Fractures in the cervical spine may occur with severe or repetitive trauma. Clay shoveler’s fracture is an avulsion fracture of the spinous process. It happens with abrupt flexion of the head, most commonly from a variety of accidents. It also occurs with stress caused by the pulling of the muscles around the thoracic and cervical spinous processes. The process breaks up and pulls on the avulsion segment from the original spinous procedure.
Clay shoveler’s fracture most frequently results in the lower cervical and upper thoracic spinous processes, namely C6, C7, and T1. Fractures and spinal avulsion can also be brought on by damage or injury as in direct blows to the neck’s base. This is a fracture that is stable and doesn’t produce any neurologic deficits. This part of the bone isn’t near nerve roots or the spinal cord, although patient’s are alarmed when they hear the term fracture or fracture in the neck.
Clay shovelers fracture derives its name from a common event among clay miners in Australia during the 1930s. The workers were digging deep ditches and tossing clay 10-15 feet above their heads with long handled shovels. Instead of having the clay come off the shovel, it would stick. The sticking clay produces a contraction of the trapezius and rhomboid muscles in reaction from the weighted shovel. The muscles react forcefully and immediately, contracting to stabilize the spine and shoulders. The Australian clay shoveler’s will hear a pop and feel a sharp contrast between the shoulder blades. They would feel sharp pain, making them unable to continue working because every time the trapezius or rhomboid muscles could contract. The mechanism of injury is believed to be caused by powerful and abrupt muscle contraction transmitting pressure via the ligaments. The enormous force is concentrated round the spinous processes and creates an avulsion fracture over the cervical and upper thoracic spine’s spinous processes.
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Plain Film X-rays and Examination
Regarding lateral (side view) x-rays, a triangular radiolucent fracture line can be seen via the base of the spinous procedure. It is more likely to maintain the distal or trunk tip of the lower cervical and upper thoracic spinous procedure. Rough margins or serrated edges are commonly seen with the acute fractures, which differentiates it from this secondary expansion center of the process.The distal part of the fractured spinous process is frequently displaced down (caudally or inferior). This is due to the pull on the segment of bone.
Frontal x-rays (anterior to posterior) may demonstrate the look of two spinous processes at a single vertebrae, which can be called the “double spinous process sign.” Especially when the cervicothoracic junction is visualized on the view this signal is helpful for determining a clay shoveler’s fracture. An MRI (magnetic resonance imaging) or CT (computed tomography) is not typically required. A bone density scan could be indicated in a person who has undergone prior avulsion, thoracic, or lumbar spinal compression fractures. A bone density scan can evaluate and measure lumbar and cervical spine t-scores; which gauges relative risk of spinal compression fractures if bone density is in question.
Symptoms of Clay Shoveler’s Fracture
Clay shoveler’s fracture can occur with almost any repetitive and forceful activity utilizing the trapezius and rhomboid muscles. It might occur with automobile accident injuries for traumatic blows to both sides and top of the spinous procedure. Generally, pain is associated immediately after the injury and can be described as a burning or “knife-like” traumatic pain. Other symptoms include muscular stiffness and pain which increases with repeated action, similar to muscle strain at the top back joints or muscle strains. The broken spine is very tender, as are the muscles.
Treatment of Cervical Spine Avulsion Fractures
Most cases resolve in a few weeks. Pain or aggravation to the area could be associated with the tendon and muscle junctions that insert on the spinous process or avulsion segment. Some patients do not require treatment apart from remainder or NSAIDS (non steroidal anti medication). Others may benefit from pain medicine or muscle relaxers.
Medications could be applied at the neck and upper back into the muscles to ease soreness and possible rhomboid muscle strains. Bones and ribs shouldn’t be influenced or produce back pain. Some individuals require physical therapy or massage therapy, including chiropractic care, to help decrease muscle pain and stiffness. Ice, heat ultrasound, mild stretching, and range of motion exercises can help relieve neck and upper back pain. Some individuals respond to course IV cold laser treatments (low level laser treatment) to help reduce pain and inflammation in the muscles and tendons. Others might benefit from muscle treatments like Active Release Technique or Graston Technique to break up scar tissue or adhesions associated with years of repetitive activities. Patients may expect some discomfort for several weeks during the healing process.
Symptoms may worsen at the the front of the body with arms and the head, such as driving or working in the computer. With time and some therapy, symptoms will decline with time. Exercise and strenuous activity might need to be avoided for 1-2 months post injury. For patient’s having a history of stress fractures or avulsion fractures, a bone density scan could be indicated. Some kinds of fractures need immediate attention and could be unstable. Fractures must be assessed to make sure they are stable and tracked by an orthopedic surgeon.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Automobile Accident Injuries
Whiplash, among other automobile accident injuries, are frequently reported by victims of an auto collision, regardless of the severity and grade of the accident. The sheer force of an impact can cause damage or injury to the cervical spine, as well as to the rest of the spine. Whiplash is generally the result of an abrupt, back-and-forth jolt of the head and neck in any direction. Fortunately, a variety of treatments are available to treat automobile accident injuries.
Clay-shoveler’s fracture is a breakage of the vertebrae in the spine as a consequence of stress in the neck or upper back. It is often described as a steady fracture during the process of a vertebra happening at C7 or C6, classically at some of the cervical or thoracic vertebrae.
Clay-shoveler’s fracture usually occurs in laborers who engage in tasks involving lifting weights with the arms stretched. Examples of these actions include physical activities like shoveling soil, rubble or snow up and over the head backwards, using a pickax or scythe, and pulling out roots.
Back in Australia in the 1930s, men digging deep ditches tossed clay 10 to 15 feet above their heads using long handled shovels. Rather than separating, the clay would stick to the spade; the employee would hear a pop followed by a sudden pain between the shoulder blades, making them unable to continue working.
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Mechanism of Injury: Clay Shoveler’s Fracture
The mechanism of injury is thought to be secondary to reflex and muscle strain through the supraspinous ligaments with force transmission.
The spinous process is pulled on by the enormous force. The fracture is diagnosed by plain film examination. The shear power of the muscles (trapezius and rhomboid muscles) yanking on the spine at the bottom of the neck actually tears from the bone of the spine.
Symptoms of clay-shoveler’s fracture include burning, “knife- like” pain in the level of the fractured spine between the top shoulder blades. The pain may increase with repeated action that strains the muscles of the upper back. The broken spine and muscles that are nearby are exquisitely tender. Often these injuries found incidentally years later when the cervical spine is imaged for other explanations and only are unrecognised in the time.
Acutely, they tend to be associated with:
Motor vehicle accidents
sudden muscle contraction
Blows into the spine
Radiographic Features
The fracture is seen on lateral radiographs as an oblique through the spinous process, usually of C7. There’s usually substantial displacement. Other radiographic characteristics of the fracture include ghost signals on an AP view (i.e. double spinous process of C6 or C7 caused by displaced fractured spinous process).
Clay Shoveler’s Fracture
Atypical Clay Shoveler’s Fracture
While the extreme pain slowly subsides in days to weeks, the region may intermittently develop burning pain with certain activities that involve prolonged extending of their arms (such as computer function).
No therapy is required for most patients. Physical therapy, pain drugs, and massage can be of help. Surgical removal of the suggestion of the spine is performed for anyone who have pain.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Automobile Accident Injuries
Whiplash, among other automobile accident injuries, are frequently reported by victims of an auto collision, regardless of the severity and grade of the accident. The sheer force of an impact can cause damage or injury to the cervical spine, as well as to the rest of the spine. Whiplash is generally the result of an abrupt, back-and-forth jolt of the head and neck in any direction. Fortunately, a variety of treatments are available to treat automobile accident injuries.
If you plan to become a road warrior this summer, make sure you’ve got the right fuel for your body as well as your vehicle. Packing healthy snacks can keep your motor running until you reach the next pit stop.
We’ve asked top nutritionists to select savvy and savory snacks you can easily take with you on your next trip that your whole family will love
Energy bars. “Remember that not all energy bars are created equal,” says Amy Shapiro, a registered dietitian and founder of Real Nutrition NYC. “I like RX Bars, Health Warrior Chia Bars, and Kashi Bars.” Nutritionist Tara Gidus Collingwood tells Newsmax Health that she loves Raw Macaw bars that you can purchase readymade or design your own personal bar according to your taste.
Jerky. Chewy, savory turkey or beef jerky can satisfy a variety of appetites and is readily available at nearly every minimart or truck stop along the way. Look for brands that have the lowest sodium and fat content.
Cut up veggies, fruit. Shapiro tells Newsmax Health that these items, stored conveniently in a plastic bag, make an excellent and healthy snack to have on hand to keep hunger at bay and to help you stay hydrated.
Rice cakes, nut butters. Rice cakes topped with delicious, creamy nut butters in handy squeeze packs from Justin’s Nut Butter and other makers will make the whole family happy. They are available in flavors like maple almond butter, chocolate hazelnut butter, and honey peanut butter.
Popcorn. Everyone’s favorite movie snack is also great for road trips. Making your own healthy popcorn ahead of time without adding extra fat or salt is super simple. Brands such as the Little Kernel and Skinny Pop also feature healthier fats and lower amounts of sodium and are easily purchased on the road.
Cheese sticks. Most minimarts stock these handy, individually wrapped snacks in their refrigerator section. Cheese sticks are high in protein and calcium to maintain stamina on the road.
Nuts. Collingwood likes to pack almonds, pistachios, and other favorite nuts to take on the road. She also loves the roasted broad bean crisps with flavors like sweet cinnamon and cocoa dusted.
Fresh and frozen fruit. Dried fruit is too sugary, says Shapiro. Instead she opts for fresh fruit which is readily available everywhere and likes to freeze grapes for her road trips. “They take longer to eat and taste like little bites of sorbet,” she says.
Dry oatmeal. All you need is hot water and a cup to make a meal with dry oatmeal packets, notes Shapiro. “Add in some nuts or chopped fruit and you have a balanced meal.” You can also bring packets of dry cereal along to serve with milk that’s also readily available en route.
Hummus. Here’s another healthy filling snack that’s rich in protein and fiber as well as iron, folate, and B vitamins. Keep a tub of hummus in the cooler along with storage bags of prepared raw vegetables. Sabra also sells individual tubs of hummus.
Chia squeeze pouches. When you need a delicious pick me up along the way, try one of the new organic chia squeeze pouches with flavors like cherry beet, blackberry bliss, mango coconut and wild raspberry. You can buy the travel ready packs online at Amazon or at your local grocery store.
Dark chocolate. Collingwood admits she’s a chocoholic. “I will always bring a few individually wrapped squares of dark chocolate to be prepared when my sweet tooth strikes,” she says. Try keeping them in the freezer before you embark upon your journey and keep the chocolate cold and yummy in a cooler along the way.
Greek yogurt. “I will often pick up a yogurt at a gas station or airport store,” Collingwood says. All yogurts are good sources of calcium, potassium, protein, and B vitamins. Sprinkle on nuts or fresh fruit for extra nutrition.
Hard-boiled eggs. Sometimes called the perfect protein, eggs contain all the essential amino acids you need. Hard boil a few before your departure so you’ll have them on hand. You can also find them in the refrigerator section of gas station snack center.
Seltzer water. Your hunger craving may simply signal the need to hydrate. While water is fine, it’s a treat to opt for flavored, zero-calorie seltzer waters like La Croix and Dasani. You may also want to pack a sports drink, like Gatorade, to keep your electrolyte levels in balance especially when you traveling during hot summer months. Gatorade or a similar beverage is also easily found on the road.
Middle aged adults who do even a small amount of regular strength training exercise may be lowering their risk of so-called metabolic syndrome – itself a risk factor for both heart disease and diabetes, a recent study suggests.
People with at least three unfavorable health stats from a list that includes large waist size, high blood pressure or triglycerides, high blood sugar or low “good” cholesterol are said to have metabolic syndrome, and are at increased risk of going on to develop diabetes, heart disease or both.
But researchers found that when generally healthy people did strength-building exercise for less than an hour a week they had 29 percent lower odds of developing metabolic syndrome than their peers who did no resistance exercise.
“You already get health benefits with even a low amount of resistance exercise per week, which is good news for people with a very busy lifestyle,” said lead author Esmee Bakker of Radboud University Medical Center in Nijmegen, The Netherlands.
An estimated one-third of U.S. adults have metabolic syndrome, the authors write in Mayo Clinic Proceedings. Although previous studies have reported how aerobic exercise, such as running, walking and swimming, reduce metabolic syndrome, few studies have looked at resistance exercise alone.
The U.S. government’s Physical Activity Guidelines for Americans suggest that adults should do “muscle-strengthening activities that are moderate or high intensity and involve all major muscle groups on 2 or more days a week” and aerobic exercise 150 or more minutes each week.
“A modest amount of resistance exercise, such as two 30-minute sessions per week, has beneficial effects,” Bakker told Reuters Health by email. “We think that resistance exercise, in addition to aerobic exercise, should be included in standard medical recommendations to prevent metabolic syndrome.”
Bakker and colleagues analyzed data on more than 7,400 people who participated in medical examinations at the Cooper Clinic in Dallas, Texas, between 1987 and 2006. They ranged in age from mid-30s to mid-50s at the time of their examinations.
The research team found that 1,147 participants, or 15 percent, had developed metabolic syndrome during the follow-up period. Meeting the resistance exercise guideline of two or more days per week reduced risk of metabolic syndrome by 17 percent overall, compared to doing no resistance exercise. Those who met both aerobic and resistance training guidelines had a 25 percent lower risk of developing metabolic syndrome.
“This result was independent of other healthy behaviors, such as not smoking,” Bakker said. “It also made little difference if people did resistance exercise only on weekends or spread throughout the week.”
Bakker and colleagues plan to study the effect of resistance training on other health outcomes, such as the heart health benefits of a one-year resistance exercise training program. They also want to examine the long-term effects of different types and intensities of strength training on metabolic syndrome.
“The real next step is to see how we can get people to exercise,” said Paul Thompson of the University of Connecticut in Hartford, who wasn’t involved with the study.
“We can talk about the right dose and intensity, but it’s clear that in most studies, doing something is better than nothing,” he told Reuters Health by phone. “Most people do nothing, and the key is to get them to do anything.”
One limitation of the study is that it relies on self-reported survey data, which could bias the results. Thompson also cautions that some patients of the Dallas clinic are relatively more affluent than the rest of the country, so the results might not apply more generally.
“The increasing American girth has increased metabolic syndrome, which leads to insulin resistance and makes it harder for insulin to work,” he noted.
Thompson is studying how exercise affects people who have a tendency toward metabolic syndrome and ways they can work against a genetic disposition toward diabetes and hypertension, for example.
“Everybody should have some exercise,” he said. “Play with the dog or grandkids, do yard work or go for a walk. Just do something for 30 minutes every day.”
The tensor fascia latae (TFL) is a problematic muscle for many individuals. Oftentimes, it contributes to tightness related to the IT band and is dominant within the gluteus medius. Its function are hip flexion and abduction, and it has a tendency to be tight in many runners and athletes. Performing soft tissue mobilization will help resolve tightness in addition to promote regeneration and recruitment of the gluteus medius.
A lot of men and women argue the effectiveness of foam rolling up the IT band itself. While many healthcare professionals are not inclined to ignore this fact altogether, it is believed that polyurethane rolling likely has a much greater impact on the length/tension of the soft tissue beneath and associated with the IT band (e.g. glutes, quads, hamstrings and TFL). The TFL is frequently full of trigger points.
You will find a variety of foam roller exercises that you can do, and choosing the stretch or exercise is dependent on the muscle group that you want to massage, in this case, the tensor fascia latae.
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Tensor Fascia Latae (TFL)
The tensor fasciae latae (TFL) muscles are at the front sides of your buttocks. Foam rolling these muscles provides a deep and effective sports massage, improving functionality and alleviating soreness. It may be one of the stranger looking moves onto a foam roller coaster, but you’ll enjoy the relief that you are given by this stretch! To massage the TFL, start by laying face-down, with your foam roller just underneath the front of one hip. Your other leg should be cocked slightly to the side, similar to a spiderman pushup. Your leg should be cocked slightly to the side, very similar to a spiderman pushup. You need to use your forearms to help maintain your core tight, and bear some of the weight. Next, roll along the front and outside portion of your upper torso, right. That is it! Before repeating on the opposite side Roll slowly, and hold for 20-30 moment.
The Foam Roller TFL Exercise is an excellent self-massage exercise which will offer your tensor fasciae latae (TFL) muscles ( front sides of your hips) a deep and effective sports massage, consequently improving the health and quality of your muscle tissue and helping you to perform much better. It will also alleviate soreness and make your muscles feel better.
The foam roller overloads the muscle tissues through compression, causing your nerves to relax, signalling muscle spasms to close off, pumping blood and also causing your lymphatic system to start flowing, in order to assist muscle regeneration and recovery. You will work out those knots (muscular adhesions) in your muscles caused either by childbirth, by the repetitive strain of the golf swing, or by walking a challenging golf program. This will allow you to extend the muscles back out which makes them functional and more more pliable.
The Foam Roller TFL Exercise can be performed both before and after practicing on any sport of physical activity, or the scope. It’s also excellent after sitting in exactly the same position for a little while, and may be enjoyed anywhere and anytime you feel tight and needing a massage or prior to bedtime.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Sports Care
Many athletes engage in frequent warm-up stretches and exercises before participating in their specific sport of physical activity, in order to avoid experiencing sports injuries. Although these can help prevent a variety of sports injuries, athletes may still suffer an injury as a result of an accident. From chiropractic care to surgery, in severe cases, sports care is important for athletes to continue participating in their specific sport of physical activity.
Self-myofascial release, also known as “foam rolling,” has changed from a once mysterious technique used solely by professional athletes, athletes, and therapists to a familiar everyday method for people at all levels of fitness.
Products, technology, and data have introduced an increasing array of training and recovery methods to the individual.
Self-myofascial release is a fancy word for self-massage, utilized to release muscle stiffness or trigger points. This technique can be performed using a foam roller, lacrosse ball, Theracane, or your own hands. By applying pressure to these painful areas, you are able to assist in the recovery of muscles and helping to restore them. Proper function means your muscles are healthy, elastic, and ready to perform at a moment’s notice.
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Determining Tight Muscles & Trigger Points
Trigger points are referred to as “knots” which form in muscles. They’re unique and may be identified once they begin to refer pain. Pain referral, for our purposes, may be described as the pain felt when pressure is applied to a single area of their body, but the pain is felt or radiated in a different area.
A common case of a trigger point is felt while foam rolling your iliotibial (IT) band as it causes pain to radiate up to the hip or all the way down the leg to the ankle. When rolling on tight/sore muscles you may experience pain or discomfort. It should be uncomfortable, but not unbearable, and it must relieve the symptoms, when you are done.
For many, deep tissue massage is simple to understand. Somebody is able to exercise the knots in your muscles, and it is commonly known that this process may be uncomfortable and occasionally painful. Because only you can feel what is happening, self-myofascial discharge provides the consumer the capability to control the recovery and healing procedure by applying pressure in precise places.
It is always suggested to consult with your physician or physical therapist to get therapeutic/sharp pain and receive approval prior to beginning self-myofascial release. You will be cleared immediately and your doctor will encourage the practice. Releasing trigger points helps reestablish appropriate movement patterns and pain free movement, and finally, to boost functionality. Utilizing stretching alone isn’t always enough to discharge muscles. Imagine a bungee cord with a knot tied into it and then envision stretching the cord. This creates tension, stretching the part of the muscle and the attachment points. The knot, however, has remained unaltered.
Foam rolling can assist in dividing these muscle knots, resuming normal blood flow and function. The aim to any recovery or corrective technique is to get you back to normal functioning’s point, as if nothing was ever wrong.
Causes of Trigger Points & Tight Muscles
Both have exactly the same contributing factors such as training, flexibility, movement patterns, posture, nutrition, hydration, rest, anxiety, and other lifestyle factors. Our bodies learn to compensate for what we throw at them daily, but we can transcend our ability to recover via intense workouts, bad posture, and other lifestyle factors.
Deep compression can help to break up or relax tight muscles and adhesions formed between muscular layers and their environment. Imagine you are currently tenderizing your muscles. They should be soft and supple as a baby’s muscles. If our muscles are not taken care of properly we can experience loss of motion that is debilitating.
The deep compression of self-myofascial release enables normal blood flow to return and the recovery of healthy tissue. The body wants to be healthy and strong, but an extra boost is required to attain optimum tissue and muscle health.
How Do I Know What to Foam Roll and How to Do It?
Areas to concentrate on can be identified in two different ways. The first is through screenings. When you have followed the two posts – screening and stylish hinge screening – and also have had struggles with either movement, foam rolling should be included by you into retrieval program and your workout. You may target you are currently focusing on.
If after using the foam roller your motion enhances, you’ve got a more specific plan to follow. Second, muscles and trigger points are discovered utilizing techniques’ listing below and researching every one.
To foam roll correctly, apply moderate pressure to a particular muscle or muscle group using the roller and your own leg. You should roll slowly, no longer than one inch. Pause for several moments when you find areas that are painful or tight and relax as far as you can. You should begin to feel that the muscle releasing, and pain or the distress should reduce.
If a place is too painful to use direct pressure, then change the roller and then apply pressure on the surrounding area and gradually work to loosen the entire area. The purpose is to restore muscles – it isn’t a pain tolerance evaluation. You could also use different objects to operate on muscles such as lacrosse ball, a tennis ball, Theracane, or Trigger Point Therapy Kit.
Never roll a joint or bone. Avoid your back. To target these muscles I advise using lacrosse or tennis balls. If you’re experiencing difficulties with your neck, refer these problems to an appropriate medical practitioner and need attention that is advanced.
What Happens After Foam Rolling?
You might be sore the next day. It should feel like your muscles are worked/released, but you shouldn’t push yourself to the purpose of excessive soreness. Drink lots of water, get enough sleep , and eat clean. Fuel your muscles and this can help flush your system. Before focusing on precisely the same place give it 24-48 hours.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Additional Topics: Sports Care
Many athletes engage in frequent warm-up stretches and exercises before participating in their specific sport of physical activity, in order to avoid experiencing sports injuries. Although these can help prevent a variety of sports injuries, athletes may still suffer an injury as a result of an accident. From chiropractic care to surgery, in severe cases, sports care is important for athletes to continue participating in their specific sport of physical activity.
People who complain that they only have to smell food to gain weight may be right. Researchers at the University of California, Berkeley, found that obese mice who lost their sense of smell also lost weight. That part of the study was no surprise. But the strange part of the study found that mice that retained their sense of smell ballooned to twice their normal weight by eating the same amount of fatty food as the mice with no sense of smell.
Stranger still is that mice with a superior sense of smell gained even more weight on the same high-fat diet than the mice with a normal sense of smell.
The findings, which were published in the journal Cell Metabolism, suggest that the odor of what we eat may play an important role in how the body deals with calories. If you can’t smell your food, you may burn it rather than store it. But simply being able to smell your food may pack on the pounds.
Scientists know that humans who lose their sense of smell due to age, strokes, or diseases such as Parkinson’s, often become anorexic. They theorized that the loss of pleasure in eating can lead to depression, which can cause loss of appetite. But the new study suggests that the loss of smell itself plays a role in how the body uses energy.
For the study, researchers used gene therapy to destroy olfactory neurons in the noses of adult mice. They spared stem cells, however, so that the loss of smell was only temporary and lasted for about three weeks before the olfactory neurons re-grew.
The smell-deficient mice rapidly burned calories by reregulating their sympathetic nervous system, which is known to increase fat burning. The mice turned their beige fat cells, the subcutaneous fat storage cells that accumulate around our thighs and midriffs, into brown fat cells, which burn fatty acids to produce heat.
Some mice turned almost all of their beige fat into brown fat, becoming lean, mean fat-burning machines.
In these mice, white fat cells — the storage cells that cluster around our internal organs and are associated with many health problems — also shrank in size.
Although it would be a drastic step to eliminate smell in humans wanting to lose weight, Andrew Dillin, senior author of the study, said it might be a viable alternative for the morbidly obese contemplating stomach stapling or bariatric surgery.
“For that small group of people, you could wipe out their smell for maybe six months and then let the olfactory neurons grow back, after they’ve got their metabolic program rewired,” he said.
One problem is that the loss of smell was accompanied by a large increase in levels of the hormone noradrenaline, which is a stress response tied to the sympathetic nervous system. In humans, such a prolonged rise in this hormone could cause a heart attack.
But stomach stapling and bariatric surgery are also associated with problems. A study published in Surgery for Obesity and Related Diseases found that one in five patients who undergo bariatric surgery for weight loss is likely to develop problems with alcohol.
A handful of over-the-counter “personal sound amplification products” fared as well as an expensive hearing aid in helping people pick up more words in conversation, researchers report.
While the study took place in a sound booth, “in this controlled environment, some of these devices helped people with mild to moderate hearing loss as well as a hearing aid,” said study author Nicholas Reed. He is an audiologist at Johns Hopkins School of Medicine, in Baltimore.
An estimated 16 percent of Americans have trouble hearing, and the U.S. National Institute on Deafness and Other Communication Disorders estimates that almost 30 million people could benefit from hearing aids.
But hearing aids can cost thousands of dollars, and Medicare doesn’t cover them, the researchers noted.
“Hearing aids are regulated medical devices and should all be able to aid someone with hearing loss,” Reed said. “While not all hearing aids are the same, they should all be able to meet this minimum requirement of making sound louder at appropriate frequencies and with minimal distortion.”
In contrast, personal sound amplification products, available at stores and online, aren’t regulated and can’t be marketed as hearing aids. The U.S. Food and Drug Administration says they’re supposed to be used by people without hearing problems to help them hear distant sounds. The devices fit in or around the ear and make use of Bluetooth technology.
People do use the devices as hearing aids, however, said Todd Ricketts, vice chair of graduate studies with the department of hearing and speech sciences at Vanderbilt University Medical Center in Nashville. But these products tend to be less technologically advanced than hearing aids, although some offer advanced features.
Should you go out and buy one of the amplification devices instead of getting a hearing aid from a hearing specialist? Some audiologists will refuse to fit you for one, and the U.S. government doesn’t consider them appropriate for people with hearing loss.
For the study, researchers recruited 42 patients at a university audiology clinic who had mild to moderate hearing loss. Two-thirds were women, and their average age was 72.
In a sound booth, the participants listened to sentences with “speech babble noise” in the background. The participants tried to understand what was said without any hearing assistance; while using a hearing aid (costing $1,910); and while using personal sound amplification products bought online and at a pharmacy (one was $30, and the others cost between $270 and $350).
The researchers measured the average accuracy — the percentage of the time that the participants understood the sentences. It was 77 percent without a hearing aid, 88 percent with the hearing aid, and 81 to 87 percent with four of the amplification devices (Sound World Solutions CS50+, Soundhawk, Etymotic Bean and Tweak Focus).
“The results suggest that the devices are technologically and objectively capable of improving speech understanding in persons with hearing loss,” Reed said.
A fifth amplification device, the $30 MSA 30X Sound Amplifier, scored the worst, with an average accuracy level of 65 percent, the researchers reported. Reed said the device caused distortion.
Reed added that the findings suggest that both hearing aids and the amplification devices should be regulated and available over-the-counter. In that case, he said, “the FDA would set technical standards for all of these devices.”
For now, he said, adults with mild to moderate hearing loss may want to consider using one of the devices and consult an audiologist if needed to adjust it.
Ricketts cautioned that “the downside of just trying these or ordering them is that they may not be appropriate. People aren’t very good at self-diagnosing how much hearing loss they have.”
That’s where an audiologist could be helpful, he said, but some won’t sell these devices.
The study was published in the July 4 issue of the Journal of the American Medical Association.
In the prior composing we created the foundation of the significance of tire pressures. Specifically, we demonstrated that a third of the vehicles on the street and additional only a third of those vehicles have an underinflated tire and a warning light, respectively.
We also know a 20% decrease in pressure results in substandard performance, these are the factors we’re likely to explore.
Underinflated tires have a different profile and contact patch with the road.
Where the tire meets the roadway is known as the contact patch. Maximizing the touch patch affords the motorist the most performance, specifically steering and braking. What happens if we reduce the contact patch? Under inflation does that.
The contact patch is what connects the vehicle to street, when a tire is properly inflated ( other variables being ignored), the scooter can provide 100 percent of the contact patch (and also the friction between the tire and the roadway) to steering, braking or a combination of both. If the pressure drops performance is also reduced and the contact patch is reduced – but by how much? There are schools of thought on this and a ton of research, for our argument we’ll say tires will have a reduction in performance.
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Analyzing an Automobile Accident
But what does this actually mean in the real world? Let say a car traveling at 20 miles with tires was successful and needed to swerve to prevent a collision. The same vehicle with underinflated tires could successfully avoid the same collision at no longer than 17 mph. Let us increase the rates, 55 mph properly inflated collision avoidance becomes collision avoidance.
How about braking? If a vehicle with properly inflated tires could stop in 200 feet (roughly 70 mph), then the identical vehicle with under inflated tires will require 230 feet.
Rollovers turned into another related concern. Aside from the contact patch, appropriate inflation also affects rigidity and stability. In simple terms as a bicycle is asked to alter direction (steer), then an underinflated tire will bend enough to allow the sidewall touch the roadway surface and lift the touch patch from the roadway. In extreme instances, the tire will separate out of the rim allowing the rim to dig in the roadway surface. The photo below depicts a sidewall that is currently experiencing this condition.
The tires in this photo are still able to perform well, in part due to the very little side wall and lack of extreme under pressures. Increasing the sidewall, very similar to SUV or a truck, magnifies the bend and distortion.
The last thing to touch on is that the increase of blowouts. Underinflated tires put pressure inside the tire on the tire structure and boost heat. These variables can, and do, raise the probability of a tire failure by causing or exacerbating the layers of material inside the tire.
Proper tire inflation is among the single most significant routine maintenance activity, and ironically, one of the most ignored tasks and when contemplating causality, the tire pressure ought to be assessed to help rebuild the whole picture of this accident. Tire pressure should be taken into consideration when determining is the arbiter of the culpable party and slide and distances marks.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Additional Topics: Auto Injuries
Whiplash is a commonly reported injury after an individual has been involved in an automobile accident. During an auto accident, the sheer force of the impact often causes the head and neck of the victim to jerk abruptly, back-and-forth, causing damage to the complex structures surrounding the cervical spine. Chiropractic care is a safe and effective, alternative treatment option utilized to help decrease the symptoms of whiplash.
There’s a lot of information about tires, far beyond the reviews and recommendations on a variety of websites. Here we’ll talk about, from a post-collision perspective, car specifications, standard tire information, and how tire pressure monitoring systems (TPMS) work. We will then analyze how tire pressures relate to automotive collisions.
Contents
Vehicle Specifications
Vehicles offered in the United States have a placard in the driver’s door jamb or internal door. This placard contains some advice we need to explore the tires including the vehicle manufacturer recommended load rating tire size, and tire pressure. Here’s an example:
(there’s a second placard particularly for tires but this should be supported contrary to the above mentioned placard as the next one does not include any vehicle identifying information such as a VIN. In this picture the last six digits of the VIN have been omitted.)
Tire Size
The majority of modern tires have writing on the sidewall which explains the tires measurements as well as other critical characteristics. What does it imply? Sizes for front and back are recorded. The 265 is the width, in millimeters, of the face. The next number, 70, is that the height of the tire sidewall for a percentage of the tread face (in this instance 70 percent of those 265). The “R” creates the tire structure a radial. Finally, the 17 is sized diameter in inches.
Tire Pressure
Notice that the listed tire pressure is assumed to be chilly. Tires have to sit at least eight hours from direct sunlight before they are deemed enough. Gases expand as they are heated and also the minimal cold pressure is put so that the scooter will be at the optimal pressure once at operating temperature; accordingly, if a bicycle is at or below the minimum and is at operating temperature, the strain was lower when the tire was cold.
Tire Pressure Monitoring System (TPMS)
The TPMS became a mandated normal after the fallout of the Ford Explorer & Firestone bicycle event. The federal government needed a system that would alert drivers to “non” tire pressure(s). There are two types of systems. The first type is called “direct measurement” and it uses a detector inside each tire which relays the strain. The second kind is known as “indirect dimension” and it utilizes the anti-lock brake method to determine if a tire is spinning faster than others. A bicycle with air pressure that is less will have a diameter that is smaller and will spin faster; this difference can be calculated by the brake system.
The gap in either system comes when we examine how this system decides to warn the motorist. Because the pressures at a tire can differ for a few reasons (we only discussed how temperature is one of these) that the TPMS doesn’t search for a single pressure, but rather an array or minimum strain. The setup within the computer of the vehicle only illuminates the warning light when a tire’s pressure is outside the specifications that are preselected.
Many studies by the national authorities, independent organizations, and tire producers all support substandard performance of tires where the tires are below the recommended pressure. The research have three points of discussion.
71 percent of drivers check tire pressure less than a month.
More than 1/3 of passenger cars surveyed had at least one tire at or below 20 percent of their placard.
Only 36 percent of vehicles tested would find a warning light at 20 percent or more below the placard.
The first point is not a surprise. The absence of frequent tire pressure maintenance is part of why the federal government mandated the TPMS system. The next point is also not surprising. If the majority (71\%) does not regularly check tire pressure, it should be anticipated tires are below the recommended pressure. The point is that the one we want to concentrate on. We want to focus on this fact since the majority of passenger car worries are 30 PSI; 20 percent less is 24 PSI.
If 100 passenger vehicles were on the road, 36 of these would have a minumum of one tire at 20\% below the placard pressure. Of those 36 vehicles, just 13 of them would have a warning light. (For the record it’s not much better for your light truck / SUV category.)
So now we know a third of those vehicles on the street have an underinflated tire and additional only a third of those vehicles have a warning light. The question is does 6 PSI thing? Yes, it does. Testing done by Goodyear and the NHTSA supported decrease in managing a reduction in pressure results in greater stopping distances, increase in blowouts, lower fuel economy, and tire wear.
Putting it All Together
The National Highway Transportation Safety Administration (NHTSA) also regularly studies tire related accidents. 1 study found approximately 9 percent of all collisions are tire related. In 2012, out of the 5.6 million authorities reported accidents, 504,000 were related.
For simplicity, we will assume each the accidents involved one car making the total 5.6 million. 725,000 would possess the warning lighting if we utilize the proportions more than 2 million would have at least one tire that is underinflated, in the table. Increasing the amount of vehicles only increases the statistics.
When deciding causality, you will find 504,000 tire related collisions as reported previously and also this misunderstood and often overlooked fact is omitted when attempting to determine the culpable party. It’s because of this that upkeep that tire pressures should be ascertained immediately post-accident rather than only focus on skid marks (though they are equally important in the equation important) because demonstrative evidence when trying to reconstruct accidents in the pursuit of discovering causality.
In Part 2 we will discuss how these variables affect tire performance that further provides demonstrative evidence to the accident reconstructionist, accident investigator and lawyer.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
References
National Highway Transportation Safety Administration. (2012). Traffic Safety Facts 2012. Retrieved from http://www-nrd.nhtsa.dot.gov/Pubs/812032.pdf
National Highway Transportation Safety Administration. (2013, june 28). SAFETY ADVISORY: NHTSA Urges Drivers to Check Tires During Hot Weather. Retrieved from http://www.nhtsa.gov/About+NHTSA/Press+Releases/SAFETY+ADVISORY:+NHTSA+Urges+Drivers+to+Check+Tires+During+Hot+Weather
National Highway Transportation Safety Administration. (2013, June). The Problem. Retrieved from http://www.nhtsa.gov/nhtsa/Safety1nNum3ers/june2013/theProblemJune2013.html
National Highway Transportation Safety Administration. (n.d.). TIRE PRESSURE SURVEY AND TEST RESULTS. Retrieved from http://www.nhtsa.gov/cars/rules/rulings/TirePressure/LTPW3.html
National Highway Transportation Safety Administration. (n.d.). Tire Pressure Final. Retrieved from http://www.nhtsa.gov/cars/rules/rulings/tirepresfinal/safetypr.html
Additional Topics: Auto Injury Playlist
Whiplash is a commonly reported injury after an individual has been involved in an automobile accident. During an auto accident, the sheer force of the impact often causes the head and neck of the victim to jerk abruptly, back-and-forth, causing damage to the complex structures surrounding the cervical spine. Chiropractic care is a safe and effective, alternative treatment option utilized to help decrease the symptoms of whiplash.
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