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https://www.readbyqxmd.com/read/28740443/approaches-to-teach-evidence-based-practice-among-health-professionals-an-overview-of-the-existing-evidence
#1
REVIEW
Athina E Patelarou, Konstantinos G Kyriakoulis, Aliki A Stamou, Aggelos Laliotis, Dimitra Sifaki-Pistolla, Michail Matalliotakis, Emmanuel Prokopakis, Evridiki Patelarou
Health care professionals' adoption of evidence-based practice (EBP) remains limited, although most health care professionals are familiar with EBP and believe in its value. This systematic review aimed to bring together the best methods used to teach EBP to health professionals. The authors conducted a systematic search for the period 2005-2015 (an update of the search took place in October 2016) using PubMed interface (Medline). MeSH terms as well as free-text keywords were used. Studies were analyzed and evaluated by title and abstract...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28733300/exploring-the-relationship-between-frequent-internet-use-and-health-and-social-care-resource-use-in-a-community-based-cohort-of-older-adults-an-observational-study-in-primary-care
#2
Caroline S Clarke, Jeff Round, Stephen Morris, Kalpa Kharicha, John Ford, Jill Manthorpe, Steve Iliffe, Claire Goodman, Kate Walters
OBJECTIVES: Given many countries' ageing populations, policymakers must consider how to mitigate or reduce health problems associated with old age, within budgetary constraints. Evidence of use of digital technology in delaying the onset of illness and reducing healthcare service use is mixed, with no clear consensus as yet. Our aim was to investigate the relationship between frequent internet use and patterns of health or social care resource use in primary care attendees who took part in a study seeking to improve the health of older adults...
July 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/28729900/unravelling-functional-neurology-a-scoping-review-of-theories-and-clinical-applications-in-a-context-of-chiropractic-manual-therapy
#3
REVIEW
Anne-Laure Meyer, Amanda Meyer, Sarah Etherington, Charlotte Leboeuf-Yde
BACKGROUND: Functional Neurology (FN), a seemingly attractive treatment approach used by some chiropractors, proposes to have an effect on a multitude of conditions but some of its concepts are controversial. OBJECTIVES AND DESIGN: A scoping review was performed to describe, in the context of chiropractic manual therapy, 1) the FN theories, and 2) its clinical applications (i.e. its indications, examination procedures, treatment modalities, treatment plans, and clinical outcomes) using four sources: i) one key textbook, ii) the scientific peer-reviewed literature, iii) websites from chiropractors using FN, and iv) semi-structured interviews of chiropractors using FN...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28725347/comparison-of-treatment-outcomes-in-neck-pain-patients-depending-on-the-sex-of-the-chiropractor-a-prospective-outcome-study
#4
Janine Thöni, Cynthia K Peterson, B Kim Humphreys
BACKGROUND: The high percentage of female chiropractic students in Switzerland suggests a future sex shift in the chiropractic profession in Switzerland. Thus the purpose of this study is to determine if male and female chiropractors achieve the same treatment outcomes in neck pain patients. METHODS: Included in this prospective outcomes study were 849 patients with neck pain of any duration. Prior to the first treatment, baseline demographic data, the Bournemouth Questionnaire (BQ) and the numerical rating scale (NRS) for neck and arm pain were completed...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28712922/utilization-of-manipulative-treatment-for-spine-and-shoulder-conditions-between-different-medical-providers-in-a-large-military-hospital
#5
Daniel Rhon, Tina Greenleee, Julie Fritz
OBJECTIVE: Describe the use of manipulative treatment for shoulder and spine conditions between various provider types. DESIGN: Retrospective observational cohort SETTING: Single military hospital PARTICIPANTS: Consecutive sample of 7,566 patients seeking care for an initial spine or shoulder condition from 1 January to 31 December 2009. INTERVENTIONS: Manipulative treatment (e.g. manual therapy, spinal and joint manipulation, etc). MAIN OUTCOME MEASURE: Manipulation treatment was identified with procedure billing codes in medical records...
July 13, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28670442/managing-patients-with-acute-and-chronic-non-specific-neck-pain-are-danish-chiropractors-compliant-with-guidelines
#6
Simon Sidenius Brockhusen, André Bussières, Simon David French, Henrik Wulff Christensen, Tue Secher Jensen
BACKGROUND: Non-specific neck pain represents a quarter of all chiropractic patient visits in Denmark. Evidence informed practice can help ensure providers use best available treatment, speed up patient recovery rate and reduce healthcare utilization. It is generally believed that Danish chiropractors treat according to best practice, but we do not know if this is true for management of neck-pain. The objective of this study was to investigate how Danish chiropractors treat patients with acute and chronic non-specific neck pain and determine if management is compliant with recent Canadian guideline recommendations...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28657811/description-of-the-case-mix-experienced-by-chiropractic-students-during-a-clinical-internship
#7
Aaron A Puhl, Christine J Reinhart, H Stephen Injeyan, Anthony Tibbles
OBJECTIVE: The primary objective of this study was to describe the case mix experienced by chiropractic students during their clinical internship at the Canadian Memorial Chiropractic College. Secondary objectives were to characterize teaching clinic patient populations, assess the similarity to previously published data for practicing chiropractors, and describe the treatment plans being recommended by interns. METHODS: A prospective, observational study was conducted using a convenience sample of 24 chiropractic interns...
June 28, 2017: Journal of Chiropractic Education
https://www.readbyqxmd.com/read/28645451/differences-in-outcomes-of-patients-treated-by-male-vs-female-chiropractors
#8
Malin B Muehlemann, Cynthia K Peterson, B Kim Humphreys
OBJECTIVE: The purpose of this study was to compare treatment outcomes of low back pain patients depending on the sex of the treating doctor of chiropractic (DC). METHODS: For this study, 1095 adult patients with no manual therapy in the prior 3 months were recruited. Pretreatment pain levels (Numeric Rating Scale for pain [NRS]), Oswestry Disability Index (ODI), and patient demographic details were recorded. The NRS and Patient Global Impression of Change were assessed after 1 week and 1, 3, 6, and 12 months...
June 20, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28633884/differences-in-practice-characteristics-between-male-and-female-chiropractors-in-switzerland
#9
Regina Vollenweider, Cynthia K Peterson, B Kim Humphreys
OBJECTIVES: A total of 75% of the chiropractic medicine students in the new program at the University of Zürich are women, which is in stark contrast to the traditional ratio of chiropractors in Switzerland, where 75% have been men. Therefore, the purpose of this study was to compare work behaviors between female and male chiropractors relating to workload, patient variety, and chiropractic treatment techniques. METHODS: This is a secondary analysis of data from the Swiss Job Analysis 2009 study...
June 17, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28559758/plasmacytoma-of-the-cervical-spine-a-case-study
#10
Richard Pashayan, Wesley M Cavanaugh, Chad D Warshel, David R Payne
OBJECTIVE: The purpose of this case study is to describe the presentation of a patient with plasmacytoma. CLINICAL FEATURES: A 49-year-old man presented with progressive neck pain, stiffness, and dysphagia to a chiropractic office. A radiograph indicated a plasmacytoma at C3 vertebral body. The lesion was expansile and caused a mass effect anteriorly on the esophagus and posteriorly on the spinal cord. Neurologic compromise was noted with fasciculations and hypesthesia in the right forearm...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28557563/comparison-of-support-for-breastfeeding-beyond-12-months-of-age-from-conventional-and-alternative-pediatric-primary-care-providers
#11
Sarah A Keim, Alexis Tchaconas, Andrew Adesman
OBJECTIVE: Conventional medicine pediatric care providers (e.g., pediatricians) have been shown to be influential in women's decisions to initiate and sustain breastfeeding. Alternative pediatric care providers (e.g., naturopaths and chiropractors) may also provide breastfeeding support, but this has not been the subject of prior research. Our objective was to compare breastfeeding mothers' perceptions of support from these two provider types in a large sample of women who breastfed for more than 12 months...
May 30, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/28503292/historical-influence-on-the-practice-of-chiropractic-radiology-part-i-a-survey-of-diplomates-of-the-american-chiropractic-college-of-radiology
#12
Kenneth J Young
BACKGROUND: It is known that not all chiropractors follow mainstream guidelines on the use of diagnostic ionising radiation. Various reasons have been discussed in the literature, including using radiography to screen for congenital anomalies, to perform postural analysis, to search for contraindications to spinal manipulation, and to document chiropractic subluxations, i.e., tiny anatomical displacements of vertebrae thought to affect nerves and health. The visualisation of subluxations was the reason chiropractic first adopted the x-ray in 1910...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28499371/-placebo-effect-is-probably-what-we-refer-to-as-patient-healing-power-a-qualitative-pilot-study-examining-how-norwegian-complementary-therapists-reflect-on-their-practice
#13
Trine Stub, Nina Foss, Ingrid Liodden
BACKGROUND: Complementary therapists spend considerable time with their patients, especially in the first consultation. The communication between patients and their therapists is important for raising consciousness and activation of the patient's self-healing power. Thus, the aims in this study were to delineate what complementary therapists regard as essential in patient consultations, their view of the healing process, and how the therapists understand the placebo effect and its position in the healing process...
May 12, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/28475224/prevalence-and-characteristics-of-complementary-and-alternative-medicine-use-by-australian-children
#14
Jane E Frawley, Dennis Anheyer, Sandy Davidson, Debra Jackson
AIM: This study was conducted to evaluate the use of complementary and alternative medicine (CAM) among Australian children within the previous 12 months. METHODS: Parents with children up to the age of 18 years were recruited from online parenting groups. Questions addressed demographic factors, socio-economic status, conventional health service use, including vaccination status and use of CAM. RESULTS: A total of 149 parents responded to the study of which 73...
May 5, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28469841/chiropractors-experience-and-readiness-to-work-in-indigenous-australian-communities-a-preliminary-cross-sectional-survey-to-explore-preparedness-perceived-barriers-and-facilitators-for-chiropractors-practising-cross-culturally
#15
Dein Vindigni, Barbara I Polus, Sonja Cleary, Aunty Kerrie Doyle
BACKGROUND: Indigenous people make up approximately 3% of the total Australian population and score poorer on all health indices, including back pain. Chiropractors are well placed to alleviate back pain, yet there is no research that considers chiropractors' readiness to treat Indigenous patients. This study explores chiropractors` experience working with Indigenous Australians, describes perceived barriers and facilitators to chiropractors' participation in Indigenous Healthcare and their willingness to engage in cultural competency training...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28459779/the-prevalence-patterns-and-predictors-of-chiropractic-use-among-us-adults-results-from-the-2012-national-health-interview-survey
#16
Jon Adams, Wenbo Peng, Holger Cramer, Tobias Sundberg, Craig Moore, Lyndon Amorin-Woods, David Sibbritt, Romy Lauche
STUDY DESIGN: Secondary analysis of a national survey. OBJECTIVE: To investigate the prevalence, patterns, and predictors of chiropractic utilization in the US general population. SUMMARY OF BACKGROUND DATA: Chiropractic is one of the largest manual therapy professions in the US and internationally. Very few details have been reported about the use of chiropractic care in the US in recent years. METHODS: Cross-sectional data from the 2012 National Health Interview Survey (n = 34,525) were analyzed to examine the lifetime and 12-month prevalence and utilization patterns of chiropractic use, profile of chiropractic users and health-related predictors of chiropractic consultations...
April 28, 2017: Spine
https://www.readbyqxmd.com/read/28413224/selecting-and-training-opinion-leaders-and-best-practice-collaborators-experience-from-the-canadian-chiropractic-guideline-initiative
#17
André E Bussières, Michele Maiers, Diane Grondin, Simon Brockhusen
OBJECTIVES: To describe the process for selecting and training chiropractic opinion leaders (OLs) and best practice collaborators (BPCs) to increase the uptake of best practice. METHODS: In Phase 1, OLs were identified using a cross-sectional survey among Canadian chiropractic stakeholders. A 10-member committee ranked nominees. Top-ranked nominees were invited to a training workshop. In Phase 2, a national e-survey was administered to 7200 Canadian chiropractors to identify additional OLs and BPCs...
March 2017: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/28412987/back-pain-in-the-emergency-department-pathological-fracture-following-spinal-manipulation
#18
Christopher Skappak, Erik J Saude
Back pain is one of the most common presentations to the emergency department. Though case reports of patients presenting with increased back pain following chiropractic spinal manipulations are rare, we have identified a case rarely reported in the literature where a potential injury from chiropractic manipulation resulted in a diagnosis of multiple myeloma. We have reported a previously healthy 66-year-old male who presented with persistent lower back pain over 4 weeks. An initial evaluation with thoracolumbar radiographs revealed no significant findings...
April 17, 2017: CJEM
https://www.readbyqxmd.com/read/28321293/primary-prevention-in-chiropractic-practice-a-systematic-review
#19
REVIEW
Guillaume Goncalves, Christine Le Scanff, Charlotte Leboeuf-Yde
BACKGROUND: Chiropractors are primarily concerned with musculoskeletal disorders but have the responsibility to deal also with prevention in other areas. OBJECTIVES: To establish the prevalence of chiropractors who have a positive opinion on the use of primary prevention (PP), their actual use of PP, and the proportion of patients who consult for PP in relation to (i) musculoskeletal disorders, (ii) public health issues, or (iii) chiropractic treatment for wellness...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28191305/the-relationship-between-chiropractor-required-and-current-level-of-business-knowledge
#20
Michael Anthony Ciolfi, Patsy Anne Kasen
BACKGROUND: Chiropractors frequently practice within health care systems requiring the business acumen of an entrepreneur. However, some chiropractors do not know the relationship between the level of business knowledge required for practice success and their current level of business knowledge. The purpose of this quantitative study was to examine the relationship between chiropractors' perceived level of business knowledge required and their perceived level of current business knowledge...
2017: Chiropractic & Manual Therapies
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