Foote Frederick O, Benson Herbert, Berger Ann, Berman Brian, DeLeo James, Deuster Patricia A, Lary David J, Silverman Marni N, Sternberg Esther M
The Institute for Integrative Health, Baltimore, Maryland.
Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Glob Adv Health Med. 2018 Feb 20;7:2164957X18755981. doi: 10.1177/2164957X18755981. eCollection 2018.
In response to the challenge of military traumatic brain injury and posttraumatic stress disorder, the US military developed a wide range of holistic care modalities at the new Walter Reed National Military Medical Center, Bethesda, MD, from 2001 to 2017, guided by civilian expert consultation via the Epidaurus Project. These projects spanned a range from healing buildings to wellness initiatives and healing through nature, spirituality, and the arts. The next challenge was to develop whole-body metrics to guide the use of these therapies in clinical care. Under the "Epidaurus 2" Project, a national search produced 5 advanced metrics for measuring whole-body therapeutic effects: genomics, integrated stress biomarkers, language analysis, machine learning, and "Star Glyphs." This article describes the metrics, their current use in guiding holistic care at Walter Reed, and their potential for operationalizing personalized care, patient self-management, and the improvement of public health. Development of these metrics allows the scientific integration of holistic therapies with organ-system-based care, expanding the powers of medicine.
为应对军事创伤性脑损伤和创伤后应激障碍的挑战，2001年至2017年期间，美国军方在马里兰州贝塞斯达的新沃尔特·里德国家军事医疗中心，在通过埃皮达鲁斯项目进行的平民专家咨询指导下，开发了一系列全面的护理模式。这些项目涵盖范围广泛，从疗愈建筑到健康倡议，以及通过自然、灵性和艺术进行疗愈。下一个挑战是制定全身指标，以指导这些疗法在临床护理中的应用。在“埃皮达鲁斯2”项目下，一项全国性搜索产生了5个用于衡量全身治疗效果的先进指标：基因组学、综合应激生物标志物、语言分析、机器学习和“星型图”。本文介绍了这些指标、它们目前在沃尔特·里德指导全面护理中的应用，以及它们在实现个性化护理、患者自我管理和改善公共卫生方面的潜力。这些指标的开发使全面疗法能够与基于器官系统的护理进行科学整合，从而扩展医学的能力。
