"Global Advances in Health and Medicine - PDF"
GLOBAL ADVANCES IN HEALTH AND MEDICINE This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. To request permission to use this work for commercial purposes, please visit www.copyright.com. Use ISSN#2164-9561. To subscribe, visit www.gahmj.com. 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