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Arthur Kleinman

Cheris S C Chan, Yu Cheng, Yali Cong, Zhizheng Du, Shanlian Hu, Amanda Kerrigan, Arthur Kleinman, Mengfeng Li, Benjamin Liebman, Yonghui Ma, Jing-Bao Nie, Daniel F C Tsai, Duujian Tsai, Joseph D Tucker, Lijie Wang, Bonnie Wong, William C W Wong, Zeping Xiao, Juncai Xu, Yunxiang Yan, Yang Yang, Daqing Zhang, Mingjie Zhao, Jianfeng Zhu, Wei Zhu
BACKGROUND: Patient-physician mistrust has become deeply embedded in medical clinics within a wide variety of settings, including many in China. The purpose of this research was to develop a series of actionable policy recommendations to rebuild patient-physician trust in China. METHODS: Our interdisciplinary group included experts in medicine, public health, philosophy, ethics, law, regulation, China studies, anthropology, sociology, and communications. Recommendations were identified by team members and presented at a two-day workshop at the Harvard Center, Shanghai, China...
October 2016: Lancet
Atwood D Gaines
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
Atwood D Gaines
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
Sonya Collier, Shan Zhou, Timothy B Onasch, Daniel A Jaffe, Lawrence Kleinman, Arthur J Sedlacek, Nicole L Briggs, Jonathan Hee, Edward Fortner, John E Shilling, Douglas Worsnop, Robert J Yokelson, Caroline Parworth, Xinlei Ge, Jianzhong Xu, Zachary Butterfield, Duli Chand, Manvendra K Dubey, Mikhail S Pekour, Stephen Springston, Qi Zhang
Wildfires are important contributors to atmospheric aerosols and a large source of emissions that impact regional air quality and global climate. In this study, the regional and nearfield influences of wildfire emissions on ambient aerosol concentration and chemical properties in the Pacific Northwest region of the United States were studied using real-time measurements from a fixed ground site located in Central Oregon at the Mt. Bachelor Observatory (∼2700 m a.s.l.) as well as near their sources using an aircraft...
August 16, 2016: Environmental Science & Technology
Arthur Kleinman
No abstract text is available yet for this article.
June 25, 2016: Lancet
Arthur Kleinman, Georgia Lockwood Estrin, Shamaila Usmani, Dan Chisholm, Patricio V Marquez, Tim G Evans, Shekhar Saxena
No abstract text is available yet for this article.
June 4, 2016: Lancet
Leonard C Kibet, Ray B Bryant, Anthony R Buda, Peter J A Kleinman, Louis S Saporito, Arthur L Allen, Fawzy M Hashem, Eric B May
Studies of harmful algal blooms and associated urea concentrations in the Chesapeake Bay and in coastal areas around the globe strongly suggest that elevated urea concentrations are associated with harmful algal blooms. The observed increased frequency and toxicity of these blooms in recent decades has been correlated with increased agricultural use of N inputs and increased use of urea as a preferred form of commercial N. This rainfall simulation study sought to assess the potential for different N fertilizers and manures to contribute to urea in runoff from a Coastal Plain soil on the Eastern Shore of Maryland...
May 2016: Journal of Environmental Quality
Neil Krishan Aggarwal, Kryst Cedeño, Peter Guarnaccia, Arthur Kleinman, Roberto Lewis-Fernández
Cultural competence training is mandatory in the United States of America to alleviate minority health disparities though few studies have examined perceptions across stakeholders. We conducted separate focus groups with patients, clinicians, and administrators from the psychiatry department at one community hospital and compared responses to hospital policies. Stakeholders defined cultural competence through group-based or person-centered traits despite policies recommended person-centered approaches. Administrators and clinicians named clinician techniques for psycho-education whereas patients named these techniques for enlistment in treatment planning as equals...
2016: SpringerPlus
Arthur Wang, Nathan Carberry, Elena Solli, George Kleinman, Adesh Tandon
We present an unusual case of a metastatic mantle cell lymphoma (MCL) to the pituitary gland. The patient had a known history of MCL for which she previously received chemotherapy. She presented with new-onset diplopia and confusion, and reported a history of progressive vision blurriness associated with headache, nausea, and vomiting. MRI of the brain showed an enhancing lesion within the sella turcica involving the cavernous sinuses bilaterally, extending into Meckel's cave on the left, and abutting the optic nerves bilaterally...
January 2016: Case Reports in Oncology
Samylla Maira Costa Siqueira, Viviane Silva de Jesus, Climene Laura de Camargo
The goal was to understand the therapeutic itinerary of Maroon children in urgent/emergency situation. Is a descriptive research with a qualitative approach that uses the Health Care System model of Arthur Kleinman as its theoretical support. Participants included 12 mothers of children who had experienced any urgent or emergency medical situation. Data collection took place from December 2013 to June 2014 through semi-structured interviews with a thematic analysis of the data. The care of the child started in the "informal" subsystem, and access to a "formal" subsystem was characterized as a pilgrimage for health services...
January 2016: Ciência & Saúde Coletiva
Arthur Wang, George Kleinman, Raj Murali, John Wainwright, Adesh Tandon
We present an unusual case of a metastatic renal cell carcinoma (RCC) mimicking trigeminal schwannoma. The patient, with no prior history of RCC, presented with clinical symptoms and imaging consistent with trigeminal neuralgia secondary to trigeminal schwannoma. Magnetic resonance imaging of the brain showed a large bilobed cystic/solid mass primarily in the cerebellopontine angle cistern, with extension into the left middle cranial fossa, Meckel cave, and left cavernous sinus. Following surgical excision, histopathology revealed the tumor to be an RCC infiltrating into the trigeminal nerve fascicles...
November 2015: Journal of Neurological Surgery Reports
Joseph D Tucker, Yu Cheng, Bonnie Wong, Ni Gong, Jing-Bao Nie, Wei Zhu, Megan M McLaughlin, Ruishi Xie, Yinghui Deng, Meijin Huang, William C W Wong, Ping Lan, Huanliang Liu, Wei Miao, Arthur Kleinman
OBJECTIVE: To better understand the origins, manifestations and current policy responses to patient-physician mistrust in China. DESIGN: Qualitative study using in-depth interviews focused on personal experiences of patient-physician mistrust and trust. SETTING: Guangdong Province, China. PARTICIPANTS: One hundred and sixty patients, patient family members, physicians, nurses and hospital administrators at seven hospitals varying in type, geography and stages of achieving goals of health reform...
2015: BMJ Open
Melvyn Colin Freeman, Kavitha Kolappa, Jose Miguel Caldas de Almeida, Arthur Kleinman, Nino Makhashvili, Sifiso Phakathi, Benedetto Saraceno, Graham Thornicroft
The UN Convention on the Rights of Persons with Disabilities (CRPD) is a major milestone in safeguarding the rights of persons with disabilities. However, the General Comment on Article 12 of the CRPD threatens to undermine critical rights for persons with mental disabilities, including the enjoyment of the highest attainable standard of health, access to justice, the right to liberty, and the right to life. Stigma and discrimination might also increase. Much hinges on the Committee on the Rights of Persons with Disabilities' view that all persons have legal capacity at all times irrespective of mental status, and hence involuntary admission and treatment, substitute decision-making, and diversion from the criminal justice system are deemed indefensible...
September 2015: Lancet Psychiatry
Arthur Kleinman
No abstract text is available yet for this article.
July 18, 2015: Lancet
Kun Han, Peter J A Kleinman, Lou S Saporito, Clinton Church, Joshua M McGrath, Mark S Reiter, Shawn C Tingle, Arthur L Allen, L Q Wang, Ray B Bryant
Leaching of nutrients through agricultural soils is a priority water quality concern on the Atlantic Coastal Plain. This study evaluated the effect of tillage and urea application on leaching of phosphorus (P) and nitrogen (N) from soils of the Delmarva Peninsula that had previously been under no-till management. Intact soil columns (30 cm wide × 50 cm deep) were irrigated for 6 wk to establish a baseline of leaching response. After 2 wk of drying, a subset of soil columns was subjected to simulated tillage (0-20 cm) in an attempt to curtail leaching of surface nutrients, especially P...
March 2015: Journal of Environmental Quality
Peter J A Kleinman, Clinton Church, Lou S Saporito, Josh M McGrath, Mark S Reiter, Arthur L Allen, Shawn Tingle, Greg D Binford, Kun Han, Brad C Joern
Leaching of phosphorus (P) mobilizes edaphic and applied sources of P and is a primary pathway of concern in agricultural soils of the Delmarva Peninsula, which defines the eastern boundary of the eutrophic Chesapeake Bay. We evaluated P leaching before and after poultry litter application from intact soil columns (30 cm diameter × 50 cm depth) obtained from low- and high-P members of four dominant Delmarva Peninsula soils. Surface soil textures ranged from fine sand to silt loam, and Mehlich-3 soil P ranged from 64 to 628 mg kg...
March 2015: Journal of Environmental Quality
Michael Westerhaus, Amy Finnegan, Mona Haidar, Arthur Kleinman, Joia Mukherjee, Paul Farmer
Research and clinical experience reliably and repeatedly demonstrate that the determinants of health are most accurately conceptualized as biosocial phenomena, in which health and disease emerge through the interaction between biology and the social environment. Increased appreciation of biosocial approaches have already driven change in premedical education and focused attention on population health in current U.S. health care reform. Medical education, however, places primary emphasis on biomedicine and often fails to emphasize and educate students and trainees about the social forces that shape disease and illness patterns...
May 2015: Academic Medicine: Journal of the Association of American Medical Colleges
Maureen Pritchard
Throughout the Soviet Union, the arts became tied to ethnicity through the project of Socialist Realism. When, in 1991, the Kyrgyz Republic became independent from the Soviet Union, its national narrative continued to be built upon tropes of Kyrgyz ethnicity. Through their engagement with images of the ethno-national self, the arts provide a great source of beauty. Defining beauty as a representation of the self that is pure whole, and stable, Julia Kristeva asserts that beauty and suffering are part of the same phenomena...
September 2015: Culture, Medicine and Psychiatry
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