December '95


TOPICS IN CLINICAL CHIROPRACTIC

Abstracts from December 1995

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Introduction

Future Editions

Table of Contents / Abstracts

Subscription Information


Introduction

Each quarter, Chiropractic OnLine Today will present the Table of Contents and current Abstracts from Aspen Publications' Topics in Clinical Chiropractic.

The following list comprises TICC's Editorial advisory board:

Editor

Robert D. Mootz, DC, DABCO, FICC

Associate Editors:

Linda J. Bowers, DC, DABCO, DABCI, DACBN, DACAN

Daniel T. Hansen, DC, DABCO, FICC

Kevin A. McCarthy, DC, DABCO

Howard Vernon, DC, FCCS

Continuing Education Editor:

Dorrie M. Talmage, DC, DABCO

Editorial Board

Alan H. Adams, DC

Alan Breen, DC

Bernard A. Coyle, PhD

Phillip S. Ebrall, BAppSC (Chiropractic)

Gary Greenstein, DC

Warren I. Hammer, DC, MS, DABCO

Karl C. Kranz, DC

Marion McGregor, Bsc, DC, FCCS (c)

Donna M. Mannello, DC

Paul J. Osterbauer, DC, MPH

Lindsay J. Rowe, MAppSc, MD, DACBR (USA), FCCR (CAN), FACCR (AUST), FICC

Olga Rutherford, BA, Msc, PhD

Tilden H. Sokoloff, DPM, MS, DC

Thomas A. Souza, DC, CCSP

Richard D. Stonebrink, BS, DC, ND, FACO, FICC

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Future Editions

Topics in Clinical Chiropractic welcomes original scholarly manuscripts for peer review and consideration for publication. Articles relevant to topics being addressed in upcoming issues (as outlined below) will be considered. Prospective authors should submit manuscripts directly to the issue editor for a given topic or to Robert D. Mootz, DC, Associate Medical Director for Chiropractic State of Washington Department of Labor and Industries, PO Box 44321, Olympia, WA 98504-4321. Please note deadlines for receipt or completed manuscripts for each issue below. Authors are responsible for obtaining reprint permissions and paying any fees or charges for non-original charts, figures, artwork, or appendixes. For a more detailed packet of information for authors, contact Aspen Publishers, Inc., 200 Orchard Ridge Drive, Suite 200, Gaithersburg, MD 20878.

Future TICC topics:

Volume 3(3): Care of the Lumbar Spine. This issue offers a review of state-of-the-art chiropractic management of lumbar spine disorders. Manuscripts are sought dealing with assessment and conservative management strategies for the lumbar spine. Anyone interested in preparing an article for submission should contact the issue editor as early as possible. Deadline: January 15, 1996. Issue Editor: Howard Vernon, DC, Director of the Center for the Study of Spinal Health, 1396 Eglington Ave. West, Toronto, Ontario M6C 2E4, Canada.

Volume 3(4): Wellness. Strategies for chiropractic physicians providing early intervention screening will be covered in this issue. Manuscripts are sought on a variety of topics regarding disease prevention and health promotion. Topics of interest include psychologic aspects of wellness, stress reduction, and preventive and maintenance chiropractic care, among others. Those interested in submitting manuscripts should contact the issue editor as early as possible. Deadline: May 1, 1996. Issue Editor: Linda J. Bowers, Professor, Northwestern College of Chiropractic, 2501 W. 84th Street, Blooomington, MN 55431.

Volume 4(1): Pediatrics. A quality overview of key issues in chiropractic management of pediatric patients. Papers are being sought which present practical clinical insight into pediatric diagnosis, adjusting, condition specific management strategies, and balanced, critical reviews of controversial topics including the pros and cons of immunization, manipulative management of children with otitis media, etc. Given the challenging and controversial nature of these issues, potential authors should contact the issue editor before March 31, 1996 (prior to manuscript preparation) with an outline and overview of what the submission is intended to cover. Deadline: August 1, 1996. Issue Editor: Robert D. Mootz, DC, Associate Medical Director for Chiropractic, State of Washington Department of Labor and Industries, P.O. Box 44321, Olympia, WA 98504-4321.

Volume 4(2): Sports Chiropractic. A practical look at issues involved in the management of athletes. Particular emphasis is placed on incorporation of exercise and rehabilitation strategies into chiropractic practice. Management considerations in diagnosis, return to activity, and chiropractic manipulative and physiological interventions will also be highlighted. (This topic is rescheduled and modified from an earlier published call for manuscripts previously planned in Volume 4(1): Exercise and Rehabilitation.). Deadline: October 1, 1996. Issue Editor: Kevin A. McCarthy, DC, Dean of Clinics, Palmer College of Chiropractic-West, 90 E. Tasman Drive, San Jose, CA 95134.


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Table of Contents / Abstracts for December 1995

Back to basics: Assessment of nutritional status

  • Page 1: Bowers
  • Eating disorders

  • Page 13: Hinck
  • Nutrition for athletes

  • Page 25: Gerber
  • Nutritional anemia: Iron, cobalamin, or folate deficiency?

  • Page 33: Branson and Bowers
  • Fats, disease, and dietary recommendations

  • Page 43: Berntson
  • Nutrition policies and guidelines for the United States

  • Page 51: Bowers
  • Appendix

  • Page 63
  • Essentials for the bookshelf

  • Page 70
  • Continuing education credit

  • Page 72
  • Index to Volume 2

  • Page 76

  • Back to basics:

    Assessment of nutritional status

  • Linda J. Bowers, DC, DACBN: Professor and Chair; Diagnosis Department; Northwestern College of Chiropractic; Bloomington, MN
  • Nutritional assessment is an important consideration in routine patient evaluation. This article discusses means to identify special patient populations at nutritional risk and reviews a variety of nutritional assessment strategies. In most cases, an adequate nutritional assessment can be made from the patient's diet history, clinical examination, anthropometric measurements, and, when indicated, routine laboratory tests. Further, the article provides an overview of key historical, examination, and special study procedures. Although somewhat time consuming, the materials needed are readily available and inexpensive, and the procedures can be performed in the physician's office. Key words: anthropometry; diagnostic test, routine; diet; history; minerals; nutritional requirements; nutritional status; reference values; trace elements; vitamins.


    Eating disorders

  • Glori Hinck, RD, MS: Registered Dietitian; Minneapolis, MN
  • This article provides an overview of the eating disorders anorexia nervosa and bulimia nervosa. Both are prevalent psychiatric syndromes involving important nutritional components. Diagnostic criteria for anorexia nervosa include failure to maintain minimal weight, fear of fatness, distorted body image, and in females may involve amenorrhea. Bulimia nervosa is characterized by frequent binge eating and loss of control; it is associated with compensatory behaviors (such as self-induced vomiting and undereating between binges). This article outlines clinical examination procedures and reviews appropriate treatment protocols. A special emphasis on eating disorders in athletes is included. Key words: adolescent nutrition, anorexia nervosa, bulimia, chiropractic, eating disorders, feeding behavior.


    Nutrition for athletes

  • James M. Gerber, MS, DC, DABCO: Associate Professor; Department of Clinical Sciences; Western States Chiropractic College; Portland, Oregon
  • Nutrition for optimal sports performance is a controversial issue. This article reviews the dietary needs of athletes, offers general nutritional advice for these individuals, and presents specific considerations for endurance athletes and power athletes. Dietary advice for all athletes regarding calories, carbohydrates, proteins, fats, water and electrolytes, and vitamins and minerals are presented, as well as specific nutrition advice for endurance and power athletes is discussed. Key words: athletic performance, diet, exercise, nutrition, sports.


    Nutritional anemia: Iron, cobalamin, or folate deficiency?

  • Richard A. Branson, DC: Radiology Resident; Northwestern College of Chiropractic; Bloomington, MN
  • Linda J. Bowers, DC, DACBN: Professor; Diagnosis Department; Northwestern College of Chiropractic; Bloomington, MN
  • A clinical condition, anemia actually represents a complex of signs and symptoms rather than a specific diagnosis. Nutritional anemia is an important public health problem affecting all ages, races, and sexes. A review of relevant clinical literature and key clinical issues regarding the etiology, pathophysiology, differential diagnosis, and clinical management strategies for nutritional anemia is provided. Nutritional anemia can be caused by either a vitamin or mineral deficiency, usually iron, cobalamin, or folate. A general overview of how to clinically detect iron, vitamin B12 and folate deficiency anemias is offered as well as a discussion of management options and recommendations for the chiropractic physician. Key words: anemia, folic acid deficiency, iron deficiency anemia, pernicious anemia, vitamin B12 deficiency.


    Fats, disease, and dietary recommendations

  • Todd Berntson, BS: Student Research Assistant; Department of Research; Northwestern College of Chiropractic; Bloomington, MN
  • Dietary fat intake accounts for one of the most significant nutritional issues of contemporary society. The health impact of dietary fat is influenced by the overall quantity and type of fat, and predisposing genetic factors. An overview of types of dietary fat, including cholesterol, saturated fats, and unsaturated fats, and their role in metabolism is presented. Fat intake and its relationship to the chronic degenerative diseases of atherosclerosis obesity, and cancer are discussed. Dietary recommendations for appropriate fat consumption are reviewed with special emphasis on recommendations from the National Cholesterol Education Program. Key words: atherosclerosis, cholesterol, dietary fats, hypercholesterolemia, neoplasms, obesity.


    Nutrition policies and guidelines for the United States

  • Linda J. Bowers, DC, DACBN: Professor; Diagnosis Department; Northwestern College of Chiropractic; Bloomington, MN
  • This article provides an overview of US nutritional policies and guidelines along with a brief qualitative review of several relevant studies on nutritional practices. While Americans as a whole are no longer undernourished, increasing evidence indicates that excess calorie consumption and dietary fat are contributing to chronic health problems. The current dietary guidelines for Americans are reviewed in addition to information on the National Cancer Institute's 5-A-Day program, the Nutrition Labeling Education Act of 1990, the US Department of Agriculture (USDA) food guide pyramid, and the Dietary Supplement Health Education Act of 1994. Health care providers must become more familiar with nutrition guidelines and policies in an effort to inform and encourage patients regarding healthy dietary practices. Key words: diet, food habits, food labeling, health promotion, nutrition policy, practice guidelines, US Department of Agriculture, US Food and Drug Administration.


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    Subscription Information


    Topics in Clinical Chiropractic is published quarterly, for $58, by Aspen Publishers.

    Aspen may be contacted directly at: 800-638-8437


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