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Informed consent for chiropractic care: Comparing patients' perceptions to the legal perspective

Manual Therapy

Volume 20, Issue 3, June 2015, Pages 463–468

Original article

• Melissa Winterbottom^{a, ,} ,
• Heather Boon^a,
• Silvano Mior^b,
• Marcia Facey^c

 

doi:10.1016/j.math.2014.11.009

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Abstract

Purpose

This study explored chiropractic patients' perceptions of exchanging risk information during informed consent and compared them with the legal perspective of the informed consent process.

Methods

Interviews were conducted with 26 participants, recruited from chiropractic clinics. Transcripts were analysed using a constant comparative method of analysis.

Findings

Participants experienced informed consent as an on-going process where risk information informed their decisions to receive treatment throughout four distinct stages. In the first stage, information acquired prior to arriving at the clinic for treatment shaped perceptions of risk. In stage two, participants assessed the perceived competence of their practitioners. Participants then signed the consent form and discussed the risks with their practitioners. Finally, they communicated with their practitioners during treatment to ensure their pain threshold was not crossed.

Conclusion

These findings suggest that chiropractic patients perceive informed consent as a process involving communication with their practitioners, and that it is possible to educate patients about the risks associated with treatment while satisfying the legal requirements of informed consent.

Keywords

• Informed consent;
• Spinal manipulation;
• Chiropractic

Corresponding author. 144 College Street, Toronto, ON M5S 3M2, Canada. Tel.: +1 289 828 4698.

Copyright © 2014 Elsevier Ltd. All rights reserved.

Detection of aristolochic acids I and II in “Chiniy-trèf”, a traditional medicinal preparation containing caterpillars feeding on Aristolochia trilobata L. in Martinique, French West Indies

Toxicon

Volume 114, May 2016, Pages 28–30

Short communication

• Xavier Cachet^a,
• Jerome Langrand^b,
• Cecile Bottai^a,
• Hanh Dufat^a,
• Corinne Locatelli-Jouans^c,
• Emmanuel Nossin^d,
• Denis Boucaud-Maitre^{e, ,}

 

• 
  

doi:10.1016/j.toxicon.2016.02.013

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Highlights

•

Chiniy-trèf” is a traditional medicine used in Martinique.

•

It is produced by maceration in rum of caterpillars feeding on Aristolochia species.

•

Aristolochia contain aristolochic acids, known cancerogenic and nephrotoxic agents.

•

Samples of “Chiniy Tref” were analysed by chromatographic methods.

•

Human toxicity of “Chiniy-trèf” was assessed by detection of aristolochic acids.

---

Abstract

“Chiniy-trèf” is a traditional medicinal preparation used in Martinique, French West Indies, for the prevention of all kinds of attempted poisoning and hex. It is produced by the maceration in alcohol (mostly rum) of larvae (caterpillars) of the butterfly Battus polydamas ssp. cebriones, feeding on the leaves of Aristolochia trilobata. Aristolochic acids I and II that are well-known nephrotoxic and carcinogenic substances were identified on two samples of “chiniy-trèfl” by chromatographic methods.

---

Graphical abstract

Keywords

• Aristolochic acids;
• Chiniy-trèf;
• Traditional medicine

Corresponding author. Dispositif de Toxicovigilance Antilles, Centre hospitalier de la Basse-Terre, Avenue Gaston Feuillard, Basse-Terre, Guadeloupe, France.

Orange beverage ameliorates high-fat-diet-induced metabolic disorder in mice

Journal of Functional Foods

Volume 24, June 2016, Pages 254–263

• B. Escudero-López^a,
• M.S. Fernández-Pachón^{a, b},
• G. Herrero-Martín^a,
• Á. Ortega^{a, c},
• I. Cerrillo^{a, b},
• F. Martín^{a, c},
• G. Berná^{a, c, ,}

• 
  

doi:10.1016/j.jff.2016.04.013

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---

Highlights

•

A low alcoholic orange beverage high in bioactive compounds was prepared.

•

Its effects were tested in high-fat-diet-induced metabolic disorder in mice.

•

Its long-term intake decreased plasma TAG, oxidized LDL and C-reactive protein levels.

•

Its consumption is beneficial for the metabolic consequences of obesity.

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Abstract

Metabolic syndrome (MetS) refers to a group of disorders that includes insulin resistance, central obesity, arterial hypertension and hyperlipidaemia. Regular consumption of bioactive compounds has consistently been associated with a reduced risk of these disorders. The aim of this study was to determine if an orange beverage with high concentrations of bioactive compounds (flavanones, carotenoids, melatonin, and ascorbic acid) and low alcohol content (<1%, v/v) improves metabolic parameters through modulation of oxidative stress, lipid profile and inflammatory response in a rodent model of high fat diet (HFD)-induced obesity. Mice with HFD-induced MetS were fed the orange beverage for 12 weeks (volume equivalent to 250 mL/day in human). Long-term intake of the orange beverage decreased plasma TAG, oxidized LDL and C-reactive protein levels. The present data provide evidence of a beneficial effect of orange beverage intake on some outcome parameters related to HFD-induced MetS.

Chemical compounds

• Melatonin (PubChem CID: 896);
• Ascorbic acid (PubChem CID: 54670067);
• Ethanol (PubChem CID: 702);
• Hesperidin (PubChem CID: 3594);
• Naringenin-7-O-rutinoside (PubChem CID: 25244529);
• Beta-cryptoxanthin (PubChem CID: 182237)

Keywords

• Fermented orange juice;
• Bioactive compounds;
• HFD;
• Metabolic syndrome;
• Antioxidant status;
• Lipid profile

Abbreviations

• AI, atherogenic index;
• AS, aqueous alcohol solution;
• AUC, area under the curve;
• CAT, catalase;
• CTL, control;
• CRP, C-reactive protein;
• GPx, glutathione peroxidase;
• GR, glutathione reductase;
• GSH, reduced glutathione;
• GSSG, oxidized glutathione;
• HFD, high fat diet;
• IPGTT, intraperitoneal glucose tolerance test;
• MDA, malondialdehyde;
• OB, orange beverage;
• OJ, orange juice;
• oxLDL, oxidized low-density lipoprotein;
• PAC, plasma antioxidant capacity;
• SOD, superoxide dismutase;
• TC, total cholesterol

Corresponding author. Genoveva Berná Amorós, Departamento de Biología Molecular e Ingeniería Bioquímica, Universidad Pablo Olavide, Carretera de Utrera Km 1, 41013 Sevilla, Spain. Tel.: +34 954977943; fax: +34 954349813.

Constructing an interdisciplinary course on literature and environmental feminism

Feminist Studies

Volume 40, Issue 2, 2014, Pages 333-352

Dawson, M.

 

View references (23)

Abstract

[No abstract available]

ISSN: 00463663Source Type: Journal Original language: English

Document Type: Article

References (23)

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© Copyright 2015 Elsevier B.V., All rights reserved.

Consumed: Food in the Hunger Games

European Journal of American Culture

Volume 34, Issue 2, 1 June 2015, Pages 137-150

  (Article)

Parks, L.L.^a , 

Yamashiro, J.P.^b 

^a  Miami University, Hamilton, OH, United States
^b  Department of Art, Miami University, Hamilton, United States 

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Abstract

In the futuristic dystopia of The Hunger Games, food divides rich and poor, empowered and oppressed, pure and putrid. It also provides a lens to analyse power and rebellion through theory, surveillance, and the art historical genre of memento mori. This article considers the following: How does food represent and enact power? How does food send moral and political messages? How does the government control and, in fact, author the lives of the citizens? How do Katniss’ rebellions reflect, represent and magnify the crisis of the state?. © 2015 Intellect Ltd Article.

Author keywords

Food; Hunger; Memento mori; Power; Rebellion; The Hunger Games

ISSN: 14660407Source Type: Journal Original language: English

DOI: 10.1386/ejac.34.2.137_1Document Type: Article

Publisher: Intellect Ltd.

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