Monthly Archives: February 2013

February 10, 2013

Show Notes for February 8, 2013

By teglow

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news: We’ll Be Looking At –

Health and Human Services Announces First HIPAA Breach Settlement Involving Less than 500 Patients
Spinal Manipulation and Nociception
And Finally a Story about Muscle Activity and Inactivity Periods during Normal Daily Life

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #396, recorded February 8, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0396.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

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…. or Skype us by typing in “healthbeat”, all in small letters.

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Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

HHS Announces First HIPAA Breach Settlement Involving Less than 500 Patients

On January 2, 2013 the Department of Health and Human Services (HHS) announced their first HIPAA breach settlement where there were less than 500 patients involved.

This announcement should be a warning to small providers that no one is exempt from HIPAA requirements. Some small practices mistakenly believe that HHS is only concerned with the “big guys” with deep pockets. This simply is not true and this announcement is confirmation.

In this particular case, the Hospice of North Idaho (HONI) reported an unencrypted, stolen laptop which contained electronic protected health information (ePHI) of 441 patients.

Lost laptops and other mobile devices (i.e. tablets and smartphones) are one of the most common causes for HIPAA breaches. For this reason, further educational information is being made available to all health care providers by OCR and the HHS Office of the National Coordinator for Health Information Technology (ONC).

You do not need to be a computer whiz to safeguard information, but you do need to take the appropriate safeguards required by HIPAA. You must have a documented risk analysis and documented policies and procedures specifically addressing mobile devices. Employees must be trained regarding these risks and that training must also be documented.

Surf to our Show Notes for this ChiroCode story – http://www.chirocode.com/hhs_announces_first_hipaa_breach_settlement_involving_less_than_500_patients

Spinal Manipulation and Nociception

There is evidence that spinal manipulation (SM) has therapeutic benefit in the treatment of back pain. However, there is still poor understanding of the physiological mechanism by which it achieves its therapeutic benefit.

In order to explore the mechanism of SM, a study published in Orthopedic Proceedings explored it’s immediate anti-nociceptive effect, by measuring the pressure pain threshold (PPT) in spinal muscles pre and post SM, in subjects with low back pain.

A group of low back pain patients were randomized into two groups, one received a SM to a dysfunctional segment in the lumbar spine. The second group received a sham procedure, where the patient was placed in a similar ‘wind up’ position, but the thrust applied non-specifically through the low back.

The study concluded that Spinal manipulation produced a statistically significant change in pressure pain threshold with a small to medium effect size.

No changes were observed in the sham and thus the active component of SM appears to be related to the specific manipulative thrust technique rather than to the general handling and positioning of the patient.

Surf to our Show Notes for Links – http://www.bjjprocs.boneandjoint.org.uk/content/91-B/SUPP_II/280.2.short

Muscle Activity and Inactivity Periods during Normal Daily Life

Recent findings suggest that not only the lack of physical activity, but also prolonged times of sedentary behaviour where major locomotor muscles are inactive, significantly increase the risk of chronic diseases.

The purpose of a recent study was to provide details of quadriceps and hamstring muscle inactivity and activity during normal daily life of ordinary people.

Eighty-four volunteers were measured during normal daily life using shorts measuring muscle electromyographic (EMG) activity. EMG was normalized to isometric MVC (EMG(MVC)) during knee flexion and extension, and inactivity threshold of each muscle group was defined as 90% of EMG activity during standing (2.5±1.7% of EMG(MVC)).

The study concluded that during normal daily life the locomotor muscles are inactive about 7.5 hours, and only a small fraction of muscle’s maximal voluntary activation capacity is used averaging only 4% of the maximal recruitment of the thigh muscles.

Some daily non-exercise activities such as stair climbing produce much higher muscle activity levels than brisk walking, and replacing sitting by standing can considerably increase cumulative daily muscle activity.

Surf to our Show Notes for the full article – http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0052228

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

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If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“Humanity either makes or breeds or tolerates all its afflictions.” – William Arthur Ward

For Chiropractic OnLine Today’s HealthBeat, This has been Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

February 10, 2013

Show Notes for February 1, 2013

By teglow

In this week’s news: We’ll Be Looking At –

Provider Responsibility to Disclose Threats to Health or Safety
Measuring Quality for Medicare Patients
And Finally a Story about Neural and Psychosocial contributions to sex differences in knee osteoarthritic pain

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #395, recorded February 1, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0395.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

And Now for some news ….

Provider Responsibility to Disclose Threats to Health or Safety

A recent ChiroCode email discussed Provider Responsibility to Disclose Threats to Health or Safety.

On January 15, 2013, HHS issued a letter reminding all health care providers of their ethical and legal responsibilities in situations where a patient presents a serious danger to himself or to others. They wish to promote awareness that HIPAA does not preclude a provider from taking appropriate actions by disclosing necessary information about a patient to law enforcement, family members of the patient, or other persons, in these situations.

In a related move, “As part of his recommendations to protect our communities from gun violence, President Obama today (January 16, 2013) rightly called for Mental Health First Aid training to help teachers and staff recognize the signs of mental health disorders in young people and find them appropriate care,” said Linda Rosenberg, President and CEO of the National Council for Behavioral Health.

“The youth version of Mental Health First Aid is an evidence-based training program to help citizens identify mental health problems in young people, connect youth with care, and safely deescalate crisis situations if needed. The program, focusing on youth ages 12 to 25, provides an ideal forum to engage communities in discussing the signs and symptoms of mental illness, the prevalence of mental health disorders, the effectiveness of treatment and how to engage troubled young people in services.”

Surf to our Show Notes for Links – http://www.chirocode.com/provider_responsibilities_to_disclose_threats_to_health_or_safety

Go to www.hhs.gov/ocr/office/lettertonationhcp.pdf to read the HHS letter.

Go to www.mentalhealthfirstaid.org/cs/program_overview to learn more about the Mental Health First Aid Program.

Go to www.whitehouse.gov/sites/default/files/docs/wh_now_is_the_time_full.pdf to read the announcement from the White House.

Measuring Quality for Medicare Patients

The American Chiropractic Association, the ACA, recently sent out information about assuring Quality in providing care for Medicare patients.

The Patient Protection and Affordable Care Act made participation in Medicare’s Physician Quality Reporting System (PQRS), formerly referred to as PQRI, mandatory beginning in 2015.

However, PLEASE NOTE that the Centers for Medicare and Medicaid Services (CMS) recently ruled that providers who are not successfully/satisfactorily participating in PQRS by the 2013 reporting period (Jan. 1 – Dec. 31, 2013) and beyond, will have their Medicare reimbursement decreased by 1.5 percent beginning in 2015. In 2016, the payment decrease will be 2%.

If you have never participated in PQRS, you may not know where to begin. For those doctors of chiropractic who are continuing their participation in PQRS in 2013, please be advised that significant updates and revisions have been made to the PQRS Measures applicable to chiropractic practices.

“Quality” is an increasing concern for healthcare policymakers in Washington, DC. The word dovetails into various areas such as pay-for-performance and health IT.

Quality measures, generally, are rooted in evidence-based medicine. They can be “guideline” measures (e.g., you get 12 visits for acute low back pain), “process” measures (e.g., when a patient comes in with a cardiovascular episode and you gave them an aspirin), or “outcome” measures (e.g., “X” condition was resolved). There are also other types of measures.

Surf to our Show Notes for details of this ACA article – http://www.acatoday.org/content_css.cfm?CID=2296

Neural and psychosocial contributions to sex differences in knee osteoarthritic pain

People with osteoarthritis (OA) can have significant pain that interferes with function and quality of life.

Women with knee OA have greater pain and greater reductions in function and quality of life than men. In many cases, OA pain is directly related to sensitization and activation of nociceptors in the injured joint and correlates with the degree of joint effusion and synovial thickening.

In some patients, however, the pain does not match the degree of injury and continues after removal of the nociceptors with a total joint replacement.

Growth of new nociceptors, activation of nociceptors in the subchondral bone exposed after cartilage degradation, and nociceptors innervating synovium sensitized by inflammatory mediators could all augment the peripheral input to the central nervous system and result in pain.

Enhanced central excitability and reduced central inhibition could lead to prolonged and enhanced pain that does not directly match the degree of injury. Psychosocial variables can influence pain and contribute to pain variability.

A recent review in the journal Biology of Sex Differences, explores the neural and psychosocial factors that contribute to knee OA pain with an emphasis on differences between the sexes and gaps in knowledge.

Surf to our Show Notes for the full article – http://www.bsd-journal.com/content/3/1/26/abstract

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“Desire is the key to motivation, but it’s determination and commitment to an unrelenting pursuit of your goal – a commitment to excellence – that will enable you to attain the success you seek.”
– Mario Andretti

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

February 10, 2013

Show Notes for January 25, 2013

By teglow

In this week’s news: We’ll Be Looking At –

HIPAA Rule is Finalized
Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury
And Finally a Story Concerning the Health of Americans Under 50

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #394, recorded January 25, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0394.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

And Now for some news ….

HIPAA Rule is Finalized

ChiroCode recently ran an update to the finalization of the HIPAA law.

On January 17, 2013, the long awaited final rule was announced. It will be published in the Federal Register on January 25, 2013. Providers need to be aware that the final rule, which replaces the current interim rule, is effective on March 26, 2013.

The compliance deadline for covered entities is September 23, 2013.

This final rule modifies HIPAA and HITECH in the following ways:

Strengthens the privacy and security protection for individuals’ health information.
Modifies the Breach Notification Rule.
Modifies the HIPAA Privacy Rule to strengthen the privacy protections for genetic information.
Improves their workability and effectiveness and to increase flexibility for and decrease burden on the regulated entities.

Providers have all been living with the interim rule for quite some time and we are all aware of the increased penalties and fines that have been taking place on a regular basis. However, there are some clarifications that providers should be aware of.

Surf to our Show Notes for links to the ChiroCode article and additional HIPAA links – http://www.chirocode.com/hipaa_final_rule_strengthens_privacy_and_security_protections

http://www.ofr.gov/OFRUpload/OFRData/2013-01073_PI.pdf

http://www.hcpro.com/HOM-288637-6962/HIPAA-mega-rule-breakdown.html

Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury

Persistent pain and psychological distress are common after traumatic musculoskeletal injury (TMsI).

Individuals sustaining a traumatic musculoskeletal injury are often young, do not recover quickly, and place a large economic burden on society.

A recent study in the Journal of Pain Research had the aim to determine:

(1) the incidence of persistent pain following traumatic musculoskeletal injury,

(2) the characteristics of pain, characterized by injury severity and type, and

(3) risk and protective factors associated with persistent pain following traumatic musculoskeletal injury

The study concluded that the evidence from the eleven studies included in this review indicates that persistent pain is prevalent up to 84 months following traumatic injury.

Further research is needed to better evaluate persistent pain and other long-term posttraumatic outcomes.

Surf to our Show Notes for links – http://www.dovepress.com/articles.php?article_id=11915

For Americans Under 50, Stark Findings on Health

A recent article in the NY Times looked at the level of health in the United States.

Younger Americans die earlier and live in poorer health than their counterparts in other developed countries, with far higher rates of death from guns, car accidents and drug addiction, according to a new analysis of health and longevity in the United States.

Researchers have known for some time that the United States fares poorly in comparison with other rich countries, a trend established in the 1980s. But most studies have focused on older ages, when the majority of people die.

The findings were stark. Deaths before age 50 accounted for about two-thirds of the difference in life expectancy between males in the United States and their counterparts in 16 other developed countries, and about one-third of the difference for females. The countries in the analysis included Canada, Japan, Australia, France, Germany and Spain.

The 378-page study by a panel of experts convened by the Institute of Medicine and the National Research Council is the first to systematically compare death rates and health measures for people of all ages, including American youths. It went further than other studies in documenting the full range of causes of death, from diseases to accidents to violence.

The panel called the pattern of higher rates of disease and shorter lives “the U.S. health disadvantage,” and said it was responsible for dragging the country to the bottom in terms of life expectancy over the past 30 years. American men ranked last in life expectancy among the 17 countries in the study, and American women ranked second to last.

Surf to our Show Notes for Links – http://www.nytimes.com/2013/01/10/health/americans-under-50-fare-poorly-on-health-measures-new-report-says.html?_r=2&

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“Let no feeling of discouragement prey upon you, and in the end you are sure to succeed.” – Abraham Lincoln

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

February 10, 2013

Show Notes for January 18, 2013

By teglow

In this week’s news: We’ll Be Looking At –

COT’s Health Beat Available on Stitcher Radio
Predictors of Lumbar Spine Surgery
And Finally, a Story about Health maintenance care

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #393, recorded January 18, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0393.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

And Now for some news ….

COT’s Health Beat Available on Stitcher Radio

COT’s HealthBeat is now available on Stitcher Radio.

Stitcher allows listeners to get the freshest episodes of your favorite podcasts and radio shows streamed directly to your smartphone or iPad – no downloading or syncing.

Simply surf to www.stitcher.com and download the Stitcher App to your iPhone, iPad or Android device.

Once downloaded, simply do a search for Chiropractic and then click on the Chiropractic Online Today’s HealthBeat link…. Or….

Simply surf to our Show Notes for a direct link – http://app.stitcher.com/browse/feed/31530/details

Predictors of Lumbar Spine Surgery

A recent study in the journal Spine had good news for Chiropractic treatment as they published a prospective population-based cohort study with the objective to identify early predictors of lumbar spine surgery within 3 years after occupational back injury.

Back injuries are the most prevalent occupational injury in the United States. Few prospective studies have examined early predictors of spine surgery after work-related back injury.

The authors of the study examined the early predictors of lumbar spine surgery within 3 years among Washington State workers with new worker’s compensation temporary total disability claims for back injuries.

Baseline measures included worker-reported measures obtained approximately 3 weeks after claim submission.

Baseline variables associated with surgery (P < 0.05) in the multivariate model included higher Roland Disability Questionnaire scores, greater injury severity, and surgeon as first provider seen for the injury.

Reduced odds of surgery were observed for those under age 35, women, Hispanics, and those whose first provider was a chiropractor. 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.

The Study concluded that baseline variables in multiple domains predicted lumbar spine surgery. There was a very strong association between surgery and first provider seen for the injury, even after adjustment for other important variables.

Surf to our Show Notes for details – http://www.ncbi.nlm.nih.gov/pubmed/23238486

http://goo.gl/mli68

Health maintenance care in work-related low back pain and its association with disability recurrence

A study published in the Journal of Occupational Environmental Medicine compared the occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP).

A total of 894 cases followed 1 year using workers’ compensation claims data. Provider types were defined for the initial episode of disability and subsequent episode of health maintenance care.

The study concluded that in work-related nonspecific LBP, the use of health maintenance care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment.

Surf to our Show Notes for details – http://www.ncbi.nlm.nih.gov/pubmed/21407100

http://www.chiroeco.com/chiropractic/news/13521/52/f4cp%20points%20to%20new%20study%20documenting%20chiropractic%20as%20first%20option%20for%20back%20pain%20relief/

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“If you think you can do a thing or think you can’t do a thing, you’re right.”
– Henry Ford

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

February 10, 2013

Show Notes for January 11, 2013

By teglow

In this week’s news: We’ll Be Looking At –

Fructose and The Brain
Disc Herniations and Inflammation
And Finally a story about Medicare and compliance with eligibility and claim status

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #392, recorded January 11, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0392.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

And Now for some news ….

Fructose and The Brain

In a study examining possible factors regarding the associations between fructose consumption and weight gain, brain magnetic resonance imaging of study participants indicated that ingestion of glucose but not fructose reduced cerebral blood flow and activity in brain regions that regulate appetite, and ingestion of glucose but not fructose produced increased ratings of satiety and fullness, according to a preliminary study published in the January 2, 2013 issue of JAMA.

“Increases in fructose consumption have paralleled the increasing prevalence of obesity, and high-fructose diets are thought to promote weight gain and insulin resistance. Fructose ingestion produces smaller increases in circulating satiety hormones compared with glucose ingestion, and central administration of fructose provokes feeding in rodents, whereas centrally administered glucose promotes satiety,” according to background information in the article.

“Thus, fructose possibly increases food-seeking behavior and increases food intake.” How brain regions associated with fructose- and glucose-mediated changes in animal feeding behaviors translates to humans is not completely understood.

The study concluded that in a series of exploratory analyses, consumption of fructose compared with glucose resulted in a distinct pattern of regional cerebral blood flow and a smaller increase in systemic glucose, insulin, and glucagon-like polypeptide 1 levels.

As always, discuss all Nutritional Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://jama.jamanetwork.com/article.aspx?articleid=1555133

http://media.jamanetwork.com/news-item/imaging-study-examines-effect-of-fructose-on-brain-regions-that-regulate-appetite/

http://www.sciencedaily.com/releases/2013/01/130101182010.htm

Disc Herniations and Inflammation

A recent study published in the journal Spine was published with the goal of the development of an animal model for the study of biochemical changes that occur in the epidural space after intervertebral disc herniation.

Although strong evidence for an inflammatory component exists, the biochemical processes underlying pain after disc herniation remain unknown.

Multiplex assays quantifying interleukin, tumor necrosis factor α (TNF-α), etc., were performed. The nucleus pulposus was also analyzed for these cytokines by placing nucleus pulposus into saline and measuring the relative concentration.

In this model of acute non-compressive disc herniation, nucleus pulposus caused the elevation of epidural IL-6, TNF-α, and Interferon-gamma (IFN-γ) —all attenuated by IFN-γ blockade.

IL-1β and IL-10 were both significantly elevated by saline alone and their response was not prevented by Interferon-gamma blockade.

This model may prove useful for the study of the biochemical processes by which nucleus pulposus induces inflammation-induced nerve root irritation and radiculopathic pain.

Surf to our Show Notes for Links – http://journals.lww.com/spinejournal/Abstract/2013/01010/Cytokine_Expression_in_the_Epidural_Space__A_Model.6.aspx

CMS announces 90-day enforcement discretion for compliance with eligibility and claim status

Recently the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced that to reduce the potential of significant disruption to the health care industry, it will not initiate enforcement action until March 31, 2013, with respect to HIPAA covered entities (including health plans, health care providers, and clearinghouses, as applicable) that are not in compliance with the operating rules adopted for the following transactions as required by the Affordable Care Act: eligibility for a health plan and health care claim status.

Notwithstanding OESS’ discretionary application of its enforcement authority, the compliance date for using the operating rules remains January 1, 2013.

Industry feedback suggests that HIPAA covered entities have not reached a threshold whereby a majority of covered entities would be able to be in compliance with the operating rules by January 1, 2013.

Although enforcement action will not be taken, OESS will accept complaints associated with compliance with the operating rules beginning January 1, 2013.

Surf to our Show Notes for Links – http://www.caqh.org

http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/Affordable-Care-Act/OperatingRulesforEligibilityandClaimsStatus.html

http://www.chiroeco.com/news/chiropractic-news.php?id=13496

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“You may not realize it when it happens, but a kick in the teeth may be the best thing in the world for you.”
– Walt Disney

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

February 10, 2013

Show Notes for January 4, 2013

By teglow

In this week’s news: We’ll Be Looking At –

Neuroprotection by spice-derived Nutraceuticals
Vitamin D and Insulin Resistance and Bone Loss
And Finally A Review of the Hypoalgesic Effects of Exercise

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #391, recorded January 4, 2013.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0391.mp3

This week’s Episode is sponsored by DaVinci Laboratories. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

And Now for some news ….

Neuroprotection by spice-derived Nutraceuticals

Numerous lines of evidence indicate that chronic inflammation plays a major role in the development of various neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, brain tumor, and meningitis.

Why these diseases are more common among people from some countries than others is not fully understood, but lifestyle factors have been linked to the development of neurodegenerative diseases.

For example, the incidence of certain neurodegenerative diseases among people living in the Asian subcontinent, where people regularly consume spices, is much lower than in countries of the western world.

Extensive research over the last 10 years has indicated that nutraceuticals derived from such spices as turmeric, red pepper, black pepper, licorice, clove, ginger, garlic, coriander, and cinnamon target inflammatory pathways, thereby may prevent neurodegenerative diseases.

How these nutraceuticals modulate various pathways and how they exert neuroprotection are the focus of this review published in the journal Molecular Neurobiology.

As always, discuss all Nutritional Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://rd.springer.com/article/10.1007/s12035-011-8168-2

Vitamin D and Insulin Resistance and Bone Loss

A study published in the journal European Journal of Clinical Nutrition looked at the association between vitamin D status and insulin resistance (IR) has been less studied among Asians, and it remains elusive whether calcium could modify such an association.

The authors of the study examined the association of serum 25-hydroxyvitamin D (25(OH)D) concentrations with insulin resistance markers and the potential effect modification by calcium intake among a Japanese population.

The study concluded that the authors’ findings suggest that low vitamin D status is associated with insulin resistance among Japanese adults.

In another Vitamin D study – The effect of vegan diet on bone loss has not been studied. The aim of this study was to examine the association between veganism and bone loss in postmenopausal women.

The study was designed as a prospective longitudinal investigation with 210 women, including 105 vegans and 105 omnivores. Femoral neck (FN) bone mineral density (BMD) was measured in 2008 and 2010 by dual-energy X-ray absorptiometry (Hologic QDR4500).

Among the 210 women who initially participated in the study in 2008, 181 women had completed the study and 29 women were lost to follow-up. Lower body weight, higher intakes of animal protein and lipid, and corticosteroid use were associated with greater rate of bone loss. There were no significant differences in βCTX and PINP between vegans and omnivores. The prevalence of vitamin D insufficiency in vegans was higher than in omnivores.

The study concluded that the Vegan diet did not have adverse effect on bone loss and fracture. Corticosteroid use and high intakes of animal protein and animal lipid were negatively associated with bone loss.

As always, discuss all Nutritional recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for links – http://www.nature.com/ejcn/journal/v66/n1/full/ejcn2011131a.html

http://www.nature.com/ejcn/journal/v66/n12/full/ejcn2012169a.html

Review of the Hypoalgesic Effects of Exercise

The purpose of a recent article in the Journal of Pain was to examine the effects of acute exercise on pain perception in healthy adults and adults with chronic pain using meta-analytic techniques.

Specifically, studies using a repeated measures design to examine the effect of acute isometric, aerobic, or dynamic resistance exercise on pain threshold and pain intensity measures were included in this meta-analysis.

The results suggest that all 3 types of exercise reduce perception of experimentally induced pain in healthy participants, with effects ranging from small to large depending on pain induction method and exercise protocol.

In healthy participants, the mean effect size for aerobic exercise was moderate, while the mean effect sizes for isometric exercise and dynamic resistance exercise were large.

In chronic pain populations, the magnitude and direction of the effect sizes were highly variable for aerobic and isometric exercise and appeared to depend on the chronic pain condition being studied as well as the intensity of the exercise.

While trends could be identified, the optimal dose of exercise that is needed to produce hypoalgesia could not be systematically determined with the amount of data available.

This article presents a quantitative review of the exercise-induced hypoalgesia literature. This review raises several important questions that need to be addressed while also demonstrating that acute exercise has a hypoalgesic effect on experimentally induced pain in healthy adults, and both a hypoalgesic and hyperalgesic effect in adults with chronic pain.

Surf to our Show Notes for Links – http://www.sciencedirect.com/science/article/pii/S1526590012008085

http://updates.pain-topics.org/2012/12/exercise-chronic-pain-relief-meta.html

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“Growth is never by mere change; it is the result of forces working together.”
– James Cash Penney

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

Leave a comment | posted in Chiropractic

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