Intergrative medicine

This article reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." It is based on concepts and areas of priority identified and developed by the authors and participants at the conference. The paper first describes definitions fundamental to understanding the categorization, designation, and regionalization of emergency care and then considers a conceptual framework for this process...

The demands on emergency services have grown relentlessly, and the Institute of Medicine (IOM) has asserted the need for "regionalized, coordinated, and accountable emergency care systems throughout the country." There are large gaps in the evidence base needed to fix the problem of how emergency care is organized and delivered, and science is urgently needed to define and measure success in the emerging network of emergency care. In 2010, Academic Emergency Medicine convened a consensus conference entitled "Beyond Regionalization: Integrated Networks of Emergency Care...

The provision of emergency care in the United States, regionalized or not, depends on an adequate workforce. Adequate must be defined both qualitatively and quantitatively. There is currently a shortage of emergency care providers, one that will exist for the foreseeable future. This article discusses what is known about the current emergency medicine (EM) and non-EM workforce, future trends, and research opportunities.

The Inter-hospital Communications and Transport workgroup was charged with exploring the current status, barriers, and data necessary to optimize the initial destination and subsequent transfer of patients between and among acute care settings. The subtitle, "Turning Funnels Into Two-way Networks," is descriptive of the approach that the workgroup took by exploring how and when smaller facilities in suburban, rural, and frontier areas can contribute to the daily business of caring for emergency patients across the lower-acuity spectrum-in some instances with consultant support from academic medical centers...

No abstract text is available yet for this article.

OBJECTIVE: To study curative effect of chronical hepatitis B with treatment of integrative traditional Chinese and western medicine. METHOD: 115 cases of HBeAg and/or HBVDNA positive chronical hepatitis B were randomly divided into two groups in control. The first group treated by traditional Chinese medicine (TCM)-Fufang Huangqi granule and the second treated by intergrative traditional Chinese and western medicine (ICWM)-Fufang Huangqi granule and lamivudine for at least 24 weeks...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

The Integrated Clinical Experience (ICE) at the University of Nebraska College of Medicine is a required, two-year course of study for first- and second-year students. It provides early clinical experiences in primary care settings in metropolitan and rural areas, and related instruction in the social, behavioral, and ethical foundations of medicine. The authors describe the course goals, teaching format, topics, and evaluation of students and faculty. ICE is based on the assumptions that medicine is an applied behavioral science as well as an applied biological science, that critical reflection is important in professional education, and that early exposure to primary care will promote interest in primary care careers...

Health sciences in Central Europe have been established in recent years as the academic complement to public health. Unlike the situation outside Europe the link between academia, administration and practical application has become a distinct characteristic of this European philosophy. In this article the two questions are posed: 1. as to which structural problems characterize research into health and illness today and 2. how far can the establishment of an interdisciplinary sphere of "health sciences" provide adequate solutions? The authors also sketch the outlines of the new health sciences as an intergrating and "trans-paradigmatical" teaching and research field and they consider the relationships of health sciences to practice in general, and their relevance to the health services in particular...

Homeostasis of cardiac output is maintained by a complex intergration of many physiologic responses, both central and peripheral, including pulse,the contractile state of the ventricle, and pre-and after load. In the abnormal ventricle at rest, any or all of the measurable parameters that define left ventricular function may be normal. However, in disease states, exercise can provoke abnormalities in these parameters indicating a reduction in myocardial reserve. Regional asynergy occurs in patients with significant ischemic heart disease during exercise reflecting a local supply-demand mismatch...

The on-line integrated library system is a relatively simple and logical concept. The perception that many library functions can be incorporated within one system, using a single data base, has led a number of practitioners to independently develop such systems. This paper describes the Bibliographic Access and Control System (BACS), developed by the Washington University School of Medicine Library, and identifies some of the underlying principles, components, and capabilities of this system from the vantage point of operational experience over one year...

The patient-doctor relationship is based on the principles of interaction, collecting data and integration of both interaction and data into an overall diagnosis/therapy. Patients with functional abdominal disorders are seen as representatives of today's general patients and a study of their management in present medical practice is reported, as revealed through literature. The literature reveals an almost complete neglect of intractional and intergrational principles. This holds true even for psychosomatically oriented literature, which offers some crude clinical guidelines at best...

Report on two studies to investigate psychiatric morbidity in patients hospitalized in an internal medicine ward of a distric general hospital. In the first charts of 783 patients hospitalized in 1975 were evaluated retrospectively, while the second study (conducted in 1976) involved clinical assessment by the author of 244 newly admitted patients. A psychiatric diagnosis could be established in some 70% of all patients hospitalized in the internal medicine ward, and the morbidity rate in patients for whom therapy was indicated was 40%...

Recent advances in the biology of mammalian pigmentation are reviewed. The multicellular epidermal melanin unit (melanocyte and associated pool of keratinocytes) rather than the melanocyte alone forms the focal point for melanin metabolism within mammalian epidermis. Within an epidermal melanin unit, melanosomes are synthesized by melanocytes and transferred to keratinocytes where they are degraded as they ascend to the epidermal surface. During the past 25 years, technical advances in biology and biochemistry have frosted a multidisciplinary approach to research on mammalian pigmentation...