scholarly journals Integration of Chiropractic Services in Military and Veteran Health Care Facilities

2015 ◽  
Vol 21 (2) ◽  
pp. 115-130 ◽  
Author(s):  
Bart N. Green ◽  
Claire D. Johnson ◽  
Clinton J. Daniels ◽  
Jason G. Napuli ◽  
Jordan A. Gliedt ◽  
...  

This literature review examined studies that described practice, utilization, and policy of chiropractic services within military and veteran health care environments. A systematic search of Medline, CINAHL, and Index to Chiropractic Literature was performed from inception through April 2015. Thirty articles met inclusion criteria. Studies reporting utilization and policy show that chiropractic services are successfully implemented in various military and veteran health care settings and that integration varies by facility. Doctors of chiropractic that are integrated within military and veteran health care facilities manage common neurological, musculoskeletal, and other conditions; severe injuries obtained in combat; complex cases; and cases that include psychosocial factors. Chiropractors collaboratively manage patients with other providers and focus on reducing morbidity for veterans and rehabilitating military service members to full duty status. Patient satisfaction with chiropractic services is high. Preliminary findings show that chiropractic management of common conditions shows significant improvement.

2017 ◽  
Vol 55 (10) ◽  
pp. 2996-3005 ◽  
Author(s):  
Rory M. Welsh ◽  
Meghan L. Bentz ◽  
Alicia Shams ◽  
Hollis Houston ◽  
Amanda Lyons ◽  
...  

ABSTRACTThe emerging multidrug-resistant pathogenic yeastCandida aurisrepresents a serious threat to global health. Unlike most otherCandidaspecies, this organism appears to be commonly transmitted within health care facilities and causes health care-associated outbreaks. To better understand the epidemiology of this emerging pathogen, we investigated the ability ofC. auristo persist on plastic surfaces common in health care settings compared with that ofCandida parapsilosis, a species known to colonize the skin and plastics. Specifically, we compiled comparative and quantitative data essential to understanding the vehicles of spread and the ability of both species to survive and persist on plastic surfaces under controlled conditions (25°C and 57% relative humidity), such as those found in health care settings. When a test suspension of 104cells was applied and dried on plastic surfaces,C. aurisremained viable for at least 14 days andC. parapsilosisfor at least 28 days, as measured by CFU. However, survival measured by esterase activity was higher forC. auristhanC. parapsilosisthroughout the 28-day study. Given the notable length of timeCandidaspecies survive and persist outside their host, we developed methods to more effectively cultureC. aurisfrom patients and their environment. Using our enrichment protocol, public health laboratories and researchers can now readily isolateC. aurisfrom complex microbial communities (such as patient skin, nasopharynx, and stool) as well as environmental biofilms, in order to better understand and preventC. auriscolonization and transmission.


2018 ◽  
Vol 62 (7) ◽  
Author(s):  
Hajime Kanamori ◽  
William A. Rutala ◽  
Maria F. Gergen ◽  
Emily E. Sickbert-Bennett ◽  
David J. Weber

ABSTRACT Susceptibility to germicides for carbapenem/colistin-resistant Enterobacteriaceae is poorly described. We investigated the efficacy of multiple germicides against these emerging antibiotic-resistant pathogens using the disc-based quantitative carrier test method that can produce results more similar to those encountered in health care settings than a suspension test. Our study results demonstrated that germicides commonly used in health care facilities likely will be effective against carbapenem/colistin-resistant Enterobacteriaceae when used appropriately in health care facilities.


2021 ◽  
Vol 7 ◽  
pp. 237796082110382
Author(s):  
Anita F. Dartey ◽  
Gladys Dzansi ◽  
Constancia Atachie ◽  
Evelyn Sunnu ◽  
Felix K. Nyande

Background Hospital beds are of great assistance to both clients and caregivers as they give lots of choices to the users. More often, clients have difficulty getting in and out of beds, but the adjustable features of the beds make it possible for them to be comfortable, regardless of their condition. This situation may not be the same if nonadjustable delivery beds (NADBs) are used in conducting deliveries at health care facilities. This study explored the experiences of midwives using NADBs in selected Christian Health Association of Ghana (CHAG) hospitals in the Volta Region of Ghana. Methods The study employed an exploratory qualitative research design with purposive sampling. Semistructured interview data were audio recorded. The inclusion criteria were professional midwives with at least 1 year of working skills and the midwives should have conducted deliveries using NADBs during their practice. Data were collected concurrently with data transcription and analyzed using content analysis. Saturation was reached after the 20th interview. Results Three themes emerged from the study: NADBs not comfortable to work with, assumption of awkward postures, and the nature of the delivery beds. Conclusion The findings of the study show that midwives experience several setbacks in the use of NADBs in conducting deliveries as they sacrifice their health for work.


Author(s):  
O.D. Gavlovsky

The need to address the issues of treatment and dispensary accounting for war veterans and combatants is one of the most pressing issues that has received considerable attention. Events that have taken place in the distant past and that have taken place in recent years in the east of our country before, excite everyone and compel our authorities and health care organizers to develop inpatient care, dispensary surveillance and rehabilitation programs for war veterans and combatants actions. The multifaceted delivery of medical assistance and dispensary to war veterans and combatants requires the effective functioning of this system as an independent area of clinical and social medicine. Military action is always accompanied by casualties and injuries to both military and civilians. Persons in poor health as a result of military action, which is expressed in restriction on military service or work, need to move first and foremost to establish a permanent disability. This is due to the fact that the disability structure identifies a group of causes, including people who have completely or partially lost their disability as a result of injury, injury or injury sustained during their military service. Surveys of war veterans and combatants take place in outpatient clinics and, under certain circumstances, may be carried out by a visiting team of specialists to the field (hospitals, rural dispensaries, FAPs, and veterans' homes). In health care facilities, veterans' examinations are carried out at their previous call. War veterans are inspected at home by a visiting team of specialists in cases where they live far away from health care facilities and because of their health, and cannot be examined. Introduction. The issue of inpatient treatment of combatants and war veterans is one of the topical issues that is receiving considerable attention and is being addressed by meetings of governmental committees and civic organizations. The main goal in addressing these issues is to restore the physical and mental health of participants in the hostilities, achieve social and psychological well-being, reduce the frequency and severity of the effects of mental traumas suffered in the form of acute stress reactions, prevention of disability, prevention of aggression and prevention of aggression. Dispensary observation is a complex of medical measures, which is based on active, constant monitoring of the state of human health, detection of diseases in the early stages, detailed research, study, and elimination of the causes of their occurrence, carrying out medical and health, sanitary, social and hygienic activities aimed at improving the environment, work and people's lifestyles. Fast and quality treatment, effective medical rehabilitation, dispensary observation can only be achieved with early onset, continuity, consistency, continuity and completeness of medical care for patients, individual approach and programming of rehabilitation, timely rehabilitation.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.


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