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					                                                         GLOBAL ADVANCES IN HEALTH AND MEDICINE
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EdIToRIal

Global advances in Health and Medicine
The Editors of Global Advances in Health and Medicine: David Riley, MD; Jason Jishun Hao, DOM, MTCM, MBA; Helmut Kiene, Dr med;
Gunver Kienle, Dr med; Michele Mittelman, RN, MPH; Gregory A. Plotnikoff, MD, MTS, FACP



                                                                                             • Tido von Schoen-Angerer, based in Switzerland
                                                                                               and working with Medecins Sans Frontières
                                                                                               (MSF), and coauthors Nathan Ford from South
                                                                                               Africa and James Arkinstall from Switzerland
                                                                                               write about access to medicine in areas of the                        For more information
                                                                                               world with limited resources and address the                          about GAHMJ’s editorial
                                                                                               question of how this access is affected in times of                   leadership, see page 7.

                                                                                               economic uncertainty.
                                                                                             • Anita Salamonsen, Brit J. Drageset, and Vinjar
                                                                                               Fønnebø from the University of Tromso in
                                                                                               Norway based on their work with the Norwegian


S
      cience, technology, and medicine (STM) are not                                           Registry of Exceptional Courses of Disease, con-
      immune to the widespread and persistent crises                                           tribute a selection of patient case reports as well
      that have defined the 21st century. We, the editors                                      as an overview of the registry.
of Global Advances in Health and Medicine (GAHMJ), a new                                     • Maurice Orange et al provide 2 case reports on the
scholarly medical journal, believe that solutions in                                           successful treatment of primary cutaneous B-cell
healthcare will be ones that accelerate the application of                                     lymphoma with mistletoe.
global advances in health and medicine, resulting in                                         • Gunver Kienle from Germany shares a review
improved population-health management, healthcare                                              article—“Fever in Cancer Treatment: Coley’s
delivery, and patient outcomes. The journal is focused on                                      Therapy and Epidemiologic Observations”—that
solutions in 3 main areas: (1) systems theory and medi-                                        is drawn largely from case reports.
cine, (2) the global convergence of healthcare practices,                                    • Jeremy Swayne from Scotland provides “The
and (3) evidence from the point of care (eg, medical case                                      Problem With Science—The Context and Process
reports). And GAHMJ is more than a scholarly medical                                           of Care,” an excerpt from the recently published
journal; it is a communication platform.                                                       Remodelling Medicine.
     The journal itself is cross-disciplinary and peer                                       • Jason Jishun Hao shares a “Review of Clinical
reviewed and offers innovative STM content for the                                             Applications of Scalp Acupuncture in Paralysis,” an
worldwide community of healthcare professionals who                                            excerpt from Chinese Scalp Acupuncture. (This arti-
actively participate in the healthcare debate. The content                                     cle is featured on our website, www.gahmj.com.)
of the journal will highlight data from around the world                                     • Rollin McCraty, Annette Deyhle, and Doc Childre
with case reports, original research articles, opinion piec-                                   from the Institute of HeartMath write about the
es, and hypotheses. GAHMJ has an experienced interna-                                          convergence of several independent lines of evi-
tional editorial team: Jason Jishun Hao, DOM, MTCM,                                            dence that support the existence of a global infor-
MBA; Helmut Kiene, Dr med; Gunver Kienle, Dr med;                                              mation field connecting all living systems.
Michele Mittelman, RN, MPH; Gregory Plotnikoff, MD,
MTS, FACP; and David Riley, MD. The journal will be                                      THE BIG PICTURE
published 10 times per year in print and digital formats                                      We recognize that innovations are often disruptive,
with abstracts in multiple languages. The digital publica-                               as cultures and traditions converge and compete with
tion will offer additional features and information that                                 approaches built around “the way things have always
take advantage of emergent digital technologies. A mobile                                been done.” We see a challenge and opportunity in
application will be launched to better serve the needs of                                healthcare today around the development of a new
the journal’s readership. The website will offer additional                              global taxonomy for healthcare—a taxonomy that
features including blogs, topic forums, customizable                                     accommodates the global convergence of healthcare
eNews portals, searchable databases, collaboration tools,                                practices, incorporates a systems approach to medicine,
social-media functionality, international news, and con-                                 and uses data from the point of care in new and innova-
versations with key opinion leaders.                                                     tive ways. Sackett et al defined evidence-based medicine
                                                                                         as the “conscientious, explicit, and judicious use of cur-
IN THIS ISSUE                                                                            rent best evidence in making decisions about the care of
    We are honored to feature the following authors                                      individual patients. . . . Good doctors use both individual
and articles, among others, in this inaugural issue of                                   clinical expertise and the best available external evi-
Global Advances in Health and Medicine.                                                  dence and neither alone is enough.”1


Editorial                                                                                                      www.gahmj.com • Volume 1, Number 1 • March 2012                  5
                                                              GLOBAL ADVANCES IN HEALTH AND MEDICINE




    Case Reports                                                                              How can the 8 primary health targets outlined by the
         Around the world every day, doctors treat patients                             World Health Organization be realized across cultures
    and these treatments produce outcomes—all generat-                                  with different levels of economic development,a particu-
    ing practice-based evidence. In respect to individuality,                           larly when more than 11 million children under the age of
    we support endeavors that move healthcare toward an                                 5 years and 500 000 pregnant women die every year2?
    individualized approach documented through case                                           Does the current population-based taxonomy for
    reports. Case reports are at the convergence point of                               the classification and management of disease allow us
    several disruptive trends in medicine and will be a par-                            to measure individual variations and responses, partic-
    ticular focus of this journal. In this issue of the journal,                        ularly across healthcare systems?
    our case reports editor, Gunver Kienle, has written an                                    What is the role of healthcare informatics in the
    editorial featuring some of her perspectives on case                                evaluation of data from the point of care, and can this
    reports. The editors believe that a process for the sys-                            information be integrated with precise diagnoses? How
    tematic collection and publication of case reports in                               will data from the point of care impact research models?
    accordance with quality-assurance guidelines will                                         Can we use a systems approach to integrate medi-
    uncover important correlations among individual                                     cal information from molecular biochemistry, genom-
    cases and allow for the comparison of strategies across                             ics, lifestyle, diverse healthcare systems, and patient
    healthcare systems for relevance, safety, and effective-                            preferences? Can we understand and balance the inter-
    ness. Data from the point of care, published as case                                actions between global, environmental, and individual
    reports, will inform the design and implementation of                               influences; the organism and the cell; and the tension
    clinical trials. Practice-based evidence will enable real-                          between providing care for patients and the need for
    time knowledge to leverage advances in health infor-                                sustainability and profitability?
    matics to improve population health, healthcare deliv-                                    How can healthcare professionals and patients
    ery, and patient outcomes. To this end, we will offer                               engage in a therapeutic partnership across healthcare
    Case Report Writing Workshops and develop guide-                                    systems and cultures in a way that respects patients
    lines for the publication of case reports.                                          and their individuality? Will we invest in wellness and
                                                                                        prevention in order to prevent tomorrow’s health prob-
    a Systems approach                                                                  lems that may not be visible today?
         The editors of Global Advances in Health and Medicine                                How will the regulatory community change the
    also support a systems approach to healthcare and                                   evaluation process for new drugs, devices, and therapies
    believe that this too is an important opportunity. In                               in response to systematic data from the point of care?
    respect to system theory and medicine, the topics of sys-                                 Global Advances in Health and Medicine is more than
    tems biology, systems therapies, systems building, and                              a scholarly medical journal; it is a communication plat-
    systems analyses have priority. We recognize that reduc-                            form to foster the dialogue among the different health-
    tionism in science has led to spectacular advances; we                              care cultures and focus on the global convergence of
    also believe this approach has limitations. For example,                            these practices. How might this happen with Global
    the systems biology approach has gained momentum for                                Advances in Health and Medicine? Healthcare profession-
    the past 40 years, and Leroy Hood and Jeff Bland in par-                            als who are interested in breakthroughs and best prac-
    ticular have made significant contributions. Systems                                tices in one area will have the ability to query informa-
    biology offers the possibility of a healthcare system that                          tion by organizational source (eg, WHO), country (eg,
    is rooted in information science, costs less, and is indi-                          Japan, India), culture (eg, Asian, Hispanic), system of
    vidualized. We believe that the global convergence of                               medicine (eg, conventional medicine, Ayurveda), disci-
    healthcare practices and a systems approach combined                                plinary credentials (eg, medical doctor, doctor of
    with data from the point of care offer an opportunity to                            Oriental medicine), condition (eg, eating disorders,
    create a more effective approach to healthcare.                                     metabolic syndrome), or practices (eg, pharmacology,
                                                                                        acupuncture). Users will be able to compare and con-
    Collaboration and Information Sharing                                               trast findings, exploring the implications of discoveries
          Following are some of the global questions that we                            in one area or system vis-à-vis another.
    will explore. We invite you, as readers and contribu-                                     We welcome and invite your participation in the
    tors, to join us in this exploration.                                               healthcare debate and the creation of a global healthcare
          How can we create a global community of health-                               community through the submission of case reports, other
    care professionals in a world with diverse healthcare                               original manuscripts, and commentary to Global Advances
    traditions and cultures? What are the common threads                                in Health and Medicine.
    in how we think, feel, and act that bind us together
    around the world?                                                                   REfERENCES
                                                                                          1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson W. Evidence based
                                                                                             medicine: what it is and what it isn’t. BMJ. 1996 Jan 13;312(7023):71-2.
    a(1) eradicating extreme poverty and hunger; (2) achieving universal primary edu-     2. World Health Organization. Engaging for health–eleventh general programme
    cation; (3) promoting gender equality and empowering women; (4) reducing child           of work 2006-2015, a global health agenda [Internet]. Geneva, Switzerland:
    mortality; (5) improving maternal health; (6) combating HIV/AIDS, malaria, and           World Health Organization; 2006 [cited 2012 Feb 14]. Available from:
    other communicable diseases; (7) ensuring environmental sustainability; and (8)          http://whqlibdoc.who.int/publications/2006/GPW_eng.pdf.
    developing global partnerships for development.




6   Volume 1, Number 1 • March 2012 • www.gahmj.com                                                                                                          Editorial

				
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Description: The Editors of Global Advances in Health and Medicine: David Riley, MD; Jason Jishun Hao, DOM, MTCM, MBA; Helmut Kiene, Dr med; Gunver Kienle, Dr med; Michele Mittelman, RN, MPH; Gregory A. Plotnikoff, MD, MTS, FACP