MedPeds: the justification of mind body medicine

Currently I'm trying to find information overall justifying mind body medicine. Here are two oft cited articles about the relaxation method and how it counter balances the stress response of the body and cortisol.

http://www.ncbi.nlm.nih.gov/pubmed/18596974

Genomic counter-stress changes induced by the relaxation response.

http://www.ncbi.nlm.nih.gov/pubmed/17521871

One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients.

http://www.ncbi.nlm.nih.gov/pubmed/8656544

Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia. NIH Technology Assessment Panel on Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia.

http://www.ncbi.nlm.nih.gov/pubmed/19776221

Stress reduction correlates with structural changes in the amygdala.

http://www.ncbi.nlm.nih.gov/pubmed/19451830

A model for integrating a mind/body approach to cardiac rehabilitation: outcomes and correlators.

Peds Head Trauma: PECARN

Pediatric Head Trauma Algorithm

When do you just observe a child vs. CT scan after head trauma?

PECARN: Lancet, 2009.

Algorithm is different based on >2 yo and <2 yo.

<2 yo:
if palpable skull fracture, AMS
If occipital or parietal or temporal scalp hematoma, hx of LOC >5 secs, or severe mechanism

Severe mechanism of injury: MVA with ejections, death of another passenger, or rollover; pedestrian or bicyclist without helmet struck by car; falls >3 ft; head struck by high impact object.

Words to Learn By:

As I'm about to embark on my journey of a Combined Internal Medicine-Pediatrics residency, I was struck by the enormity of material I will need to master. It is a bit overwhelming. Not only do I want to know the material, I want to be able to utilize it accurately. Georgetown has taught me that Evidence Based Medicine (EBM) is a critical part of practicing sound medicine, and being the best doctor that you can be. Unfortunately, I am not like my brother, who can remember every detail of everything he reads, so this site is going to become a sort of library or filing cabinet for all the practice-changing articles, or clear and concise reviews on topics that I come across.

Every post will start with either "Med:" or "Peds:" to designate which side of the spectrum it falls under. Or, the wonderful, "MedPeds:" title. I'll try to use key words to make it easy to search, and these articles will come in in no particular order. Simply, as I find them, or realize it's important to general practice. I hope you gain a better understanding of how to practice better medicine, and gain some words to learn by.