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Efforts to augment accountability through the use of metrics, and especially randomised controlled trial or other statistical methods place an increased burden on small nongovernmental organisations (NGOs) doing global health. In this paper, we

Several letters to the editor are presented in response to the article on the research on collaborative event ethnography (CEE).

Examines the rituals of the Himalayan Sherpa. Debate of ethnographic essentialism; Parallelism between Buddhist Sherpa ritual processes; Engagement in mimesis with idealized images; Reflexivity of effects of writings on the Sherpa.

1. Introduction - From documenting medical pluralism to critical interpretations of globalized health knowledge, policies, and practices Mark Nichter and Margaret Lock 2. Governing bodies in new order Indonesia Steve Ferzacca 3. Too bold, too hot: Crossing 'culture' in AIDS prevention in Nepal Stacy Leigh Pigg 4. The social relations of therapy management Mark Nichter 5.Making sense out of modernity Marina Roseman 6. A return to scientific racism in medical social sciences: the case of sexuality and the AIDS epidemic in Africa Gilles Bibeau and Duncan Pedersen 7. 'We five, our twenty-five': Myths of population out of control in contemporary India Patricia Jeffrey and Roger Jeffrey 8. Establishing proof: translating 'science' and the state in Tibetan medicine Vincanne Adams 9. Notes on the evolution of evolutionary psychiatry Allan Young 10. Utopias of health, eugenics, and germline engineering Margaret Lock 11. Killing and healing revisited: on cultural difference, warfare, and sacrifice Margaret Trawick

A variety of shifts emergent with globalization, which are reflected in part by nascent programs in “Global Public Health,” “Global Health Sciences,” and “Global Health,” are redefining international public health. We explore three of these shifts as a critical discourse and intervention in global health diplomacy: the expansion in non-governmental organization participation in international health programs, the globalization of science and pharmaceutical research, and the use of militarized languages of biosecurity to recast public health programs. Using contemporary anthropological and international health literature, we offer a critical yet hopeful exploration of the implications of these shifts for critical inquiry, health, and the health professions.

Global health diplomacy may be thought of as a political activity that meets the dual goals of improving health while maintaining and strengthening international relations. As diplomacy is frequently referred to as the art and practice of conducting negotiations, the term 'global health diplomacy' aims to capture the multi-level and multi-actor negotiation processes that shape the global policy environment for health. It bridges the commitment to development and the need to define collective action in an interdependent world. This emerging field draws on a broad range of disciplines including international relations, medical anthropology, political science, history, and public health. Therefore it is important to understand some of the historical and conceptual underpinnings of this emerging field. Academic rigor applied to global health diplomacy is a critical leaven in a chaotic global health environment. This paper presents a brief review of the issues that provide a possible focus for future training, research, and service in global health diplomacy. ..PAT.-Unpublished Manuscript

The article focuses on the study which aims to develop an informed consent process of Tibetan traditional medicine through a randomized placebo-controlled trial in Lhasa, China. The study reveals a process that enables the U.S. and Tibetan research team in meeting their ethical and logistical challenges, and examines the differences between the outcomes. Moreover, a step-by-step process on how participants would react to the research and informed consent process were presented.

Procedures of Informed Consent are considered a high priority for international biomedical research. However, informed consent protocols are not necessarily transferable across cultural, national or ethnic groups. Recent debates identify the need for balancing ethical universals with practical and local conditions and paying attention to questions of cultural competence when it comes to the Informed Consent process for clinical biomedical research. This article reports on the results of a two-year effort to establish a culturally appropriate Informed Consent process for biomedical research in the Tibet Autonomous Region in the People's Republic of China. A team of Tibetan and American researchers, physicians, health professionals and medical anthropologists conducted the research. The Informed Consent was specifically for undertaking a triple-blind, double placebo-controlled randomized clinical trial of a Tibetan medicine compared with Misoprostol for reducing postpartum blood loss. The findings suggest greater need for flexibility and cooperation in establishing Informed Consent protocols across cultures and nations.

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such “science” gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such "science" gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

Since medical ideologies and socio-economic systems are interdependent, anthropologists have described the tendency of people in developing countries to become more committed to Western medicine as they become more involved in capitalist production. This paper examines the interdependence of socio-economic and medical systems by suggesting explanations for the persistent use of traditional medicine by Nepalese Sherpas who are drawn into the world capitalist economy through tourism. The analysis offers insight on the political economy of health in developing societies by addressing the need to scrutinize variations in pre-capitalist social structures, experience of development, and the practices of traditional healers.

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