Assessment of Studies Evaluating Spinal Manipulative Therapy and Infectious Disease and Immune System Outcomes

Chow, Ngai; Hogg‐Johnson, Sheilah; Mior, Silvano; Cancelliere, Carol; Injeyan, Stephen; Teodorczyk-Injeyan, Julita A.; Cassidy, J. David; Taylor‐Vaisey, Anne; Côté, Pierre

doi:10.1001/jamanetworkopen.2021.5493

Cited by 12 publications

(13 citation statements)

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“…The key to the prevention and control of infectious diseases lies in the cutting off of transmission routes, and the fever clinic is the main place for the prevention and control of infectious diseases, which can screen patients with infectious diseases at an early stage, give them isolation treatment in time, and cut off the transmission routes of infectious diseases [ 13 ]. However, some infectious diseases do not always present with febrile symptoms, and it is difficult to fully identify infected patients based on body temperature alone.…”

Section: Discussionmentioning

confidence: 99%

Infection Control-Based Construction of a Fever Outpatient Routine Management Model

Wang

Zhang

et al. 2022

Emergency Medicine International

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Purpose. Outbreaks caused by infectious diseases are now serious public health events. At present, most hospitals have a high number of fever clinic attendances. In order to improve the efficiency of fever clinic screening, timely detection and control of infection sources, early detection, early isolation, and early treatment, our hospital explored the construction and effect of our fever clinic management model during the response period by constructing a fever clinic regular management model based on the principles of infection control. Methods. 1300 cases (September 2021 to February 2022) with or without epidemiological history were divided into the control group (without epidemiological history) and the observation group (with epidemiological history) and patients were given differentiated management. A model of permanent management of a fever clinic during the epidemic was set up and evaluated by implementing the person responsible for epidemic positions, optimizing tertiary care, and strengthening nosocomial infection protection for health care workers. Results. The results showed that patients in the observation group had a lower age of onset, a longer consultation time, and a higher proportion of patients with fever, which was different from the control group ( P < 0.05 ). Compared with the control group, the proportion of routine blood tests, the proportion of four respiratory virus tests, and the per capita cost were higher in the observation group, and the differences were statistically significant ( P < 0.05 ). There were no missed diagnoses, underreporting, cross-infections, or nosocomial infections in either group, and there were no significant differences between the two groups in terms of patients’ evaluation of management quality and satisfaction with management ( P > 0.05 ). The skill level, management attitude, and standardized operation of outpatient clinic managers improved after the construction of a fever clinic standing management model based on infection control, and the recognition of patients was higher in the observation group ( P < 0.05 ). Conclusion. The construction of a fever outpatient routine management model based on the principle of infection control is conducive to the standardized implementation of the management and treatment of health care workers, early detection of the source of transmission to cut off the transmission route, avoiding cross-infection and nosocomial infection, and ensuring the safety of patients and health care workers.

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Section: Discussionmentioning

confidence: 99%

Infection Control-Based Construction of a Fever Outpatient Routine Management Model

Wang

Zhang

et al. 2022

Emergency Medicine International

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“…Most chiropractors in our study identified recognised government agencies and professional bodies as their most trusted sources when seeking COVID-19 public health information. However, a smaller number of chiropractors have made claims on social media that chiropractic spinal manipulation reduces the adverse impact of COVID-19 [ 11 , 12 , 14 ], claims that appear to conflict with current clinical research evidence [ 51 , 52 ]. In response, leaders of the chiropractic research community [ 53 ], chiropractic regulatory bodies [ 15 , 16 ] and chiropractic professional associations [ 54 – 57 ] have made efforts to redress such claims within the profession.…”

Section: Discussionmentioning

confidence: 99%

The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents

et al. 2022

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Background The unprecedented impact of COVID-19 on healthcare professionals has implications for healthcare delivery, including the public health guidance provided to patients. This study aims to assess the response and impact of COVID-19 on chiropractors internationally, and examines the public health response of chiropractors to the COVID-19 pandemic practising under a musculoskeletal spine-care versus subluxation-based care paradigm. Methods A survey was distributed to chiropractors in Australia, Canada, Denmark, Hong Kong, United Kingdom and United States (Oct. 2nd–Dec. 22nd, 2020) via professional bodies/publications, and social media. Questions were categorised into three domains: socio-demographic, public health response and business/financial impact. Multivariable logistic regression explored survey items associated with chiropractors practising under different self-reported paradigms. Results A total of 2061 chiropractors representing four global regions completed the survey. Our recruitment method did not allow the calculation of an accurate response rate. The vast majority initiated COVID-19 infection control changes within their practice setting, including increased disinfecting of treatment equipment (95%), frequent contact areas (94%) and increased hand hygiene (94%). While findings varied by region, most chiropractors (85%) indicated that they had implemented regulator advice on the use of personal protective equipment (PPE). Suspension of face-to-face patient care during the peak of the pandemic was reported by 49% of the participants with 26% implementing telehealth since the pandemic began. Chiropractors practising under a musculoskeletal spine-care paradigm were more likely to implement some/all regulator advice on patient PPE use (odds ratio [OR] = 3.25; 95% confidence interval [CI]: 1.57, 6.74) and practitioner PPE use (OR = 2.59; 95% CI 1.32, 5.08); trust COVID-19 public health information provided by government/World Health Organisation/chiropractic bodies (OR = 2.47; 95% CI 1.49, 4.10), and initiate patient telehealth in response to COVID-19 (OR = 1.46; 95% CI 1.02, 2.08) compared to those practising under a subluxation-based paradigm. Conclusions Chiropractors who responded to our survey made substantial infectious control changes in response to COVID-19. However, there was regional variation in the implementation of the advised practitioner and patient use of PPE and limited overall use of telehealth consultations by chiropractors during COVID-19. Musculoskeletal spine-care chiropractors were more adaptive to certain COVID-19 public health changes within their practice setting than subluxation-based chiropractors.

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“…Fact-checkers, health literacy guidelines, myth busters, checklists, and artificial intelligence can be useful tools to approach this goal [15,30]. Designing and conducting appropriate clinical studies to generate useful knowledge will support evidence-based decision making and contribute to flatten the infodemic curve [19,43]. Clear, concise communication and messaging allows decision-makers to take action based on correct interpretation of the data and avoids being misled, e.g., by low-quality data [14].…”

Section: Trans-impact Measuresmentioning

confidence: 99%

The COVID-19 Infodemic: Mechanism, Impact, and Counter-Measures—A Review of Reviews

Ries

2022

Sustainability

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The acceptability of appropriate SARS-CoV-2 pandemic measures including vaccinations is currently being hampered due to significant misinformation all over the globe, also known as the “infodemic” within the pandemic. We asked the following two research questions: (1) What is the current extent of the global infodemic preventing populations from receiving adequate healthcare including COVID-vaccinations? (2) Which are appropriate countermeasures to manage the infodemic in order to guarantee adequate healthcare in the SARS-CoV-2 pandemic? Pubmed and Cochrane Library were accessed on 29 October 2021 and searched for reviews and systematic reviews on “COVID-19” and “infodemic”. The literature identified was analyzed with methods of qualitative research focusing on (1) mechanism, (2) impact, and (3) countermeasures to confront the infodemic. The world-wide infodemic is being recognized as a multifaceted problem beyond health and human rights, extending into global political spheres such as societal cohesion and security. The mechanism of the COVID-19 infodemic involves specific factors related to the situation, sender, instrument, and recipient. Although freedom of expression and the right to seek, receive, and impart information through any media is a fundamental human right, the infodemic has a substantial impact on health, another fundamental human right, by causing stress, deception, violence, and harm. Mixed-synergistic pre-impact, trans-impact, and post-impact countermeasures can be taken; the most important is building and maintaining trust.

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Assessment of Studies Evaluating Spinal Manipulative Therapy and Infectious Disease and Immune System Outcomes

Cited by 12 publications

References 54 publications

Infection Control-Based Construction of a Fever Outpatient Routine Management Model

Infection Control-Based Construction of a Fever Outpatient Routine Management Model

The impact and public health response of chiropractors to the COVID-19 pandemic: a survey across four continents

The COVID-19 Infodemic: Mechanism, Impact, and Counter-Measures—A Review of Reviews

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