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Papers by Douglas McDaniel

Research paper thumbnail of Towards Amodel Forplanningclinicalresearch Inorientalmedicine

Background:Oriental medicine (OM) is widely practiced internationally and embraces many schools o... more Background:Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success. Objective:We propose a research model for applying Western research methodologies to OM in a way that respects its theory and modes of clinical application. This would facilitate systematic investigations of OM’s specific assumptions and make explicit the way OM studies could build on each other. Methods:To develop this model, the authors extracted key assumptions of Western research methodology germane to clinical research, put them in a developmentally logical sequence, and related them to the diagnostic and clinical processes of OM. Results:The model categorizes studies into seven levels. Foundation studies (level one) establish the conceptual basis for OM research by establishing the internal validity of its basic “truth statements.” Measurement studies (leve...

Research paper thumbnail of Acupuncture for Sickle Cell Pain Management in a Pediatric Emergency Department , Hematology Clinic , and Inpatient Unit

Background: Acupuncture has been shown to mitigate certain painful conditions in children. Howeve... more Background: Acupuncture has been shown to mitigate certain painful conditions in children. However, utilization of acupuncture for addressing acute and chronic pain in children with sickle cell disease has not been well-studied. The aim of this article is to report the use of acupuncture to treat acute and chronic sickle cell pain in one patient in a pediatric emergency department (PED), hematology clinic, and inpatient unit of an inner-city children’s hospital. Case: A 16-year-old Hispanic male with sickle cell disease was treated with acupuncture for 3 years. A retrospective chart review was performed to collect details on the acupuncture treatments, their effects on this patient’s pain and anxiety, feedback from the patient and his family, and frequency of PED visits and admissions for pain. Results: Fifty-eight acupuncture treatments were administered for this patient’s sickle cell pain during the period that was reviewed. His pain was reduced by an average of 2.3 points and 2.2...

Research paper thumbnail of Acupuncture reduces pain and improves overall health in cancer patients and survivors

Integrative Medicine Research

Research paper thumbnail of Building a comprehensive cancer survivorship program

ecancermedicalscience

There is a significant increase in the number of people surviving cancer as a result of improved ... more There is a significant increase in the number of people surviving cancer as a result of improved detection and better treatments. In the United States (US) alone, these numbers are estimated to reach 20 million by 2026 [Miller et al (2016) CA Cancer J Clin 66(4) 271-289)]; [Bluethmann et al (2016) Cancer Epidemiol Biomarkers Prev 25 ]. Living through cancer treatment represents a life-changing event, often including residual and long-term emotional, physical, psychological and spiritual sequelae. Survivorship programming must encompass the clinical management of medical issues, local support services for patients and their caregivers, protocols for communicating with community primary care providers (PCPs) and education for all clinicians in the survivorship continuum on the issues impacting survivors. This article will discuss a range of issues that should be addressed when developing a comprehensive, multi-disciplinary cancer survivorship care.

Research paper thumbnail of Implementing an Integrative Survivorship Program at a Comprehensive Cancer Center: A Multimodal Approach to Life After Cancer

The Journal of Alternative and Complementary Medicine

Research paper thumbnail of Predictors of acupuncture use among children and adolescents with cancer

Pediatric blood & cancer, Jan 8, 2017

Evidence for the application of acupuncture in pediatric oncology is limited. We investigated the... more Evidence for the application of acupuncture in pediatric oncology is limited. We investigated the acceptance of acupuncture and factors associated with its use among children and adolescents with cancer. Ninety acupuncture-naïve children receiving cancer treatment at Columbia University Medical Center (CUMC) provided consent/assent for participation. Participants could choose to receive or refuse integrative services offered at CUMC. Symptoms were collected for a 6-month period with the Memorial Symptom Assessment Scale (MSAS). Acute and delayed adverse events among participants who received acupuncture were recorded. Fifty-four percent of the participants elected to receive acupuncture. In total, 252 acupuncture sessions were administered with a median of four sessions per patient (range 1-13 sessions). Pain (56%), nausea (51%), lack of energy (50%), and irritability (43%) were the most frequently reported symptoms in the whole cohort. Determinants of acupuncture use included older...

Research paper thumbnail of Acupuncture for Sickle Cell Pain Management in a Pediatric Emergency Department, Hematology Clinic, and Inpatient Unit

Medical Acupuncture, 2015

Research paper thumbnail of Towards a Model for Planning Clinical Research in Oriental Medicine

EXPLORE: The Journal of Science and Healing, 2007

Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools ... more Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success.

Research paper thumbnail of Towards a Model for Planning Clinical Research in Oriental Medicine

EXPLORE: The Journal of Science and Healing, 2007

Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools ... more Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success.

Research paper thumbnail of Towards Amodel Forplanningclinicalresearch Inorientalmedicine

Background:Oriental medicine (OM) is widely practiced internationally and embraces many schools o... more Background:Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success. Objective:We propose a research model for applying Western research methodologies to OM in a way that respects its theory and modes of clinical application. This would facilitate systematic investigations of OM’s specific assumptions and make explicit the way OM studies could build on each other. Methods:To develop this model, the authors extracted key assumptions of Western research methodology germane to clinical research, put them in a developmentally logical sequence, and related them to the diagnostic and clinical processes of OM. Results:The model categorizes studies into seven levels. Foundation studies (level one) establish the conceptual basis for OM research by establishing the internal validity of its basic “truth statements.” Measurement studies (leve...

Research paper thumbnail of Acupuncture for Sickle Cell Pain Management in a Pediatric Emergency Department , Hematology Clinic , and Inpatient Unit

Background: Acupuncture has been shown to mitigate certain painful conditions in children. Howeve... more Background: Acupuncture has been shown to mitigate certain painful conditions in children. However, utilization of acupuncture for addressing acute and chronic pain in children with sickle cell disease has not been well-studied. The aim of this article is to report the use of acupuncture to treat acute and chronic sickle cell pain in one patient in a pediatric emergency department (PED), hematology clinic, and inpatient unit of an inner-city children’s hospital. Case: A 16-year-old Hispanic male with sickle cell disease was treated with acupuncture for 3 years. A retrospective chart review was performed to collect details on the acupuncture treatments, their effects on this patient’s pain and anxiety, feedback from the patient and his family, and frequency of PED visits and admissions for pain. Results: Fifty-eight acupuncture treatments were administered for this patient’s sickle cell pain during the period that was reviewed. His pain was reduced by an average of 2.3 points and 2.2...

Research paper thumbnail of Acupuncture reduces pain and improves overall health in cancer patients and survivors

Integrative Medicine Research

Research paper thumbnail of Building a comprehensive cancer survivorship program

ecancermedicalscience

There is a significant increase in the number of people surviving cancer as a result of improved ... more There is a significant increase in the number of people surviving cancer as a result of improved detection and better treatments. In the United States (US) alone, these numbers are estimated to reach 20 million by 2026 [Miller et al (2016) CA Cancer J Clin 66(4) 271-289)]; [Bluethmann et al (2016) Cancer Epidemiol Biomarkers Prev 25 ]. Living through cancer treatment represents a life-changing event, often including residual and long-term emotional, physical, psychological and spiritual sequelae. Survivorship programming must encompass the clinical management of medical issues, local support services for patients and their caregivers, protocols for communicating with community primary care providers (PCPs) and education for all clinicians in the survivorship continuum on the issues impacting survivors. This article will discuss a range of issues that should be addressed when developing a comprehensive, multi-disciplinary cancer survivorship care.

Research paper thumbnail of Implementing an Integrative Survivorship Program at a Comprehensive Cancer Center: A Multimodal Approach to Life After Cancer

The Journal of Alternative and Complementary Medicine

Research paper thumbnail of Predictors of acupuncture use among children and adolescents with cancer

Pediatric blood & cancer, Jan 8, 2017

Evidence for the application of acupuncture in pediatric oncology is limited. We investigated the... more Evidence for the application of acupuncture in pediatric oncology is limited. We investigated the acceptance of acupuncture and factors associated with its use among children and adolescents with cancer. Ninety acupuncture-naïve children receiving cancer treatment at Columbia University Medical Center (CUMC) provided consent/assent for participation. Participants could choose to receive or refuse integrative services offered at CUMC. Symptoms were collected for a 6-month period with the Memorial Symptom Assessment Scale (MSAS). Acute and delayed adverse events among participants who received acupuncture were recorded. Fifty-four percent of the participants elected to receive acupuncture. In total, 252 acupuncture sessions were administered with a median of four sessions per patient (range 1-13 sessions). Pain (56%), nausea (51%), lack of energy (50%), and irritability (43%) were the most frequently reported symptoms in the whole cohort. Determinants of acupuncture use included older...

Research paper thumbnail of Acupuncture for Sickle Cell Pain Management in a Pediatric Emergency Department, Hematology Clinic, and Inpatient Unit

Medical Acupuncture, 2015

Research paper thumbnail of Towards a Model for Planning Clinical Research in Oriental Medicine

EXPLORE: The Journal of Science and Healing, 2007

Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools ... more Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success.

Research paper thumbnail of Towards a Model for Planning Clinical Research in Oriental Medicine

EXPLORE: The Journal of Science and Healing, 2007

Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools ... more Background: Oriental medicine (OM) is widely practiced internationally and embraces many schools of thought. Western medical research is currently struggling to understand OM in purely biomedical terms, with limited success.