***Fatty Infiltration in the Cervical Extensor Muscles in Persistent Whiplash-Associated Disorders: A Magnetic Resonance Imaging Analysis***
As a chiropractor, I've obviously got some unique perspectives on this issue. It is well documented that a large percentage of patients who experience whiplash type injuries have significant pain 10 yrs later. I firmly believe this is the result of imcomplete treatment following the injury. Strengthening and stretching as done by standard physical therapy procedures will NOT address pathology within the muscles, and adjusting alone will also not impact the muscles either. Full recovery requires a strong approach to both the joints and the muscles. This article probably won't show up on the desks of insurance adjusters; many would have their injured patients believe they should be all healed up in a few visits.
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***Long Term Impact of Bariatric Surgery on Body Weight, Comorbidities and Nutritional Status***
I've recently had a patient go to one of those "info" meetings for those considering bariatric surgery. The information presented was sugar coated and painted a picture of these overweight patients as victims of their genetics, with no real responsibility for their condition. While this alone may be bad enough, there was no mention of the most important information. Once someone has bariatric surgery, their lives will be forever changed. Not even counting failed surgeries and repeat surgeries for adhesions and complication. Not counting the fact that many of these patients end up with the same risk of heart disease and diabetes. The real issue is that an absolutely essential process of life--digestion and absorption of nutrients--is forever altered. The rest of their life will need to be different, avoiding foods w/ poor nutrient density and only taking in high nutrient density foods. Given the number of bariatric surgeries performed each year, you can bet we will see ever increasing numbers of very sick, post-bariatric surgery, patients.
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***Effects of Omega-3 Fatty Acids on Heart Rate in Cardiac Transplant Recipients***
Probably one the worst things that has happened to our health is the increased intake of omega-6 fatty acids at the expense of omega-3 fatty acids. Most processed foods contain high omega-6 fatty acids like cottonseed, sunflower, corn and soybean oil. Over time, our cells turn over, whether heart, lung, blood vessels, liver or brain. As new cells are created, they will take up the fatty acids that they are given. High levels of omega-3 fatty acids will result in more stable membranes, leaving the cell much healthier. Neurons can control their firing much better. Liver cells can respond to the environment much better. The pancreas can better produce insulin. And the heart cells that regulate when the heart is supposed to beat will be able to perform more efficiently. This takes some time, dependent upon the cell type and how long it takes to turn over. The result of consistent intake of healthier fats is healthier cells. All cells. As such, increasing intake of fatty acids, through diet as well as supplementation, is an intervention with potent, broad spectrum benefits.
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***Depression Induces Bone Loss Through Stimulation of Sympathetic Nervous System***
I guess probably one of the more important questions would be why would depression induce changes in the SNS? It is possible that a feedback loop would be present to try to uplift mood. Given that physiology is one giant web of interactions, it is also likely that factors that increase risk of depression (i.e. poor intake of omega-3 fatty acids, stress) would also negatively impact bone. Regardless, this is further evidence that the correct approach to depression is multifactorial, impacting such aspects as stress management, increased intake of essential fatty acids and high nutrient density foods.
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***Non–High-Density Lipoprotein and Very-Low-Density Lipoprotein Cholesterol and Their Risk Predictive Values in Coronary Heart Disease***
Invariably, when I give a presentation to a group in the community, maybe 1 out of 20 know their lipids outside of total cholesterol. The reality is, you absolutely, positively CANNOT appropriately manage elevated lipids without knowing where your HDL, VLDL and triglycerides are. And yet PCP and Internists still look at lipids with blinders on and will aggressively treat patients based on total cholesterol alone. And yet here, researchers found NO association between elevated LDL and CVD risk. Good thing the only bad thing that happens from statin drug use is fatal rhabdomyolysis...
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***Antioxidant vitamin therapy alters sepsis-related apoptotic myocardial activity and inflammatory responses***
I realize this is a mouse study (probably hard to find living humans willing to have their hearts homogenized...) but it has some pretty important implications for cardioprotection, especially given the irrational fear induced by several studies released indicating that Vit E may worsen cardiac risk. Keep in mind that, of the tocopherols, alpha is NOT the most cardioprotective, and that we realize that the gamma fraction is most likely the much stronger player in protecting the heart. Unfortunately, given high levels of alpha tocopherol (what is commercially known as "Vit E") will lower serum levels of gamma. So, if your cardiologist told you to stay away from Vit E, he/she was misinformed and probably just did you a great misservice by NOT explaining what likely happened in those studies showing an increase in CVD risk.
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***Onion and garlic use and human cancer***
Before you read this article, we need a quick review on odds ratios. Basically, an odds ratio of 1 means the intervention had no effect, good or ill. Greater than 1 means the intervention increased the risk of something. Less than one means it protected. So an odds ratio of 0.5 means the risk was cut in half. With this knowledge, look at the odds ratio for increased onion and garlic use. Staggering is the only word for it. Massive reductions in oral cancer risk--almost eliminating it. So, think we'll be seeing this info on all American Cancer Society materials? How bout a "race for the garlic and onion..." Hearing testimonials from a middle aged man on how he never got oral cancer because he loves garlic just isn't as heartbreaking, huh?
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***A perspective for considering the risks and benefits of spinal manipulation in patients with low back pain***
Well, can't tell you how upsetting this news is to me. Patient who were given exercises to do but did NOT receive adjustments were 8 X more likely to experience a worsening of their disability. Can I share probably one of the best kept secrets in healthcare? Chiropractic care is more effective and more cost effective for many musculoskeletal conditions. Period. Add into that some aggressive soft tissue work and you've got a group of physicians that can rule the world...
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James Bogash, DC and Amy Strock, DC
1830 S. Alma School Rd, Bldg 7, Ste 135, Mesa, AZ 85210
(Alma School Road, just south of the Superstition Freeway/Highway 60)
Chiropractic Health Care Chandler, Mesa, Gilbert & Tempe, Arizona
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