Journal of Chiropractic Humanities最新文献

{"title":"Education Descriptive Reports: How to Publish Pragmatic Studies in Education","authors":"Claire D. Johnson DC, MSEd, PhD,&nbsp;Bart N. Green DC, MSEd, PhD","doi":"10.1016/j.echu.2022.06.001","DOIUrl":"10.1016/j.echu.2022.06.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this article is to describe the contents of an education descriptive report and to provide a useful publication format for educators in the health professions.</p></div><div><h3>Discussion</h3><p>The education descriptive report is a pragmatic, empirical study that can contribute to the literature. Education descriptive reports describe an event or situation in an education setting, the resulting outcomes, and what new information can be learned. These reports may use quantitative, qualitative, or mixed methods and may be from organizational, academic, instructional, programmatic, or other educational perspectives.</p></div><div><h3>Conclusion</h3><p>The education descriptive report gives educators in the health professions a mechanism to introduce their scholarly efforts and observations in education environments in a manner that is consistent with the academic literature. This article describes the structure of an education descriptive report and includes a helpful template for academic authors to develop their own report so they may publish observational, reflective, and hypothesis-generating articles.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"29 ","pages":"Pages 15-21"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10636063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteopathic Models Integration Radar Plot: A Proposed Framework for Osteopathic Diagnostic Clinical Reasoning","authors":"Carmine Castagna DO ,&nbsp;Giacomo Consorti MSc (Ost) ,&nbsp;Matteo Turinetto MSc (Ost) ,&nbsp;Christian Lunghi BSc (Ost)","doi":"10.1016/j.echu.2021.09.001","DOIUrl":"10.1016/j.echu.2021.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this article is to propose a tool to assist with clinical reasoning to select and integrate different osteopathic models and evidence-based actions into clinical practice.</p></div><div><h3>Discussion</h3><p>The authors adopted the guidelines for writing a commentary as a reporting framework for the present article. The proposed Osteopathic Models Integration Radar Plot has potential for integration into clinical practice and the educational environment. This framework may enable clinicians to manage complex clinical phenomena, such as musculoskeletal disorders related to allostatic load.</p></div><div><h3>Conclusion</h3><p>This proposed framework may be helpful to communicate the outcome of osteopathic evaluations to other healthcare professionals. This proposed model will need to be tested to determine feasibility.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 49-59"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39799863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Diverse Career Paths and Recommendations for Celebrating Chiropractic Day 2021: A Narrative Inquiry","authors":"Valerie Johnson DC ,&nbsp;Shery Assal DC ,&nbsp;Kim Khauv DC, MPH ,&nbsp;Deepak Moosad DC ,&nbsp;Brenda Morales DC","doi":"10.1016/j.echu.2021.10.003","DOIUrl":"10.1016/j.echu.2021.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this report was to explore the views of chiropractors<span> about their career paths and recommendations for Chiropractic Day.</span></p></div><div><h3>Methods</h3><p>For this narrative inquiry, selected individuals from diverse backgrounds were invited to share their experiences about becoming chiropractors and their recommendations for Chiropractic Day. Each doctor of chiropractic was asked to provide a response to a set of structured questions. The responses were collated into a descriptive narrative, and themes were identified from these narratives.</p></div><div><h3>Results</h3><p>Five chiropractors from diverse backgrounds, who graduated from chiropractic programs in the United States, participated in this project. Each reported a different path to becoming a chiropractor. From these different career paths, common themes emerged, which included (1) a drive to serve others, (2) a personal experience or quest, (3) and a propensity to be problem solvers and inquisitive learners. Their recommendations for celebrating Chiropractic Day paralleled their individual qualities and values, which included providing educational seminars to patients and other health care providers, mentoring students, reading scientific papers about health issues related to diversity, providing chiropractic services to underserved populations, appreciating our predecessors and mentors, and performing community outreach.</p></div><div><h3>Conclusion</h3><p>This narrative provides insight into the thoughts of people from diverse backgrounds about why they may choose chiropractic as a profession and their paths to a career in chiropractic. This article demonstrates that chiropractors come to the profession for a variety of reasons but may have similar themes such as that the choice may generate from a personal experience, a quest for knowledge, an interest in helping others, and a joy for service. This narrative provides unique insights about the authors’ values for chiropractic, which were congruent with their recommendations for celebrating Chiropractic Day.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 22-34"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39799861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Essential Guide to Chiropractic in the United States Military Health System and Veterans Health Administration","authors":"Bart N. Green DC, MSEd, PhD ,&nbsp;Andrew S. Dunn DC, MS, MEd","doi":"10.1016/j.echu.2021.10.002","DOIUrl":"10.1016/j.echu.2021.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this article is to provide an essential overview of chiropractic<span> services in United States military and veterans’ health care systems.</span></p></div><div><h3>Methods</h3><p>We reviewed literature, legislation, and policies from 1936 through September 2021 pertaining to chiropractic services in the United States military and veterans’ health systems<span>. Using these sources and our combined experience in these systems, we identified fundamental themes in the delivery of chiropractic care in the health care systems of the Department of Defense (providing health care for active duty service members) and the Department of Veterans Affairs (providing health care for veterans) in main topic areas.</span></p></div><div><h3>Results</h3><p>We identified 7 main topic areas relevant to the 2 systems: populations served by chiropractors; health care systems; integration; utilization and supply of chiropractic care; vetting of chiropractors; roles and evaluation of chiropractors; and oversight and leadership. Key information about chiropractic care in these systems was synthesized into the main topic areas. Benefits of high-quality within-system chiropractic care to active-duty service members and veterans are presented. The assets that within-system chiropractors bring to the Department of Defense and Department of Veterans Affairs health care systems are discussed for each main topic area.</p></div><div><h3>Conclusion</h3><p>This article contains an essential overview of chiropractic services in the Department of Defense and the Department of Veterans Affairs. It offers clarity regarding the integration of chiropractic services into these health care systems and includes a 1-page brief of talking points that may help better inform ongoing discussions of chiropractic services in these 2 different but intertwined environments.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 35-48"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39799862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Radiography for New Patients Presenting to a Chiropractic Teaching Clinic: A Cross-sectional Analysis","authors":"Sheng Hui Kioh PhD,&nbsp;Tamara Gien Pooke PhD,&nbsp;Siew Vern Chong BS(Chiro)","doi":"10.1016/j.echu.2021.09.002","DOIUrl":"10.1016/j.echu.2021.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this study was to identify the number and type of indications for radiographs ordered in a chiropractic teaching clinic in Malaysia.</p></div><div><h3>Methods</h3><p>A cross-sectional retrospective analysis was conducted using the medical health records of new patients who presented to the International Medical University Bukit Jalil teaching clinic for chiropractic care between August 2018 and July 2019. Data about sociodemographic characteristics, region of presenting complaint, radiography ordering rates, and referral indications were collected. We compared indications reported in the patient records with those listed in the International Medical University Chiropractic Clinical Manual. We conducted χ²<span> and logistic regression analysis to identify the association between radiography indications and the number of radiographs ordered.</span></p></div><div><h3>Results</h3><p>Data were collected for 1451 patients (741 [51.1%] women and 700 [48.9%] men). The most common body region for the presenting complaint was the lumbar/pelvic region (39.0%), and the overall radiograph use rate was 2.7%, with the highest number of radiographs for the lumbar spine.</p></div><div><h3>Conclusion</h3><p>For the patient files sampled in this study, the overall radiograph order rate in the International Medical University Bukit Jalil Chiropractic teaching clinic was 2.7%.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 9-14"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Chiropractic-Specific Terminology on Chiropractors’ Websites in the United Kingdom With Comparison to Australia: An Analysis of Samples","authors":"Kenneth J. Young DC, PhD ,&nbsp;Jean Theroux DC, PhD","doi":"10.1016/j.echu.2021.10.001","DOIUrl":"10.1016/j.echu.2021.10.001","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to compare the prevalence of 5 chiropractic-specific terms on UK chiropractic websites to findings in a previous study in Australia and to provide an argument against the use of these terms.</p></div><div><h3>Methods</h3><p><span>We searched websites belonging to chiropractors registered with the General Chiropractic Council for 5 terms: </span><span><em>subluxation</em><em>, vital</em></span>(<em>-ism</em>/<em>-istic</em>), <em>wellness, adjust</em>(<em>-ing</em>/<em>-ment</em>), and <em>Innate</em> (Intelligence). Of 3239 websites, 326 were sampled. Each page was searched, and terms were counted only if used in a chiropractic-specific context. Term occurrence and frequency were recorded. The data were analyzed using a single-sample χ² goodness-of-fit test for unequal proportions. The results were compared to those of our prior Australian study, using the χ² test of homogeneity to determine the differences between samples.</p></div><div><h3>Results</h3><p>At least 1 of the 5 chiropractic-specific terms was found on 245 (75%) of UK websites. <em>Adjust</em>(<em>-ing</em>/<em>-ment</em>) was found on 222 (68%) of UK websites compared to 283 (77%) in Australia; <em>wellness</em> on 67 (5%) of UK sites compared to 199 (33%) in Australia; <em>vital</em>(<em>-ism</em>/<em>-istic</em>) on 30 (9%) of UK sites compared to 71 (19%) in Australia; <em>subluxation</em> on 17 (5%) of UK sites compared to 104 (28%) in Australia; and <em>Innate</em> on 10 (3%) of UK sites compared to 39 (11%) in Australia. A χ² test found that the terms were not equally distributed in the two samples, <span><math><msubsup><mi>χ</mi><mn>4</mn><mn>2</mn></msubsup></math></span> = 404.080, <em>P</em> &lt; .001. In the discussion, we explain why we feel that chiropractic-specific terms should be abandoned and standard biomedical terms used.</p></div><div><h3>Conclusion</h3><p>In the sample of websites we evaluated in this study, the majority in the United Kingdom used the 5 chiropractic-specific terms that we searched for. The terms were used less frequently than on websites in Australia but were in a similar order of prevalence.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 15-21"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39799860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Value of Interprofessional Learning Through Patient Simulation in Developing Interprofessional Relationships: Medical Students’ Perspectives","authors":"Tamara G. Pooke PhD,&nbsp;Sheng Hui Kioh MSc,&nbsp;Yenlin Lee BSc","doi":"10.1016/j.echu.2021.09.003","DOIUrl":"10.1016/j.echu.2021.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the value of interprofessional learning in developing interprofessional relationships, as perceived by medical students<span> participating as simulated patients for chiropractic students.</span></p></div><div><h3>Methods</h3><p>A cross-sectional study of university medical students, using an online survey and interview sessions, was conducted at the International Medical University, Malaysia, from July 2020 to October 2020. Only students who had previously participated as a simulated patient within a chiropractic examination setting were included; this involved interacting with chiropractic students in observed structured clinical examinations, including history taking, physical examination or motion palpation, and adjustment setups for end-of-semester examinations. Survey responses focused on themes of interprofessional learning, with values of reduction of prejudice, increase in understanding, and improved collaborative attitude. These responses were grouped as positive, neutral, or negative based on Likert scores. Interview responses were analyzed and categorized according to the survey themes.</p></div><div><h3>Results</h3><p>Fifteen male medical students aged 23 to 26 years completed the questionnaire and interview. Respondents perceived that their experience helped clarify doubts on the scope of chiropractic (66.7%), the role of a chiropractor<span> (80%), and chiropractic professional practices (80%). A majority of respondents (80%) felt that being a simulated patient increased their willingness to learn collaboratively with chiropractic students. Most (93.3%) responded positively to being more willing to work with other health care professionals.</span></p></div><div><h3>Conclusion</h3><p>This study showed an overall positive perception among medical students of developing interprofessional relationships with chiropractors and other health care professionals. The results suggest that opportunities for interprofessional learning between chiropractic and other health care programs may assist with the long-term goal of promoting patient-centered care.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Pages 1-8"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39888962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ed Board","authors":"","doi":"10.1016/S1556-3499(21)00008-5","DOIUrl":"https://doi.org/10.1016/S1556-3499(21)00008-5","url":null,"abstract":"","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"28 ","pages":"Page A1"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1556349921000085/pdfft?md5=9af362387f596c747996d59878b12d4d&pid=1-s2.0-S1556349921000085-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134679995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hypothesis of Biotensegrity and D. D. Palmer's Hypothesis on Tone: A Discussion of Their Alignment","authors":"Desmond C. Wiggins DC, MPH,&nbsp;Roger M. Engel DC, PhD","doi":"10.1016/j.echu.2020.10.003","DOIUrl":"10.1016/j.echu.2020.10.003","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this article is to compare D. D. Palmer's hypothesis of tone with the modern hypothesis of biotensegrity.</p></div><div><h3>Discussion</h3><p>Although researchers have been using the hypothesis of biotensegrity for over 40 years to explain the mechanics of movement within biological systems, it has experienced revived support in the last 25 years. Biotensegrity as a concept is applied at the molecular, cellular, tissue, and organ levels, revealing a different understanding of the architecture of biological organisms. Biotensegrity offers a way of exploring the human body in the field of functional anatomy<span>. The model has become popular among bodywork and movement practitioners, as it recognizes the wholeness of the human body. D. D. Palmer used tone to explain the origin of disease; biotensegrity, instead, explains why certain diseases may develop.</span></p></div><div><h3>Conclusion</h3><p>The concept of tone hypothesized by D. D. Palmer is different from the modern concept of biotensegrity. Although biotensegrity offers a different way of seeing how the human body functions, using it as a theoretical framework to explain the effects of manual therapies such as chiropractic may be premature. The use of the biotensegrity hypothesis requires further research and investigation before application in clinical settings.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"27 ","pages":"Pages 82-87"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2020.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38377335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Federal Employees’ Compensation Act and Mandating the Use of X-ray for Chiropractic Management of Federal Employees: An Exploration of Concerns and a Call to Action","authors":"Jeff J. Askew DC ,&nbsp;Karl C. Kranz DC, Esq ,&nbsp;Wayne M. Whalen DC","doi":"10.1016/j.echu.2020.10.005","DOIUrl":"10.1016/j.echu.2020.10.005","url":null,"abstract":"<div><h3>Objective</h3><p><span>The purpose of this article is to explore concerns regarding sections of the federal workers’ compensation law that apply to the treatment and management of work-related injuries of federal employees by </span>chiropractors, and to offer a call to action for change.</p></div><div><h3>Discussion</h3><p><span><span>A 1974 amendment to the Federal Employees’ Compensation Act (FECA) stipulates that chiropractic services rendered to injured federal workers are reimbursable. However, the only reimbursable chiropractic treatment is “manual manipulation of the spine to correct a </span>subluxation<span> as demonstrated by X-ray to exist.” This means the chiropractor must take radiographs in order to be reimbursed. As with other health care<span> professions, chiropractors are expected to practice according to best practices guided by studies in the scientific literature. Yet in the federal workers’ compensation arena, this law requires chiropractors to practice in a manner that is fiscally wasteful, contradicts current </span></span></span>radiology<span> standards, and may expose patients to unnecessary X-ray radiation. Presently, there is discord between what the law mandates, chiropractic training and scope, and what professional guidelines recommend. In this article we discuss how FECA creates problems in the following 7 categories: direct harm, indirect harm, contradiction of best practices, ethical dilemma, barriers to conservative treatment, fiscal waste, and discrimination.</span></p></div><div><h3>Conclusion</h3><p>The 1974 FECA provision requiring chiropractors to take radiographs regardless of presenting medical necessity should be updated to reflect current chiropractic education, training, and best practice. To resolve this discrepancy, we suggest that the radiographic requirement and the limitations placed on chiropractic physicians should be removed.</p></div>","PeriodicalId":39103,"journal":{"name":"Journal of Chiropractic Humanities","volume":"27 ","pages":"Pages 11-20"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.echu.2020.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38377331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}