> Are there any basic examples you can give around maintaining that integrity?

For those types of use cases, the OP’s advice would actually require implementing a fully bespoke concurrency control system in your business logic layer. Without trying to disparage the OP, this is for all intents and purposes, impossible (aside from also being very, very impractical). There’s some things you can do to create additional almost-functional (though still highly impractical) consistency controls for dynamo (like throttling through FIFO queues), but they all end up being worse performance and scaling trade-offs then you’d get from simply using an RDBMS.

A lot of it boils down to the fact that dynamo doesn’t have (and wasn’t designed to have) locking, meaning that pretty much any concurrency control system you want to implement on top of it, is eventually going to run into a brick wall. The best you’d possibly be able to do is a very, very slow and clunky reimplementation of some of Spanner’s design patterns.