CJA Vol.25 Issue 3
Editorial: Musings of a time traveller
Mary Ann Chance and Rolf E. Peters
William C, Schulze, MD, DC (1870-1936): From
Mail-Order Mechano-Therapists to Scholarship and Professionalism Among
Drugless Physicians, Part 1.
JOSEPH C. KEATING, Jr and WILLIAM S. REHM
A Review of the Practice of Medicine in
1895
PHILLIP EBRALL
Cervical Spondylotic Myelopathy: A Report of Two
Cases
COLIN M, CRAWFORD, J, DAVID CASSIDY and STEPHEN BURNS
Preceptorship as a Component of the Chiropractic
Undergraduate Program: Results of a Survey
DEAN H. LINES and JOSEPH MESSINA
ABSTRACTS
William C, Schulze, MD, DC (1870-1936): From
Mail-Order Mechano-Therapists to Scholarship and Professionalism Among
Drugless Physicians, Part 1
JOSEPH C. KEATING, Jr and WILLIAM S. REHM
His story is a paradox, encompassing the shame of correspondence
training and the honour of leading the profession toward a more
dignified role as doctors of conservative healing methods. A gentle,
cheerful, thoughtful man, William C. Schulze, MD, DC would profoundly
influence the course of chiropractic. He was the second majority owner
and second president of the National College of Chiropractic. His life's
work steered the National away from its correspondence school heritage
and toward its later eminence in scientific research in chiropractic.
Schulze would create a leadership role for the College based upon
greater than customary standards of training in the basic sciences and
clinical arts. In this first of two parts, we consider the College
leader's introduction to chiropractic and his early contributions to
National College.
INDEX TERMS: (MeSH) CHIROPRACTIC; HISTORY OF CHIROPRACTIC;
HISTORY-OF-MEDICINE 20TH CENTURY; UNITED STATES OF AMERICA.
Chiropractic J Aust 1995 Sep;25(3):82-92
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A Review of the Practice of Medicine in
1895
PHILLIP EBRALL
Objective: To attempt to understand the historical context in which
Daniel David Palmer made his significant discovery by reviewing what was
recorded about the practice of medicine in 1895, the year in which
Palmer founded the science of chiropractic.
Design: Hand search of the 1895 English language volumes conveniently
available in a significant repository of historical medical literature
and notation of matters thought indicative of general aspects of the
practice of medicine at that time, with consideration being given to
matters of possible interest to today's practice of chiropractic.
Setting: The Brownless Medical Library of the University of Melbourne,
Australia.
Main Observations: Medical knowledge was rapidly and widely
disseminated. Both the English and American journals of note--the
British Medical Journal (BICIN) and the Journal of the American Medical
Association (JAMA)--regularly commented on developments on either side
of the Atlantic. Mixed within this was a diversity of additional thought
from countries such as Germany and India. Medical education was in the
first stage of evolving into a four-year program to follow a three-year
arts or science degree. A mechanical view of the spine prevailed, with
controversial mechanical treatments being promoted for disorders such as
scoliosis. Spinal caries was well discussed, but perhaps commonly
misdiagnosed. The term "dis ease" was used by a senior London physician,
and science in medicine was recognised as important by some but abused
widely by many.
Conclusion: Given an awareness of the multifarious concepts of health
and disease, as published in the literature of 1895, one can only hold
Daniel David Palmer in greater esteem and respect, in that his mode of
intervention (i) did no harm, unlike much other intervention of the day,
and (ii) was based on principles which held currency within the
mainstream of medical thought.
INDEX TERMS: (MeSH): HISTORY; CHIROPRACTIC, HISTORY; HISTORY OF
MEDICINE,1STH CENT.; CHIROPRACTIC; AUSTRALIA; 1895.
Chiropractic J Aust 1995 Sep;25(3):93-100
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Cervical Spondylotic Myelopathy: A Report of
Two Cases.
COLIN M. CRAWFORD, J. DAVID CASSIDY and STEPHEN BURNS
Cervical spondylotic myelopathy is a progressive neurological disease
caused by stenotic compromise of the cervical spinal cord, Case reports
of two male patients with signs and symptoms of myelopathy as well as
localised neck and, in one case, lower-back pain, are presented, One
patient's symptoms resolved over the 14-month period post-operatively;
the second patient had both cervical and lumbar spinal stenosis and a
prior history of myocardial infarction, He was considered a poor
surgical risk, however he did obtain some relief from his lower-back
pain with chiropractic manipulative therapy, The pathogenesis, natural
history, clinical presentation, pertinent examination, differential
diagnosis, diagnostic imaging and management are discussed. The
importance of a thorough neurological examination is stressed.
INDEX TERMS: (MeSH): CHIROPRACTIC; MYELOPATHY, CERVICAL; SPINAL
OSTEOPHYTOSIS; CERVICAL VERTEBRAE.
Chiropractic J Aust 1995 Sep;25(3):101-10
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Preceptorship as a Component of the
Chiropractic Undergraduate Program: Results of a Survey
DEAN H. LINES and JOSEPH MESSINA
Aim: The issue of preceptorship (fieldwork) as part of the training
forAustralian chiropractors is under scrutiny at present, with a
polarisation of opinion between the two Australian universities which
conduct programs to train chiropractors as to the merits of a fieldwork
component in the undergraduate curriculum. This survey was undertaken to
shed some light on how its value is perceived by those most qualified to
comment, namely those who have experienced its benefits, or otherwise,
first-hand.
Methods: Questionnaires were sent to the 427 graduates from the RMIT
University (formerly Phillip Institute of Technology) chiropractic
program who completed the course from 1985 onwards and who could be
traced to an address within Australia or New Zealand, seeking their
opinion about their fieldwork experience.
Results: A total of 204 responses to the survey were received. The
results appear to support the notion that fieldwork experience has been
perceived by a majority of those who have undertaken it to have been a
useful and worthwhile part of their preparation for a chiropractic
career.
INDEX TERMS: (MeSH): CHIROPRACTIC; PRECEPTORSHIP; CHIROPRACTIC,
EDUCATION. (OTHER): FIELDWORK.
Chiropractic J Aust 1995 Sep;25(3):111-5
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