Radiology

Publication Title: 
AJR. American journal of roentgenology

The goal of this discussion was to address the matter and methodology of ethics and critical thinking and to ask several questions about the relationship between ethics and radiology. Questions about the nature of the moral and how ethics inform decision making raise our awareness and may provide new understanding about moral thinking. Why is medicine a moral endeavor? Overridingness, universalizability, and other-regarding virtues were discussed. How do ethics inform medical decision making? Ethical theories, including parentalism, autonomy, and the engagement model, were discussed.

Author(s): 
Armstrong, J. D.
Publication Title: 
Academic Radiology

RATIONALE AND OBJECTIVES: The authors' purpose was to develop an electronic teaching module in nonpharmacologic analgesia and anxiolysis for use in the radiology department. MATERIALS AND METHODS: The teaching document was derived from previous training courses validated by patient outcome. Skills in structured empathic attention and guidance of self-hypnotic relaxation were tested in a previous prospective, randomized study with 241 patients and shown to affect positively patients' perception of pain and anxiety.

Author(s): 
Lang, Elvira V.
Laser, Eleanor
Anderson, Brad
Potter, Jeffrey
Hatsiopoulou, Olga
Lutgendorf, Susan
Logan, Henrietta
Publication Title: 
Radiology Management

There is a quiet revolution challenging our Western philosophy of reactive, high-tech allopathic medicine, which cures disease by treatments. This trend to a proactive, preventive, Eastern style of medicine is referred to as holistic or alternative and complementary medicine (ACM). ACM is based on the belief that human beings are living energy systems rather than an arrangement of parts. Any disturbance in the body, mind or spirit will result in a disturbance in the whole system.

Author(s): 
Puchalski, L.
Publication Title: 
National Medical Care Utilization and Expenditure Survey (Series). Series B, Descriptive Report

This report, based on data from the 1980 National Medical Care Utilization and Expenditure Survey, presents statistical estimates on visits to different types of practitioners by the noninstitutionalized civilian population of the United States. The report does not include dental visits, telephone visits, emergency room visits, or visits in which a physician was also seen.

Author(s): 
Mugge, R. H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Ninety-nine anteroposterior and lateral lumbar radiographs taken of males ages 18-55 were independently analyzed by three chiropractors who assessed 56 variables, including determinations of disc space height, vertebral malalignments and subluxations, spondylosis, postural disturbances, relationships between pelvis and spine, and other congenital or acquired abnormalities. The distribution of low back complaints in this study included 31% with no low back pain, 44% with previous or present mild low back pain and 24% with previous or current severe, and often disabling, low back pain.

Author(s): 
Phillips, R. B.
Frymoyer, J. W.
Mac Pherson, B. V.
Newburg, A. H.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To compare two methods of obtaining the anteroposterior (AP) open mouth view. DESIGN: Radiological evaluation of the occiput-C1/C1-C2 structures, as visualized on radiographs obtained using two different radiographic position set-ups. SETTING: The Anglo-European College of Chiropractic Clinic. PATIENTS: A total of 60 patients. Each method used on 30 patients. CRITERIA ASSESSED: Visualization of: (a) occiput-C1 joints, (b) atlantoaxial joints, (c) lateral masses C1 and (d) odontoid process.

Author(s): 
Wylie, J.
Publication Title: 
Spine

STUDY DESIGN: Controlled comparison of radiographic interpretive performance based on training and experience. OBJECTIVES: This study compared each of these groups in medicine and chiropractic by testing abilities to interpret abnormal plain film radiographs of the lumbosacral spine and pelvis. SUMMARY OF BACKGROUND DATA: Low back pain is a common and costly problem that is evaluated and treated primarily by medical physicians, orthopedists, and chiropractors.

Author(s): 
Taylor, J. A.
Clopton, P.
Bosch, E.
Miller, K. A.
Marcelis, S.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

INTRODUCTION: Diagnostic radiology is an important component of chiropractic education. Because ineffective teaching is costly in time and resources, educators need to continually evaluate both the content and design of their radiology curriculum. METHODS: A survey was administered to 121 senior students from one chiropractic institution immediately after completing presentation of the last of 11 radiology topics presented. Students reported their interest and perceived understanding of radiology topics and indicated which resources they thought were almost helpful during their training.

Author(s): 
Marchiori, D. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To assess the chiropractic use of radiography, referral patterns to both medical and chiropractic radiologists and attitudes toward radiologists. DESIGN: Random sample mail survey. PARTICIPANTS: Practicing U.S. chiropractors. RESULTS: The response rate was 46% (197 of 425). Seventy-four percent of the respondents have radiographic facilities in their offices. Contraindication screen (71%), pathological diagnosis (63%), biomechanics and posture (51%) and medicolegal protection (27%) were considered important reasons for taking radiographs.

Author(s): 
Harger, B. L.
Taylor, J. A.
Haas, M.
Nyiendo, J.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

BACKGROUND: Current medical, biomechanical, and chiropractic literature indicates that X-ray line drawing analysis for spinal displacement is reliable, with high Interclass Correlation Coefficients (ICCs) found in most studies. Normal sagittal spinal curvatures are being accepted as important clinical outcomes of care; however, just the opposite is taught in many chiropractic college radiology courses. OBJECTIVE: To review the current literature on X-ray line drawing reliability and abnormal static lateral positions.

Author(s): 
Harrison, D. E.
Harrison, D. D.
Troyanovich, S. J.

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