendo estratégicamente estos pequeños carbohidratos (los fodmaps) en su alimentación. Para que si tu estás pensando en hacer este tipo de dieta, sepas el camino a seguir para conseguir una dieta lo más amplia posible. En este episodio hablamos de: *Qué son los FODMAPs *La evidencia que hay de su utilidad en el Colon Irritable y Sobrecrecimiento bacteriano *Las desventajas de la popularidad de la Dieta baja en FODMAPs Aunque evitar los FODMAPs puede mejorar tus síntomas, por qué en realidad los necesitas para tener una mejor salud intestinal y general a largo plazo *El esquema general con las 3 fases de la Dieta baja en FODMAPs, que incluye no sólo la primera fase de eliminación (que es la única que hacen muchas personas) *Por donde empezar, es decir la intolerancia a qué FODMAP deberías empezar a probar primero *Durante cuántos días pruebo la tolerancia a cada tipo de FODMAP con mis pacientes *Cómo pruebo los niveles de tolerancia a cada tipo de FODMAP individual con porciones cada vez mayores. *Y mucho más https://doctorcueva.com/podcast/como-personalizar-dieta-fodmap/ Notas del Episodio Estudio que sustenta la eficacia de la Dieta baja en FODMAPs en el colon irritable A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014 Jan;146(1):67-75.e5. Halmos EP y col. Revisión que avala la Dieta baja en FODMAPs como uno de los primeras estrategias para el Colon Irritable Role of FODMAPs in Patients With Irritable Bowel Syndrome. Nutr Clin Pract. 2015 Oct;30(5):665-82. Mansueto P y col. Estudio en el que no se recomienda la dieta estricta baja en FODMAPs a largo plazo. Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date. Clin Exp Gastroenterol. 2016 Jun 17;9:131-42. doi: 10.2147/CEG.S86798. eCollection 2016. Nanayakkara WS y col. La dieta estricta baja en FODMAPs reduce las bifidobacterias Fermentable carbohydrate restriction reduces luminal bifidobacteria and gastrointestinal symptoms in patients with irritable bowel syndrome. J Nutr. 2012 Aug;142(8):1510-8. Staudacher HM y col. Las dietas con diferente contenido en FODMAPs alteran la flora intestinal. Diets that differ in their FODMAP content alter the colonic luminal microenvironment. Gut. 2015 Jan;64(1):93-100. Halmos EP y col. Pre Lista de Membresía de Problemas Digestivos https://doctorcueva.com/membresia-problemas-digestivos/ Minitest Gratis para saber si tienes los síntomas de Sobrecrecimiento Bacteriano https://doctorcueva.com/minitest-sobrecrecimiento-bacteriano/

Author: Rachel Brady, MD Educational Pearls: Hypercalcemia of malignancy: Hypercalcemia of malignancy can present with lethargy, muscle weakness, hyperreflexia, altered mental status, cardiac dysrhythmias, and even cardiac arrest. Treatment is based both on calcium level and symptoms Intravenous rehydration is first line treatment Other options include steroids, bisphosphonates and calcitonin.  Tumor Lysis Syndrome Occurs due to the breakdown of tumor cells after chemotherapy/radiation Presents as hyperkalemia, hyperuricemia, hyperphosphatemia, and hypocalcemia Treatment is very similar to severe hypercalcemia - hydration with crystalloids Hyperuricemia can be treated using rasburicase or allopurinol   References: Ñamendys-Silva SA, Arredondo-Armenta JM, Plata-Menchaca EP, Guevara-García H, García-Guillén FJ, Rivero-Sigarroa E, Herrera-Gómez A. Tumor lysis syndrome in the emergency department: challenges and solutions. Open Access Emerg Med. 2015 Aug 20;7:39-44. doi: 10.2147/OAEM.S73684. eCollection 2015. Review. PubMed PMID: 27147889; PubMed Central PMCID: PMC4806807. Zagzag J, Hu MI, Fisher SB, Perrier ND. Hypercalcemia and cancer: Differential diagnosis and treatment. CA Cancer J Clin. 2018 Sep;68(5):377-386. doi: 10.3322/caac.21489. Epub 2018 Sep 21. Review. PubMed PMID: 30240520.   Summary by Travis Barlock, MS4  | Edited by Erik Verzemnieks, MD  

Our first review of a PRS Global Open paper on the use of NWPT on incisional breast reduction wounds Galiano RD, Hudson D, Shin J, van der Hulst R, Tanaydin V, Djohan R, Duteille F, Cockwill J, Megginson S, Huddleston E. Incisional Negative Pressure Wound Therapy for Prevention of Wound Healing Complications Following Reduction Mammaplasty. Plast Reconstr Surg Glob Open. 2018 Jan 12;6(1):e1560. doi: 10.1097/GOX.0000000000001560. eCollection 2018 Jan.

In episode 33, Sandy and Cory are joined once again by Pain Specialist Physician, Milton Cohen. Dr. Cohen and his group have submitted a new clinical definition of pain. In the discussion, we unpack the new definition term by term and discuss issues that Dr. Cohen and his group have spelled out regarding the current and famous IASP definition. Does the current definition have important shortcomings? Do you feel that patients would agree that the current definition fits with the experience of being in pain? Does this new definition make the clinical encounter and potential directions of treatment more clear? Listen in and judge for yourself. Be sure to catch a call to action as well as a bonus discussion of the new 'nociplastic' category of pain at the end of the show. Reconsidering the International Association for the Study of Pain definition of pain. Cohen M, Quintner J, van Rysewyk S. Pain Rep. 2018 Mar 5;3(2):e634. doi: 10.1097/PR9.0000000000000634. eCollection 2018 Mar. A rebuttal article also referenced in the show: The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Treede RD. Pain Rep. 2018 Mar 5;3(2):e643. doi: 10.1097/PR9.0000000000000643. eCollection 2018 Mar. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade

Being positive in life is usually seen as a good thing. Try to identify the silver lining and highlight it. But when it comes to research, that "spin" can have detrimental results for developing clinical guidelines and the scientific process as a whole. This is the final episode of this season - we'll see you all in a few months! 'Spin' in published biomedical literature: A methodological systematic review. Chiu K, Grundy Q, Bero L. PLoS Biol. 2017 Sep 11;15(9):e2002173. doi: 10.1371/journal.pbio.2002173. eCollection 2017 Sep. Recommendations are made in the absence of any good treatments. Colquhoun D. BMJ. 2017 Aug 30;358:j3975. doi: 10.1136/bmj.j3975. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Key Tagwords: usain bolt, gait, gait asymmetry, isometrics, isotonics, RF ablation, COOLIEF, OA, deafferentation, knee arthritis, ibuprofin, kidney damage, NSAIDS, heel drop, achilles, tendonitis, heel pain,  Our Websites: www.thegaitguys.com summitchiroandrehab.com   doctorallen.co     shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).   Our podcast is on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.   Show Notes: Healing Tech in Neuroscience: New device can heal with a single touch https://www.usatoday.com/story/news/nation-now/2017/08/07/miracle-device-can-heal-single-touch-and-even-repair-brain-injuries/537326001/ Cool radiofrequency ablation http://www.nbcnews.com/health/health-news/cool-new-knee-procedure-eases-arthritis-pain-without-surgery-n771221 Updates on Ibuprofin in runners http://womensrunning.competitor.com/2017/07/news/ibuprofen-risks-endurance-runners_78580#EyIoMyAdkPW9UBpP.97 PeerJ. 2017 Jul 19;5:e3592. doi: 10.7717/peerj.3592. eCollection 2017. Sonographic evaluation of the immediate effects of eccentric heel drop exercise on Achilles tendon and gastrocnemius muscle stiffness using shear wave elastography. Leung WKC1, Chu KL1, Lai C1. Front Physiol. 2017 Feb 28;8:91. doi: 10.3389/fphys.2017.00091. eCollection 2017. Quantification of Internal Stress-Strain Fields in Human Tendon: Unraveling the Mechanisms that Underlie Regional Tendon Adaptations and Mal-Adaptations to Mechanical Loading and the Effectiveness of Therapeutic Eccentric Exercise. Maganaris CN1, Chatzistergos P2, Reeves ND3, Narici MV4. Oman Med J. 2010 Jul; 25(3): 155–1661. An Overview of Clinical Pharmacology of Ibuprofen Rabia Bushra* and Nousheen Aslam  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191627/ Pharm Biol. 2014 Feb;52(2):182-6. doi: 10.3109/13880209.2013.821665. Epub 2013 Sep 30. Zizyphus jujuba protects against ibuprofen-induced nephrotoxicity in rats. Awad DS1, Ali RM, Mhaidat NM, Shotar AM. https://www.ncbi.nlm.nih.gov/pubmed/24074058 Gait asymmetry ? https://www.ncbi.nlm.nih.gov/pubmed/28759127 Scand J Med Sci Sports. 2017 Jul 31. doi: 10.1111/sms.12953. [Epub ahead of print] Kinematic stride cycle asymmetry is not associated with sprint performance and injury prevalence in athletic sprinters. Haugen T1, Danielsen J2, McGhie D2, Sandbakk Ø1,2, Ettema G2.

There is a lot that we can throw at musculoskeletal pain, but what actually has evidence behind it? We do we actually know and what directions should the research be headed? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT! Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621. eCollection 2017. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Dr. Anne Bunner and Dr. Don Marion discuss a study comparing rates of depression in men and women following a traumatic brain injury (TBI). Publication discussed: Lavoie, S., Sechrist, S., Quach, N., Ehsanian, R., Duong, T., Gotlib, I. H., & Isaac, L. (2017). Depression in Men and Women One Year Following Traumatic Brain Injury (TBI): A TBI Model Systems Study. Frontiers in Psychology, (8)634, eCollection. doi: 10.3389/fpsyg.2017.00634 PubMed link: https://www.ncbi.nlm.nih.gov/pubmed/28529492 CUBIST is a podcast for health care providers produced by the Defense and Veterans Brain Injury Center. We discuss the latest research on traumatic brain injury (TBI) most relevant to patient care. For more about TBI, including clinical tools, go to dvbic.dcoe.mil or email us at info@dvbic.org. The views, opinions and/or findings contained in this podcast are those of the host and subject matter experts. They should not be construed as an official Department of Defense position, policy or decision unless so designated by other official documentation. All music in this podcast was used according to Creative Commons licensing. Our theme song is "Dog Wind" by Skill_Borrower, and our credit music is "Esaelp Em Xim" by Pitx, both from CCmixter.org.

Key Tagwords: neuroscience, hip pain, tendonopathy, DNA, running, injuries, achilles, tendonitis, gait, shoecue Our Websites: www.thegaitguys.com summitchiroandrehab.com   doctorallen.co     shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20).   Our podcast is on iTunes, Soundcloud, and just about every other podcast harbor site, just google "the gait guys podcast", you will find us.   Show Notes: Neuroscience: New neuron science http://trendintech.com/2017/04/05/groundbreaking-study-reveals-neurons-communicate-in-a-way-we-never-imagined/ Exercise strengthens you DNA http://www.mensfitness.com/training/build-muscle/exercise-strengthens-your-dna Development of overuse tendinopathy: A new descriptive model for the initiation of tendon damage during cyclic loading Tyler W. Herod, Samuel P. Veres https://twitter.com/stijnbog/status/875270547562692608 The neuromechanical adaptations to Achilles tendinosis. J Physiol. 2015 Aug 1;593(15):3373-87. doi: 10.1113/JP270220. Epub 2015 Jun 30. Chang YJ1, Kulig K1. Hip muscle strength is decreased in middle-aged recreational male athletes with midportion Achillestendinopathy: A cross-sectional study. Phys Ther Sport. 2017 May;25:55-61. doi: 10.1016/j.ptsp.2016.09.008. Epub 2016 Sep 13. Habets B1, Smits HW2, Backx FJG3, van Cingel REH4, Huisstede BMA5. Changes of gait parameters and lower limb dynamics in recreational runners with achilles tendinopathy. Kim S1, Yu J2. J Sports Sci Med. 2015 May 8;14(2):284-9. eCollection 2015 Jun. Vibrations and strides http://www.popsci.com/measuring-vibrations-runners-strides-could-prevent-muscle-injuries ShoeCue product: https://www.shoecue.com/?gclid=CKL1mI_e8tQCFZi4wAodgXMPJA RULES of tendonopathies: https://pbs.twimg.com/media/C3BbmWlXgAAg-ZA.png:large Roger Enoka http://www.humankinetics.com/products/all-products/neuromechanics-of-human-movement-5th-edition http://onlinelibrary.wiley.com/doi/10.1002/jor.23629/abstract?campaign=wolacceptedarticle  

Episode 23 has Sandy and Cory discussing a review article about modeling pain using a Bayesian statistical model. Fear not! You'll not need an abacus to follow along as the discussion moves from considering the model to potential use and problems with the "Bayesian Brain" concepts that are currently en vogue. What is the big deal with Bayes theorem? Why has it become so popular and why is it being applied to pain? Pain: A Statistical Account. Tabor A, Thacker MA, Moseley GL, Körding KP. PLoS Comput Biol. 2017 Jan 12;13(1):e1005142. doi: 10.1371/journal.pcbi.1005142. eCollection 2017 Jan. Also mentioned in this episode: https://blogs.scientificamerican.com/cross-check/are-brains-bayesian/ http://thesciencept.com/because-you-know-im-all-about-that-base/ http://thesciencept.com/learning-from-experience/   Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade

In episode 20 Sandy and Cory discuss an exploratory research paper on Sandy's area of expertise, pelvic pain. The presence or absence of neuropathic pain in this population is not well known and Sandy provides some insight into how this gap along with some common misconceptions play out in unfortunate ways for patients with these presentations. Cory's mettle is tested once again in another low front pain episode but he contributes a self report question that is sure to make you wink. There are some interesting similarities with other, more well understood conditions of the body. For example, what is the "disk herniation" equivalent of pelvic pain? An Exploratory Study into Objective and Reported Characteristics of Neuropathic Pain in Women with Chronic Pelvic Pain. Whitaker LH, Reid J, Choa A, McFee S, Seretny M, Wilson J, Elton RA, Vincent K, Horne AW. PLoS One. 2016 Apr 5;11(4):e0151950. doi: 10.1371/journal.pone.0151950. eCollection 2016. Open Access at the time of release. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade

In episode 17, Sandy and Cory attempt to tackle a difficult theoretical paper (difficult for non-neuroscientists, at least) discussing some potential implications of interoception in chronic pain. The discussion wades into "embodied cognition" and "predictive processing" among many other models that this paper attempts to cover. Also, we uncover the real reason why Sandy is going to Japan. Ghosts in the Machine. Interoceptive Modeling for Chronic Pain Treatment. Di Lernia D, Serino S, Cipresso P, Riva G. Front Neurosci. 2016 Jun 30;10:314. doi: 10.3389/fnins.2016.00314. eCollection 2016. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music by Kevin MacLeod - incompetech.com: Intro - Brandenburg No4 and Meatball Parade Close - Meatball Parade

We discuss an overview of what Alzheimer's & dementia are, why they occur, and potential treatment strategies.Literature used:Nelson L, Tabet N. Slowing the progression of Alzheimer's disease; what works?Ageing Res Rev. 2015 Sep;23(Pt B):193-209. doi: 10.1016/j.arr.2015.07.002. Epub 2015 Jul 26. Review. PubMed PMID: 26219494.Kumar A, Nisha CM, Silakari C, Sharma I, Anusha K, Gupta N, Nair P, Tripathi T, Kumar A. Current and novel therapeutic molecules and targets in Alzheimer's disease. J Formos Med Assoc. 2016 Jan;115(1):3-10. doi: 10.1016/j.jfma.2015.04.001. Epub 2015 Jul 26. Review. PubMed PMID: 26220908.Mitchell SL. CLINICAL PRACTICE. Advanced Dementia. N Engl J Med. 2015 Jun 25;372(26):2533-40. doi: 10.1056/NEJMcp1412652. Review. PubMed PMID: 26107053; PubMed Central PMCID: PMC4539157.Sindi S, Mangialasche F, Kivipelto M. Advances in the prevention of Alzheimer's Disease. F1000Prime Rep. 2015 May 12;7:50. doi: 10.12703/P7-50. eCollection 2015. Review. PubMed PMID: 26097723; PubMed Central PMCID: PMC4447057.Morris MC, Tangney CC, Wang Y, Sacks FM, Bennett DA, Aggarwal NT. MIND diet associated with reduced incidence of Alzheimer's disease. Alzheimers Dement. 2015 Sep;11(9):1007-14. doi: 10.1016/j.jalz.2014.11.009. Epub 2015 Feb 11. PubMed PMID: 25681666; PubMed Central PMCID: PMC4532650. 

This is Scott Selinger and welcome to another edge-of-your-seat-amazing talking blogpost - ABC’s for ECP’s, the podcast on behalf of the Northern California’s chapter of the American College of Physicians Council of Early Career Physicians.  Today I’d like to talk a little bit about this new world of patient satisfaction scores.I really like my new car.  I got it a few months ago and it’s been working great.  But then a few weeks ago I folded the back seat down and now it won’t come back up.  So like most men, I hit it a few times and then decided to take it to the dealership.  It was a pretty easy, seamless process of getting in and out but there were a few snags.  For instance, they told me I needed a new part and they’d call when they got it in - but that didn’t happen and when I called 2 weeks later I found out that the part I needed had been there for 10 days.  And then there was the little issue of the fact that when I got the car home, the seat was still broken.  I brought it back, saw a different service advisor, who apologized profusely, and they got it fixed the same day.  The kicker was, every time I was there, I was reminded before I left that “by the way you might be getting a survey …” at which point I cut them off and just gave them a thumbs up and said “all 5’s guys!” because I really wasn’t interested in hearing the spiel – the surveys they send out are based on top box scoring, so if they get anything except a 5 out of 5, they get dinged, even if they had nothing to do with the dissatisfying issue.This is getting to my main point about patient satisfaction surveys and its effect on us as physicians.  This is something I slowly started hearing more about towards the end of residency, but at the time the satisfaction scores at the resident clinic were abysmal and we felt sort of resigned to that because a lot of the dissatisfying factors were systems issues beyond our control.  That’s if you can imagine patients being dissatisfied by frequently seeing random doctors, long wait times, bedside manners that were still under construction, and frequently being told that they didn’t need antibiotics for their cold or opioid pain medications for their headache. But now that I’m out practicing, I’m realizing how huge an issue this is.  I’m still trying to figure out when someone needs steroids and when they need antibiotics or the best way to convince them they need to quit smoking or lose weight and honestly, sometimes this weighs on my mind especially when I have someone demanding something I know is unreasonable.  With all the money that is tied to patient satisfaction scores between Medicare reimbursements based on it as well as organizations and practitioners trying to maintain patient loyalty and the insurance money that comes along with it, it’s no wonder it frequently feels like our profession is starting to more resemble that of the service industry, but saddled with the complexities of human health.  To tie back to the car problem I had, a colleague of a colleague now routinely, in her follow up emails to her patients, has a little tagline at the bottom talking about what they should do if they get a survey!  Patient satisfaction scores are now commonly being tied to physician pay and advancement or retention at their current job, the theory being to incentivize us to make that extra effort to make sure our patients are satisfied by their medical care.And in theory this sounds great because why shouldn’t patients have an exceptional experience every time?  Why should they expect any different of us than they do of their mechanics (and I don’t mean to pick on mechanics - I’m just still a little miffed at mine).  Well, there may be a few reasons, just because our profession is a little different than many others in the service industry.A study[1] just published a few weeks ago in the Journal of Patient Preferences and Adherence (which I, like I’m assuming many of you, didn’t realize existed until today) surveyed about 4000 doctors in a state medical society about exactly this which came back with 155 responses.  Granted, that’s a small number, but there are some disturbing statistics from it.  First, 78% of respondents said that these patient satisfaction surveys affected their job satisfaction moderately to severely, with 28% of people saying they had thought about leaving the medical profession because of them.  Second, just over half of respondents said that they had inappropriately prescribed an antibiotic or narcotic or ordered an unnecessary lab test because of the patient satisfaction surveys.Finally, while there were 6 neutral or positive comments given on patient satisfaction rankings, there were 47 negative comments and I do appreciate the fact that they published them.  They are actually divided up into 5 themes including the two I just mentioned as well as:- that they’re a poor way to evaluate the quality of medical care,- that there’s too much weight on them and not enough administrative effort to improve medical outcomes- that they’re perceived as a conflict of interest        So that’s one side of the coin, and it is a very striking viewpoint from the healthcare providers, but that study of course needs to be taken with a grain of salt as it is a small number and certainly could select out for the most dissatisfied people to respond.        But what about from the patient side?  Is there validity to these viewpoints?  Well there was another larger study about two years ago[2] published in JAMA that looked at patient satisfaction surveys from 52,000 respondents over 7 years.  While high patient satisfaction was associated with less frequent ER visits, it was also associated with greater inpatient use, higher overall healthcare and prescription drug expenditures, and increased mortality.  There was commentary both ways when this article came out and to date as best I could see, there hasn’t been another large study published regarding this, but if you could tie it to the study looking at the physicians perspectives on these surveys, it’s not hard to believe this data might be real.        So what are we supposed to do with all this information?  There’s been so much change in what the role of a physician is supposed to be.  We’ve gone from a paternalistic approach more to one of shared decision making.  But is the heavy weight of patient satisfaction surveys unbalancing the power of shared decision making?  And aren’t we now being asked to be more paternalistic to society by reducing health care expenses, antibiotic and opioid prescriptions, and be more dogged about preventative cancer screenings and weight loss?        I think the missing part of the equation is time and communication and we definitely do need to be able to clearly communicate our thoughts with patients.  So far, I’ve seen great feedback from people when I’ve actually stopped and instead of auto-refilling medications I don’t think are appropriate or ordering easy labs I know aren’t indicated, I explain to them why doing so would give me that gnawing pit in my stomach that knows when I do something wrong.  We’re all so rushed these days, I think this gets lost and I’ve certainly been guilty of it on occasion, but this has to be a point where we hold the line.  This is why most of us went into medicine in the first place - to help people and to be educators, not to be vending machines.          I haven’t gotten a call for a survey for the car dealership yet.  I’m conflicted though and I actually feel differently now than when I started writing this.  If I give my honest opinion, which was my emotional urge and first reaction, it’s going to bring down someone’s score, it might get him disciplined or he might take a salary cut - it could contribute to his getting fired.  And the errors made were system errors too - probably nothing to do with the guy I dealt with.  Giving anything but 5’s would just seem spiteful.  I guess I’ll wait and see …I know I covered a lot of ground here and I’m hoping you have a few opinions to share (and at this point I feel like I know who all of “you” are as I haven’t seen too many downloads yet) so as always, we’d love to hear your feedback on this, so if you have any burning questions or comments,  you can post them on the blog at canocecp.blogspot.com, our podcast page on itunes, our facebook page or email them to canocecp@gmail.com.  And if you have time, be sure to head on over to our facebook page for the Northern California Chapter of the ACP Council of Early Career Physicians so you can find out more about the events going on in the chapter. [1] Patient Prefer Adherence. 2014 Apr 3;8:437-46. doi: 10.2147/PPA.S59077. eCollection 2014.Impact of patient satisfaction ratings on physicians and clinical care.Zgierska A1, Rabago D1, Miller MM2.[2] Arch Intern Med. 2012 Mar 12;172(5):405-11. doi: 10.1001/archinternmed.2011.1662. Epub 2012 Feb 13.The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality.Fenton JJ1, Jerant AF, Bertakis KD, Franks P.