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HEALTHBEAT SHOW NOTES .... Episode #220 - Recorded September 25, 2009

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and informational Podcast.

• HIPAA Issues New Breach Notification Rule

• Athletes with smaller ACLs may be more susceptible to injury

• Aerobic Exercise and Cognition

• And Finally, Health Corner presents a brief Primer on the proposed US Public Health Insurance Option

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #220, recorded September 25, 2009.

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

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And Now for some news ….

HIPAA Issues New Breach Notification Rule

According to an update from the ChiroCode Institute -

“The US Department of Health and Human Services announced new HITECH rules for notifying consumers when their health information has fallen into the wrong hands.

After September 23rd, if you don't encrypt protected health information according to the recommended technology, you have to let affected people know whenever someone accesses protected health information in violation of privacy rules.”

They also state: "For those who have felt blessed to escape the HIPAA rules, the FTC has stepped in with rules that parallel the new HIPAA breach notification rules. The FTC has their own set of breach notification rules that apply to "personal health records" offered or maintained by anyone not already subject to HIPAA as a "covered entity" or "business associate."

According to the HHS “The Department of Health and Human Services (HHS) is issuing an interim final rule with a request for comments to require notification of breaches of unsecured protected health information.

Section 13402 of the Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009 (ARRA) that was enacted on February 17, 2009, requires HHS to issue interim final regulations within 180 days to require covered entities under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and their business associates to provide notification in the case of breaches of unsecured protected health information.

For purposes of determining what information is ‘‘unsecured protected health information,’’ in this document HHS is also issuing an update to its guidance specifying the technologies and methodologies that render protected health information unusable, unreadable, or indecipherable to unauthorized individuals”

Surf to our Show Notes for links to both the HHS and FTC proposals –

HHS Proposal: http://edocket.access.gpo.gov/2009/pdf/E9-20169.pdf

FTC Proposal: http://www.peickconniff.com/FTC%20Breach%20Notice.pdf

Athletes with smaller ACLs may be more susceptible to injury

People with torn ACLs are more likely to have a smaller ligament than similarly-sized people who have never injured a knee, according to a study recently published in the American Journal of Sports Medicine.

Researchers calculated the total volume of the ligaments based on MRIs of human knees. The ACLs among those with previous injuries were, on average, about 10% smaller than were ACLs among those without an injury.

In those with previous injuries, the uninjured ACL in the opposite knee was measured for the study. Their ligaments were compared to the ACLs in uninjured people of similar height and weight. Those who had torn their ACLs had experienced noncontact injuries.

In this group of participants, weight was the strongest predictor of ACL volume.

The study’s lead author said that based on what is currently known about the fibrous makeup of the ligament, it's no surprise that a smaller ACL is more susceptible to injury.

"If you have a weaker ACL, it's more likely to tear if all other factors are equal," he said. "If being larger in size means the ACL has more fibers, then that would make it stronger. If the individual building blocks are of similar strength, then it comes down to how much total tissue there is."

Surf to our Show Notes for more information - http://www.orthosupersite.com/view.asp?rid=43791

http://ajs.sagepub.com/content/37/7/1282.abstract?sid=34d0acb9-633a-4f20-99dd-2c04af8830bb

Aerobic Exercise and Cognition

Allow a laboratory mouse to run as much as it likes, and its brainpower improves. Force it to run harder than it otherwise might, and its thinking improves even more. This is the finding of an
experiment led by researchers at National Cheng Kung University in Taiwan and placed online in May 2009.

In the study, scientists had two groups of mice swim a water maze and in a separate trial had them endure an unpleasant stimulus to see how quickly they would learn to move away from it. For the next four weeks they allowed one group of mice to run inside their rodent wheels, an activity most mice enjoy, while requiring the other group to push harder on mini-treadmills at a speed and duration controlled by the scientists.

They then tested both groups again to track their learning skills and memory. Both groups of mice performed admirably in the water maze, bettering their performances from the earlier trial. But only the treadmill runners were better in the avoidance task, a skill that, according to brain scientists, demands a more complicated cognitive response.

For some time, researchers have known that exercise changes the structure of the brain and affects thinking. Ten years ago scientists at the Salk Institute in California published the groundbreaking finding that exercise stimulates the creation of new brain cells. But fundamental questions remain, like whether exercise must be strenuous to be beneficial. Should it be aerobic? What about weight lifting? And are the cognitive improvements permanent or fleeting?

In a study published in the American College of Sports Medicine, participating students who performed Aerobic exercise were found to be noticeably quicker and more accurate on the retest after they ran compared with the other two options, which included sitting quietly or lifting weights.

Similarly, in other work by scientists at the University of Illinois, elderly people were assigned a six-month program of either stretching exercises or brisk walking. The stretchers increased their flexibility but did not improve on tests of cognition. The brisk walkers did.

Surf to our Show Notes for more from this NY Times article, along with links to various related studies -
http://well.blogs.nytimes.com/2009/09/16/what-sort-of-exercise-can-make-you-smarter/?hp

http://jp.physoc.org/content/587/13/3221.abstract

http://www.ncbi.nlm.nih.gov/pubmed/19276839

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Health Corner – In this week’s Health Corner, we present an audio explanation of the proposed US Public Health Care Insurance Option.

Former Clinton Labor Secretary Robert Reich has been a clear and outspoken supporter of the public option and, in a video that's been bouncing around the Internet in early September, Reich states the case for the public option in a very clear and succinct fashion.

Surf to our Show Notes for a link to this Video - http://www.huffingtonpost.com/2009/09/09/robert-reich-explains-the_n_280639.html

As always, please surf to our Podcast Show Notes at ChiropractiRadio.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.

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Finally, I leave you with the following quote:

"What you will do matters. All you need is to do it."
– Judy Grahn

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

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