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Affordable Care Act Struck Down in Federal Court: What’s Next

Late in the evening on Friday, Dec. 14, a Texas federal judge struck down the entire Affordable Care Act. It wasn’t long after that the California attorney general's office said California and other defendant states would challenge the ruling with an appeal in the U.S. Court of Appeals for the Fifth Circuit.  California and the others probably will focus on the various patient protections such as coverage for pre-existing conditions. Such an approach would by necessity also include the other patient protections such as Section 2706 of the Act. What we know now is that the law will remain in place through the appeal process up to its probable hearing before the Supreme Court.

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Q&A with NCLC 2019 Presenters: Dr. Elise G. Hewitt

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Elise G. Hewitt, DC, DICCP, FICC. Her presentation is, “Pediatrics for the Doctor of Chiropractic: General Physical Examination for the Young Pediatric Patient including Newborn Neurological Examination.”

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Research Review: Walking vs. Exercise for Low Back Pain

Current guidelines for the management of chronic low back pain (CLBP) suggest staying as active as possible and even increasing levels of physical activity, as reduced mobility can cause significant decreases in quality of life and overall health status. Walking can increase cardio-respiratory capacity, maximum oxygen uptake and endurance with a low risk of injury. As well, it is simple, accessible, and free. This review aimed to provide an up-to-date, specific systematic review and meta-analysis in order to determine the effectiveness of walking compared with other forms of physical exercise on pain, disability, quality of life and fear-avoidance in patients with CLBP.

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Q&A with NCLC 2019 Presenters: Dr. Jay Greenstein

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Jay Greenstein, DC. His presentation is, “Hacking the Chiropractic Profession: The Technology Adjustment.”

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A Tale of Two Dentists

Reflections on Choosing Wisely During a Trip to the Dentist

Meeting over coffee recently, Drs. Christine Goertz and Michele Maiers discovered that each had recently been to the dentist. After comparing notes, they agreed that their dentists were both professional, friendly, conducted a thorough patient history, and performed an appropriate examination. Then both dentists wanted to take intraoral X-rays as part of the examination process. Armed with the evidence and knowledge about current American Dental Association (ADA) guidelines, the chiropractors declined the X-rays, based primarily upon concerns about unnecessary exposure to radiation and cost. From that point on, their experiences became very different.

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Q&A with NCLC 2019 Presenters: Dr. Steven Huybrecht

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Steven Huybrecht, DC, former participant in the Department of Veterans Affairs (VA) chiropractic residency program. His presentation is, “Building Interprofessional Relationships: Enhancing Patient Care through Integration.”

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Q&A with NCLC 2019 Presenters: Dr. Robert Vining

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Robert Vining, DC, senior research clinician with the Palmer Center for Chiropractic Research. His presentation is, “Rational Clinical Decisions: The Diagnostic Aspect of Evidence-based Clinical Practice.”

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Battlefield Acupuncture: A Non-pharmaceutical Pain Reduction Option

A VA chiropractic residency exposes participants to a wide range of treatments. In this blog post, resident Vivian Ly, DC, of the Connecticut VA discusses "battlefield acupuncture" or BFA. Air Force Colonel Richard Niemtzow introduced the BFA protocol in 2001 as a subset of auricular acupuncture. In 2013, $5.4 million was awarded to the Departments of Defense (DoD) and Veterans Affairs (VA) to teach BFA to healthcare providers in both the military and department of Veterans Affairs and assess it. Dr. Ly notes that BFA is easily learned and has been proposed to treat a variety of conditions that cause pain in active military members and veterans.

Author: Vivian Ly
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Q&A with NCLC 2019 Presenters: Dr. Jeffrey Sklar

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Jeffrey Sklar, DC, director of chiropractic services, Eastern region, Cancer Treatment Centers of America. His presentation is “Chiropractic, Integrative Oncology and Patient Centered Care.”

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Choosing Outcome Assessments for Back Pain

Patient-reported outcome measures quantify patients’ subjective symptoms and are often more in line with accomplishing patient-centered goals. Patient-reported outcomes can give valuable information to evaluate the success of a treatment plan and aid in determining a prognosis based on past response. They are also used by insurance companies for re-imbursement purposes, such as determining medical necessity. Chiarotto et al. developed a core outcome set for use in clinical practice with accompanying suggested measures for patients with low back pain.

Author: Zac Shannon
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