tailieunhanh - PREVENTIVE MEDICINE, INTEGRATIVE MEDICINE & THE HEALTH OF THE PUBLIC

using stereotactic techniques (see footnote) to study the monkey MPTP model of PD led to the identification of new targets within the brain for deep brain stimulation (DbS) – targets include a structure called the subthalamic nucleus (STN). Continuous stimulation is delivered by an electrode wire inserted into this target and driven by a battery stimulator implanted under the collarbone. for many patients it has transformed their lives – and, unlike earlier surgical techniques, it does not destroy brain tissue so it can be reversed if scientists develop better treatments in the future. Professor john Stein, a neurophysiologist at. | PREVENTIVE MEDICINE INTEGRATIVE MEDICINE THE HEALTH OF THE PUBLIC David L. Katz . . FACPM FACP Ather Ali . . Commissioned for the IOM Summit on Integrative Medicine and the Health of the Public February 2009 The responsibility for the content of this paper rests with the authors and does not necessarily represent the views or endorsement of the Institute of Medicine or its committees and convening bodies. The paper is one of several commissioned by the Institute of Medicine. Reflective of the varied range of issues and interpretations related to integrative medicine the papers developed represent a broad range of perspectives. Katz and Ali ABSTRACT The fields of preventive medicine and public health share the objectives of promoting general health preventing specific diseases and applying the concepts and techniques of epidemiology toward these goals. The purview of preventive medicine as a discipline has traditionally been described to encompass primary secondary and tertiary prevention levels. This paper explores the overlap and potential synergies of integrative medicine and preventive medicine in the context of these levels of prevention acknowledging the relative deficiency of research on the effectiveness of practice-based integrative care. The holistic approach of integrative medicine overcomes the traditional wall of silence between complementary and alternative medicine CAM and conventional practice reducing the risk of adverse interactions or gaps in care. At the level of primary prevention an array of integrative modalities can be effective in health promotion including lifestyle counseling dietary guidance stress mitigation techniques interventions to improve sleep quality and use of nutriceuticals and herbal supplements for health promotion. At the level of secondary prevention stress management and nutritional supplementation can reduce risk factors for chronic disease. At the level of tertiary prevention the full range of CAM .