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Karen Clinical Topics

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Clinical topics related to Karen culture.

Clinical Pearl: "Fever" in SE Asians. Does it really mean an elevated body temperature?
A short clinical pearl about a complaint of fever, but the patient doesn't have a fever in the doctor's office.
Clinical Pearl: Circular Burn Scarring on Asian and African Patients
A short clinical pearl about patterned circular scars on the skin of Asian and African patients.
Clinical Pearl: Consider Lead and Other Heavy Metal Toxicities in the Evaluation of Nonspecific Symptoms
A short clinical pearl about the need to consider the prevalence of high lead levels among recently arrived Burmese.
Delayed Bottle Weaning and Iron Deficiency in Southeast Asian Toddlers
Article reprinted with permission from Western Journal of Medicine. By Elinor A. Graham, MD, MPH, et al. West J Med, July 1997; 167:10-14.
Evaluation of Tuberculosis Program Services for Burmese Refugees in Thailand Resettling to the United States
A 58-page PDF report on an evaluation of tuberculosis services developed following an outbreak of MDR TB among a group of 15,000 displaced Laotian Hmong living in Thailand, to determine their impact on the effectiveness of the overseas screening of similar populations granted refugee status by the U.S. Government. The assessment was conducted at an IOM screening program established for Burmese refugees living in the Mae La Displaced Persons Camp on the Thai-Burmese border, in order to to provide recommendations to the IOM for the screening, diagnosis, and treatment of refugees resettling to the U.S. from Thailand, and to provide recommendations to CDC’s DGMQ and DTBE for improving the effectiveness and practicality of the 2007 new tuberculosis Technical Instructions.
Peripartum and Infant Care Issues and Practices among Refugee Groups in Seattle
Some traditional practices around pregnancy and infant care in Southeast Asian and East African groups in Seattle.
Saving Face: Recognizing and Managing the Stigma of Mental Illness in Asian Americans - video
68 minute training video that is targeted to physicians, psychiatry residents, medical students, social work students and practicing social workers, clinical and counseling psychologists, nurses and case managers. View the video by clicking the play icon (it may take some time to load, depending on the speed of your internet connection). You can also view in full screen by clicking the icon at the bottom right corner of the video player, once the video has loaded. The overarching goal of the video is to demonstrate a culturally competent approach to addressing the stigma of mental illness in Asian-American patients. The video is comprised of three interviews of Asian-American simulated patients, from three major sub-ethnic groups of Asian Americans living in the United States, and ethnically matched psychiatrists in therapy sessions. The objectives of these scenarios are to demonstrate how Asian-American patients present their stigma, and how skilled clinicians manage it. The Indian-American patient scenario begins at 3 minutes 40 seconds into the video. The Vietnamese-American scenario begins at 25 minutes 37 seconds. The Filipino-American scenario begins at 49 minutes 44 seconds. See links to Facilitator's Guide and DVD Order Form below video.
Working with Refugees from Burma to Prevent Childhood Lead Poisoning
Information presented by the New York State Department of Health on the prevalence of childhood lead poisoning among recent Burmese refugees, and prevention issues specific to this population. Includes a discussion of some of the cultural and health practices common among Burmese refugees.
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