Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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Global Affiliate Visiting Scholar, 2018-20
SanJohn Capital Limited
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Lizhong (Alex) Chen is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2018-19 and 2019-20.  Chen brings nearly 20 years of experience in the investment industry including brokerage firms, asset management, fund management and private equity funds.  Prior to joining Shorenstein APARC, Chen was the founder of SanJohn Capital Limited in Hong Kong where he continues to manage a long-term portfolio of stocks traded on the Hong Kong, China and U.S. stock markets.  He received his MBA from the Hong Kong University of Science and Technology.

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Global Affiliate Visiting Scholar, 2018-19
Reliance Life Sciences
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Ramachandra Siddappa is a global affiliate visiting scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2018-19.  Siddappa has over 12 years of experience in handling production and operational technical management systems and has been with Reliance Life Sciences Pvt. Ltd., India since 2007.    In his current role as Senior Manager in the Production Management Group, some of his responsibilities include the production and technical operation of microbial and mammalian cell culture products; GMP (Good Manufacturing Practice) aspects of manufacturing and documentation; audit management & compliance; technology transfer documentation and scale up design of recombinant products; equipment FAT (Factory Acceptance Test) & SAT (Site Acceptance Test) activity; and conducting & organizing internal training programs.

Prior to joining Reliance Life Sciences Pvt., Ltd., he worked for Shantha Biotechnics Pvt., Ltd. Hyderabad (Sanofi Division) in R&D upstream.  Siddappa received his post graduate degree in biotechnology from Kuvempu University, Karnatak, India in 2005.

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Dr. Kenneth Dekleva's talk is one of the first times that a leadership analysis/political psychology profile of North Korea's Kim Jong Un has been presented in an academic setting.  He will discuss how such a profile can be useful to academic scholars, policy makers, and the national security community.

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img 1171 kenneth dekleva
Dr. Dekleva is McKenzie Foundation Chair in Psychiatry I, Director of Psychiatry-Medicine Integration, and Associate Professor in the Dept. of Psychiatry, Peter J. O’Donnell Brain Institute, University of Texas Southwestern Medical School, Dallas, TX.  He is board-certified in adult psychiatry, with additional qualification in forensic psychiatry.  Dr. Dekleva received his BA in History at UC Berkeley, and later undertook post-baccalaureate pre-medical studies at Columbia University, NY; he subsequently received his MD at UT Southwestern Medical School, Dallas, TX, and also completed post-graduate/residency training in psychiatry therein.  After working in a variety of academic, clinical and forensic psychiatric settings in the DFW area, he served as a Regional Medical Officer/Psychiatrist and senior US diplomat during 2002-2016, largely overseas (Moscow; Vienna; London; New Delhi; Mexico City), except for a 2-year assignment as Director of Mental Health Services, US Dept. of State, Washington, DC during 2013-2015.  He retired from the US Dept. of State in 2016 with the rank of Minister-Counselor.  Dr. Dekleva has published and/or presented (at local, regional, national, and international conferences) political psychology/leadership profiles of various world leaders since the mid-90s, including Radovan Karadzic, Slobodan Milosevic, Kim Jong Il, Vladimir Putin, Xi Jinping, and Kim Jong Un.  His work has been published in the Journal of the American Academy of Psychiatry and the Law, 38 North, The Diplomat, and the Cipher Brief; he has also given various interviews to media outlets such as NPR, Background Briefing, Smerconish/Sirius XM, and CNN.

Philippines Conference RoomEncina Hall, 3rd Floor616 Serra Mall, Stanford, CA 94305
Kenneth Dekleva, MD Associate Professor, The University of Texas Southwestern Medical School
Seminars
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Global Affiliate Visiting Scholar, 2018-19
Reliance Life Sciences
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Umesh Desai is a global affiliate vising scholar at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2018-19.  Desai has over 22 years experience in manufacturing of biopharmaceutical products and has been with Reliance Life Sciences Pvt. Ltd., India since 2007.  Currently, he is designated as Sr. Manager in the production team.  His current responsibilities include manufacturing activities (planning, execution, and manufacturing of biological products); communicating with support groups for the requirements as per the business demand within the organization; document submissions to the quality assurance group; preparation and business of BMR (Batch Manufacturing Record), BPR (Batch Packing Record) of biological products for the domestic and exports market as per the demand; and fulfilling the requirements.  Desai received his degree in chemistry from the D.G. Ruparel College of Arts, Commerce and Science, Mumbai University in 1992.  

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Abstract: Social interactions in infancy have implications for long-term outcomes. This study uses data from a sample of 1412 rural Chinese infants aged 6–12 and 24–30 months to examine the relationship between peer interactions and cognitive development. Over 75% of the infants in this sample had less than three peers and around 20% had no peers in both periods. The prevalence of cognitive delays is high within this sample and increases as infants age. Multivariate analysis reveals that peer interaction is significantly associated with cognitive development. Heterogeneous analysis suggests that peer interactions and mental development may be related to the child’s primary caregiver and the distance from the child’s household to the center of their village.

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Chinese Journal of Sociology
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Scott Rozelle
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2
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On May 24, Shorenstein APARC hosted the final three research presentations by this year’s Corporate Affiliate Visiting Fellows. What had been months in preparation was at last over; any indications of nervousness or anxiety now gave way to jubilant smiles and celebratory thumbs-ups for cameras. The journey that began for many nearly a year ago had come to a successful end.

Established in 1982, the Corporate Affiliates Program introduces personnel of Asian organizations that have become APARC corporate affiliates to American life and institutions. Over the span of a year, Corporate Affiliate Visiting Fellows have the opportunity to immerse in daily interaction with specialists, students, and scholars from Stanford and abroad. In turn, the practical experience and international perspectives that Visiting Fellows bring with them enrich and inform intellectual exchange at both Shorenstein APARC and Stanford at large. 

The 2017-2018 Visiting Fellows came to APARC from 14 different organizations including government agencies, state-owned enterprises, and private sector industry corporations from four countries: China, India, Japan, and Korea.

 

Academic Engagement

Group Photo 2The Corporate Affiliates Program is ideal for mid-career professionals looking to expand their knowledge and international experience. Visiting Fellows participate in a structured, yet individualized year of academic exploration. Elements of the program include creating individual research projects, auditing classes, attending exclusive seminars, and visiting local companies and institutions.

Following summer intensives and orientation, Visiting Fellows embark on their nine-month research projects under the guidance of an APARC faculty advisor. Fellows are matched with an advisor based on the research project subject and/or their professional background and region of employment.

“The best thing about this program is that I have one entire year to focus and to manage my own time,” observed a previous Visiting Fellow.

The months of thorough research culminate in a paper and its public presentation. Fellows present their research findings before an audience of APARC faculty and researchers, Stanford community members, and their “fellow Fellows.” Over the course of five days in May, audiences heard presentations on a wide variety of subjects ranging from the impact of U.S. Supreme Court decisions on the AI Industry to regulatory requirements for bio-similar products, and from the role of large industries in Urban Air Transport to the benefits of shifting a government’s focus from economic growth to people’s happiness.

Presentations were well received by APARC faculty, though not before standing up to the rigorous follow-up questions from a highly engaged audience.

 

University Enrichment

For Corporate Affiliates, the year was not exclusively about their research. Fellows found ample opportunities to take advantage of non-academic pursuits, both on-campus and in the greater Bay Area.

Group Photo 3One way to further encourage exploration was a team-based activity designed by the program. Fellows were broken up into groups of five, each tasked with coordinating an excursion to take the rest on. Facilitated trips included a hike to Stanford’s famous radio telescope (“the Dish”), an exploration of the Berkeley neighborhood and its local industries, and a visit to NASA’s Ames Research Center at Moffett Field.

Stanford Jazz OrchestraIn addition to their professional experiences, Fellows also enriched the Center and university community through their personal pursuits. Takahito Inoshita, for example, brought his musical talent to Stanford along with an extensive experience in engineering. While researching how cities could identify policy needs via natural language data, he also performed with the Stanford Jazz Orchestra as lead trombonist at a November performance at Stanford’s Bing Concert Hall.

Next year’s Visiting Fellows are scheduled to begin arriving in mid-June, and include personnel from government, SOEs and private industries, but also the military and non-profit sector as well. For now, however, the Center is still saying goodbye to the 2017-2018 Fellows as they leave to join a distinguished, ever-growing alumni network of government and private sector professionals throughout Asia.

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A favorite icon for cigarette manufacturers across China since the mid-twentieth century has been the panda, with factories from Shanghai to Sichuan using cuddly cliché to market tobacco products. The proliferation of panda-branded cigarettes coincides with profound, yet poorly appreciated, shifts in the worldwide tobacco trade. Over the last fifty years, transnational tobacco companies and their allies have fueled a tripling of the world's annual consumption of cigarettes. At the forefront is the China National Tobacco Corporation, now producing forty percent of cigarettes sold globally. What's enabled the manufacturing of cigarettes in China to flourish since the time of Mao and to prosper even amidst public health condemnation of smoking? 

 

In Poisonous Pandas, an interdisciplinary group of scholars comes together to tell that story. They offer novel portraits of people within the Chinese polity—government leaders, scientists, tax officials, artists, museum curators, and soldiers—who have experimentally revamped the country's pre-Communist cigarette supply chain and fitfully expanded its political, economic, and cultural influence. These portraits cut against the grain of what contemporary tobacco-control experts typically study, opening a vital new window on tobacco—the single largest cause of preventable death worldwide today.

You can read the Introduction and Chapter 1 online.

About the editors

 
Matthew Kohrman is Associate Professor of Anthropology at Stanford University.
 
Gan Quan is the Director of Tobacco Control of the International Union Against Tuberculosis and Lung Disease.
 
Liu Wennan is Editor for the Institute of Modern History at the Chinese Academy of Social Sciences.

 

Robert N. Proctor is Professor of the History of Science at Stanford University.
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Stanford University Press
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Matthew Kohrman
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978-1503602-06-9
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A new SIEPR policy brief examines the growing life expectancy gap between low-income and high-income Americans. Coauthored by Victor R. Fuchs and APARC Deputy Director Karen Eggleston, the brief shows that life expectancy in the U.S. can be increased if health policy shifts towards preventing the leading causes of death for young people. READ MORE>>

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flickr.cc / Jon Southcoasting
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We analyze the effects of early-life shocks with varying degrees of severity on mortality and human capital outcomes in the Philippines. We exploit variations in typhoon exposure and the introduction of a short-term post-disaster relief policy. Severe
typhoons are associated with increased mortality and adverse long-term outcomes. Before the disaster relief policy, mortality from in utero exposure to severe typhoons was 10 percent, and survivors exhibited similar levels of human capital as the unaffected.
Once implemented, the policy appears to have mitigated the mortality effect of severe typhoons, and survivors have lower human capital in the long term.

Keywords: fetal origins hypothesis, selective mortality, long-term outcomes, Philippines, natural disasters, disaster relief

JEL codes: I12, I15, O15

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Asia Health Policy Program working paper # 50
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Although many public hospital physicians in Vietnam offer private service on the side, little is known about the magnitude and nature of the phenomenon of so-called dual practice, let alone the dynamics between the public and private health sectors. This study investigates how and to what degree public hospital physicians engage in private practice. It also examines the commitment of dual practitioners to the public sector. The analysis is based on a hospital-based survey of 483 physicians at 10 public hospitals in four provinces of Vietnam. Nearly half of the participants in the study sample reported themselves as dual practitioners. Various types of private practice were mentioned. Private practice at health facilities owned by the private sector was the most prevalent, followed by private practice delivered at health facilities owned by the dual practitioners themselves. Private practice inside public hospitals was also noted. Dual practitioners were likely to be senior and hold management positions inside their public hospitals. Substantial income differences were found between dual practitioners and those physicians practicing in only the public sector. The majority of dual practitioners, however, reported the willingness to give up private practice if certain conditions were met, such as a basic salary increase or non-pecuniary benefits. The main reasons dual practitioners gave for not leaving the public sector included a sense of public responsibility and opportunities to gain a broader professional network and more training. This study reiterates the significant challenges associated with dual practice, including its financial implications and possible effects on health care quality and access. The need for a high-quality workforce committed to the public sector is particularly critical, given the
possibility of universal insurance coverage. Future research should address the need to improve data collection on physicians’ dual practice and incorporate the topic in policy debates on health reform.

Keywords: physician dual practice, public-private mix, Vietnam, human resources for health, hospital reform, health system research, low- and middle-income countries, universal health coverage.

Published: https://academic.oup.com/heapol/article/33/8/898/5078580

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Asia Health Policy Program working paper # 49
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