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Arthur Kleinman

Arthur Kleinman
No abstract text is available yet for this article.
October 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Jing-Bao Nie, Joseph D Tucker, Wei Zhu, Yu Cheng, Bonnie Wong, Arthur Kleinman
No abstract text is available yet for this article.
September 18, 2017: Developing World Bioethics
Jing-Bao Nie, Lun Li, Grant Gillett, Joseph D Tucker, Arthur Kleinman
Trust is indispensable not only for interpersonal relationships and social life, but for good quality healthcare. As manifested in the increasing violence and tension in patient-physician relationships, China has been experiencing a widespread and profound crisis of patient-physician trust. And globally, the crisis of trust is an issue that every society, either developing or developed, has to face in one way or another. Yet, in spite of some pioneering works, the subject of patient-physician trust and mistrust - a crucial matter in healthcare especially because there are numerous ethical implications - has largely been marginalized in bioethics as a global discourse...
September 18, 2017: Developing World Bioethics
Jing-Bao Nie, Yu Cheng, Xiang Zou, Ni Gong, Joseph D Tucker, Bonnie Wong, Arthur Kleinman
To investigate the phenomenon of patient-physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust (particularly physicians' distrust of patients and their relatives) leads to increased levels of fear and self-protection by doctors which exacerbate difficulties in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization...
September 18, 2017: Developing World Bioethics
Shema Tariq, Susie Hoffman, Gita Ramjee, Joanne E Mantell, Jessica L Phillip, Kelly Blanchard, Naomi Lince-Deroche, Theresa M Exner
Few studies have examined HIV-testing decision-making since the South African national HIV counseling and testing campaign in 2010-2011 and subsequent expansion in antiretroviral therapy (ART) eligibility in 2012. We describe HIV-testing decision-making and pathways to testing among participants in Pathways to Care, a cohort study of newly-diagnosed HIV-positive adults in KwaZulu-Natal. Our analysis is embedded within a theoretical framework informed by Arthur Kleinman's work on pluralistic healthcare systems, and the concept of diagnostic itineraries (i...
January 2018: AIDS Care
Mason D King, Ray B Bryant, Louis S Saporito, Anthony R Buda, Arthur L Allen, Lindsey A Hughes, Fawzy M Hashem, Peter J A Kleinman, Eric B May
Urea-N is linked to harmful algal blooms in lakes and estuaries, and urea-N-based fertilizers have been implicated as a source. However, the export of urea-N-based fertilizers appears unlikely, as high concentrations of urea-N are most commonly found in surface waters outside periods of fertilization. To evaluate possible autochthonous production of urea-N, we monitored urea-N released from drainage ditch sediments using mesocosms. Sediments from a cleaned (recently dredged) drainage ditch, uncleaned ditch, forested ditch, riparian wetland, and an autoclaved sand control were isolated in mesocosms and flooded for 72 h to quantify urea-N, NH-N, and NO-N in the floodwater...
March 2017: Journal of Environmental Quality
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
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