Linda Barnes | Boston University (original) (raw)
Papers by Linda Barnes
Journal of Alternative and Complementary Medicine, Jul 1, 2006
Annals of Internal Medicine, Oct 15, 2002
Page 1. COMMENTS AND RESPONSES Microbiologically Confirmed Early Lyme Disease TO THE EDITOR: Smit... more Page 1. COMMENTS AND RESPONSES Microbiologically Confirmed Early Lyme Disease TO THE EDITOR: Smith and colleagues (1) provided much-needed information about the characteristics of erythema migrans caused ...
Clinical Pediatrics, Apr 1, 2003
Whether or not it is apparent, cultural and spiritual diversity exist in many clinical encounters... more Whether or not it is apparent, cultural and spiritual diversity exist in many clinical encounters, both with patients and with colleagues. These issues may cloud other concerns, contribute to inadequate or misleading communication, and affect lifestyle and therapeutic choices. Given the rapid rise in complementary therapies and the growing diversity in North America, the challenges of providing sensitive, compassionate, comprehensive care are compounded. Reflecting on the ways cultural backgrounds, religious beliefs and complementary medicine affect physicians, colleagues and patients may enrich, clarify, deepen, and improve the effectiveness of our clinical practice. The cases presented here offer an opportunity for role playing and reflection to support this process.
Population medicine, Apr 26, 2023
Population Medicine considers the following types of articles: • Research Papers-reports of data ... more Population Medicine considers the following types of articles: • Research Papers-reports of data from original research or secondary dataset analyses. • Review Papers-comprehensive, authoritative, reviews within the journal's scope. These include both systematic reviews and narrative reviews. • Short Reports-brief reports of data from original research. • Policy Case Studies-brief articles on policy development at a regional or national level. • Study Protocols-articles describing a research protocol of a study. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Letters to the Editor-a response to authors of an original publication, or a very small article that may be relevant to readers. • Editorials-articles written by the Editorial Board or by invited experts on a specific topic. Research Papers Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, and abstract and key points of the article, whilst it is recommended that the number of references should not exceed 36.
PubMed, 2001
Cross-cultural patient care is an issue that challenges healthcare providers. Caring for patients... more Cross-cultural patient care is an issue that challenges healthcare providers. Caring for patients who reject some biomedical treatments because of religious or cultural reasons requires knowledge of that person's beliefs for effective treatment. This essay looks at several case studies involving Hmong patients and the way the medical staff reacted to treatment difficulties because of cultural and religious conflicts with surgery. The dangers of universalizing communication methods are stressed.
Journal of Alternative and Complementary Medicine, Jul 1, 2008
ObjectiveTo describe the establishment and integration of a free-care acupuncture clinic within a... more ObjectiveTo describe the establishment and integration of a free-care acupuncture clinic within an urban hospital with an underserved minority adolescent population and to study patient utilization.BackgroundSurveys often show low use of acupuncture among underserved non-Asian minority populations. We hypothesized that it would be possible to integrate an acupuncture clinic into a biomedical setting. We also hypothesized that the removal of economic and logistical barriers would increase usage of an acupuncture service among minority adolescent and pediatric populations, who may otherwise have had little cultural exposure to the modality.MethodsA review of the process involved in establishing a free acupuncture clinic, and an analysis of visit data.ResultsA free faculty-supervised student acupuncture clinic was successfully integrated into an urban hospital-based adolescent clinic serving predominantly low-income minorities. During 2004–2006, the acupuncture clinic had 544 visits for a wide range of conditions. Visits increased 65% from the first to the third year of operation.ConclusionsAn acupuncture service can be successfully integrated into care provided by an urban hospital that serves low-income minority and immigrant patients. Strategic removal of barriers to access can result in patients previously unfamiliar with acupuncture choosing to access the modality.
Oxford University Press eBooks, Dec 30, 2004
... transcending curing. Jennifer Hollis's discussion of the Episcopal Church and SusanSered... more ... transcending curing. Jennifer Hollis's discussion of the Episcopal Church and SusanSered's discussion of the Jewish healing movement highlight ten-sions that exist in both of these settings with regard to curing. Both sets ...
Annals of Internal Medicine, Aug 6, 2002
Page 1. COMMENTS AND RESPONSES Physician-Assisted Suicide TO THE EDITOR: Most of the American Col... more Page 1. COMMENTS AND RESPONSES Physician-Assisted Suicide TO THE EDITOR: Most of the American College of Physicians American Society of Internal Medicine (ACPASIM) position paper on physician-assisted suicide ...
Scholars' Press eBooks, 1999
Medical Anthropology, May 6, 2009
Theories of agency and decision making have been applied to processes by which patients select th... more Theories of agency and decision making have been applied to processes by which patients select therapeutic interventions. Another kind of decision making occurs when individuals choose to engage in the practice of a therapeutic modality. This article draws on fieldwork and interview data with non-Chinese and immigrant Chinese practitioners of Chinese medicine in the United States, focusing on Boston, Massachusetts, and New York City, as case illustrations. I apply theories of agency and decision making to how and why these practitioners chose to engage in Chinese modalities. I build on Volker Scheid's (2002) analysis of agency, grounded in Chinese medicine theory, to propose the Chinese concept of xin (heart-mind) as an analytical frame, suggesting that it can fruitfully be set in tension with Pierre Bourdieu's notion of habitus and Antonio Gramsci's discussion of the ''common-sense'' nature of hegemony. I draw on a non-Eurocentric concept to enrich the theoretical discussion of agency and decision making.
Medical Anthropology, Jul 1, 2003
Since the 1970s acupuncturists in the United States have confronted the dilemma of how to define ... more Since the 1970s acupuncturists in the United States have confronted the dilemma of how to define themselves not only as practitioners in relation to an evolving Americanized version of Chinese medicine but also with respect to definitions of biomedical professional identity, which are currently in flux. The central issue is that of professionalization. This study traces the process of professionalization through the initial reception of the modality; the first steps toward specialized training; and the further steps through professional associations, credentialing, and licensing. This process takes place within the broader social frame of fluctuating definitions of biomedical professionalism. It is within this context that acupuncturists are assessing role definition, status, and compensation. Part of the process also involves the renewed use of the clinical trial and the potential co-opting of acupuncture. The potential for resistance is tied in with alliances with holistic physicians and with acupuncturists' own defense of pluralism.
Oxford University Press eBooks, Dec 30, 2004
Following a front-page story in the New York Times in 1972 by James Reston about his experiences ... more Following a front-page story in the New York Times in 1972 by James Reston about his experiences with acupuncture in a Chinese hospital, virtually every article on complementary and alternative medicine (CAM) in United States media has featured this ...
Pediatric Annals, Apr 1, 2004
ABSTRACT
Complementary Therapies in Medicine, Sep 1, 2003
Background: Acupuncture is widely used by the American public, but little is known about its avai... more Background: Acupuncture is widely used by the American public, but little is known about its availability and use in academic medical settings. We performed a pilot study to compare acupuncture services provided by hospitals affiliated with a major academic teaching institution, and a parallel survey of services provided through an acupuncture school in one city in New England. Methods: Between December 2000 and July 2001, a telephone survey was conducted of the 13 hospitals affiliated with Harvard Medical School, and the clinics affiliated with the New England School of Acupuncture. Results: Acupuncture was available in 8 of the 13 hospitals. Acupuncture was provided in ambulatory clinics in all eight hospitals, but was available to inpatients in only one hospital. Six hospitals delivered acupuncture through an outpatient pain treatment service, one through a women's health center, one through an HIV clinic, and one hospital delivered acupuncture through two services; a program in the anesthesia department and a multidisciplinary holistic program in a primary care department. In contrast, the acupuncture school clinics provided services through an on-site clinic at the school, through acupuncture departments at two community-based hospitals, and through a network of 12 satellite acupuncture-dedicated clinics operating throughout the state. Conclusion: Acupuncture is available on a limited basis in a majority of the teaching hospitals in this city. At the acupuncture school clinics, there are few barriers to care. Future health care studies will need to examine the role of acupuncture in diverse geographic settings and to examine its impact on quality of care, teaching and its role in research in academic centers.
Religion and Theology, 2007
Brill reports a good start to 2022 Brill's Q1 revenues are in line with management expectations a... more Brill reports a good start to 2022 Brill's Q1 revenues are in line with management expectations across all product lines. Driven by sales of the Brill Book Archive, eBook revenues continue to show strong growth. Print book revenue is stable compared to Q1 2021. Our journal revenue shows signs of recovery, with better renewal rates than during Q1 2021. Sales of our online primary sources are slightly ahead of last year's Q1. Costs developed as budgeted. Pushed by the current inflation rates, we do see price increases from our suppliers that are higher compared to other years. This was anticipated but it remains an uncertainty to be dealt with during the course of 2022. To mitigate the risk we continue to accelerate the move to electronic publications and print on demand. Peter Coebergh, CEO commented: "We are happy to see that the positive developments of 2021 continue, which gives us confidence for the remainder of 2022, despite global economic uncertainties. The strategic focus stays on increasing our scale and becoming fully digital driven." The AGM will take place on Wednesday 25 May (2.00 PM) at the premises of the company in Leiden, The Netherlands. The convocation notice, agenda and voting instruction form can be downloaded on Investor Relations (brill.com). During the AGM, an all-cash dividend of EUR 0.90 will be proposed to shareholders. Record date will be
Pediatrics, Apr 1, 2000
Introduction. Despite its increasing use as a complementary therapy to treat pain, acupuncture is... more Introduction. Despite its increasing use as a complementary therapy to treat pain, acupuncture is rarely considered by pediatricians, in part due to perceptions that it will not be acceptable to pediatric patients. We wished to describe pediatric pain patients' experience with acupuncture treatment for chronic pain. Design. Retrospective case series. Methods. Subjects were pediatric pain patients referred by the Pain Treatment Service at Children's Hospital in Boston, who went to a pediatric acupuncturist. A research assistant not involved in the patient's care conducted the survey by telephone. Data were analyzed qualitatively and descriptively. Results. Of 50 eligible patients, 47 families were reached by telephone; all agreed to be interviewed. Patients had a median age of 16 years at the time of referral, 79% were female, and 96% were white. The most common three diagnoses were migraine headache (n ؍ 7), endometriosis (n ؍ 6), and reflex sympathetic dystrophy (n ؍ 5). Patients had a median of 8 treatments (range: 0-60) within 3 months (range: 0-48 months); 85% of families paid out-of-pocket. Acupuncture therapies included needle insertion (98%), heat/moxa (85%), magnets (26%), and cupping (26%). Most patients and parents rated the therapy as pleasant (67% children/ 60% parents), and most (70% children/59% parents) felt the treatment had helped their symptoms; only 1 said that treatment made symptoms worse. Conclusion. Pediatric patients with chronic, severe pain found acupuncture treatment pleasant and helpful. Additional, prospective studies are needed to quantify the costs and effectiveness of acupuncture treatment for pediatric pain. Pediatrics 2000;105:941-947; chronic pain, acupuncture, pediatric patients, complementary medicine, alternative medicine. ABBREVIATION. CAM, complementary and alternative medicine.
Journal of integrative and complementary medicine, Jul 1, 2023
Journal of Alternative and Complementary Medicine, Jul 1, 2006
Annals of Internal Medicine, Oct 15, 2002
Page 1. COMMENTS AND RESPONSES Microbiologically Confirmed Early Lyme Disease TO THE EDITOR: Smit... more Page 1. COMMENTS AND RESPONSES Microbiologically Confirmed Early Lyme Disease TO THE EDITOR: Smith and colleagues (1) provided much-needed information about the characteristics of erythema migrans caused ...
Clinical Pediatrics, Apr 1, 2003
Whether or not it is apparent, cultural and spiritual diversity exist in many clinical encounters... more Whether or not it is apparent, cultural and spiritual diversity exist in many clinical encounters, both with patients and with colleagues. These issues may cloud other concerns, contribute to inadequate or misleading communication, and affect lifestyle and therapeutic choices. Given the rapid rise in complementary therapies and the growing diversity in North America, the challenges of providing sensitive, compassionate, comprehensive care are compounded. Reflecting on the ways cultural backgrounds, religious beliefs and complementary medicine affect physicians, colleagues and patients may enrich, clarify, deepen, and improve the effectiveness of our clinical practice. The cases presented here offer an opportunity for role playing and reflection to support this process.
Population medicine, Apr 26, 2023
Population Medicine considers the following types of articles: • Research Papers-reports of data ... more Population Medicine considers the following types of articles: • Research Papers-reports of data from original research or secondary dataset analyses. • Review Papers-comprehensive, authoritative, reviews within the journal's scope. These include both systematic reviews and narrative reviews. • Short Reports-brief reports of data from original research. • Policy Case Studies-brief articles on policy development at a regional or national level. • Study Protocols-articles describing a research protocol of a study. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Letters to the Editor-a response to authors of an original publication, or a very small article that may be relevant to readers. • Editorials-articles written by the Editorial Board or by invited experts on a specific topic. Research Papers Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, and abstract and key points of the article, whilst it is recommended that the number of references should not exceed 36.
PubMed, 2001
Cross-cultural patient care is an issue that challenges healthcare providers. Caring for patients... more Cross-cultural patient care is an issue that challenges healthcare providers. Caring for patients who reject some biomedical treatments because of religious or cultural reasons requires knowledge of that person's beliefs for effective treatment. This essay looks at several case studies involving Hmong patients and the way the medical staff reacted to treatment difficulties because of cultural and religious conflicts with surgery. The dangers of universalizing communication methods are stressed.
Journal of Alternative and Complementary Medicine, Jul 1, 2008
ObjectiveTo describe the establishment and integration of a free-care acupuncture clinic within a... more ObjectiveTo describe the establishment and integration of a free-care acupuncture clinic within an urban hospital with an underserved minority adolescent population and to study patient utilization.BackgroundSurveys often show low use of acupuncture among underserved non-Asian minority populations. We hypothesized that it would be possible to integrate an acupuncture clinic into a biomedical setting. We also hypothesized that the removal of economic and logistical barriers would increase usage of an acupuncture service among minority adolescent and pediatric populations, who may otherwise have had little cultural exposure to the modality.MethodsA review of the process involved in establishing a free acupuncture clinic, and an analysis of visit data.ResultsA free faculty-supervised student acupuncture clinic was successfully integrated into an urban hospital-based adolescent clinic serving predominantly low-income minorities. During 2004–2006, the acupuncture clinic had 544 visits for a wide range of conditions. Visits increased 65% from the first to the third year of operation.ConclusionsAn acupuncture service can be successfully integrated into care provided by an urban hospital that serves low-income minority and immigrant patients. Strategic removal of barriers to access can result in patients previously unfamiliar with acupuncture choosing to access the modality.
Oxford University Press eBooks, Dec 30, 2004
... transcending curing. Jennifer Hollis's discussion of the Episcopal Church and SusanSered... more ... transcending curing. Jennifer Hollis's discussion of the Episcopal Church and SusanSered's discussion of the Jewish healing movement highlight ten-sions that exist in both of these settings with regard to curing. Both sets ...
Annals of Internal Medicine, Aug 6, 2002
Page 1. COMMENTS AND RESPONSES Physician-Assisted Suicide TO THE EDITOR: Most of the American Col... more Page 1. COMMENTS AND RESPONSES Physician-Assisted Suicide TO THE EDITOR: Most of the American College of Physicians American Society of Internal Medicine (ACPASIM) position paper on physician-assisted suicide ...
Scholars' Press eBooks, 1999
Medical Anthropology, May 6, 2009
Theories of agency and decision making have been applied to processes by which patients select th... more Theories of agency and decision making have been applied to processes by which patients select therapeutic interventions. Another kind of decision making occurs when individuals choose to engage in the practice of a therapeutic modality. This article draws on fieldwork and interview data with non-Chinese and immigrant Chinese practitioners of Chinese medicine in the United States, focusing on Boston, Massachusetts, and New York City, as case illustrations. I apply theories of agency and decision making to how and why these practitioners chose to engage in Chinese modalities. I build on Volker Scheid's (2002) analysis of agency, grounded in Chinese medicine theory, to propose the Chinese concept of xin (heart-mind) as an analytical frame, suggesting that it can fruitfully be set in tension with Pierre Bourdieu's notion of habitus and Antonio Gramsci's discussion of the ''common-sense'' nature of hegemony. I draw on a non-Eurocentric concept to enrich the theoretical discussion of agency and decision making.
Medical Anthropology, Jul 1, 2003
Since the 1970s acupuncturists in the United States have confronted the dilemma of how to define ... more Since the 1970s acupuncturists in the United States have confronted the dilemma of how to define themselves not only as practitioners in relation to an evolving Americanized version of Chinese medicine but also with respect to definitions of biomedical professional identity, which are currently in flux. The central issue is that of professionalization. This study traces the process of professionalization through the initial reception of the modality; the first steps toward specialized training; and the further steps through professional associations, credentialing, and licensing. This process takes place within the broader social frame of fluctuating definitions of biomedical professionalism. It is within this context that acupuncturists are assessing role definition, status, and compensation. Part of the process also involves the renewed use of the clinical trial and the potential co-opting of acupuncture. The potential for resistance is tied in with alliances with holistic physicians and with acupuncturists' own defense of pluralism.
Oxford University Press eBooks, Dec 30, 2004
Following a front-page story in the New York Times in 1972 by James Reston about his experiences ... more Following a front-page story in the New York Times in 1972 by James Reston about his experiences with acupuncture in a Chinese hospital, virtually every article on complementary and alternative medicine (CAM) in United States media has featured this ...
Pediatric Annals, Apr 1, 2004
ABSTRACT
Complementary Therapies in Medicine, Sep 1, 2003
Background: Acupuncture is widely used by the American public, but little is known about its avai... more Background: Acupuncture is widely used by the American public, but little is known about its availability and use in academic medical settings. We performed a pilot study to compare acupuncture services provided by hospitals affiliated with a major academic teaching institution, and a parallel survey of services provided through an acupuncture school in one city in New England. Methods: Between December 2000 and July 2001, a telephone survey was conducted of the 13 hospitals affiliated with Harvard Medical School, and the clinics affiliated with the New England School of Acupuncture. Results: Acupuncture was available in 8 of the 13 hospitals. Acupuncture was provided in ambulatory clinics in all eight hospitals, but was available to inpatients in only one hospital. Six hospitals delivered acupuncture through an outpatient pain treatment service, one through a women's health center, one through an HIV clinic, and one hospital delivered acupuncture through two services; a program in the anesthesia department and a multidisciplinary holistic program in a primary care department. In contrast, the acupuncture school clinics provided services through an on-site clinic at the school, through acupuncture departments at two community-based hospitals, and through a network of 12 satellite acupuncture-dedicated clinics operating throughout the state. Conclusion: Acupuncture is available on a limited basis in a majority of the teaching hospitals in this city. At the acupuncture school clinics, there are few barriers to care. Future health care studies will need to examine the role of acupuncture in diverse geographic settings and to examine its impact on quality of care, teaching and its role in research in academic centers.
Religion and Theology, 2007
Brill reports a good start to 2022 Brill's Q1 revenues are in line with management expectations a... more Brill reports a good start to 2022 Brill's Q1 revenues are in line with management expectations across all product lines. Driven by sales of the Brill Book Archive, eBook revenues continue to show strong growth. Print book revenue is stable compared to Q1 2021. Our journal revenue shows signs of recovery, with better renewal rates than during Q1 2021. Sales of our online primary sources are slightly ahead of last year's Q1. Costs developed as budgeted. Pushed by the current inflation rates, we do see price increases from our suppliers that are higher compared to other years. This was anticipated but it remains an uncertainty to be dealt with during the course of 2022. To mitigate the risk we continue to accelerate the move to electronic publications and print on demand. Peter Coebergh, CEO commented: "We are happy to see that the positive developments of 2021 continue, which gives us confidence for the remainder of 2022, despite global economic uncertainties. The strategic focus stays on increasing our scale and becoming fully digital driven." The AGM will take place on Wednesday 25 May (2.00 PM) at the premises of the company in Leiden, The Netherlands. The convocation notice, agenda and voting instruction form can be downloaded on Investor Relations (brill.com). During the AGM, an all-cash dividend of EUR 0.90 will be proposed to shareholders. Record date will be
Pediatrics, Apr 1, 2000
Introduction. Despite its increasing use as a complementary therapy to treat pain, acupuncture is... more Introduction. Despite its increasing use as a complementary therapy to treat pain, acupuncture is rarely considered by pediatricians, in part due to perceptions that it will not be acceptable to pediatric patients. We wished to describe pediatric pain patients' experience with acupuncture treatment for chronic pain. Design. Retrospective case series. Methods. Subjects were pediatric pain patients referred by the Pain Treatment Service at Children's Hospital in Boston, who went to a pediatric acupuncturist. A research assistant not involved in the patient's care conducted the survey by telephone. Data were analyzed qualitatively and descriptively. Results. Of 50 eligible patients, 47 families were reached by telephone; all agreed to be interviewed. Patients had a median age of 16 years at the time of referral, 79% were female, and 96% were white. The most common three diagnoses were migraine headache (n ؍ 7), endometriosis (n ؍ 6), and reflex sympathetic dystrophy (n ؍ 5). Patients had a median of 8 treatments (range: 0-60) within 3 months (range: 0-48 months); 85% of families paid out-of-pocket. Acupuncture therapies included needle insertion (98%), heat/moxa (85%), magnets (26%), and cupping (26%). Most patients and parents rated the therapy as pleasant (67% children/ 60% parents), and most (70% children/59% parents) felt the treatment had helped their symptoms; only 1 said that treatment made symptoms worse. Conclusion. Pediatric patients with chronic, severe pain found acupuncture treatment pleasant and helpful. Additional, prospective studies are needed to quantify the costs and effectiveness of acupuncture treatment for pediatric pain. Pediatrics 2000;105:941-947; chronic pain, acupuncture, pediatric patients, complementary medicine, alternative medicine. ABBREVIATION. CAM, complementary and alternative medicine.
Journal of integrative and complementary medicine, Jul 1, 2023