Records of deaths among California chiropractors in a five-year period were studied to ascertain causes of death and other characteristics-especially because of the author's interest in ascertaining whether leukemia and other deleterious effects of ionizing radiation could be observed among this occupationally-exposed group.
To serve the interests of members and to function in the public interest, the California Medical Association must set policies and take positions on current issues affecting the health care of Californians. These policies then guide the activities of the Association in fulfilling its leadership role and its responsibility to the public.Delegates, elected by the membership of CMA's component medical societies, meet annually to deliberate and determine the policies and courses of action for the Association.
A vertebral artery pseudoaneurysm accompanied by serious neurological injury was seen in a 42-year-old woman who had undergone chiropractic manipulation of the neck. Such manipulation is a potential cause of neurological injury due to trauma to the cervical spine and the major vessels of the neck. The arterial pattern in this case was similar to that of angiodysplasia except for narrowing and irregularity of the vertebral artery.
The characteristics of the principal categories of more professional heterodox practice are examined. It is concluded that rheumatic diseases are one of the likeliest fields for conflcit between orthodox and fringe medicine. The distribution of manpower engaged in alternative systems of health care is compared with that of orthodox medical services. The limited data on utilization of unorthodox remedies are reviewed. Far from conflict ensuing, it is argued that dialogue must develop in order to submit procedures like manipulation to satisfactory clinical trial.
As the total health-care delivery system in the United States has come under increasing public scrutiny, the role of chiropractic has become of interest. An overview of chiropractic, with an analysis of its social functions and a projection of its future indicates that chiropractic is more congruent with the values of its lower-middle-class clientele than is orthodox medicine. Chiropractors function adquately to legitimize their patients' entrance into the "sick role" and to provide an alternative channel to therapy.
Schweizer Archiv Für Neurologie, Neurochirurgie Und Psychiatrie = Archives Suisses De Neurologie, Neurochirurgie Et De Psychiatrie
Five cases of occlusion of the vertebral artery in context with mechanical stress - from endogene reasons in one case - and lesions of the vessel walls (in three cases) are recorded. The inferior posterior cerebellar artery was involved in all cases. Variable ischemic lesions resulted in the medulla oblongata and in the cerebellum, which were survived up to four weeks in one case. In the others death occurred within few hours or suddenly and unexpectedly. Related neurological symptoms were absent in one case only.
A study of 84 patients attending for the first time an Australian-trained chiropractor is reported. The patients could not be distinguished from the general population on several demographic and trait psychological measures. Before treatment the patients regarded chiropractors as technically competent as general practitioners, but somewhat superior in interpersonal skills.
A case of labyrinthine failure due to trauma to the cervical vertebrae and its successful chiropractic management is reported. Various pathogenic theories are discussed, and the chiropractic theory explained.
In a survey of British chiropractors and their practices, it was found that the majority of their patients attended for back pain. The average age of patients was 47 years, the sex ratio was equal, and most had had their complaints for longer than three months and had access to the chiropractor within a few days. They were largely housewives and persons from the executive and managerial occupations. The main investigative procedures used were static and motion palpation of the spine, and vital systems, orthopaedic, neurological, and radiological examination.