• Complain

Peter A. Lio - Handbook of Integrative Dermatology: An Evidence-Based Approach

Here you can read online Peter A. Lio - Handbook of Integrative Dermatology: An Evidence-Based Approach full text of the book (entire story) in english for free. Download pdf and epub, get meaning, cover and reviews about this ebook. year: 2015, publisher: Springer, genre: Romance novel. Description of the work, (preface) as well as reviews are available. Best literature library LitArk.com created for fans of good reading and offers a wide selection of genres:

Romance novel Science fiction Adventure Detective Science History Home and family Prose Art Politics Computer Non-fiction Religion Business Children Humor

Choose a favorite category and find really read worthwhile books. Enjoy immersion in the world of imagination, feel the emotions of the characters or learn something new for yourself, make an fascinating discovery.

Peter A. Lio Handbook of Integrative Dermatology: An Evidence-Based Approach

Handbook of Integrative Dermatology: An Evidence-Based Approach: summary, description and annotation

We offer to read an annotation, description, summary or preface (depends on what the author of the book "Handbook of Integrative Dermatology: An Evidence-Based Approach" wrote himself). If you haven't found the necessary information about the book — write in the comments, we will try to find it.

This user-friendly reference tool presents clinical scenarios and discusses some practical complementary and alternative therapies available in dermatology. It focuses on peer-reviewed data that are suitable for use in a conventional dermatology practice and helps dermatologists guide their patients when faced with questions regarding integrative dermatology using an evidence-based, reader-friendly, and case-focused approach. Within the field of dermatology, there is a marked void in the understanding of complementary and alternative approaches, though dermatologists frequently use off-label therapies to manage chronic conditions. They do so, however, with a range of success and potentially considerable side effect profiles. Handbook of Integrative Dermatology is a must-have tool for any practicing dermatologist.

Peter A. Lio: author's other books


Who wrote Handbook of Integrative Dermatology: An Evidence-Based Approach? Find out the surname, the name of the author of the book and a list of all author's works by series.

Handbook of Integrative Dermatology: An Evidence-Based Approach — read online for free the complete book (whole text) full work

Below is the text of the book, divided by pages. System saving the place of the last page read, allows you to conveniently read the book "Handbook of Integrative Dermatology: An Evidence-Based Approach" online for free, without having to search again every time where you left off. Put a bookmark, and you can go to the page where you finished reading at any time.

Light

Font size:

Reset

Interval:

Bookmark:

Make
Springer International Publishing Switzerland 2015
Peter A. Lio , Toral Patel , Neill T. Peters and Sarah Kasprowicz Handbook of Integrative Dermatology 10.1007/978-3-319-17816-5_1
1. Introduction to Integrative Dermatology
Peter A. Lio 1, 2, Toral Patel 3, 4, Neill T. Peters 3, 2 and Sarah Kasprowicz 5
(1)
Northwestern University Feinberg School of Medicine, Chicago, IL, USA
(2)
Medical Dermatology Associates of Chicago, Chicago, IL, USA
(3)
Instructor of Clinical Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
(4)
D&A Dermatology, Chicago, IL, USA
(5)
NorthShore University HealthSystem, University of Chicago, Pritzker School of Medicine, Chicago, IL, USA
Keywords
Integrative dermatology Conventional medicine Alternative Complementary Safety Evidence-based medicine
Modern medicine can take credit for tremendous achievements and advances in the understanding of human health and the prevention and treatment of disease. Antibiotics, vaccination, hygiene improvements, and modern pain control and anesthesia are just some examples of developments that have changed the world and, in some ways, have eclipsed the accomplishments of the first several thousand years of recorded medicine. But if modern medicine is so great, why are people so interested in alternatives? In reviewing studies and talking to many patients over the years, three major reasons seem to surface: when diseases are not curable, when our explanations are unsatisfying, and when our treatments are thought to be unsafe, questionable, and/or only symptomatic. An unspoken reason also seems to be that the experience of seeing a modern doctor can often feel rushed, overly-focused, and impersonal, where many alternative practitioners pride themselves on having a slower pace, listening carefully to the patient, and generally being more holistic in considering the patient and his or her health issues.
A provocative study approached this from a slightly oblique angle, but nicely demonstrates some of these principles in action. A very common form of alternative thinking in patients with atopic dermatitis is that foods are causative of, or at least significant contributors to their skin disease. Indeed, in one study some 75% of patients had made significant dietary modifications in an attempt to control the disease (Johnston et al. ). That is to say, when conventional medicine is working well, and doing so safely, there seems to be less desire for alternatives, with the converse equally true.
The concept of safety is also worth thinking about. Although essentially all of the conventional medicines that are approved by governing bodies such as the FDA have an incredible amount of safety data, there are a number of concerns about medication safety, undoubtedly encouraged by intense media coverage of every dangerous drug that is described, sometimes many years after it has been in wide use. Within dermatology, we have several topical agents that in recent years have come under increased scrutiny, including topical corticosteroids and the topical calcineurin inhibitors (Kojima et al. ). Concerns about preservatives (such as parabens), antibiotic use, and chemicals in general, all constitute real concerns from patients, some more reasonable than others, but each one important to consider for patient satisfaction and adherence to a regimen.
And were this movement limited to a tiny fringe group, one might be inclined to simply ignore such sentiments. However, in looking within the dermatology literature, most studies suggest some 50% of patients have tried one or more forms of alternative medicine; this movement will likely not just go away (Jensen ).
So, what are they seeking? How do we define this area? Complementary medicine can be defined as non-mainstream modalities or approaches used in conjunction with conventional medicine, while alternative medicine typically refers to the use of non-mainstream approaches in place of conventional medicine. Integrative medicine seeks to incorporate both complementary and alternative approaches, and implies pulling from multiple traditions rather than being solely based on one form of healing. Thus, an Integrative Dermatologist would be someone who is trained in conventional medicine, but is able to apply concepts and treatments from the naturopathic cannon and from Traditional Chinese Medicine, for example, carefully selecting these therapies based on studies and experience. It can be a very difficult line to toe, however, as there is not much precedence for this in medicine at large, let alone within the relatively small specialty of Dermatology.
Moreover, if we define conventional medicine as the type of medicine being based on solid evidence, then we end up with a functional definition of alternative and complementary medicine as essentially not being evidence-based. In an ideal world, this is true because we have faith that our system would whole-heartedly adopt a treatment that had sufficient evidence, even if it seemed strange and mysterious, and had an unknown mechanism. The truth is a little messier. Generally, the therapies we will discuss in this book are those that simply do not have sufficient evidence to make a definitive statement, but hold promise clinically. For the most part, we have avoided those treatments that have enough evidence to say that they are ineffective , or perhaps even harmful, as there are more comprehensive texts that review these, and we wish to keep things concise and usable.
The problem is that this definition leaves us with a universe of possibilities, ranging from window cleaner for psoriasis, to magical incantations for acne, and everything in between. Its overwhelming and impossible to study in any systematic way. This leads to, for some, the far simpler idea of totally rejecting the entire area to alleviate the cognitive dissonance. We shall not take that path. Instead, we will examine the existing evidence, casting a wide net at first, but then curating the assortment down to a handful of treatments that: (1) have the best available evidence for safety and efficacy; (2) are reasonable therapies to incorporate into a mainstream medical setting; and (3) are likely to be obtainable without tremendous difficulty. These criteria significantly narrow our searchsometimes nearly too muchbut also differentiate this work from other more encyclopedic texts that discuss many things without much of an eye towards practicality.
In the text that follows, we concentrate upon the most common clinical areas in dermatology, presenting a clinical scenario, and then discussing some of the options in the natural and alternative realms. We have tried to remain focused on practical approaches with peer-reviewed data that are suitable for use in a conventional Dermatology practice. Rather than compile an exhaustive text, our aim has been to create a user-friendly reference tool that could be easily accessed in a clinical setting; a handbook style guide that would hopefully be used every day. We hope youand your patientsfind it helpful!
References
Jensen P. Use of alternative medicine by patients with atopic dermatitis and psoriasis. Acta Derm Venereol. 1990;70(5):4214. PubMed
Johnston GA, Bilbao RM, Graham-Brown RA. The use of dietary manipulation by parents of children with atopic dermatitis. Br J Dermatol. 2004;150:11869. CrossRef PubMed
Kojima R, Fujiwara T, Matsuda A, Narita M, Matsubara O, Nonoyama S, Ohya Y, Saito H, Matsumoto K. Factors associated with steroid phobia in caregivers of children with atopic dermatitis. Pediatr Dermatol. 2013;30(1):2935. CrossRef PubMed
Simpson EL, Basco M, Hanifin J. A cross-sectional survey of complementary and alternative medicine use in patients with atopic dermatitis. Am J Contact Dermat. 2003;14(3):1447. PubMed
Next page
Light

Font size:

Reset

Interval:

Bookmark:

Make

Similar books «Handbook of Integrative Dermatology: An Evidence-Based Approach»

Look at similar books to Handbook of Integrative Dermatology: An Evidence-Based Approach. We have selected literature similar in name and meaning in the hope of providing readers with more options to find new, interesting, not yet read works.


Reviews about «Handbook of Integrative Dermatology: An Evidence-Based Approach»

Discussion, reviews of the book Handbook of Integrative Dermatology: An Evidence-Based Approach and just readers' own opinions. Leave your comments, write what you think about the work, its meaning or the main characters. Specify what exactly you liked and what you didn't like, and why you think so.