CJA Vol.24 Issue 3Editorial: What's in a name The Management of Rheumatoid Arthritis:
Considerations for Chiropractic Practice Patient Doses from X-ray Units Owned by
Chiropractors in Victoria Portability of Professional Registration in
Australia Commentary: Chiropractic and the Cul-de-Sac
Complex Historical Notes: A man called "Doss" ABSTRACTS The Management of Rheumatoid Arthrtis: Considerations for Chiropractic Practice. JENNIFER R.JAMISON Objective: To contribute to the chiropractic management of rheumatoid
arthritis by providing: i) an overview of current nutritional
management, and ii) a summary of common drug side-effects. INDEX TERMS: (MeSH): ARTHRITIS, RHEUMATOID; FISH OILS; (Other): NUTRITIONAL MANAGEMENT. Chiropractic J Aust 1994 Sep;24(3):83-90 Patient Doses from X-ray Units Owned by Chiropractors in Victoria. TREVOR J. BOAL, LUKE E. WILKINSON, RUSSELL J. WALKER, SERGIO A. COSTANTIN and PAUL F. EINSIEDEL The skin entrance doses from x-ray units owned by 40 chiropractors in Victoria were measured. The doses were determined for AP and lateral views of the cervical, thoracic and lumbar spine. The mean and quartile doses were determined and compared with similar measurements previously made in Australia, USA, UK, Portugal, Italy and New Zealand. The concept of dose constraint is defined. Recommended values for dose constraints for use in chiropractic radiology in Victoria are presented. Information on factors which contribute to patient dose are also provided. INDEX TERMS: MeSH: RADIATION; RADIATION DOSAGE; RADIATION MONITORING. Chiropractic J Aust 1994 Sep;24(3):91-8 Portability of Professional Registration in Australia. STANLEY P. BOLTON In 1983 the National Conference of Chiropractors Registration Boards unanimously recommended to governments that portability of registration from state to state in Australia should be considered. Seven years later, in considering promotion of freedom of movement of goods and services in Australia, a special Premiers' Conference agreed in principle to work towards a scheme of mutual recognition to remove inefficiencies brought about by varying standards and regulatory regimes. In 1992, an intergovernmental agreement on mutual recognition of all health professionals between Australian states was signed, from which Mutual Recognition Acts implementing portability of registration emerged. The background to this movement in relation to chiropractors is traced. It is concluded that under the mutual recognition principle, chiropractors registered by qualification, examination or experience in one state are equal in law elsewhere in Australia. Portability of registration implies recognition of the lowest state qualifying denominator as the minimum educational standard nationally for registration by qualification in Australia. In light of portability, it is imperative that standards for registration of chiropractors and osteopaths by examination in any state be uniformly developed and nationally applied. INDEX TERMS: (MeSH): CHIROPRACTIC, LEGISLATION AND JURISPRUDENCE; LEGISLATION; AUSTRALIA; CHIROPRACTIC, HISTORY; (OTHER): REGISTRATION PORTABILITY; HISTORY OF CHIROPRACTIC. Chiropractic J Aust 1994 Sep;24(3):99-105 Commentary: Chiropractic and the Cul-de-Sac Complex. PHILLIP S. EBRALL The debate regarding chiropractic's role during the health care reformation period has led to the proposal that chiropractors are more suited to be neuromusculoskeletal specialists and not primary care practitioners. This commentary examines the semantics of the debate and demonstrates weaknesses in current argument which arise from the lack of a clear and common understanding of the terminology used. It is argued that the World Health Organisation's concept of primary health care is an appropriate social/societal model in which chiropractic can effectively and rightfully function, preferably as generalists with expertise in neuromusculoskeletal problems. Our profession's mentors, like Vear, have long maintained that chiropractic has a major primary role to play in health delivery, yet even in 1988 the ambivalence of the profession was noted with respect to where Chiropractic fits, if at all, into the mainstream of the American health-care delivery system. Years later we are still unsure. So much for the enemy within, which might really be our inability to learn the dialogue and terminology of the debate. INDEX TERMS: (MeSH): CHIROPRACTIC; AUSTRALIA; PRIMARY HEALTH CARE. Chiropractic J Aust 1994 Sep;24(3):106-12 |
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