WorldWideScience

Sample records for asian american physicians

  1. Primary care physicians' cancer screening recommendation practices and perceptions of cancer risk of Asian Americans.

    Science.gov (United States)

    Kwon, Harry T; Ma, Grace X; Gold, Robert S; Atkinson, Nancy L; Wang, Min Qi

    2013-01-01

    Asian Americans experience disproportionate incidence and mortality rates of certain cancers, compared to other racial/ethnic groups. Primary care physicians are a critical source for cancer screening recommendations and play a significant role in increasing cancer screening of their patients. This study assessed primary care physicians' perceptions of cancer risk in Asians and screening recommendation practices. Primary care physicians practicing in New Jersey and New York City (n=100) completed a 30-question survey on medical practice characteristics, Asian patient communication, cancer screening guidelines, and Asian cancer risk. Liver cancer and stomach cancer were perceived as higher cancer risks among Asian Americans than among the general population, and breast and prostate cancer were perceived as lower risks. Physicians are integral public health liaisons who can be both influential and resourceful toward educating Asian Americans about specific cancer awareness and screening information.

  2. Acculturation and cancer screening among Asian Americans: role of health insurance and having a regular physician.

    Science.gov (United States)

    Lee, Sunmin; Chen, Lu; Jung, Mary Y; Baezconde-Garbanati, Lourdes; Juon, Hee-Soon

    2014-04-01

    Cancer is the leading cause of death among Asian Americans, but screening rates are significantly lower in Asians than in non-Hispanic Whites. This study examined associations between acculturation and three types of cancer screening (colorectal, cervical, and breast), focusing on the role of health insurance and having a regular physician. A cross-sectional study of 851 Chinese, Korean, and Vietnamese Americans was conducted in Maryland. Acculturation was measured using an abridged version of the Suinn-Lew Asian Self-Identity Acculturation Scale, acculturation clusters, language preference, length of residency in the US, and age at arrival. Age, health insurance, regular physician, gender, ethnicity, income, marital status, and health status were adjusted in the multivariate analysis. Logistic regression analysis showed that various measures of acculturation were positively associated with the odds of having all cancer screenings. Those lived for more than 20 years in the US were about 2-4 times [odds ratio (OR) and 95 % confidence interval (CI) colorectal: 2.41 (1.52-3.82); cervical: 1.79 (1.07-3.01); and breast: 2.11 (1.25-3.57)] more likely than those who lived for less than 10 years to have had cancer screening. When health insurance and having a regular physician were adjusted, the associations between length of residency and colorectal cancer [OR 1.72 (1.05-2.81)] was reduced and the association between length of residency and cervical and breast cancer became no longer significant. Findings from this study provide a robust and comprehensive picture of AA cancer screening behavior. They will provide helpful information on future target groups for promoting cancer screening.

  3. Obesity and Asian Americans

    Science.gov (United States)

    ... and Data > Minority Population Profiles > Asian American > Obesity Obesity and Asian Americans Non-Hispanic whites are 60% ... youthonline . [Accessed 05/25/2016] HEALTH IMPACT OF OBESITY More than 80 percent of people with type ...

  4. History of Asian American psychology.

    Science.gov (United States)

    Leong, Frederick T L; Okazaki, Sumie

    2009-10-01

    An overview of the history of Asian American psychology is provided by reviewing the context for the development of the field as well as the early founding of the Asian American Psychological Association (AAPA). The presidents of AAPA as well as key events and conferences are noted. The involvement of AAPA leaders in national mental health policies and activities are reviewed. The substantive areas of Asian American psychology and the education and training of Asian American psychologists are also discussed. The article ends with some comments about the future of Asian American psychology.

  5. Job satisfaction of Asian Americans.

    Science.gov (United States)

    Weaver, C N; Hinson, S

    2000-04-01

    Since Asian Americans have demographic and labor force characteristics more similar to Euro-Americans than African Americans, one might predict that their job satisfaction would be more like the former than the latter. And, because Asian Americans originating from different countries are heterogeneous in language, culture, and recency of immigration, one might predict that they may report obtaining different amounts of satisfaction from their jobs. However, data from 21 nationally representative opinion surveys from 1972 through 1996 suggest the opposite. Asian Americans (n = 199) reported job satisfaction more like African Americans (n = 1,231) than Euro-Americans (n = 10,709), and Asian Americans from China (n = 53), Japan (n = 44), India (n = 55), and the Philippines (n = 47) reported similar job satisfaction. These differences persisted when age, education, occupation, and personal income were held constant.

  6. Osteoporosis and Asian American Women

    Science.gov (United States)

    ... not supported by your browser. Home Osteoporosis Women Osteoporosis and Asian American Women Publication available in: PDF ( ... Are Available? Resources For Your Information What Is Osteoporosis? Osteoporosis is a condition in which the bones ...

  7. Close relationships between Asian American and European American college students.

    Science.gov (United States)

    Chen, C; Edwards, K; Young, B; Greenberger, E

    2001-02-01

    The authors examined attitudes and behaviors regarding close relationships between European and Asian Americans, with a particular emphasis on 5 major subgroups of Asian Americans (Chinese, Japanese, Korean, Vietnamese, and Filipino Americans). Participants were 218 Asian American college students and 171 European American college students attending a culturally diverse university. The European Americans did not differentiate among the various subgroups of Asian Americans. Their attitudes regarding close relationships were less positive toward Asian Americans than toward Mexican and African Americans, a finding contrary to the prediction of social exchange theory (H. Tajfel, 1975). In contrast to the European Americans' view of homogeneity among Asian Americans, the 5 major subgroups of Asian Americans expressed a distinctive hierarchy of social preference among themselves. Results are discussed in terms of their implications for future research on interethnic relations involving Asian Americans.

  8. Racism and Asian American Student Leadership

    Science.gov (United States)

    Chung, Jennifer Y.

    2014-01-01

    This article provides a theoretical analysis and ethnographic account of Asian American student leadership in higher education. Existing literature highlights Asian and Asian American leadership styles as cultural differences. I shift the analysis from culture to racism in order to work toward a more socially just conception of Asian American…

  9. Stomach cancer incidence rates among Americans, Asian Americans and Native Asians from 1988 to 2011

    OpenAIRE

    Kim, Yeerae; Park, Jinju; Nam, Byung-Ho; Ki, Moran

    2015-01-01

    Stomach cancer is the second most common cancer in Eastern Asia, accounting for approximately 50% of all new cases of stomach cancer worldwide. Our objective was to compare the stomach cancer incidence rates of Asian Americans in Los Angeles with those of native Asians to assess the etiology of stomach cancer from 1988 to 2011. To examine these differences, Asian Americans (Korean, Japanese, Chinese, and Filipino Americans living in Los Angeles, California, USA) and native Asians (from Korea,...

  10. Asian American Literature: Questions of Identity.

    Science.gov (United States)

    Hongo, Garrett

    1994-01-01

    Argues that Asian American literature is too narrowly defined to include the wide range of diversity it contains and calls for Asian writers to produce work from a more generous interpretive perspective. American poetry is extolled for its beauty of language and its effect on the emotions to both energize and sadden. (GR)

  11. Serious Play: Race, Game, Asian American Literature

    OpenAIRE

    Fickle, Tara

    2014-01-01

    "Serious Play: Race, Game, Asian American Literature," argues that games are narrative fantasies of perfectly equal opportunity that can help us reconceive of what it means to be a minority in contemporary America. Race's idiomatic evolution into a "race card" points not just to identity's growing immateriality and "virtualization" but to its increasingly intimate relationship with the ludic. Asian American authors in particular have seized upon the possibilities of transforming identity into...

  12. The World of the Elderly Asian American

    Science.gov (United States)

    Kalish, Richard A.; Moriwaki, Sharon

    1973-01-01

    Describes the psychosocial aspects of the past and the present living situation for today's elderly Chinese and Japanese Americans; many values to which first-generation Asian Americans were for maintaining adequate life satisfaction during the later years. (Author/JM)

  13. South Asian High and Asian-Pacific-American Climate Teleconnection

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Growing evidence indicates that the Asian monsoon plays an important role in affecting the weather and climate outside of Asia. However, this active role of the monsoon has not been demonstrated as thoroughly as has the variability of the monsoon caused by various impacting factors such as sea surface temperature and land surface. This study investigates the relationship between the Asian monsoon and the climate anomalies in the Asian-Pacific-American (APA) sector. A hypothesis is tested that the variability of the upper-tropospheric South Asian high (SAH), which is closely associated with the overall heating of the large-scale Asian monsoon, is linked to changes in the subtropical western Pacific high (SWPH), the midPacific trough, and the Mexican high. The changes in these circulation systems cause variability in surface temperature and precipitation in the APA region. A stronger SAH is accompanied by a stronger and more extensive SWPH. The enlargement of the SWPH weakens the mid-Pacific trough. As a result, the southern portion of the Mexican high becomes stronger. These changes are associated with changes in atmospheric teleconnections, precipitation, and surface temperature throughout the APA region. When the SAH is stronger, precipitation increases in southern Asia, decreases over the Pacific Ocean, and increases over the Central America. Precipitation also increases over Australia and central Africa and decreases in the Mediterranean region. While the signals in surface temperature are weak over the tropical land portion,they are apparent in the mid latitudes and over the eastern Pacific Ocean.

  14. Asian Americans as a Minority Group

    Science.gov (United States)

    Sue, Stanley; And Others

    1975-01-01

    The stated purpose of this article is to argue for a more realistic appraisal of the status of Asian Americans, by examining the 1970 statistics concerning income, education, interracial marriage, and mental health among the 435,000 Chinese, 343,000 Filipinos, and 591,000 Japanese in the U.S. (Author/JM)

  15. Stomach cancer incidence rates among Americans, Asian Americans and Native Asians from 1988 to 2011.

    Science.gov (United States)

    Kim, Yeerae; Park, Jinju; Nam, Byung-Ho; Ki, Moran

    2015-01-01

    Stomach cancer is the second most common cancer in Eastern Asia, accounting for approximately 50% of all new cases of stomach cancer worldwide. Our objective was to compare the stomach cancer incidence rates of Asian Americans in Los Angeles with those of native Asians to assess the etiology of stomach cancer from 1988 to 2011. To examine these differences, Asian Americans (Korean, Japanese, Chinese, and Filipino Americans living in Los Angeles, California, USA) and native Asians (from Korea, Japan, China, and the Philippines) were selected for this study. Using the Cancer Incidence in Five Continents database, stomach cancer incidence rates were examined. Data from the National Cancer Registry of Korea were used for native Koreans. Between native countries, the incidence rates in Japan, China, the Philippines, and the US declined over time, but the incidence in Korea has remained constant. The incidences among Asian immigrants were lower than those among native Asians. The incidence rates of males were approximately 2 times higher than those among females in Asian countries were. The effect of immigration on stomach cancer incidence suggests that lifestyle factors are a significant determinant of stomach cancer risk. However, the incidence in Korea remains the highest of these countries.

  16. Asian American Youth Language Use: Perspectives across Schools and Communities

    Science.gov (United States)

    Shankar, Shalini

    2011-01-01

    Recent studies of Asian American youth language practices have presented compelling insights about the identities and migration experiences of young people of Asian descent. This article offers a detailed examination of the relationship between language use and select issues concerning Asian American youth, including social life, schooling,…

  17. Alcohol Drinking Patterns among Asian and Caucasian Americans.

    Science.gov (United States)

    Sue, Stanley; And Others

    1979-01-01

    This article suggests that there are genetic and cultural factors which account for the difference in drinking patterns between Caucasian and Asian Americans. It is also suggested that Asian acculturation has an influence on this difference. (EB)

  18. Factors Affecting the Career Aspirations of Asian Americans.

    Science.gov (United States)

    Leung, S. Alvin

    This study examined the career aspirations of Asian American college students, using a retrospective method of data collection that asked subjects to report various occupational alternatives that they have considered in their lifetime so far. Male (N=52) and female (N=97) Asian Americans were compared with a Euro-American group of 95 males and 151…

  19. Prevention and Intervention of Depression in Asian-American Adolescents

    Science.gov (United States)

    Dieu, Kim

    2016-01-01

    Depression is one of the most common psychological disorders experienced by adolescents. Research has shown depression rates are higher in Asian-American adolescents when compared to their European-American counterparts. This paper will investigate possible programs for preventing and responding to Asian-American youths' depression through a…

  20. Ethnicity, socioeconomic status, and overweight in Asian American adolescents

    Directory of Open Access Journals (Sweden)

    Won Kim Cook

    2016-12-01

    Full Text Available Asian American children and adolescents are an under-investigated subpopulation in obesity research. This study aimed to identify specific profiles of Asian subgroups at high risk of adolescent overweight with special attention to Asian ethnicity, socioeconomic status (SES, and their interaction. Multiple logistic regression models were fitted using a sample of 1533 Asian American adolescents ages 12–17 from the 2007–2012 California Health Interview Survey (CHIS. In addition to Asian ethnicity and socioeconomic status (assessed by family income and parental education level, age, gender, nativity, and two lifestyle variables, fast food consumption and physical activity, were also controlled for in these models. Key predictors of overweight in Asian American adolescents included certain Asian ethnicities (Southeast Asian, Filipino, and mixed ethnicities, low family income (<300% of the Federal Poverty Level, and being male. Multiplicative interaction terms between low family income and two ethnicities, Southeast Asian and Vietnamese that had the lowest SES among Asian ethnic groups, were significantly associated with greatly elevated odds of being overweight (ORs = 12.90 and 6.67, respectively. These findings suggest that high risk of overweight in Asian American adolescents associated with low family incomes may be further elevated for those in low-income ethnic groups. Future research might investigate ethnic-group SES as a meaningful indicator of community-level socioeconomic disparities that influence the health of Asian Americans.

  1. Gifted Asian American Adolescent Males: Portraits of Cultural Dilemmas

    Science.gov (United States)

    Kao, Chen-yao; Hebert, Thomas P.

    2006-01-01

    Many gifted Asian American adolescent males face cultural issues that may impact their success. This article presents important cultural dilemmas faced by 2 gifted Asian American young men. Through a qualitative approach, the acculturation experiences of John and Matt, gifted Taiwanese, second generation immigrants, are described.…

  2. Culturally-Competent School Counseling with Asian American Adolescents

    Science.gov (United States)

    Castillo, Linda G.; Phoummarath, Marion J.

    2006-01-01

    Asian American adolescents are frequently overlooked as a population in need of counseling interventions. However, cultural issues such as refugee status or the pressure of high academic achievement can influence an Asian American student's mental health. As there is a dearth of school counseling literature written about what school counselors…

  3. Education Concerns of Asian and Pacific Americans. 1978 Conference Report.

    Science.gov (United States)

    Takei, Barbara

    Five national issues considered to be the most important to Asian and Pacific Americans' (APA) education priorities are discussed in this report. These include the need to: (1) increase Federal assistance and improve access for APAs; (2) gather more data and research on APA education needs; (3) promote more Asian and Pacific American participation…

  4. Breaking Barriers: An Asian-American Curriculum Unit.

    Science.gov (United States)

    Brombach, Catherine; Tice, Natasha Florey

    A 10-day curriculum is presented for upper elementary grades to explore who is in power on the local, state, and federal levels; and to investigate why so few Asian Americans are in power; and to confront personal prejudices and break stereotypes about Asian Americans. The 10 days are devoted to the following: (1) distinguishing between prejudice…

  5. Ethnicity, socioeconomic status, and overweight in Asian American adolescents.

    Science.gov (United States)

    Cook, Won Kim; Tseng, Winston; Bautista, Roxanna; John, Iyanrick

    2016-12-01

    Asian American children and adolescents are an under-investigated subpopulation in obesity research. This study aimed to identify specific profiles of Asian subgroups at high risk of adolescent overweight with special attention to Asian ethnicity, socioeconomic status (SES), and their interaction. Multiple logistic regression models were fitted using a sample of 1533 Asian American adolescents ages 12-17 from the 2007-2012 California Health Interview Survey (CHIS). In addition to Asian ethnicity and socioeconomic status (assessed by family income and parental education level), age, gender, nativity, and two lifestyle variables, fast food consumption and physical activity, were also controlled for in these models. Key predictors of overweight in Asian American adolescents included certain Asian ethnicities (Southeast Asian, Filipino, and mixed ethnicities), low family income (overweight (ORs = 12.90 and 6.67, respectively). These findings suggest that high risk of overweight in Asian American adolescents associated with low family incomes may be further elevated for those in low-income ethnic groups. Future research might investigate ethnic-group SES as a meaningful indicator of community-level socioeconomic disparities that influence the health of Asian Americans.

  6. Asian Americans in American History: An AsianCrit Perspective on Asian American Inclusion in State U.S. History Curriculum Standards

    Science.gov (United States)

    An, Sohyun

    2016-01-01

    Compared to other groups of color, Asian Americans and their perspectives have rarely been given attention in curriculum studies. This article seeks to address the gap in the literature. It uses AsianCrit, a branch of critical race theory, as a theoretical lens to analyze and explicate common patterns across various states' scripting of Asian…

  7. Physicians' cultural competency as perceived by African American patients.

    Science.gov (United States)

    Michalopoulou, Georgia; Falzarano, Pamela; Arfken, Cynthia; Rosenberg, David

    2009-09-01

    The purpose of the study was to determine the association between African American patients' perceptions of physician cultural competency and patient satisfaction with the visit, independent of other factors, including physician and patient race concordance. African American participants were surveyed at urban clinics. Cultural competency (Perceived Cultural Competency scale) was based on the 3-factor model that includes patients' perception of (1) physicians' cultural knowledge, (2) physicians' cultural awareness, and (3) physicians' cultural skill. The results confirmed that patients' perceptions of physician cultural competency are independently associated with satisfaction with the visit. These results further validate use of the Perceived Cultural Competency scale as a tool to measure patients' perceptions of physicians' cultural competency.

  8. Asian American Interethnic Relations and Politics. Asians in America: The Peoples of East, Southeast, and South Asia in American Life and Culture Series, Volume 5.

    Science.gov (United States)

    Ng, Franklin, Ed.

    The articles in this anthology address the complex subject of interethnic relations and Asian American politics, transcending ideas of Asian Americans as the model minority. The articles are: (1) "Opening the American Mind and Body: The Role of Asian American Studies" (Shirley Hume); (2) "Surviving Democracy's 'Mistake":…

  9. Family Violence: Psychological Consequences and Beliefs in Asian and Asian-American Women.

    Science.gov (United States)

    Maker, Azmaira; Heiple, Becky

    This study specifically explored the relationships among childhood trauma, long-term psychological consequences, beliefs about family violence, and gender role stereotypes in Asian and Asian American women. A prediction was made that childhood physical violence and witnessing family violence would create long-term negative symptoms; higher levels…

  10. The Bakke Case and Asian/Pacific Americans.

    Science.gov (United States)

    Asian and Pacific American Federal Employee Council, Washington, DC.

    Amidst much controversy, the United States Department of Justice has filed an amicus brief in the Supreme Court on behalf of the special minority admissions program at the University of California Medical School at Davis. This fact sheet is intended to show why Asian and Pacific Americans and those friendly toward Asians should pay careful…

  11. Asian American Acculturation and Enculturation: Construct Clarification and Measurement Consolidation

    Science.gov (United States)

    Zhang, Shengying; Moradi, Bonnie

    2013-01-01

    An overview of the evolution of Asian American acculturation and enculturation theory and measurement is offered, focusing on major theoretical advancements and methodological issues that are salient for measuring these constructs. Informed by these considerations, an empirical approach is taken to clarifying the dimensions of Asian American…

  12. Redefining the American in Asian American Studies: Transnationalism, Diaspora, and Representation

    Directory of Open Access Journals (Sweden)

    Tanfer Emin Tunc

    2012-06-01

    Full Text Available Introduction to the Special Forum in honor of Sau-ling Wong, entitled "Redefining the American in Asian American Studies: Transnationalism, Diaspora, and Representation," edited by Tanfer Emin Tunc, Elisabetta Marino, and Daniel Y. Kim

  13. Contribution of job satisfaction to happiness of Asian Americans.

    Science.gov (United States)

    Weaver, C N

    2001-08-01

    Many demographic and labor force characteristics, such as family income, educational attainment, and occupation, correlated with job satisfaction. Since Asian Americans are more like Euro-Americans than African Americans in most of these characteristics, it seems reasonable to predict that their job satisfaction would be high as for Euro-Americans rather than low as for African Americans. Yet research of Weaver and Hinson showed that the opposite is true. One explanation for this unexpected result is that Asians do not think of jobs as a source of happiness but simply as a means of earning money to underwrite other aspects of their lives, such as the well-being of their families, which are the main sources of their happiness. The hypothesis was tested that job satisfaction does not contribute to the happiness of Asian Americans in comparison to satisfaction from other domains of their lives. Analysis was conducted of the attitudes of Asian-American (n = 160), African-American (n = 602), and Euro-American (n = 6,477) workers who responded to 22 surveys drawn from 1972 to 1998, each of which was representative of the labor force of the USA. The hypothesis was supported by the finding that the partial correlation of job satisfaction and global happiness with satisfaction in seven other domains of life (marriage, financial condition, community, nonwork activities, family, health and physical condition, and friendships) held constant was significant for Euro-American women and men but not for Asian Americans or African Americans of either sex. And, the same result occurred when global happiness was regressed on job satisfaction net the effects of satisfaction in other seven domains.

  14. Memory as Travel in Asian American Children's Literature: Bridging Home and School.

    Science.gov (United States)

    Ching, Stuart H. D.; Pataray-Ching, Jann

    2002-01-01

    Examines Asian American children's literature. Suggests that four representations of memory in Asian American children's literature (memory as recovery, as cultural change, as catharsis, and as border crossing) compose an empowering discourse for Asian and Asian American students negotiating competing cultural and economic motives in American…

  15. An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline

    DEFF Research Database (Denmark)

    Girard, Timothy D; Alhazzani, Waleed; Kress, John P

    2017-01-01

    BACKGROUND: Interventions that lead to earlier liberation from mechanical ventilation can improve patient outcomes. This guideline, a collaborative effort between the American Thoracic Society (ATS) and the American College of Chest Physicians (CHEST), provides evidence-based recommendations to o...

  16. Asian American dating: important factors in partner choice.

    Science.gov (United States)

    Mok, T A

    1999-05-01

    The majority of research on romantic relationships has tended to focus on marriage, with relatively less attention paid to dating. This study examined the relationship between Asian American dating, both interracial and intraracial, and a variety of factors thought to be associated with dating in this population, including acculturation, ethnic identity, attractiveness, interracial dating experience, ethnicity of friends, parental influence over dating, and density. Participants were administered measures of these variables and were asked questions regarding their likelihood of dating both Asian Americans and White Americans. An interesting pattern of results emerged when the variables were put into regression equations to predict both interracial and intraracial dating. Findings are presented and implications discussed.

  17. 76 FR 25515 - Asian American and Pacific Islander Heritage Month, 2011

    Science.gov (United States)

    2011-05-05

    ... Pacific Islander Heritage Month, 2011 By the President of the United States of America A Proclamation This... success are uniquely American. As we celebrate Asian American and Pacific Islander Heritage Month, we... Asian American and Pacific Islander Heritage Month, let us celebrate the millions of Asian Americans...

  18. The Impact of Racial Identity, Ethnic Identity, Asian Values and Race-Related Stress on Asian Americans and Asian International College Students’ Psychological Well-Being

    OpenAIRE

    Iwamoto, Derek Kenji; LIU, WILLIAM MING

    2010-01-01

    The current study investigated the direct and moderating effects of racial identity, ethnic identity, Asian values, and race-related stress on positive psychological well-being among 402 Asian American and Asian international college students. Results revealed that the racial identity statuses Internalization, Immersion-Emersion, Dissonance, Asian values and Ethnic Identity Affirmation and Belonging were significant predictors of well-being. Asian values, Dissonance and Conformity were found ...

  19. The Jade Ribbon Campaign: a model program for community outreach and education to prevent liver cancer in Asian Americans.

    Science.gov (United States)

    Chao, Stephanie D; Chang, Ellen T; Le, Phuoc V; Prapong, Wijan; Kiernan, Michaela; So, Samuel K S

    2009-08-01

    The Jade Ribbon Campaign (JRC) is a culturally targeted, community-based outreach program to promote the prevention, early detection, and management of chronic hepatitis B virus (HBV) infection and liver cancer among Asian Americans. In 2001, 476 Chinese American adults from the San Francisco Bay Area attended an HBV screening clinic and educational seminar. The prevalence of chronic HBV infection was 13%; only 8% of participants showed serologic evidence of protective antibody from prior vaccination. Participants reported low preventive action before the clinic, but after one year, 67% of those with chronic HBV infection had consulted a physician for liver cancer screening, and 78% of all participants had encouraged family members to be tested for HBV. The increase in HBV awareness, screening, and physician follow-up suggests that culturally aligned interventions similar to the JRC may help reduce the disproportionate burden of disease to chronic HBV infection among Asian Americans.

  20. Exploring the Link between Self-Construal and Distress among African American and Asian American College Students

    Science.gov (United States)

    Christopher, Michael S.; Skillman, Gemma D.

    2009-01-01

    The authors investigated ethnicity, self-construal, and distress among African American and Asian American college students. African American students expressed more salient independent self-construals, whereas Asian American students expressed more salient interdependent self-construals. As hypothesized, among African American participants,…

  1. Disaggregating Qualitative Data from Asian American College Students in Campus Racial Climate Research and Assessment

    Science.gov (United States)

    Museus, Samuel D.; Truong, Kimberly A.

    2009-01-01

    This article highlights the utility of disaggregating qualitative research and assessment data on Asian American college students. Given the complexity of and diversity within the Asian American population, scholars have begun to underscore the importance of disaggregating data in the empirical examination of Asian Americans, but most of those…

  2. Complicating the Image of Model Minority Success: A Review of Southeast Asian American Education

    Science.gov (United States)

    Ngo, Bic; Lee, Stacey J.

    2007-01-01

    Similar to other Asian American students, Southeast Asian American students are often stereotyped by the popular press as hardworking and high-achieving model minorities. On the other hand, Southeast Asian American youth are also depicted as low-achieving high school dropouts involved in gangs. The realities of academic performance and persistence…

  3. A 16-Year Examination of Domestic Violence among Asians and Asian Americans in the Empirical Knowledge Base: A Content Analysis

    Science.gov (United States)

    Yick, Alice G.; Oomen-Early, Jody

    2008-01-01

    Until recently, research studies have implied that domestic violence does not affect Asian American and immigrant communities, or even Asians abroad, because ethnicity or culture has not been addressed. In this content analysis, the authors examined trends in publications in leading scholarly journals on violence relating to Asian women and…

  4. Classroom Behaviors of Asian American Students in Mathematics.

    Science.gov (United States)

    Huang, Shwu-yong L.; Waxman, Hersholt C.

    This study examines Asian American middle school students' classroom behaviors in mathematics using systematic classroom observation techniques. The study explores questions related to classroom behaviors in terms of interactions with teachers, classroom settings, activities, and manners; differences in classroom behaviors between boys and girls…

  5. Dual Minority Stress and Asian American Gay Men's Psychological Distress

    Science.gov (United States)

    Chen, Yung-Chi; Tryon, Georgiana Shick

    2012-01-01

    The present study investigated the direct and additive effects of racial minority stress and sexual minority stress on the psychological well-being among a community sample of 139 Asian American gay men. Self-esteem was tested to see whether it moderated or mediated the effects of perceived dual minority stress on psychological distress. Results…

  6. Acculturation and Smoking Behavior in Asian-American Populations

    Science.gov (United States)

    Ma, Grace X.; Tan, Yin; Toubbeh, Jamil I.; Su, Xuefen; Shive, Steven E.; Lan, Yajia

    2004-01-01

    The relationship between acculturation and smoking behavior was examined in four Asian-American groups that included recent immigrants and US-born Koreans, Chinese, Vietnamese and Cambodians residing in the Delaware Valley of Pennsylvania and New Jersey. The study was part of a community-based, comprehensive cross-sectional study designed to…

  7. The Community College Presidency: An Asian Pacific American Perspective.

    Science.gov (United States)

    Fujimoto, M. Jack

    1996-01-01

    Analyzes the status of Asian Pacific Americans (APAs) in higher education compared to their representation in chief executive positions, describing a glass ceiling effect and common stereotypes regarding APAs. Reviews characteristics of chief executive officers in California community colleges. Provides strategies for increasing APA representation…

  8. Migrant Labor and the "Poverty" of Asian American Studies.

    Science.gov (United States)

    Okihiro, Gary Y.

    1988-01-01

    Scholars have failed to develop theoretical and methodological tools for understanding Asian Americans. However, the issues are not totally ignored since there is a growing number of writers, historians, and poets who are producing promising works outside of the liberal tradition. Examples of authors and enriching works are presented. (VM)

  9. Asian American Educational Goals: Racial Barriers and Cultural Factors

    Science.gov (United States)

    Chen, Yung-Lung; Fouad, Nadya A.

    2013-01-01

    Educational success among Asian American students has often been misunderstood as an occupational development separate from any experience of racism. However, several theorists have suggested that racial barriers in occupational mobility correlate with educational pursuits. Therefore, this research aims to examine the direct effect of perceived…

  10. Community Violence Exposure of Southeast Asian American Adolescents

    Science.gov (United States)

    Ho, Joyce

    2008-01-01

    Southeast Asian adolescents in the United States face the daily challenge of adjusting to the American culture and their culture of origin. However, little is known about how the patterns of their bicultural adjustment influence psychological symptoms, especially when faced with other challenges such as community violence and negative life events.…

  11. An Annotated Bibliography: Recent Realistic Fiction and Informational Books for Young Children Portraying Asian-American and Native American Cultures.

    Science.gov (United States)

    Dowd, Frances A.

    1992-01-01

    Presents an annotated bibliography of recent realistic fiction and informational books for young children portraying Asian American and Native American cultures. Lists 23 fiction and 8 informational books on Asian Americans and 19 fiction and 15 informational books on Native Americans. Lists nine books for adults. (SLD)

  12. Asian Americans: A Study Guide and Sourcebook.

    Science.gov (United States)

    Dunn, Lynn P.

    One in a series of four, this volume deals with the themes of identity, conflict, and integration/nationalism with a focus on Chinese and Japanese immigrants and their descendants in mainland America. Hawaiian Americans are treated incidentally. Each volume in the series can serve in itself as a text or guide for the student or teacher of a…

  13. Normative Changes in Ethnic and American Identities and Links with Adjustment among Asian American Adolescents

    Science.gov (United States)

    Kiang, Lisa; Witkow, Melissa R.; Champagne, Mariette C.

    2013-01-01

    Identity development is a highly salient task for adolescents, especially those from immigrant backgrounds, yet longitudinal research that tracks simultaneous change in ethnic identity and American identity over time has been limited. With a focus on 177 Asian American adolescents recruited from an emerging immigrant community, in the current…

  14. From Forever Foreigners to Model Minority: Asian American Men in Sports

    Directory of Open Access Journals (Sweden)

    Lee Yomee

    2016-12-01

    Full Text Available Despite their long history in the United States, relatively little scholarly attention has been paid to Asian Americans and their lived experience in sports. The purpose of this study was to give voices to Asian American men by focusing on their experiences in sports. In particular, this study examined the experiences of East Asian and Southeast Asian American male college students who were often perceived as “foreign” and “pejoratively feminine” racialized minority yet participated in sports that were associated with dominant masculinity in the U.S. The setting of the study was as a predominately White institution located in Upstate New York where Asian Americans make up about one percent of the total student population. Qualitative research method was employed for the study. Six Asian American male students were recruited through snowball and purposeful sampling methods. In-depth interviews were conducted to reveal the rich stories of these Asian American men. The research showed that the stories of Asian American male college students were much nuanced and complicated. Specifically, this study revealed that Asian American men were constantly otherized as “forever foreigners” who did not have a legitimate citizenship in the United States. Also, Asian Americans faced unique ideas about their manhood that either highlighted emasculated and feminized masculinity or hyper-masculinity. In dealing with these situations, Asian American men employed unique cultural strategies to challenge and resist racial stereotypes through sports.

  15. Asians in the Ivory Tower: Dilemmas of Racial Inequality in American Higher Education. Multicultural Education Series

    Science.gov (United States)

    Teranishi, Robert T.

    2010-01-01

    Highly respected scholar Robert Teranishi draws on his vast research to present this timely and compelling examination of the experience of Asian Americans in higher education. "Asians in the Ivory Tower" explores why and how Asian Americans and Pacific Islanders (AAPIs) are important to our nation's higher education priorities and places the…

  16. Trends in Asian American racial/ethnic intermarriage: a comparison of 1980 and 1990 census data.

    Science.gov (United States)

    Lee, S M; Fernandez, M

    1998-01-01

    "In this paper, we use data from the 1990 [U.S.] census to compare patterns of Asian American intermarriage with those reported by Lee and Yamanaka (1990).... Our main findings show that: (i) the overall outmarriage rate has declined; (ii) Asian American inter-ethnic marriages (that is, marriages between two Asian Americans of different Asian ethnicities) have increased; and (iii) social distance, measured by an Index of Intermarriage Distance, between Asian Americans and other racial and ethnic groups has widened. We conclude by discussing some implications of the findings for the role of racial and ethnic intermarriage as an indicator of intergroup relations."

  17. A 16-year examination of domestic violence among Asians and Asian Americans in the empirical knowledge base: a content analysis.

    Science.gov (United States)

    Yick, Alice G; Oomen-Early, Jody

    2008-08-01

    Until recently, research studies have implied that domestic violence does not affect Asian American and immigrant communities, or even Asians abroad, because ethnicity or culture has not been addressed. In this content analysis, the authors examined trends in publications in leading scholarly journals on violence relating to Asian women and domestic violence. A coding schema was developed, with two raters coding the data with high interrater reliability. Sixty articles were published over the 16 years studied, most atheoretical and focusing on individual levels of analysis. The terms used in discussing domestic violence reflected a feminist perspective. Three quarters of the studies were empirical, with most guided by logical positivism using quantitative designs. Most targeted specific Asian subgroups (almost a third focused on Asian Indians) rather than categorizing Asians as a general ethnic category. The concept of "Asian culture" was most often assessed by discussing Asian family structure. Future research is discussed in light of the findings.

  18. What are Asian-American youth consuming? A systematic literature review.

    Science.gov (United States)

    Diep, Cassandra S; Foster, Margaret J; McKyer, E Lisako J; Goodson, Patricia; Guidry, Jeffrey J; Liew, Jeffrey

    2015-04-01

    Numerous studies have explored dietary practices among children, but there are limited studies on children of Asian background in the US. This review had three aims: (a) review literature regarding Asian-American youth's dietary behaviors, (b) critically evaluate the methodological quality of such research, and (c) provide recommendations for future nutrition-related research on Asian-American youth. The authors conducted a systematic literature review through MEDLINE (EBSCO), CINAHL Plus with Full Text (EBSCO), and Embase (Ovid); extracted descriptive data; and evaluated methodological quality. Thirteen articles were included. Major findings included: (a) frequent consumption of milk, fruit, meat, unenriched white rice, vegetables, and high-fat and high-sugar items among Asian-American children and (b) acculturation's influences on diet, resulting in Asian-American youth consuming diets characterized by both Asian and American foods. Findings from this review may inform education and promotion programs and services for Asian Americans in the US.

  19. Health seeking behavioral analysis associated with breast cancer screening among Asian American women

    Directory of Open Access Journals (Sweden)

    Ma GX

    2012-05-01

    Full Text Available Grace X Ma,1 Wanzhen Gao,1 Sunmin Lee,2 MinQi Wang,3 Yin Tan,1 Steven E Shive,1,41Department of Public Health, Center for Asian Health, College of Health Professions, Temple University, Philadelphia, PA, USA; 2Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, USA; 3Department of Public and Community Health, University of Maryland, College Park, Maryland, MD, USA; 4East Stroudsburg University, East Stroudsburg, PA, USAObjective: The purpose of this community-based study was to apply a Sociocultural Health Behavior Model to determine the association of factors proposed in the model with breast cancer screening behaviors among Asian American women.Methods: A cross-sectional design included a sample of 682 Chinese, Korean, and Vietnamese women aged 40 years and older. The frequency distribution analysis and Chi-square analysis were used for the initial screening of the following variables: sociodemographic, cultural, enabling, environmental, and social support. Univariate and multivariate analyses were conducted on factors for breast cancer screening using multinomial logistic regression analysis.Results: Correlates to positive breast cancer screening included demographics (ethnicity, cultural factors (living in the United States for 15 years or more, speaking English well, enabling factors (having a regular physician to visit, health insurance covering the screening, and family/social support factors (those who had a family/friend receiving a mammogram.Conclusions: The results of this study suggest that breast cancer screening programs will be more effective if they include the cultural and health beliefs, enabling, and social support factors associated with breast cancer screening. The use of community organizations may play a role in helping to increase breast cancer screening rates among Asian American women.Keywords: breast cancer screening, Vietnamese, Korean, Chinese, breast

  20. Binge drinking and alcohol-related problems among U.S.-born Asian Americans.

    Science.gov (United States)

    Iwamoto, Derek; Takamatsu, Stephanie; Castellanos, Jeanett

    2012-07-01

    Binge drinking (five drinks or more in a 2-h sitting for men or four or more drinks in a 2-h sitting for women) and alcohol-related problems are a growing problem among Asian American young adults. The current study examines the sociocultural (i.e., generational status and ethnic identity) determinants of binge drinking and alcohol-related problems across U.S.-born, young-adult, Asian American ethnic groups. Data were collected from 1,575 Asian American undergraduates from a public university in Southern California. Chinese Americans consisted of the largest Asian ethnicity in the study, followed by Vietnamese, Filipino, Korean, South Asian, Japanese, Multi-Asian, and "other Asian American." Participants completed a web-based assessment of binge drinking, alcohol-related problems, ethnic identity, descriptive norms (i.e., perceived peer drinking norms), and demographic information. An analysis of variance was used to determine potential gender and ethnic differences in binge drinking and alcohol-related problems. Negative binomial regression was selected to examine the relationship between the predictors and outcomes in our model. There were no gender differences between Asian American men and women in regards to binge drinking; however, men reported more alcohol-related problems. Japanese Americans reported the highest number of binge-drinking episodes and alcohol-related problems, followed by Filipino and Multi-Asian Americans (e.g., Chinese and Korean). Living off-campus; higher scores in descriptive norms; Greek status; and belonging to the ethnic groups Japanese, Filipino, Multi-Asian, Korean, and South Asian increased the risk of engaging in binge drinking. Quantity of alcohol consumed, Greek status, gender, Filipino, South Asian, other Asian, and lower ethnic identity scores were related to alcohol-related problems. Using one of the largest samples collected to date on sociocultural determinants and drinking among U.S.-born Asian American young adults, the

  1. Social Anxiety and Mental Health Service Use Among Asian American High School Students.

    Science.gov (United States)

    Brice, Chad; Masia Warner, Carrie; Okazaki, Sumie; Ma, Pei-Wen Winnie; Sanchez, Amanda; Esseling, Petra; Lynch, Chelsea

    2015-10-01

    Asian American adults endorse more symptoms of social anxiety (SA) on self-report measures than European Americans, but demonstrate lower prevalence rates of SA disorder in epidemiological studies. These divergent results create ambiguity concerning the mental health needs of Asian Americans. The present study is the first to investigate this issue in adolescents through assessment of self-reported SA in Asian American high school students. Parent and self-ratings of impairment related to SA and self-reported mental health service use for SA were also measured. Asian American students endorsed a greater number of SA symptoms and scored in the clinical range more frequently than other ethnic groups. Also, Asian American and Latino students endorsed more school impairment related to SA than other ethnic groups. No differences in parent-reported impairment or service utilization were identified. Implications for future research and treatment for SA among Asian American adolescents are discussed.

  2. Implicit bicultural identity among Mexican American and Asian American college students.

    Science.gov (United States)

    Devos, Thierry

    2006-07-01

    Contemporary research on ethnic identity, acculturation, and cultural orientation suggests that, at least under some circumstances, individuals can successfully internalize or identify with more than one culture. Previous research on multicultural identity has relied almost exclusively on self-report measures. Using the Implicit Association Test (IAT), the present research examined to what extent Mexican American and Asian American college students identified with American culture and with their culture of origin. Results indicated that Mexican American and Asian American participants strongly and equally identified with both cultures. The present research provides firm evidence for a bicultural identity through assessments of thoughts that cannot be consciously controlled. Patterns of bicultural identification obtained on implicit measures were not the product of deliberate responses to normative demands or conscious attempts to convey a particular self-image.

  3. Physician scientist research pathway leading to certification by the American Board of Pathology.

    Science.gov (United States)

    Weiss, Sharon W; Johnson, Rebecca L

    2016-06-01

    In 2014, the American Board of Pathology, in response to the pathology community, approved a physician scientist research pathway (PSRP). This brief report summarizes the history of and objectives for creating the physician scientist research pathway and the requirements of the American Board of Pathology for the certification of physician scientist research pathway trainees.

  4. Association between asthma and obesity among immigrant Asian Americans, California Health Interview Survey, 2001-2011.

    Science.gov (United States)

    Becerra, Benjamin J; Scroggins, Christy M; Becerra, Monideepa B

    2014-11-26

    Our objective was to study the comorbidity of asthma and obesity among foreign-born Asian Americans, by subgroups. Public data from the California Health Interview Survey, 2001-2011, were analyzed by using independent logistic regressions, yielding the association between asthma and obesity (Asian and standard cutoffs for body mass index [BMIs]) of 19,841 Asian American immigrant respondents. Chinese, Filipino, South Asian, and Japanese immigrants had a positive association between lifetime asthma and obesity, whereas among Korean immigrants, a positive association was found between lifetime asthma and overweight status (standard BMI cutoffs). Routine screening for this comorbidity is warranted among immigrant Asian Americans.

  5. Asian American Educational Attainment and Earning Power in Post-Racial America

    Science.gov (United States)

    Covarrubias, Alejandro; Liou, Daniel D.

    2014-01-01

    This policy brief contextualizes the most recent data on mobility of Asian American students within the K to Ph.D. educational system in the new, so-called, colorblind post-racial America. Achievement data on Asian Americans are often presented in the same breath with Whites when compared to the academic achievement of African American, and…

  6. Place of origin and violent disagreement among Asian American families: analysis across five States.

    Science.gov (United States)

    Wang, Jong-Yi; Probst, Janice C; Moore, Charity G; Martin, Amy B; Bennett, Kevin J

    2011-08-01

    We examined the prevalence of and factors associated with violent and heated disagreements in the Asian American families, with an emphasis on place of birth differences between parent and child. Data were obtained from the 2003 National Survey of Children's Health, limited to five states with the highest concentration of Asian-Americans (n = 793). Multivariable analysis used generalized logistic regression models with a three-level outcome, violent and heated disagreement versus calm discussion. Violent disagreements were reported in 13.7% of Asian-American homes and 9.9% of white homes. Differential parent-child place of birth was associated with increased odds for heated disagreement in Asian-American families. Parenting stress increased the likelihood of violent disagreements in both Asian-American and white families. Asian-American families are not immune to potential family violence. Reducing parenting stress and intervening in culturally appropriate ways to reduce generation differences should be violence prevention priorities.

  7. Asian Americans' family cohesion and suicide ideation: moderating and mediating effects.

    Science.gov (United States)

    Joel Wong, Y; Uhm, Soo Yun; Li, Peiwei

    2012-07-01

    The purpose of this study was to examine the relationship between family cohesion and suicide ideation in a national, adult community sample of Asian Americans (N=2072). The data for this study were drawn from the National Latino and Asian American Study, the first national epidemiological study of Asian Americans' mental health. The results indicate that family cohesion was negatively related to suicide ideation. In addition, English language proficiency moderated the relationship between family cohesion and suicide ideation. Family cohesion was related to lower odds of suicide ideation among low English proficiency Asian Americans. In contrast, family cohesion was not significantly related to suicide ideation among high English proficiency Asian Americans. Further, the findings are consistent with a model in which the relationship between family cohesion and suicide ideation was partially mediated by psychological distress. Practical implications for addressing suicide ideation among Asian Americans are discussed.

  8. Asian/American Bodies in Extremis: Gendering Power, Pleasure, and Nation through "Spectacular" Excess

    OpenAIRE

    Knoll, Melissa Garcia

    2012-01-01

    As a cross-genre study, this project centralizes performances of physical excess, putting genre theory in conversation with Asian/American critical race discourses to articulate the specific knowledges produced by film, stand-up comedy, theatre, and sports. Considering figures such as Annabel Chong, Margaret Cho, and Manny Pacquiao from within the discourses of gender and nation, I investigate how the Asian/American body in extremis speaks and is spoken, and how Asian/American subjects use b...

  9. Is Asian American Parenting Controlling and Harsh? Empirical Testing of Relationships between Korean American and Western Parenting Measures

    OpenAIRE

    2013-01-01

    Asian American parenting is often portrayed as highly controlling and even harsh. This study empirically tested the associations between a set of recently developed Korean ga-jung-kyo-yuk measures and several commonly used Western parenting measures to accurately describe Asian American family processes, specifically those of Korean Americans. The results show a much nuanced and detailed picture of Korean American parenting as a blend of Western authoritative and authoritarian styles with pos...

  10. Depression and Relational Health in Asian American and European American College Women

    Science.gov (United States)

    Lund, Terese J.; Chan, Pauline; Liang, Belle

    2014-01-01

    Research consistently demonstrates elevated rates of depression among college-aged women, yet evidence of racial differences in depression among this population are poorly understood. Moreover, the correlates of depression among Asian American women are also understudied. In this exploratory analysis, we examined mean differences in depression…

  11. Underage drinking among Asian American and Pacific Islander adolescents.

    Science.gov (United States)

    Nishimura, Stephanie T; Hishinuma, Earl S; Goebert, Deborah

    2013-01-01

    This study assessed the prevalence of alcohol abuse and dependence rates among four major ethnic groups of Hawai'i and examined the relationship among risk factors, protective factors, and demographic variables related to underage drinking. A total of 196 students were administered the Diagnostic Interview Schedule for Children, the American Drug and Alcohol Survey, and the Prevention Planning Survey. Drinking rates for Native Hawaiian students were significantly higher than those for Japanese and Caucasian students. Multiple logistic regression models accounted for 49% of the variance for any alcohol use. Ethnic group differences were found when data were disaggregated for Asian and Pacific Islander students.

  12. Perceived racial/ethnic discrimination and antisocial behaviors among Asian American college students: testing the moderating roles of ethnic and American identity.

    Science.gov (United States)

    Park, Irene J K; Schwartz, Seth J; Lee, Richard M; Kim, May; Rodriguez, Liliana

    2013-04-01

    The present study tested the moderating roles of ethnic identity and American identity on the association between perceived racial/ethnic discrimination and antisocial behaviors among Asian American college students. Using data from the Multi-Site University Study of Identity and Culture (MUSIC) collaborative, the sample included 1,362 East Asian and South Asian American college students. Perceived discrimination was significantly associated with antisocial behaviors for both East Asians and South Asians. Ethnic identity was not a significant moderator of the discrimination-antisocial behavior link, but American identity exacerbated the association between perceived discrimination and antisocial behaviors for both East Asians and South Asians. Interestingly, the explanatory power of the regression model was greater for South Asians than for East Asians in predicting antisocial behaviors. The importance of attending to American identity as a potential source of risk for Asian American college students exposed to racial/ethnic discrimination is discussed.

  13. Validating the Riverside Acculturation Stress Inventory with Asian Americans.

    Science.gov (United States)

    Miller, Matthew J; Kim, Jungeun; Benet-Martínez, Verónica

    2011-06-01

    An emerging body of empirical research highlights the impact of acculturative stress in the lives of culturally diverse populations. Therefore, to facilitate future research in this area, we conducted 3 studies to examine the psychometric properties of the Riverside Acculturation Stress Inventory (RASI; Benet-Martínez & Haritatos, 2005) and its 5 subscales in a total sample of 793 self-identified Asian American participants. The reliability and validity of RASI scores and the hypothesized 1-factor higher order model (with 1st-order factors Language Skills, Work Challenges, Intercultural Relations, Discrimination, and Cultural Isolation) of the RASI were examined in Study 1. The RASI higher order structure and score validity and reliability were examined across different generational groups in Study 2. The stability of RASI scores over a 3-week period was examined in Study 3. Overall, findings from these studies support the hypothesized structure of the RASI and indicate that this brief instrument provides reliable and valid acculturative stress scores. In addition, results suggest that RASI items are interpreted in an equivalent manner across different generations of Asian American individuals. Implications for research and assessment are discussed.

  14. Hepatitis B Virus Infection and Immunizations among Asian American College Students: Infection, Exposure, and Immunity Rates

    Science.gov (United States)

    Lee, Haeok; Kiang, Peter; Watanabe, Paul; Halon, Patricia; Shi, Ling; Church, Daniel R.

    2013-01-01

    Objectives: To evaluate the prevalence of hepatitis B virus (HBV) infection, exposure, and immunity among Asian American college students as a basis for evaluating HBV screening and vaccination policy. Participants and Methods: Self-identified Asian American college students aged 18 years or older were examined. Serological tests of HBV surface…

  15. Parent-to-Child Aggression among Asian American Parents: Culture, Context, and Vulnerability

    Science.gov (United States)

    Lau, Anna S.; Takeuchi, David T.; Alegria, Margarita

    2006-01-01

    We examined correlates of lifetime parent-to-child aggression in a representative sample of 1,293 Asian American parents. Correlates examined included nativity, indicators of acculturation, socioeconomic status, family climate, and stressors associated with minority status. Results revealed that Asian Americans of Chinese descent and those who…

  16. The Cultural Integration of Asian American Professional Women: Issues of Identity and Communication Behavior. Final Report.

    Science.gov (United States)

    Yamauchi, Joanne Sanae

    The purpose of this study was to examine the communication behavior of Asian American women who held nontraditional, male-dominated jobs. Two hundred and eighty seven Asian American women of Chinese, Japanese, Korean, and Philippino descent in both traditional and nontraditional occupations were interviewed in Washington, D.C. and San Francisco.…

  17. Do Asian American Faculty Face a Glass Ceiling in Higher Education?

    Science.gov (United States)

    Lee, Sharon M.

    2002-01-01

    Evaluated the glass ceiling hypothesis in relation to Asian American faculty using data from the 1993 National Study of Post-Secondary Faculty for 1,019 Asian American faculty members. Data limitations prevent concluding that such faculty do or do not face a glass ceiling; however, baseline findings for future research are established. (SLD)

  18. Symptoms of Anxiety and Associated Risk and Protective Factors in Young Asian American Children

    Science.gov (United States)

    Huang, Keng-Yen; Cheng, Sabrina; Calzada, Esther; Brotman, Laurie Miller

    2012-01-01

    Anxiety is one of the most prevalent mental health problems in young children but there has been a dearth of studies focusing on Asian American children. This study examines the patterns and the predictors of childhood anxiety and related symptoms in young children in a diverse Asian American (ASA) sample (n = 101). Findings indicate that ASA…

  19. Common Ground. Perspectives on Affirmative Action...and Its Impact on Asian Pacific Americans.

    Science.gov (United States)

    Lew, Gena A., Ed.

    This collection of policy papers is intended to educate and inform business and community leaders, policymakers, the Asian Pacific community, and the general public about the complex issues and far-reaching implications of the affirmative action debate on Asian Pacific Americans as well as all Americans. Essays are grouped into sections on…

  20. Diversity's Missing Minority: Asian Pacific American Undergraduates' Attitudes toward Affirmative Action.

    Science.gov (United States)

    Inkelas, Karen Kurotsuchi

    2003-01-01

    Examined the impact of personal belief systems and the college experience on Asian Pacific American undergraduate college students' views of affirmative action in higher education. Survey results indicated that Asian Pacific American students' social interactions and perceptions, as well as their dominant ideology beliefs and racial/ethnic…

  1. An Exploratory Study of Undergraduates' Attitudes toward Affirmative Action Policies for Asian Americans in College

    Science.gov (United States)

    Hartlep, Nicholas Daniel; Lowinger, Robert Jay

    2014-01-01

    This exploratory study examined white undergraduate students' (a) racial attitudes towards Asian Americans, (b) principled policy attitudes toward affirmative action, and (c) self-interest in relation to their support for college-based affirmative action policies for Asian Americans at a Midwestern university. A sample (n = 264, 28% male, 72%…

  2. Managing Family Conflict over Career Decisions: The Experience of Asian Americans

    Science.gov (United States)

    Ma, Pei-Wen Winnie; Desai, Uttara; George, Login S.; San Filippo, Alyssa A.; Varon, Samantha

    2014-01-01

    Conflict over career decisions is a main source of intergenerational conflict among Asian American families. This qualitative study explored the topic using consensual qualitative research methodology in a sample of eight Asian Americans. Results indicated that participants experienced feelings of guilt and indebtedness due to conflicting values,…

  3. The Continuing Significance of Racism in the Lives of Asian American College Students

    Science.gov (United States)

    Museus, Samuel D.; Park, Julie J.

    2015-01-01

    Asian Americans are one of the most misunderstood populations in higher education, and more research on this population is warranted. In this investigation, authors sought to understand the range of ways that Asian American students experience racism on a daily basis in college. They analyzed data from 46 individual, face-to-face qualitative…

  4. Acculturation, Enculturation, and Asian American College Students' Mental Health and Attitudes toward Seeking Professional Psychological Help

    Science.gov (United States)

    Miller, Matthew J.; Yang, Minji; Hui, Kayi; Choi, Na-Yeun; Lim, Robert H.

    2011-01-01

    In the present study, we tested a theoretically and empirically derived partially indirect effects acculturation and enculturation model of Asian American college students' mental health and attitudes toward seeking professional psychological help. Latent variable path analysis with 296 self-identified Asian American college students supported the…

  5. Effects of Counselor Race and Counseling Approach on Asian Americans' Perceptions of Counselor Credibility and Utility

    Science.gov (United States)

    Atkinson, Donald R.; And Others

    1978-01-01

    Two studies are described in which Asian Americans rated a counselor's performance in a simulated counseling session with an Asian American student. The counselor was rated as more credible and approachable when employing a directive counseling approach than when using a nondirective counseling approach. (Author/MFD)

  6. Silence Speaks Volumes: Parental Sexual Communication among Asian American Emerging Adults

    Science.gov (United States)

    Kim, Janna L.; Ward, L. Monique

    2007-01-01

    Although parents greatly influence children's early understandings of sexuality, little is known about how sexual communication transpires in Asian American families. Accordingly, the authors examined the amount and type of parental sexual communication recalled by 165 Asian American college students. Parents were perceived as providing very…

  7. Experiences and perspectives of African American, Latina/o, Asian American, and European American psychology graduate students: A national study.

    Science.gov (United States)

    Maton, Kenneth I; Wimms, Harriette E; Grant, Sheila K; Wittig, Michele A; Rogers, Margaret R; Vasquez, Melba J T

    2011-01-01

    A national, Web-based survey of 1,219 African American, Latina/o, Asian American, and European American psychology graduate students revealed both similarities and differences in experiences and perspectives. Mentoring was found to be the strongest predictor of satisfaction across groups. Academic supports and barriers, along with perceptions of diversity within the academic environment, were also important predictors of satisfaction. Students of color perceived less fairness of representation of their ethnic group within psychology than European American students, and a greater linkage between aspects of the graduate school experience and their ethnicity. Limitations of the study and implications for future research and action are discussed.

  8. Getting the message: media images and stereotypes and their effect on Asian Americans.

    Science.gov (United States)

    Mok, T A

    1998-01-01

    Mass media sources such as television and movies arguably offer up little in the way of positive Asian/Asian American images or role models. This article contends that the media do not often portray the diversity that is inherent within the Asian American culture and that such a paucity of Asian images may greatly affect perceptions Asian Americans may hold both of their own racial group and of the larger society. This article examines both media images of Asians and Asian Americans and autobiographical information from Asian American literature to illustrate the potentially detrimental effects of being a person of color in a society that emphasizes a monoracial standard of beauty. Information gleaned from first-hand accounts from Asian Americans often points to the media as a potent source of information as to how attractiveness is defined and measured. This article concludes with a discussion of some brief case examples and ethical imperatives for mental health workers in terms of both self-awareness and education as well as considerations for culturally sensitive therapy.

  9. Interest Convergence or Divergence? A Critical Race Analysis of Asian Americans, Meritocracy, and Critical Mass in the Affirmative Action Debate

    Science.gov (United States)

    Park, Julie J.; Liu, Amy

    2014-01-01

    We use the Critical Race Theory frameworks of interest convergence and divergence to critique the anti-affirmative action movement's co-option of Asian Americans. Past discussions of affirmative action and Asian Americans mainly concentrate on how Asian Americans are affected by affirmative action, whether positively or negatively. We demonstrate…

  10. Wrestling with Expectations: An Examination of How Asian American College Students Negotiate Personal, Parental, and Societal Expectations

    Science.gov (United States)

    Samura, Michelle

    2015-01-01

    This research draws on a broader study that situates Asian American college students within larger sociohistorical and political contexts. I examined Asian American college students' experiences and what it means to be "Asian American" in and through these experiences. Two types of expectations emerged from the data: students' internal…

  11. Selected Statistics on the Status of Asian-American Women

    Science.gov (United States)

    Fong, Pauline; Cabezas, Amado

    1977-01-01

    Taken from a paper on "The Economic and Employment Status of Asian Women in America" by Pauline Fong and Amado Cabezas of ASIAN, Inc., this brief analysis of statistics on Asian women indicates that highly educated Asian women do not have higher incomes or better jobs than many of those with less education.

  12. Lay theory of race affects and moderates Asian Americans' responses toward American culture.

    Science.gov (United States)

    No, Sun; Hong, Ying-yi; Liao, Hsin-Ya; Lee, Kyoungmi; Wood, Dustin; Chao, Melody Manchi

    2008-10-01

    People may hold different understandings of race that might affect how they respond to the culture of groups deemed to be racially distinct. The present research tests how this process is moderated by the minority individual's lay theory of race. An essentialist lay theory of race (i.e., that race reflects deep-seated, inalterable essence and is indicative of traits and ability) would orient racial minorities to rigidly adhere to their ethnic culture, whereas a social constructionist lay theory of race (i.e., that race is socially constructed, malleable, and arbitrary) would orient racial minorities to identify and cognitively assimilate toward the majority culture. To test these predictions, the authors conducted 4 studies with Asian American participants. The first 2 studies examine the effect of one's lay theory of race on perceived racial differences and identification with American culture. The last 2 studies tested the moderating effect of lay theory of race on identification and assimilation toward the majority American culture after this culture had been primed. The results generally supported the prediction that the social constructionist theory was associated with more perceived similarity between Asians and Americans and more consistent identification and assimilation toward American culture, compared with the essentialist theory.

  13. Nativity, US Length of Residence, and BMI Among Diverse Asian American Ethnic Groups.

    Science.gov (United States)

    Rosas, Lisa G; Sanchez-Vaznaugh, Emma V; Sánchez, Brisa N

    2015-10-01

    Little is known about body mass index (BMI) patterns by nativity and length of US residence among Asian American ethnic groups. We used linear regression to examine the association of BMI with nativity and length of residence across six ethnic groups (Filipinos, Japanese, Chinese, Koreans, South Asians, and Vietnamese) using data from the California Health Interview Study. There was significant heterogeneity in the nativity/length of residence patterns in unadjusted BMI across ethnic groups (p born ethnic groups significantly higher than BMI for immigrants with the exception of South Asians. Longer US residence was positively associated with BMI among all groups, though only significant among Filipinos and Koreans. Programs targeting Asian Americans should take into consideration BMI patterns by nativity and US length of residence among diverse Asian American ethnic groups.

  14. Contemporary American Success Stories. Famous People of Asian Ancestry. Volume II. A Mitchell Lane Multicultural Biography Series.

    Science.gov (United States)

    Marvis, Barbara J.

    As part of a five-volume series this volume presents biographical sketches of persons of Asian American heritage who have made contributions to American life. Asian Americans have often been subjected to racial and ethnic prejudice as have other easily identifiable groups of Americans. The series, written at a reading level of grades 5 to 6, but…

  15. Contemporary American Success Stories. Famous People of Asian Ancestry. Volume I. A Mitchell Lane Multicultural Biography Series.

    Science.gov (United States)

    Marvis, Barbara J.

    As part of a five-volume series this volume presents biographical sketches of persons of Asian American heritage who have made contributions to American life. Asian Americans have often been subjected to racial and ethnic prejudice, as have other easily identifiable groups of Americans. The series, written at a reading level of grades 5 to 6, but…

  16. Health Care Access Among Asian American Subgroups: The Role of Residential Segregation.

    Science.gov (United States)

    Carreon, Daisy C; Baumeister, Sebastian E

    2015-10-01

    Few studies have examined differences in health care access across Asian American ethnicities and none have considered the effects of residential segregation. The segregation of Asians by neighborhood has been steadily increasing over the past few decades due in part to the settlement patterns of immigrants. Data from the 2009 National Longitudinal Study of Adolescent Health (n = 746) were used. We examined differences in yearly medical checkups between Asian subgroups as well as among foreign-born and US-born Asians. Results showed that immigrant Filipinos and Vietnamese were less likely to get a checkup compared with foreign-born Chinese. The effect of Asian subgroup was modified by the percentage of Asians in a census tract (p Chinese and Vietnamese residential concentration of Asians had a stronger inverse association with having a yearly checkup.

  17. Social and clinically-relevant cardiovascular risk factors in Asian Americans adults: NHANES 2011-2014.

    Science.gov (United States)

    Echeverria, Sandra E; Mustafa, Mehnaz; Pentakota, Sir Ram; Kim, Soyeon; Hastings, Katherine; Amadi, Chioma; Palaniappan, Latha

    2017-02-17

    Little evidence exists examining cardiovascular risk factors among Asian Americans and how social determinants such as nativity status and education pattern risk in the United States (U.S.) context. We used the 2011-2014 National Health and Nutrition Examination Survey, which purposely oversampled Asian Americans from 2011 to 2014, and examined prevalence of Type II diabetes, smoking and obesity for Asian Americans (n=1363) and non-Latino Whites (n=4121). We classified Asian Americans as U.S. or foreign-born and by years in the U.S. Obesity status was based on standard body mass index (BMI) cut points of ≥30kg/m(2) and Asian-specific cut points (BMI≥25kg/m(2)) that may be more clinically relevant for this population. We fit separate logistic regression models for each outcome using complex survey design methods and tested for the joint effect of race, nativity and education on each outcome.Diabetes and obesity prevalence (applying Asian-specific BMI cut points) were higher among Asian Americans when compared to non-Latino Whites but smoking prevalence was lower. These patterns remained in fully adjusted models and showed small increases with longer duration in the U.S. Joint effects models showed higher odds of prevalent Type II diabetes and obesity (Asian-specific) for foreign-born Asians, regardless of years in the U.S. and education, when compared to non-Latino Whites with high education. Smoking models showed significant interaction effects between race and education for non-Latino Whites only. Our study supports the premise that social as well as clinical factors should be considered when developing health initiatives for Asian Americans.

  18. A Dialogue with Lisa Chin: An Asian-American Feminist Perspective.

    Science.gov (United States)

    McLaren, Peter

    1994-01-01

    The terms "Asian" and "Pacific Islanders" capture diverse historical relationships and a powerful cultural/linguistic diversity. Many Asian-Pacific Americans have succeeded despite monumental prejudices and obstacles, including the "model minority" myth promoted by conservatives to limit affirmative action. Chin's…

  19. Another Look at the Melting Pot: Perceptions of Asian-American Undergraduates.

    Science.gov (United States)

    Minatoya, Lydia Yuriko; Sedlacek, William E.

    1981-01-01

    Asian-American undergraduates (N=139) responded to a questionnaire covering demographic information and attitudes toward education, family, interracial contact, and racial discrimination. Findings suggested the continuing importance of Asian values even though respondents had little contact with members of their racial groups. (Author/RC)

  20. Identity Issues in Asian-American Children's and Adolescent Literature (1999-2007)

    Science.gov (United States)

    Liu, Yi-chen

    2009-01-01

    Published research suggests that literature should transmit ethnic and societal values as well as reassure one's own confidence and self-respect. This study provides a model for examining Asian-American children's and adolescent literature critically from the perspective of identity issues. It examines fifteen award-winning Asian-American…

  1. 3 CFR 8369 - Proclamation 8369 of May 1, 2009. Asian American and Pacific Islander Heritage Month, 2009

    Science.gov (United States)

    2010-01-01

    ... discrimination—yet they excelled. Even in the darkness of the Exclusion Act and Japanese internment, Asian... 3 The President 1 2010-01-01 2010-01-01 false Proclamation 8369 of May 1, 2009. Asian American and... Proclamation 8369 of May 1, 2009 Proc. 8369 Asian American and Pacific Islander Heritage Month, 2009By...

  2. How much information? East Asian and North American cultural products and information search performance.

    Science.gov (United States)

    Wang, Huaitang; Masuda, Takahiko; Ito, Kenichi; Rashid, Marghalara

    2012-12-01

    Literature in cultural psychology suggests that compared with North Americans, East Asians prefer context-rich cultural products (e.g., paintings and photographs). The present article further examines the preferred amount of information in cultural products produced by East Asians and North Americans (Study 1: Society for Personality and Social Psychology conference posters; Study 2: government and university portal pages). The authors found that East Asians produced more information-rich products than did North Americans. Study 3 further examined people's information search speed when identifying target objects on mock webpages containing large amounts of information. The results indicated that East Asians were faster than North Americans in dealing with information on mock webpages with large amounts of information. Finally, the authors found that there were cultural differences as well as similarities in functional and aesthetic preferences regarding styles of information presentation. The interplay between cultural products and skills for accommodating to the cultural products is discussed.

  3. An Integrated Conceptual Framework for the Development of Asian American Children and Youth.

    Science.gov (United States)

    Mistry, Jayanthi; Li, Jin; Yoshikawa, Hirokazu; Tseng, Vivian; Tirrell, Jonathan; Kiang, Lisa; Mistry, Rashmita; Wang, Yijie

    2016-07-01

    The diversity of circumstances and developmental outcomes among Asian American children and youth poses a challenge for scholars interested in Asian American child development. This article addresses the challenge by offering an integrated conceptual framework based on three broad questions: (a) What are theory-predicated specifications of contexts that are pertinent for the development of Asian American children? (b) What are the domains of development and socialization that are particularly relevant? (c) How can culture as meaning-making processes be integrated in conceptualizations of development? The heuristic value of the conceptual model is illustrated by research on Asian American children and youth that examines the interconnected nature of specific features of context, pertinent aspects of development, and interpretive processes.

  4. An Asian viewpoint on the use of vitamin D and calcium in osteoporosis treatment: Physician and patient attitudes and beliefs

    Directory of Open Access Journals (Sweden)

    Scott Boyd B

    2010-10-01

    Full Text Available Abstract Background Osteoporosis treatment guidelines recommend calcium and vitamin D supplementation for both prevention as well as treatment, however, compliance with these guidelines is often unsatisfactory. This study investigated the opinion of Asian physicians and Asian patients regarding vitamin D and calcium and patients' use of both. Methods Physicians selected from Malaysia, Taiwan, Philippines, Korea and Singapore were asked to grade the significance of vitamin D and calcium in the treatment of osteoporosis and their patients' use of these supplements. In addition, physicians recruited seven eligible osteoporotic women to answer a questionnaire to determine their use of vitamin D and calcium, and their attitudes and beliefs regarding these supplements. Results In total, 237 physicians and 1463 osteoporosis patients completed the questionnaire. The results revealed that 22% of physicians in Malaysia, 12% in Taiwan, 72% in the Philippines, 50% in Korea and 24% in Singapore rated the importance of vitamin D supplementation as being extremely important. For calcium, 27% of physicians in Malaysia, 30% in Taiwan, 80% in the Philippines, 50% in Korea and 38% in Singapore rated the importance as being extremely important. Forty-three percent of patients in Malaysia, 38% in Taiwan, 73% in the Philippines, 35% in Korea and 39% in Singapore rated the importance of vitamin D as being extremely important. For calcium, 69% of patients in Malaysia, 58% in Taiwan, 90% in the Philippines, 70% in Korea and 55% in Singapore rated the importance as being extremely important. In addition, results of the patient questionnaire revealed that only a very small number regularly took both supplements. In addition, the results indicated that, with the exception of patients from the Philippines, the majority of patients had no or infrequent discussion with their physician about vitamin D and calcium. Conclusions There is generally suboptimal appreciation by both

  5. Therapist Multicultural Competence, Asian American Participants’ Cultural Values, and Counseling Process

    OpenAIRE

    Wang, Shihwe; Kim, Bryan S. K.

    2010-01-01

    Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists’ multicultural competence and by examining clients’ cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings th...

  6. Misogyny, Acculturation, and Ethnic Identity: Relation to Rape-Supportive Attitudes in Asian American College Men

    OpenAIRE

    Koo, Kelly H.; Stephens, Kari A.; Lindgren, Kristen P.; George, William H

    2011-01-01

    Asian Americans have been understudied with respect to sexuality and rape and its contributory factors. Some attitudinal research has shown that Asian American college males tend to hold more rape-supportive beliefs than their White counterparts. Generally, this research treats ethnicity as a proxy for culture rather than examining specific facets of culture per se. The current study incorporated measures of misogynistic beliefs, acculturation, and ethnic identity to investigate these ethnic ...

  7. Emotion socialization and ethnicity: an examination of practices and outcomes in African American, Asian American, and Latin American families.

    Science.gov (United States)

    Morelen, Diana; Thomassin, Kristel

    2013-06-01

    The current review paper summarizes the literature on parental emotion socialization in ethnically diverse families in the United States. Models of emotion socialization have been primarily developed using samples of European American parents and children. As such, current categorizations of "adaptive" and "maladaptive" emotion socialization practices may not be applicable to individuals from different ethnic backgrounds. The review examines current models of emotion socialization, with particular attention paid to the demographic breakdown of the studies used to develop these models. Additionally, the review highlights studies examining emotion socialization practices in African American, Asian American, and Latin American families. The review is synthesized with summarizing themes of similarities and differences across ethnic groups, and implications for culturally sensitive research and practice are discussed.

  8. Misogyny, acculturation, and ethnic identity: relation to rape-supportive attitudes in Asian American college men.

    Science.gov (United States)

    Koo, Kelly H; Stephens, Kari A; Lindgren, Kristen P; George, William H

    2012-08-01

    Asian Americans have been understudied with respect to sexuality and rape and its contributory factors. Some attitudinal research has shown that Asian American college males tend to hold more rape-supportive beliefs than their White counterparts. Generally, this research treats ethnicity as a proxy for culture rather than examining specific facets of culture per se. The current study incorporated measures of misogynistic beliefs, acculturation, and ethnic identity to investigate these ethnic differences in rape-supportive attitudes. White (n = 222) and Asian American (n = 155) college men read an acquaintance rape vignette and evaluated it on four judgments: how much they blamed the perpetrator and the victim, how credible they viewed the victim's refusal, and to what degree they defined the event as rape. Consistent with previous research, Asian American men made more rape-supportive judgments than Whites. This relationship was partially mediated by misogynistic beliefs for all judgments except the extent to which they defined the vignette as rape. Among Asian Americans, acculturation was negatively associated with all four rape vignette judgments above and beyond generational status, and ethnic identity was positively associated with two of the four judgments above and beyond acculturation and generational status. These findings suggest that cultural constructs are relevant to understanding rape-supportive attitudes among Asian American men, and may be useful for promoting culturally enhanced theoretical models of rape and sexual assault prevention efforts, as well as a deeper understanding of cultural influences on sexuality.

  9. Perceived discrimination and psychological distress among Asian Americans: does education matter?

    Science.gov (United States)

    Zhang, Wei; Hong, Seunghye

    2013-10-01

    Using data from the National Latino and Asian American Study, this work examines if and how perceived everyday discrimination is associated with psychological distress among Asian Americans and whether this association varies by important structural factors as education and place of education. Findings reveal that perception of discrimination is associated with increased levels of psychological distress. Most importantly, education moderates the discrimination-distress association such that the detrimental effect of discrimination is stronger for Asian Americans with college or more levels of education than for Asian Americans with less than college levels of education. Place of education further conditions the moderating effect of education: The foreign-educated Asian Americans with higher levels of education are affected most negatively by discrimination compared to others. This study highlights (1) the significant joint role of education and place of education in conditioning the relationship between perceived discrimination and psychological distress, and (2) unique features of education in improving our understanding of Asian Americans' mental health.

  10. The american dream in the inmigration narratives of asian american women writes : (1976-2006)

    OpenAIRE

    Naya Montero, Paula

    2013-01-01

    [Abstract] This dissertation focuses on the “American Dream” as a topos in immigration literature, specifically in the narratives of four (South) Asian women writers, Maxine Hong Kingston, Bharati Mukherjee, Gish Jen and Jhumpa Lahiri. My main thesis is that the immigrant characters in these novels and short stories aim to construct what I have called “micro-societies.” For this reason, I examine the factors that push these immigrant characters, both “Adams” and “Eves,” to live apart from the...

  11. American College of Physicians Ethics Manual. Third edition.

    Science.gov (United States)

    1992-12-01

    Medicine, law, and social values are not static and must be re-examined periodically. This edition of the ACP Ethics Manual covers emerging issues in medical ethics and revisits some old issues. The overview of the evolution of medical ethics, which appeared in previous editions of the Manual, has been eliminated to allow more space for the consideration of today's ethical dilemmas. Other changes include a revised chapter on end-of-life care, discussion of physician-assisted suicide, revised sections on conflicts of interest and on medical risk to the physician and patient, given developments in human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS), and discussion of sexual contact between physician and patient. A statement on disclosure of errors and a section on care of the physician's family have also been added. The sections on confidential information told by a patient's family or friend to the physician; on physician-pharmaceutical industry relations; on physicians in training; and on the impaired physician have been expanded. Sections on advertising, peer review, and resource allocation have been revised. The literature of biomedical ethics expands at a rate that does not allow a bibliography to remain current, so an exhaustive list of references or suggested readings is not included in this manual. Instead, only cited references are listed.

  12. Adolescent Bicultural Stress and Its Impact on Mental Well-Being among Latinos, Asian Americans, and European Americans

    Science.gov (United States)

    Romero, Andrea J.; Carvajal, Scott C.; Valle, Fabian; Orduna, Michele

    2007-01-01

    The perception of bicultural stress, stress due to discrimination/prejudice, immigration, and acculturation, was investigated in relation to mental well-being in a sample of urban Latino (n = 304), European American (n = 215), and Asian American (n = 131) 8th grade students. Bicultural stress was reported by all ethnic groups and was significantly…

  13. Asian Americans and racism: when bad things happen to "model minorities.".

    Science.gov (United States)

    Alvarez, Alvin N; Juang, Linda; Liang, Christopher T H

    2006-07-01

    Due to the limited psychological research on Asian Americans' experiences with racism, in the current study the authors examined the relationships between racial socialization, racial identity, and perceptions of racism, with a college-aged sample (N = 254) consisting primarily of Chinese Americans and Filipino Americans. With the use of multiple regression analyses, the results indicated that racial socialization, particularly discussions about race and racism, was positively related to one's perceptions of racism. Moreover, the study also showed that the relationship between racial socialization and perceptions of racism was partially mediated by racial identity schemas. To understand how Asian Americans regard racism, it is useful to have an understanding of racial identity theory and the manner in which Asian Americans are socialized to perceive racism.

  14. Official Executive Summary of an American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline

    DEFF Research Database (Denmark)

    Schmidt, Gregory A; Girard, Timothy D; Kress, John P

    2017-01-01

    BACKGROUND: This clinical practice guideline addresses six questions related to liberation from mechanical ventilation in critically ill adults. It is the result of a collaborative effort between the American Thoracic Society (ATS) and American College of Chest Physicians (CHEST). METHODS: A mult...

  15. My Mother and Me: Why Tiger Mothers Motivate Asian Americans But Not European Americans.

    Science.gov (United States)

    Fu, Alyssa S; Markus, Hazel Rose

    2014-06-01

    "Tiger Mother" Amy Chua provoked a culture clash with her claim that controlling parenting in Asian American (AA) contexts produces more successful children than permissive parenting in European American (EA) contexts. At the heart of this controversy is a difference in the normative models of self that guide behavior. Ideas and practices prevalent in AA contexts emphasize that the person is and should be interdependent with one's close others, especially one's mother. In contrast, EA contexts emphasize the person as independent, even from one's mother. We find that AA compared with EA high school students experience more interdependence with their mothers and pressure from them, but that the pressure does not strain their relationship with their mothers. Furthermore, following failure, AAs compared with EAs are more motivated by their mothers, and AAs are particularly motivated by pressure from their mothers when it conveys interdependence.

  16. Women in History--Dr. Susan LaFlesche Picotte: American Physician and Heroine

    Science.gov (United States)

    Krumm, Bernita L.

    2005-01-01

    This article profiles Susan LaFlesche Picotte, the first Native American woman doctor in the United States. Several accounts record that at a very young age Picotte witnessed an incident involving a Caucasian doctor who refused to care for a dying Native American woman. Picotte was inspired by that incident to become a physician, ultimately…

  17. 77 FR 26643 - Asian American and Pacific Islander Heritage Month, 2012

    Science.gov (United States)

    2012-05-04

    ... reflect on our past, we mark 70 years since the Executive Order that authorized the internment of Japanese... 4, 2012 Part IV The President Proclamation 8806--Asian American and Pacific Islander Heritage Month... Fitness and Sports Month, 2012 Proclamation 8809--Older Americans Month, 2012 Proclamation 8810--Law...

  18. Acculturation, Enculturation, Perceived Racism, and Psychological Symptoms among Asian American College Students

    Science.gov (United States)

    Alamilla, Saul G.; Kim, Bryan S. K.; Walker, Tamisha; Sisson, Frederick Riley

    2017-01-01

    This study examined the potential moderating influences of behavioral and values acculturation and enculturation in a sample of 113 Asian Americans. Findings from regression analyses revealed that acculturation to European American cultural values, alone and in interaction with perceived racism, was related to less psychological symptoms, whereas…

  19. Depression among Asian-American Adults in the Community: Systematic Review and Meta-Analysis.

    Directory of Open Access Journals (Sweden)

    Hee Jun Kim

    Full Text Available In this systematic review, we provide an overview of the literature on depression among Asian-Americans and explore the possible variations in depression prevalence estimates by methodological and demographic factors.Six databases were used to identify studies reporting a prevalence estimate for depression in Asian-American adults in non-clinical settings. Meta-analysis was used to calculate pooled estimates of rates of depression by assessment type. Statistical heterogeneity was assessed for subgroup analyses by gender, age, ethnicity, and other participant characteristics.A total of 58 studies met the review criteria (n = 21.731 Asian-American adults. Heterogeneity across the studies was considerably high. The prevalence of major depression assessed via standardized clinical interviews ranged between 4.5% and 11.3%. Meta-analyses revealed comparable estimated prevalence rates of depression as measured by the Center for Epidemiologic Studies Depression Scale (35.6%, 95% CI 27.6%-43.7% and the Geriatric Depression Scale (33.1%, 95% CI 14.9%-51.3%. Estimates varied by Asian racial/ethnic group and other participant characteristics. Estimates of depression among special populations, which included maternity, caregivers, and homosexuals, were significantly higher than estimates obtained from other samples (58.8% vs 29.3%, p = .003. Estimates of depression among Korean and Filipino-Americans were similar (33.3%-34.4%; however, the estimates were twice as high as those for Chinese-Americans (15.7%; p = .012 for Korean, p = .049 for Filipino.There appears to be wide variability in the prevalence rates of depression among Asian-Americans in the US. Practitioners and researchers who serve Asian-American adults need to be sensitive to the potential diversity of the expression of depression and treatment-seeking across Asian-American subgroups. Public health policies to increase Asian-American access to mental health care, including increased screening

  20. Acculturation, gender disparity, and the sexual behavior of Asian American youth.

    Science.gov (United States)

    Tong, Yuying

    2013-01-01

    Asian American youth are less likely to be sexually active than adolescents from other ethnic groups; however, with acculturation, they may adopt the more liberal sexual norms of American society. Moreover, owing to differing parental expectations for sons and daughters about sexuality, gender disparity might exist in the adoption of American sexual norms. This article used the proportional hazards model and the generalized estimating equations Poisson model to examine how acculturation influences the initiation of sexual intercourse and the number of sexual partners. The results show that acculturation leads to more liberal sexual mores among Asian American youth. However, despite what might be expected from the sexual double standard, the models show that more acculturated females, as indicated by their use of English at home, had an earlier onset of sexual intercourse and a higher number of sexual partners. This is the opposite of what would be predicted by the sexual double standard theory. This might be due to the fact that Asian females tend to be more socially accepted by the host society than Asian males. Information on partners shows that Asian American females have more diversified racial backgrounds than their male counterparts. They are also more likely to have older sexual partners.

  1. Functional limitations and nativity status among older Arab, Asian, black, Hispanic, and white Americans.

    Science.gov (United States)

    Dallo, Florence J; Booza, Jason; Nguyen, Norma D

    2015-04-01

    To examine the association between nativity status (foreign and US-born) by race/ethnicity (Arab, Asian, black, Hispanic, white) on having a functional limitation. We used American Community Survey data (2001-2007; n = 1,964,777; 65+ years) and estimated odds ratios (95% confidence intervals). In the crude model, foreign-born Blacks and Arabs were more likely, while Asians and Hispanics were less likely to report having a functional limitation compared to white. In the fully adjusted model, Blacks, Hispanics, and Asians were less likely, while Arabs were more likely to report having a functional limitation. In the crude model, US-born Blacks and Hispanics were more likely, while Asians and Arabs were less likely to report having a functional limitation compared to whites. Policies and programs tailored to foreign-born Arab Americans may help prevent or delay the onset of disability, especially when initiated shortly after their arrival to the US.

  2. Intercultural communication in nursing education: when Asian students and American faculty converge.

    Science.gov (United States)

    Xu, Yu; Davidhizar, Ruth

    2005-05-01

    In the context of globalization and changing American demographics, it is becoming increasingly important to understand and communicate effectively with people from diverse cultural and racial/ethnic backgrounds. This article applies the framework of cultural variability and intercultural communication research literature to examine and highlight the different communication behaviors of Asians and non-Asians in the United States. The meanings of various verbal and nonverbal behaviors of Asian students are examined to clarify their communication patterns. Culture-based assumptions are identified, and measures to improve intercultural communication in nursing education are provided.

  3. Comparison of exposure response relationship of atrasentan between North American and Asian populations

    DEFF Research Database (Denmark)

    Heerspink, Hiddo J L; Makino, Hirofumi; Andress, Dennis;

    2016-01-01

    AIMS: The selective endothelin (ET) A receptor antagonist atrasentan has been shown to lower albuminuria in North American and Asian patients with type 2 diabetes and nephropathy. As drug responses to many drugs may differ between North American and Asian populations, we assessed the influence...... of geographical region on the albuminuria and fluid retention response to atrasentan. MATERIALS AND METHODS: Two 12-week double-blind randomised controlled trials were performed with atrasentan 0.75 or 1.25 mg/d vs placebo in patients with type 2 diabetes and nephropathy. The efficacy endpoint was the percentage...... change in albuminuria. Bodyweight change, a proxy of fluid retention, was used as a safety endpoint. Pharmacodynamics were determined in Asians (N = 77) and North Americans (N = 134). Atrasentan plasma concentration was measured in 161 atrasentan-treated patients. RESULTS: Mean albuminuria reduction...

  4. Is Asian American Parenting Controlling and Harsh? Empirical Testing of Relationships between Korean American and Western Parenting Measures.

    Science.gov (United States)

    Choi, Yoonsun; Kim, You Seung; Kim, Su Yeong; Park, Irene Kim

    2013-03-01

    Asian American parenting is often portrayed as highly controlling and even harsh. This study empirically tested the associations between a set of recently developed Korean ga-jung-kyo-yuk measures and several commonly used Western parenting measures to accurately describe Asian American family processes, specifically those of Korean Americans. The results show a much nuanced and detailed picture of Korean American parenting as a blend of Western authoritative and authoritarian styles with positive and-although very limited-negative parenting. Certain aspects of ga-jung-kyo-yuk are positively associated with authoritative style or authoritarian style, or even with both of them simultaneously. They were positively associated with positive parenting (warmth, acceptance, and communication) but not with harsh parenting (rejection and negative discipline). Exceptions to this general pattern were Korean traditional disciplinary practices and the later age of separate sleeping of children. The study discusses implications of these findings and provides suggestions for future research.

  5. Attitudes and Perceptions of Suicide and Suicide Prevention Messages for Asian Americans

    Directory of Open Access Journals (Sweden)

    Priyata Thapa

    2015-12-01

    Full Text Available Understanding the context of suicidal behaviors is critical for effective suicide prevention strategies. Although suicide is an important topic for Asian Americans, there is limited information about what Asian Americans’ attitudes are towards suicide and their perceptions about the effectiveness of prevention efforts. These questions are critical to examine to provide foundational knowledge for determining how best to intervene. In this study, Asian American (n = 87 and White (n = 87 participants completed self-report indexes on their knowledge of depression and suicide (e.g., estimates of suicide rates, coping attitudes (e.g., help-seeking and suicide prevention attitudes (e.g., usefulness of PSAs. The results indicate that in comparison to Whites, Asian Americans perceived suicidal behavior to be more common, perceived a stronger link between depression and suicide, less frequently endorsed help-seeking strategies, and reported more concern or distress after viewing a suicide prevention PSA. These preliminary results also suggest the possibility of cultural differences in perceptions of suicide prevention messages. The implications of these findings are discussed with a focus on providing recommendations for exploring suicide prevention efforts for Asian Americans.

  6. Predictors of life satisfaction among Asian American adolescents- analysis of add health data.

    Science.gov (United States)

    Huang, Jui-Yen; Wang, Kuan-Yuan; Ringel-Kulka, Tamar

    2015-01-01

    Life satisfaction correlates with adolescent risk taking behavior and their outcomes in adulthood. Despite the fast rise in numbers of Asian adolescents in the U.S., the predictors of their life satisfaction are not well understood. This study examined the relationship between several demographic and contextual factors and global life satisfaction among this population. Data were derived from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative probability sample of US adolescents. Bivariate and multivariable logistic regression was conducted to evaluate hypothesized predictors of global life satisfaction of Asian American adolescents. All analyses were conducted using STATA version 11. After exclusion of cases with missing values, 1021 Asian American adolescents were studied. Self- rated health, self-esteem, perceived neighborhood quality, parental support and peer support were significantly and positively related to better global life satisfaction. However, after controlling for other factors, only self-esteem (adjusted odds ratio [aOR]: 4.76; 95% confidence interval [CI]: 2.86-8.33) and perceived peer support (aOR: 2.76; 95% CI: 1.33-5.76) significantly predicted higher life satisfaction. Peer support and adolescents' self-concept are strongly correlated with Asian American adolescents' subjective well-being. To promote the wellness of this population, culturally sensitive strategies in developing peer relationship and healthy self-concept may be effective. More studies are needed for subgroup comparison of various ethnicities among Asian American adolescents.

  7. A longitudinal experimental study comparing the effectiveness of happiness-enhancing strategies in Anglo Americans and Asian Americans.

    Science.gov (United States)

    Boehm, Julia K; Lyubomirsky, Sonja; Sheldon, Kennon M

    2011-11-01

    Growing evidence suggests that well-being interventions can be effective. However, it is unclear whether happiness-increasing practices are equally effective for individuals from different cultural backgrounds. To investigate this question, Anglo Americans and predominantly foreign-born Asian Americans were randomly assigned to express optimism, convey gratitude, or list their past experiences (control group). Multilevel analyses indicated that participants in the optimism and gratitude conditions reported enhanced life satisfaction relative to those in the control condition. However, Anglo Americans in the treatment conditions demonstrated larger increases in life satisfaction relative to Asian Americans, while both cultural groups in the control condition showed the least improvement. These results are consistent with the idea that the value individualist cultures place on self-improvement and personal agency bolsters the efforts of Anglo Americans to become more satisfied, whereas collectivist cultures' de-emphasis of self-focus and individual goals interferes with the efforts of Asian Americans to pursue enhanced well-being.

  8. Contemporary American Success Stories. Famous People of Asian Ancestry. Volume V. A Mitchell Lane Multicultural Biography Series.

    Science.gov (United States)

    Marvis, Barbara J.

    As part of a five-volume series, this collection of biographical sketches of Asian Americans who have made contributions to life in the United States profiles individuals who are role models for all children. Written at a reading level for grades five to six, the biographies feature Asian Americans of different ethnic backgrounds, exploring the…

  9. Contemporary American Success Stories. Famous People of Asian Ancestry. Volume III. A Mitchell Lane Multicultural Biography Series.

    Science.gov (United States)

    Marvis, Barbara J.

    As part of a five-volume series written at a reading level for grades five to six and as a tribute to the contributions Asian Americans have made to the United States, this volume presents biographical sketches of Asian Americans who can serve as role models for today's youth. The profiles in the series show the triumph of the human spirit. Volume…

  10. Caught in the Middle: Understanding Asian Pacific American Perspectives on Affirmative Action through Blumer's Group Position Theory.

    Science.gov (United States)

    Inkelas, Karen Kurotsuchi

    2003-01-01

    This study examines Asian Pacific American undergraduates' views on affirmative action and their perspectives on U.S. race relations through Herbert Blumer's (1958) theory of group position. Results indicate that Asian Pacific American (APA) students may perceive other minority student applicants as inferior to APA applicants and feel threatened…

  11. Beyond Self-Interest: Asian Pacific Americans toward a Community of Justice. A Policy Analysis of Affirmative Action.

    Science.gov (United States)

    Chin, Gabriel; And Others

    In this policy analysis of affirmative action, four Asian Pacific American law professors make a case for affirmative action with a special focus on Asian Pacific Americans (APAs). It is asserted that affirmative action produces many benefits, such as reducing the harm of racism, promoting equal opportunity, and advancing racial justice. However,…

  12. Communication between Asian American Adolescents and Health Care Providers about Sexual Activity, Sexually Transmitted Infections, and Pregnancy Prevention

    Science.gov (United States)

    Zhao, Jessie; Lau, May; Vermette, David; Liang, David; Flores, Glenn

    2017-01-01

    Asian American adolescents have been reported to have the lowest amount of communication with health care providers regarding sexual health topics (sexual activity, contraception, sexually transmitted infections, and pregnancy prevention). This study identified Asian American adolescents' attitudes/beliefs regarding how health care providers can…

  13. The Impact of Social Capital on the Access, Adjustment, and Success of Southeast Asian American College Students

    Science.gov (United States)

    Palmer, Robert T.; Maramba, Dina C.

    2015-01-01

    Given that Southeast Asian American (SEAA) students are severely underrepresented in higher education and less likely to persistence to graduation compared to other ethnic groups in the Asian American Pacific Islander (AAPI) community, this study explored critical factors to their college success. Indeed, several themes emerged from this national…

  14. Views of United States Physicians and Members of the American Medical Association House of Delegates on Physician-assisted Suicide.

    Science.gov (United States)

    Whitney, Simon N.; Brown, Byron W.; Brody, Howard; Alcser, Kirsten H.; Bachman, Jerald G.; Greely, Henry T.

    2001-01-01

    Ascertained the views of physicians and physician leaders toward legalization of physician-assisted suicide. Results indicated members of AMA House of Delegates strongly oppose physician-assisted suicide, but rank-and-file physicians show no consensus either for or against its legalization. Although the debate is adversarial, most physicians are…

  15. Culture in Asian American community psychology: beyond the East-West binary.

    Science.gov (United States)

    Okazaki, Sumie; Saw, Anne

    2011-03-01

    In response to a call to better integrate culture in community psychology (O'Donnell in American Journal of Community Psychology 37:1-7 2006), we offer a cultural-community framework to facilitate a collaborative engagement between community psychologists and ethnic minority communities, focusing on Asian American communities as illustrations. Extending Hays' (Addressing cultural complexities in practice: Assessment, diagnosis, and therapy, American Psychological Association, Washington, DC, 2008) ADDRESSING framework for considering cultural influences on a counseling relationship, the proposed framework provides a broad but systematic guidepost for considering three major cultural-ecological influences on Asian American communities: Race and Ethnicity (R), Culture (C), and Immigration and Transnational Ties (I). We provide a sequence of steps that incorporate the ADDRESSING and the RCI frameworks to facilitate the collaborative community-based research or social action.

  16. Electrophoretic enzyme analysis of North American and eastern Asian populations of Agastache sect. Agastache (Labiatae)

    Science.gov (United States)

    Vogelmann, James E.; Gastony, Gerald J.

    1987-01-01

    Genetic relationships among the seven species of Agastache sect. Agastache common in North America and the one found in eastern Asia were assessed using starch-gel electrophoresis of twelve enzymatic proteins. Nei's (1976) genetic distance and identity values, calculated among the 32 populations used in this study, partitioned the Agastache section into four discrete groups: (1) A. nepetoides (eastern North America), (2) A. scrophulariifolia and A. foeniculum (eastern and central North America), (3) the four species of the western U.S. (A. urticifolia, A. occidentalis, A. parvifolia, and A. cusickii), and (4) A. rugosa (eastern Asia). The Asian Agastache, separated from its American congeners for over 12 million years, differed from American populations at only two (the IDH-1 and LAP-1 alleles) of the fifteen loci surveyed; these alleles were not found in any of the North American plants. Nei's genetic distances between the Asian and North American populations ranged from 0.2877 to 0.6734.

  17. Testing for Race: Stanford University, Asian Americans, and Psychometric Testing in California, 1920-1935

    OpenAIRE

    Palter, David

    2014-01-01

    Between 1920 and 1935, researchers at Stanford University administered thousands of eugenic tests of intelligence and personality traits to Chinese-American and Japanese-American children in California's public schools. The researchers and their funders, a diverse coalition of white supremacists and immigrant advocacy organizations, sought to use these tests to gauge the assimilative possibility and racial worth of Asian immigrants, and to intervene in local, national, and transpacific policy...

  18. Sociopolitical development, work salience, and vocational expectations among low socioeconomic status African American, Latin American, and Asian American youth.

    Science.gov (United States)

    Diemer, Matthew A; Wang, Qiu; Moore, Traymanesha; Gregory, Shannon R; Hatcher, Keisha M; Voight, Adam M

    2010-05-01

    Structural barriers constrain marginalized youths' development of work salience and vocational expectations. Sociopolitical development (SPD), the consciousness of, and motivation to reduce, sociopolitical inequality, may facilitate the negotiation of structural constraints. A structural model of SPD's impact on work salience and vocational expectations was proposed and its generalizability tested among samples of low-socioeconomic-status African American, Latin American, and Asian American youth, with Educational Longitudinal Study data. Measurement and temporal invariance of these constructs was first established before testing the proposed model across the samples. Across the three samples, 10th-grade SPD had significant effects on 10th-grade work salience and vocational expectations; 12th-grade SPD had a significant effect on 12th-grade work salience. Tenth-grade SPD had significant indirect effects on 12th-grade work salience and on 12th-grade vocational expectations for all three samples. These results suggest that SPD facilitates the agentic negotiation of constraints on the development of work salience and vocational expectations. Given the impact of adolescent career development on adult occupational attainment, SPD may also foster social mobility among youth constrained by an inequitable opportunity structure.

  19. The Mediated Figure of Hmong Farmer, Hmong Studies, and Asian American Critique

    Directory of Open Access Journals (Sweden)

    Hui Niu Wilcox

    2012-01-01

    Full Text Available The objective of this article is two-fold: First, it argues for critical engagement between Hmong Studies and Asian American Studies. Second, to illustrate the productivity of such engagement,this article analyzes the media coverage of an incident involving Hmong American farmers and their white neighbors in Eagan, Minnesota, June 2010. The focal question is how media discourses around farming and immigration serve to racialize Hmong American identities. Thisanalysis shows that Hmong Americans experience “Asiatic racialization” in that they are either discursively cast outside of the imagined American nation, or included contingent uponassimilation and conformity. Critiquing both the exclusionary and assimilative narratives, this article explicates the inherent contradictions of the U.S. nationalism, referencing both existingHmong Studies literature and Asian Americanist discourses on race and nation. Both bodies of work foreground the historical and social construction of identities, as well as the simultaneous,intertwined workings of race, class, gender/sexuality and nation. Critical dialogues could generate new ideas and possibilities for both Asian American Studies and Hmong Studies.

  20. Adherence to Asian Cultural Values and Cultural Fit in Korean American Undergraduates' Help-Seeking Attitudes

    Science.gov (United States)

    Gloria, Alberta M.; Castellanos, Jeanett; Park, Yong Sue; Kim, Daniel

    2008-01-01

    Differences in and relationships of Asian cultural values, cultural congruity, perception of the university environment, and help-seeking attitudes for 1st- and 2nd-generation Korean American undergraduates (N = 228) were examined. Women reported significantly higher cultural congruity and more positive help-seeking attitudes than did men. Asian…

  1. Hepatitis B: What Asian and Pacific Islander Americans Need to Know

    Science.gov (United States)

    ... dân Á Châu và vùng Thái Bình Dương Hepatitis B: Tips for Asian & Pacific Islander Americans Did ... to liver failure and liver cancer? What is hepatitis B? Hepatitis B is a liver disease spread ...

  2. The Link Between Hepatitis B and Liver Cancer: The Asian American Community

    Science.gov (United States)

    Dr. Moon Chen, Professor of the Department of Internal Medicine and Associate Director of Cancer Control at the University of California-Davis Comprehensive Cancer Center, speaks about Hepatitis B and Liver Cancer as a more prevalent problem in the Asian American community.

  3. Death Beliefs and Practices from an Asian Indian American Hindu Perspective

    Science.gov (United States)

    Gupta, Rashmi

    2011-01-01

    The purpose of this article was to explore Asian Indian American Hindu (AIAH) cultural views related to death and dying. Three focus group interviews were conducted with AIAH persons living in the southern region of United States. The focus group consisted of senior citizens, middle-aged adults, and young adults. Both open-ended and semistructured…

  4. Neighborhoods and mental health: exploring ethnic density, poverty, and social cohesion among Asian Americans and Latinos.

    Science.gov (United States)

    Hong, Seunghye; Zhang, Wei; Walton, Emily

    2014-06-01

    This study examines the associations of neighborhood ethnic density and poverty with social cohesion and self-rated mental health among Asian Americans and Latinos. Path analysis is employed to analyze data from the 2002-2003 National Latino and Asian American Study (NLAAS) and the 2000 U.S. Census (N = 2095 Asian Americans living in N = 259 neighborhoods; N = 2554 Latinos living in N = 317 neighborhoods). Findings reveal that neighborhood ethnic density relates to poor mental health in both groups. Social cohesion partially mediates that structural relationship, but is positively related to ethnic density among Latinos and negatively related to ethnic density among Asian Americans. Although higher neighborhood poverty is negatively associated with mental health for both groups, the relationship does not hold in the path models after accounting for social cohesion and covariates. Furthermore, social cohesion fully mediates the association between neighborhood poverty and mental health among Latinos. This study highlights the necessity of reconceptualizing existing theories of social relationships to reflect complex and nuanced mechanisms linking neighborhood structure and mental health for diverse racial and ethnic groups.

  5. Historical Perspectives on Diverse Asian American Communities: Immigration, Incorporation, and Education

    Science.gov (United States)

    Paik, Susan J.; Kula, Stacy M.; Saito, L. Erika; Rahman, Zaynah; Witenstein, Matthew A.

    2014-01-01

    Background/Context: Asian Americans have recently been reported as the largest incoming immigrant population and the fastest growing racial group. Diverse in culture, tradition, language, and history, they have unique immigrant stories both before and after the Immigration Act in 1965. Historians, sociologists, educators, and other experts inform…

  6. Speaking of Sisterhood: A Sociolinguistic Study of an Asian American Sorority

    Science.gov (United States)

    Bauman, Carina

    2016-01-01

    This dissertation explores language as a resource for the formation and expression of ethnic identity among the members of an Asian American college sorority. As a community of practice organized around ethnicity, the sorority provides an excellent site to examine the mutually constitutive relationship of language and ethnic identity. Two features…

  7. Asian Americans and Pacific Islanders: Facts, Not Fiction--Setting the Record Straight

    Science.gov (United States)

    National Commission on Asian American and Pacific Islander Research in Education, 2008

    2008-01-01

    The National Commission on Asian American and Pacific Islander Research in Education (CARE), consisting of a national commission, an advisory board, and a research team at New York University, aims to engage realistic and actionable discussions about the mobility and educational opportunities for AAPIs and how distinctions of race, ethnicity,…

  8. The Role of Coping in Perceived Racism and Depressive Symptoms among Asian American College Students

    Science.gov (United States)

    Hong, Jihee

    2012-01-01

    The purpose of this study was to explore the moderating and mediating role of collectivistic/situation-specific coping and individualistic/dispositional coping in the relationship between perceived racism and depressive symptoms in a sample (N = 203) of Asian American college students. Data were collected from a large public Southeastern state…

  9. Racial Attitudes among Asian and European American College Students: A Cross-Cultural Examination

    Science.gov (United States)

    Smith, Timothy B.; Bowman, Raquel; Hsu, Sungti

    2007-01-01

    College campuses are becoming increasingly racially diverse and may provide an optimal setting for the reduction of racial stereotypes and prejudices perpetuated in society. To better understand racism among college students, this study evaluated the attitudes of Asian and White European Americans toward several racial out-groups. Participants…

  10. Adolescent Precursors of Early Union Formation among Asian American and White Young Adults

    Science.gov (United States)

    Cheng, Yen-hsin Alice; Landale, Nancy S.

    2011-01-01

    Using a framework that emphasizes independent versus interdependent self-construals, this study investigates the relatively low rates of early marriage and cohabitation among Asian Americans compared with Whites. Data from Waves 1 and 3 of Add Health are used to test five hypotheses that focus on family value socialization and other precursors…

  11. Aspects of the Asian American Experience – Rights Denied and Attained

    Directory of Open Access Journals (Sweden)

    Roger Daniels

    2008-06-01

    Full Text Available This essay describes and analyzes the various statutory and constitutional provisions which denied specific rights to Asian immigrants and their descendants and relates the various processes by which these rights were granted or restored from the earliest days of the American republic to the penultimate decade of the 20th century.

  12. Increasing Visibility: The Racial Attitudes of Asian Pacific American Students. ASHE Annual Meeting Paper.

    Science.gov (United States)

    Inkelas, Karen Kurotsuchi

    This study examined personal and collegiate influences on Asian Pacific American college students' attitudes toward three racial/ethnic diversity issues. The study's organizing framework was a combination of Astin's I-E-O (inputs, environments, and outputs) model and Weidman's model of undergraduate socialization. Data were drawn from a…

  13. Evaluation of a Health Careers Program for Asian American and Pacific Islander High School Students

    Science.gov (United States)

    Yeh, Christine J.; Borrero, Noah E.

    2012-01-01

    The authors evaluated a health careers program in a U.S. urban public high school. After small subgroups of the original sample were removed, participants included 162 Asian American and Pacific Islander students. Analyses of covariance indicated that, compared with the comparison group, the treatment group reported significantly higher levels of…

  14. A Psychometric Investigation of the Academic Self-Concept of Asian American College Students

    Science.gov (United States)

    Cokley, Kevin; Patel, Nima

    2007-01-01

    The psychometric properties of scores from the Academic Self-Concept Scale are examined in a group of 198 Asian American college students. Using parallel analysis, a four-factor solution accounting for 46% of the variance was found. In a test of construct validity, academic self-concept was found to be negatively related to adherence to Asian…

  15. "Smoking": Use of Cigarettes, Cigars and Blunts among Southeast Asian American Youth and Young Adults

    Science.gov (United States)

    Lee, J. P.; Battle, R. S.; Lipton, R.; Soller, B.

    2010-01-01

    Increased use of cigars has been noted among youth, as well as use of blunts (hollowed-out cigars filled with marijuana). Three types of relationships have been previously hypothesized between use of tobacco and marijuana in substance use progression. We aimed to assess these relationships for Southeast Asian American youth and adults in an urban…

  16. Exploring a Model and Moderators of Disordered Eating with Asian American College Women

    Science.gov (United States)

    Phan, Tatum; Tylka, Tracy L.

    2006-01-01

    In the present study, the authors tested the cross-ethnic validity of several variables and paths from a model of disordered eating proposed by T. L. Tylka and L. M. Subich (2004) with 200 Asian American college women. Path analysis indicated that this model provided an excellent fit to the data after a path from internalization of the thin ideal…

  17. Asian American Education and Income Attainment in the Era of Post-Racial America

    Science.gov (United States)

    Covarrubias, Alejandro; Liou, Daniel D.

    2014-01-01

    Background: Prevailing perceptions of Asian Americans as model minorities have long situated this population within postracial discourse, an assumption that highlights their educational success as evidence of the declining significance of race and racism, placing them as models of success for other people of color. Despite evidence to repudiate…

  18. The Marginalized "Model" Minority: An Empirical Examination of the Racial Triangulation of Asian Americans

    Science.gov (United States)

    Xu, Jun; Lee, Jennifer C.

    2013-01-01

    In this article, we propose a shift in race research from a one-dimensional hierarchical approach to a multidimensional system of racial stratification. Building upon Claire Kim's (1999) racial triangulation theory, we examine how the American public rates Asians relative to blacks and whites along two dimensions of racial stratification: racial…

  19. Sociocultural and Motivational Factors Affecting Asian American Females Studying Physics and Engineering in High School

    Science.gov (United States)

    Sha, Saliha L.

    2012-01-01

    This quantitative study investigated whether and to what extent the motivational and sociocultural factors affect female Asian American high school physics students' achievement, their intended major in college, and their planned career goals at work fields. A survey of 62 questions, extracted from subscales of AAMAS,STPQ and PSE, were…

  20. Discriminatory Employment of Asian Americans; Private Industry in the San Francisco-Oakland SMSA.

    Science.gov (United States)

    Cabezas, Amado Y.; Yee, Harold T.

    The study reported on in this document investigates discriminatory employment victimizing Asian Americans in the private sector in the San Francisco, California, Bay Area. The analytical framework utilized is described in detail. Findings are presented in both statistical and discussion form, and are broken down by industry. Disparities in…

  1. Asian American and Pacific Islander Serving Institutions: The Motivations and Challenges behind Seeking a Federal Designation

    Science.gov (United States)

    Park, Julie J.; Chang, Mitchell J.

    2010-01-01

    This article examines the development of legislation to create a Minority Serving Institution federal designation for Asian American and Pacific Islander (AAPI) serving institutions. Specifically, the article draws from interviews with nineteen policy makers, congressional staffers, and community advocates in order to address their motivations for…

  2. The Asian American Psychological Association: Parallels and Intersections with Counseling Psychology

    Science.gov (United States)

    Alvarez, Alvin N.; Singh, Anneliese A.; Wu, Jenny

    2012-01-01

    This article provides an overview of the Asian American Psychological Association (AAPA). A brief history is provided, followed by current status and resources, connections to counseling psychology, and implications for the Society of Counseling Psychology and for the future of the AAPA. AAPA was created in 1972 in response to psychology's neglect…

  3. Cultural Adaptation, Parenting and Child Mental Health Among English Speaking Asian American Immigrant Families.

    Science.gov (United States)

    Huang, Keng-Yen; Calzada, Esther; Cheng, Sabrina; Barajas-Gonzalez, R Gabriela; Brotman, Laurie Miller

    2016-09-09

    Contrary to the "model minority" myth, Asian American children, especially those from low-income immigrant families, are at risk for both behavioral and emotional problems early in life. Little is known, however, about the underlying developmental mechanisms placing Asian American children at risk, including the role of cultural adaptation and parenting. This study examined cultural adaptation, parenting practices and culture related parenting values and child mental health in a sample of 157 English speaking Asian American immigrant families of children enrolled in early childhood education programs in low-income, urban neighborhoods. Overall, cultural adaptation and parenting cultural values and behaviors were related to aspects of child mental health in meaningful ways. Parents' cultural value of independence appears to be especially salient (e.g., negatively related to behavior problems and positively related to adaptive behavior) and significantly mediates the link between cultural adaptation and adaptive behavior. Study findings have implications for supporting Asian American immigrant families to promote their young children's mental health.

  4. The Representation of Asian Americans in Children's Literature: A Content Analysis of Texas Reading Basals

    Science.gov (United States)

    Tang, Agnes C.

    2013-01-01

    Children's literature serves as mirrors and windows for the students we teach today. Through literature, children should be able to see their own reflections as well as the world around them. Yet despite their long history in the United States, Asian Americans have not always been represented in children's literature. This study analyzed the…

  5. The Impact of Cultural Validation on the College Experiences of Southeast Asian American Students

    Science.gov (United States)

    Maramba, Dina C.; Palmer, Robert T.

    2014-01-01

    The purpose of this study is to explore the critical role of culture on the success of Southeast Asian American (SEAA) college students. Specifically, we examined the saliency of cultural validation and how it shaped the educational trajectories of SEAAs. A national sample of 34 participants was analyzed across 5 public, 4-year colleges and…

  6. Conflictual Independence, Adult Attachment Orientation, and Career Indecision among Asian American Students

    Science.gov (United States)

    Keller, Chad J.; Brown, Chris

    2014-01-01

    Due to prior research suggesting that relational variables are related to the career development process, we sought to understand how maternal conflictual independence, paternal conflictual independence, attachment anxiety, and attachment avoidance influence the career decision status of Asian American undergraduate students (N = 113). The…

  7. Coping with Discrimination: The Subjective Well-Being of South Asian American Women

    Science.gov (United States)

    Liang, Christopher T. H.; Nathwani, Anisha; Ahmad, Sarah; Prince, Jessica K.

    2010-01-01

    The relationship between coping strategies used by South Asian American women and subjective well-being (SWB) was studied. Second-generation women were found to use more support compared with 1st-generation women. Problem-solving coping was inversely related to age. Avoidance coping was found to predict SWB when controlling for age and…

  8. Stopping the Silent Killer: Hepatitis B Among Asian Americans

    Centers for Disease Control (CDC) Podcasts

    2008-04-18

    This podcast discusses an underappreciated health threat to many Asians and Pacific Islanders in the United States: chronic infection with the hepatitis B virus. Dr. John Ward, director of CDC's Division of Viral Hepatitis, and Dr. Sam So, founder of the Asian Liver Center at Stanford University, address the importance of testing, vaccination, and care to prevent serious health consequences from this "silent" disease.  Created: 4/18/2008 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Division of Viral Hepatitis (DVH) and Office of Dispute Resolution and Equal Employment Opportunity, Office of the Director (OD).   Date Released: 5/1/2008.

  9. Primary care physicians' attitudes and beliefs towards chronic low back pain: an Asian study.

    Directory of Open Access Journals (Sweden)

    Regina W S Sit

    Full Text Available Chronic low back pain is a serious global health problem. There is substantial evidence that physicians' attitudes towards and beliefs about chronic low back pain can influence their subsequent management of the condition.(1 to evaluate the attitudes and beliefs towards chronic low back pain among primary care physicians in Asia; (2 to study the cultural differences and other factors that are associated with these attitudes and beliefs.A cross sectional online survey was sent to primary care physicians who are members of the Hong Kong College of Family Physician (HKCFP. The Pain Attitudes and Beliefs Scale for Physiotherapist (PABS-PT was used as the questionnaire to determine the biomedical and biopsychosocial orientation of the participants.The mean Biomedical (BM score was 34.8+/-6.1; the mean biopsychosocial (BPS score was 35.6 (+/- 4.8. Both scores were higher than those of European doctors. Family medicine specialists had a lower biomedical score than General practitioners. Physicians working in the public sector tended to have low BM and low BPS scores; whereas physicians working in private practice tended to have high BM and high BPS scores.The lack of concordance in the pain explanatory models used by private and public sector may have a detrimental effect on patients who are under the care of both parties. The uncertain treatment orientation may have a negative influence on patients' attitudes and beliefs, thus contributing to the tension and, perhaps, even ailing mental state of a person with chronic LBP.

  10. Genetic link between Asians and native Americans: evidence from HLA genes and haplotypes.

    Science.gov (United States)

    Tokunaga, K; Ohashi, J; Bannai, M; Juji, T

    2001-09-01

    We have been studying polymorphisms of HLA class I and II genes in East Asians including Buryat in Siberia, Mongolian, Han Chinese, Man Chinese, Korean Chinese, South Korean, and Taiwan indigenous populations in collaboration with many Asian scientists. Regional populations in Japan, Hondo-Japanese, Ryukyuan, and Ainu, were also studied. HLA-A, -B, and -DRB1 gene frequencies were subjected to the correspondence analysis and calculation of DA distances. The correspondence analysis demonstrated several major clusters of human populations in the world. "Mongoloid" populations were highly diversified, in which several clusters such as Northeast Asians, Southeast Asians, Oceanians, and Native Americans were observed. Interestingly, an indigenous population in North Japan, Ainu, was placed relatively close to Native Americans in the correspondence analysis. Distribution of particular HLA-A, -B, -DRB1 alleles and haplotypes was also analyzed in relation to migration and dispersal routes of ancestral populations. A number of alleles and haplotypes showed characteristic patterns of regional distribution. For example, B39-HR5-DQ7 (B*3901-DRB1*1406-DQB1*0301) was shared by Ainu and Native Americans. A24-Cw8-B48 was commonly observed in Taiwan indigenous populations, Maori in New Zealand, Orochon in Northeast China, Inuit, and Tlingit. These findings further support the genetic link between East Asians and Native Americans. We have proposed that various ancestral populations in East Asia, marked by different HLA haplotypes, had migrated and dispersed through multiple routes. Moreover, relatively small genetic distances and the sharing of several HLA haplotypes between Ainu and Native Americans suggest that these populations are descendants of some Upper Paleolithic populations of East Asia.

  11. American physicians and dual loyalty obligations in the "war on terror"

    Directory of Open Access Journals (Sweden)

    Singh Jerome Amir

    2003-08-01

    Full Text Available Abstract Background Post-September 11, 2001, the U.S. government has labeled thousands of Afghan war detainees "unlawful combatants". This label effectively deprives these detainees of the protection they would receive as "prisoners of war" under international humanitarian law. Reports have emerged that indicate that thousands of detainees being held in secret military facilities outside the United States are being subjected to questionable "stress and duress" interrogation tactics by U.S. authorities. If true, American military physicians could be inadvertently becoming complicit in detainee abuse. Moreover, the American government's openly negative views towards such detainees could result in military physicians not wanting to provide reasonable care to detainees, despite it being their ethical duty to do so. Discussion This paper assesses the physician's obligations to treat war detainees in the light of relevant instruments of international humanitarian law and medical ethics. It briefly outlines how detainee abuse flourished in apartheid South Africa when state physicians became morally detached from the interests of their detainee patients. I caution U.S physicians not to let the same mindset befall them. I urge the U.S. medical community to advocate for detainee rights in the U.S, regardless of the political culture the detainee emerged from. I offer recommendations to U.S physicians facing dual loyalty conflicts of interest in the "war on terror". Summary If U.S. physicians are faced with a conflict of interest between following national policies or international principles of humanitarian law and medical ethics, they should opt to adhere to the latter when treating war detainees. It is important for the U.S. medical community to speak out against possible detainee abuse by the U.S. government.

  12. Generational Differences in Fast Food Intake Among South-Asian Americans: Results From a Population-Based Survey

    Science.gov (United States)

    Herring, Patti; Marshak, Helen Hopp; Banta, Jim E.

    2014-01-01

    The goal of this study was to evaluate the association between generational status and fast food consumption among South-Asian Americans. We conducted a secondary analysis of data from the California Health Interview Survey for 2007, 2009, and 2011. After adjusting for control variables, South-Asian Americans of the third generation or more had a fast food intake rate per week 2.22 times greater than first generation South-Asian Americans. Public health practitioners must focus on ways to improve dietary outcomes among this fast-growing ethnic population in the United States. PMID:25474383

  13. The Relation of High School Academic Performance and Student Effort to Language Use and Recenty of Migration among Asian- and Pacific-Americans.

    Science.gov (United States)

    Dornbusch, Sanford M.; And Others

    This report, part of a larger study of the impact of family structures and processes on the social and academic performance of American high school students, focuses on Asian- and Pacific-American high school achievement. The following findings are reported: (1) Asian-Americans and Pacific-Americans exhibit very different patterns in school…

  14. Sex education among Asian American college females: who is teaching them and what is being taught.

    Science.gov (United States)

    Lee, Christine; Tran, Denise Yen; Thoi, Deanna; Chang, Melissa; Wu, Lisa; Trieu, Sang Leng

    2013-04-01

    Many parents are reluctant to educate their Asian American adolescents on sexual health topics because sexuality is taboo in most Asian cultures. A survey was conducted with Chinese, Filipina, Korean, and Vietnamese college females ages 18-25 to assess sources of abstinence and birth control education and age of sexual debut. Parents were the least reported source of sex education for all four ethnic groups, with the majority of respondents reporting school as their source of sex education. Respondents who reported family as their source of abstinence education had a sexual debut of 6 months later than those who did not. Females who reported family as their source of birth control education began having sex more than 7 months later than those who reported other sources. Disaggregation of data by Asian ethnic groups and examining differences in delivery of sex education among ethnic groups may improve school curricula and sexual health.

  15. Intersection of suicidality and substance abuse among young Asian-American women: implications for developing interventions in young adulthood

    Science.gov (United States)

    Hahm, Hyeouk Chris; Chang, Stephanie Tzu-Han; Tong, Hui Qi; Meneses, Michelle Ann; Yuzbasioglu, Rojda Filiz; Hien, Denise

    2014-01-01

    Purpose The purpose of this paper is to provide a review of the current literature uncovering specific factors associated with self-harm and suicidality among young Asian American women, as well as to present the Fractured Identity Model as a framework for understanding these factors. This paper offers concrete suggestions for the development of culturally competent interventions to target suicidality, substance abuse, and mental illness among young Asian American women. Design/methodology/approach Empirical studies and theory-based papers featured in peer-reviewed journals between 1990 and 2014 were identified through scholarly databases, such as PubMed, MEDLINE, PsycINFO, JSTOR, and Google Scholar. Findings We identified several factors associated with suicidality among young Asian American women: (1) family dynamics, or having lived in a household where parents practice “disempowering parenting styles,” (2) substance use/abuse, and (3) untreated mental illness(es), which are exacerbated by the stigma and shame attached to seeking out mental health services. The Fractured Identity Model by Hahm et al. (2014) is presented as a possible pathway from disempowering parenting to suicidal and self-harm behaviors among this population, with substance abuse playing a significant mediating role. Research limitations/implications – Our review focused on Asian American women, substance use among Asian Americans, and mental health among Asian Americans. Literature that focused on Asians living in Asia or elsewhere outside of the USA was excluded from this review; the review was limited to research conducted in the USA and written in the English language. Practical implications The complex interplay among Asian American culture, family dynamics, gender roles/expectations, and mental health justifies the development of a suicide and substance abuse intervention that is tailored to the culture- and gender-specific needs of Asian Pacific Islander young women. It is

  16. Across a Different Table: Strange and Familiar Encounters in Asian American Cinema

    Directory of Open Access Journals (Sweden)

    Ju Yon Kim

    2012-06-01

    Full Text Available The 2008 San Francisco International Asian American Film Festival presented three narrative films, Never Forever, Pretty to Think So, and West 32nd, with suggestively similar interests. Namely, all three films focus on “horizontal” (rather than intergenerational conflicts between characters distinguished by class, legal status, and migration history but connected by ethnic or racial identifications. This article argues that the films, individually and collectively, participate in ongoing deliberations about the borders of Asian America by juxtaposing and organizing distinct models of conceiving Asian American identity. In particular, the films suggest the limitations of privileging certain formations of Asian America over others by both dramatizing and embodying their uneasy coexistence. Tensions between minority, immigrant, and diasporic positions become evident not only through their plots, characterizations, and stylistic elements but also in their complex production and distribution histories. The films together highlight the necessity of attending to the difficult questions of ethnic and racial identification and material inequity that are manifest when the various narratives of affiliation and difference espoused by each model encounter one another.

  17. Discrimination of American ginseng and Asian ginseng using electronic nose and gas chromatography–mass spectrometry coupled with chemometrics

    Directory of Open Access Journals (Sweden)

    Shaoqing Cui

    2017-01-01

    Conclusion: Combined with advanced chemometrics, the E-nose is capable of discriminating between American and Asian ginseng in both qualitative and quantitative angles, presenting an accurate, rapid, and nondestructive reference approach.

  18. The American College of Hyperbaric Medicine consensus statement on physician credentialing for hyperbaric oxygen therapy.

    Science.gov (United States)

    Serena, Thomas E; Gelly, Helen; Bohn, Gregory A; Niezgoda, Jeffrey A

    2014-08-01

    The American College of Hyperbaric Medicine provides this document for hospital credentialing committees as national standards for credentialing hyperbaric physicians. These recommendations represent the consensus opinion of expert leaders in the field of hyperbaric medicine. The principles set forth in this document are intended to serve as a guideline to assist healthcare organizations. This document applies to both hospital-based and nonhospital-affiliated centers.

  19. Model Minority Stereotyping, Perceived Discrimination, and Adjustment Among Adolescents from Asian American Backgrounds.

    Science.gov (United States)

    Kiang, Lisa; Witkow, Melissa R; Thompson, Taylor L

    2016-07-01

    The model minority image is a common and pervasive stereotype that Asian American adolescents must navigate. Using multiwave data from 159 adolescents from Asian American backgrounds (mean age at initial recruitment = 15.03, SD = .92; 60 % female; 74 % US-born), the current study targeted unexplored aspects of the model minority experience in conjunction with more traditionally measured experiences of negative discrimination. When examining normative changes, perceptions of model minority stereotyping increased over the high school years while perceptions of discrimination decreased. Both experiences were not associated with each other, suggesting independent forms of social interactions. Model minority stereotyping generally promoted academic and socioemotional adjustment, whereas discrimination hindered outcomes. Moreover, in terms of academic adjustment, the model minority stereotype appears to protect against the detrimental effect of discrimination. Implications of the complex duality of adolescents' social interactions are discussed.

  20. Therapist Multicultural Competence, Asian American Participants' Cultural Values, and Counseling Process.

    Science.gov (United States)

    Wang, Shihwe; Kim, Bryan S K

    2010-10-01

    Asian Americans drop out of mental health treatment at a high rate. This problem could be addressed by enhancing therapists' multicultural competence and by examining clients' cultural attitudes that may affect the counseling process. In the present study, we used a video analogue design with a sample of 113 Asian American college students to examine these possibilities. The result from a t test showed that the session containing therapist multicultural competencies received higher ratings than the session without therapist multicultural competence. In addition, correlational analyses showed that participant values acculturation was positively associated with participant ratings of counseling process, while the value of emotional self-control was negatively correlated. The results of a hierarchical multiple regression analysis did not support any interaction effects among the independent variables on counseling process. All of these findings could contribute to the field of multicultural competence research and have implications for therapist practices and training.

  1. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study.

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W

    2013-10-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing participants' racial and ethnic identity development. The emergent Asian Indian American racial and ethnic identity model provides a contextualized overview of key developmental periods and turning points within the process of identity development.

  2. Dynamic Correlation Analysis of Financial Spillover to Asian and Latin American Markets in Global Financial Turmoil

    OpenAIRE

    Matthew S. Yiu; Wai-Yip Alex Ho; Lu Jin

    2010-01-01

    This paper investigates the spillover of financial crises by studying the dynamics of correlation between eleven Asian and six Latin American stock markets vis-¨¤-vis the US stock market. A regional factor that drives common movements of stock markets in each region is identified for the period from 1993 to early 2009. We then estimate the time-varying volatility correlation between the regional factor and the US stock market by an asymmetric dynamic conditional correlation model. We find tha...

  3. Disordered eating among Asian American college women: A racially expanded model of objectification theory.

    Science.gov (United States)

    Cheng, Hsiu-Lan; Tran, Alisia G T T; Miyake, Elisa R; Kim, Helen Youngju

    2017-03-01

    Objectification theory has been applied to understand disordered eating among college women. A recent extension of objectification theory (Moradi, 2010) conceptualizes racism as a socialization experience that shapes women of color's objectification experiences, yet limited research has examined this theoretical assertion. The present study proposed and examined a racially expanded model of objectification theory that postulated perceived racial discrimination, perpetual foreigner racism, and racial/ethnic teasing as correlates of Asian American college women's (N = 516) self-objectification processes and eating disorder symptomatology. Perceived racial discrimination, perpetual foreigner racism, and racial/ethnic teasing were indirectly associated with eating disordered symptomatology through self-objectification processes of internalization of media ideals of beauty (media internalization), body surveillance, and body shame. Results support the inclusion of racial stressors as contexts of objectification for Asian American women. The present findings also underscore perceived racial discrimination, racial/ethnic teasing, and perpetual foreigner racism as group-specific risk factors with major theoretical, empirical, and clinical relevance to eating disorder research and treatment with Asian American college women. (PsycINFO Database Record

  4. Development and evaluation of the Internalized Racism in Asian Americans Scale (IRAAS).

    Science.gov (United States)

    Choi, Andrew Young; Israel, Tania; Maeda, Hotaka

    2017-01-01

    This article presents the development and psychometric evaluation of the Internalized Racism in Asian Americans Scale (IRAAS), which was designed to measure the degree to which Asian Americans internalized hostile attitudes and negative messages targeted toward their racial identity. Items were developed on basis of prior literature, vetted through expert feedback and cognitive interviews, and administered to 655 Asian American participants through Amazon Mechanical Turk. Exploratory factor analysis with a random subsample (n = 324) yielded a psychometrically robust preliminary measurement model consisting of 3 factors: Self-Negativity, Weakness Stereotypes, and Appearance Bias. Confirmatory factor analysis with a separate subsample (n = 331) indicated that the proposed correlated factors model was strongly consistent with the observed data. Factor determinacies were high and demonstrated that the specified items adequately measured their intended factors. Bifactor modeling further indicated that this multidimensionality could be univocally represented for the purpose of measurement, including the use of a mean total score representing a single continuum of internalized racism on which individuals vary. The IRAAS statistically predicted depressive symptoms, and demonstrated statistically significant correlations in theoretically expected directions with four dimensions of collective self-esteem. These results provide initial validity evidence supporting the use of the IRAAS to measure aspects of internalized racism in this population. Limitations and research implications are discussed. (PsycINFO Database Record

  5. A meta-analytic study: the relationship between acculturation and depression among Asian Americans.

    Science.gov (United States)

    Gupta, Arpana; Leong, Frederick; Valentine, Jeffrey C; Canada, Dericka D

    2013-01-01

    Acculturation is an important and popular cultural research variable among specific ethnic populations that is used to explain the process of assimilating into the host culture. Acculturation has often been used to account for psychosocial changes and health outcomes and has been used to explain health disparities among ethnic groups. Using Asian Americans as an illustrative ethnic group, the authors see that researchers have highlighted the influence of acculturation on health outcomes. Some researchers suggest that this relationship is positive, whereas others postulate that the opposite is true. Because of the highly complex and divergent findings in the literature, this meta-analysis addresses the question of how acculturation (as measured by acculturation scales) is related to depression (a specific mental health outcome) among the Asian American population living in North America. Analyses were based on 38 studies. The meta-analyses reveal that when acculturation is measured as assimilation to the American culture, there is a small but statistically significant negative relationship between acculturation and depression scores. When acculturation is measured as orientation to the Asian culture, the relationship between acculturation and depression scores is also negative, but not statistically significant.

  6. Searching for a Cultural Home: Asian American Youth in the EDM Festival Scene

    Directory of Open Access Journals (Sweden)

    Judy Soojin Park

    2015-06-01

    Full Text Available This article investigates the recent proliferation of Asian American participants in Electronic Dance Music (EDM festivals with a particular focus on those organized by Insomniac Events in Southern California. As Insomniac’s events aim to propagate an ethos of PLUR—Peace, Love, Unity and Respect—reminiscent of historical rave culture, these events promise a space where anyone, regardless of race, class, gender or sexuality, is accepted. Using an interview-based methodology paired with participant observation, I argue that Asian American youth’s status as “perpetual foreigners” and subsequent desire for cultural belonging have motivated their participation in events promoted by Insomniac. Nevertheless, the Asian American participants I interviewed defined notions of belonging, authenticity and subcultural capital in the EDM festival scene in relation to suburban middle-class whiteness and in opposition to urban hip-hop blackness. My research provides a much-needed study of nonwhite participants and how they negotiate their subjectivities in relation to the contemporary EDM festival scene.

  7. A Survey of African American Physicians on the Health Effects of Climate Change

    Directory of Open Access Journals (Sweden)

    Mona Sarfaty

    2014-11-01

    Full Text Available The U.S. National Climate Assessment concluded that climate change is harming the health of many Americans and identified people in some communities of color as particularly vulnerable to these effects. In Spring 2014, we surveyed members of the National Medical Association, a society of African American physicians who care for a disproportionate number of African American patients, to determine whether they were seeing the health effects of climate change in their practices; the response rate was 30% (n = 284. Over 86% of respondents indicated that climate change was relevant to direct patient care, and 61% that their own patients were already being harmed by climate change moderately or a great deal. The most commonly reported health effects were injuries from severe storms, floods, and wildfires (88%, increases in severity of chronic disease due to air pollution (88%, and allergic symptoms from prolonged exposure to plants or mold (80%. The majority of survey respondents support medical training, patient and public education regarding the impact of climate change on health, and advocacy by their professional society; nearly all respondents indicated that the US should invest in significant efforts to protect people from the health effects of climate change (88%, and to reduce the potential impacts of climate change (93%. These findings suggest that African American physicians are currently seeing the health impacts of climate change among their patients, and that they support a range of responses by the medical profession, and public policy makers, to prevent further harm.

  8. Hepatocellular carcinoma screening practices and impact on survival among hepatitis B-infected Asian Americans.

    Science.gov (United States)

    Sarkar, M; Stewart, S; Yu, A; Chen, M S; Nguyen, T T; Khalili, M

    2012-08-01

    Asians Americans have a high burden of hepatitis B virus (HBV) associated hepatocellular carcinoma (HCC). HCC screening practices in this population are unknown. We aimed to investigate predictors and patterns of HCC screening and its impact on survival in HBV-infected Asian Americans. Clinical data were obtained from a retrospective cohort of 1870 HBsAg-positive Asians in San Francisco's safety net clinics. In 824 patients at-risk for HCC, screening (≥1 imaging and/or AFP per year) decreased from 67% to 47% to 24% from the 1st to 2nd to 10th year after HBV diagnosis, respectively. AFP, imaging, and imaging plus AFP were used in 37%, 14%, and 49% during the first year after diagnosis, and imaging plus AFP increased to 64% by the 10th year. Among 1431 patients followed in 2007, age 40-64 years, female gender, cirrhosis, hepatologist evaluation, HBV diagnosis after 2003, and testing for HBeAg were associated with HCC screening. Of the 51 patients with HCC, more cirrhotics received screening and were diagnosed with early stage disease. Median survival following HCC diagnosis was higher in screened patients (1624 days vs. 111 days, P = 0.02). MELD score at HCC diagnosis (HR 1.2, 95% CI 1.1-1.3) and receipt of curative therapy (HR 0.3, 95% CI 0.08-0.94) were associated with survival. Screening rates in at-risk Asian Americans, particularly among noncirrhotics, were suboptimal and decreased over time. Among patients with HCC, receipt of prior screening improved survival, and this survival benefit was related to better liver function at HCC diagnosis and receipt of curative therapy.

  9. A study of a culturally focused psychiatric consultation service for Asian American and Latino American primary care patients with depression

    Directory of Open Access Journals (Sweden)

    Fava Maurizio

    2011-10-01

    Full Text Available Abstract Background Ethnic minorities with depression are more likely to seek mental health care through primary care providers (PCPs than mental health specialists. However, both provider and patient-specific challenges exist. PCP-specific challenges include unfamiliarity with depressive symptom profiles in diverse patient populations, limited time to address mental health, and limited referral options for mental health care. Patient-specific challenges include stigma around mental health issues and reluctance to seek mental health treatment. To address these issues, we implemented a multi-component intervention for Asian American and Latino American primary care patients with depression at Massachusetts General Hospital (MGH. Methods/Design We propose a randomized controlled trial to evaluate a culturally appropriate intervention to improve the diagnosis and treatment of depression in our target population. Our goals are to facilitate a primary care providers' ability to provide appropriate, culturally informed care of depression, and b patients' knowledge of and resources for receiving treatment for depression. Our two-year long intervention targets Asian American and Latino American adult (18 years of age or older primary care patients at MGH screening positive for symptoms of depression. All eligible patients in the intervention arm of the study who screen positive will be offered a culturally focused psychiatric (CFP consultation. Patients will meet with a study clinician and receive toolkits that include psychoeducational booklets, worksheets and community resources. Within two weeks of the initial consultation, patients will attend a follow-up visit with the CFP clinicians. Primary outcomes will determine the feasibility and cost associated with implementation of the service, and evaluate patient and provider satisfaction with the CFP service. Exploratory aims will describe the study population at screening, recruitment, and enrollment

  10. Contemporary American Success Stories. Famous People of Asian Ancestry. Volume IV. A Mitchell Lane Multicultural Biography Series.

    Science.gov (United States)

    Marvis, Barbara J.

    This collection of biographical sketches presents role models of Asian American descent for American children. As part of the five-volume series written at a reading level for grades five to six, the success stories of the individuals profiled in this volume, and who have encountered racial prejudice and discrimination, remind all of the unique…

  11. Association between Acculturation and Binge Drinking among Asian-Americans: Results from the California Health Interview Survey

    Directory of Open Access Journals (Sweden)

    Monideepa B. Becerra

    2013-01-01

    Full Text Available Objective. Evaluate the association between acculturation and binge drinking among six Asian-American subgroups. Methods. A cross-sectional analysis of public access adult portion of 2007, 2009, and 2011/2012 California Health Interview Survey data was conducted. Univariate and multivariable logistic regression analyses were utilized with any binge drinking in the past year as the outcome variable and language spoken at home and time in USA as proxy measures of acculturation. Results. A total of 1,631 Asian-Americans (N=665,195 were identified as binge drinkers. Binge drinking was positively associated with being first generation South Asian (OR=3.05, 95% CI=1.55, 5.98 and monolingual (English only Vietnamese (OR=3.00; 95% CI=1.58, 5.70, especially among females. Other factors associated with increased binge drinking were being female (Chinese only, not being current married (South Asian only, and being an ever smoker (all subgroups except South Asians. Conclusion. First generation South Asians and linguistically acculturated Vietnamese, especially females, are at an increased risk of binge drinking. Future studies and preventive measures should address the cultural basis of such health risk behaviors among Asian-American adults.

  12. Unidimensional versus multidimensional approaches to the assessment of acculturation for Asian American populations.

    Science.gov (United States)

    Abe-Kim, J; Okazaki, S; Goto, S G

    2001-08-01

    This study used generational status and the Suinn-Lew Asian Self-Identity Acculturation scale to examine unidimensional versus multidimensional approaches to the conceptualization and measurement of acculturation and their relationships to relevant cultural indicator variables, including measures of Individualism-Collectivism, Independent-Interdependent Self-Construal, Loss of Face, and Impression Management. Multivariate analyses of covariance and partial correlations were used to examine the relationship between the acculturation models and each set of cultural indicator variables while controlling for socioeconomic status. Given that acculturation differences are often cited as evidence for a culture effect between groups, the present findings of an uneven nature of these relationships as a function of the particular acculturation measurement strategy have important implications for research on Asian Americans.

  13. Distinct urine metabolome after Asian ginseng and American ginseng intervention based on GC-MS metabolomics approach

    Science.gov (United States)

    Yang, Liu; Yu, Qing-Tao; Ge, Ya-Zhong; Zhang, Wen-Song; Fan, Yong; Ma, Chung-Wah; Liu, Qun; Qi, Lian-Wen

    2016-01-01

    Ginseng occupies a prominent position in the list of best-selling natural products worldwide. Asian ginseng (Panax ginseng) and American ginseng (Panax quinquefolius) show different properties and medicinal applications in pharmacology, even though the main active constituents of them are both thought to be ginsenosides. Metabolomics is a promising method to profile entire endogenous metabolites and monitor their fluctuations related to exogenous stimulus. Herein, an untargeted metabolomics approach was applied to study the overall urine metabolic differences between Asian ginseng and American ginseng in mice. Metabolomics analyses were performed using gas chromatography-mass spectrometry (GC-MS) together with multivariate statistical data analysis. A total of 21 metabolites related to D-glutamine and D-glutamate metabolism, glutathione metabolism, TCA cycle and glyoxylate and dicarboxylate metabolism, differed significantly under the Asian ginseng treatment; 34 metabolites mainly associated with glyoxylate and dicarboxylate metabolism, TCA cycle and taurine and hypotaurine metabolism, were significantly altered after American ginseng treatment. Urinary metabolomics reveal that Asian ginseng and American ginseng can benefit organism physiological and biological functions via regulating multiple metabolic pathways. The important pathways identified from Asian ginseng and American ginseng can also help to explore new therapeutic effects or action targets so as to broad application of these two ginsengs. PMID:27991533

  14. Effective strategies for recruiting of Asian cancer patients in internet research.

    Science.gov (United States)

    Lim, Hyun Ju; Lin, Chia-Ju; Liu, Yi; Chee, Wonshik; Im, Eun-Ok

    2006-01-01

    This poster is aims to provide directions for effective strategies for recruiting Asian cancer patients in Internet study among Asian American cancer patients. In the study, we used four different strategies to recruit Asian cancer participants: (a) general and ethnic specific Internet cancer support groups; (b) Asian Internet communities/groups; (c) Asian physician clinics, Asian community and culture center; and (d) community consultants. The most effective recruitment strategy among them was the recruitment through community consultant. The findings support the importance of using key persons in ethnic minority communities to recruit ethnic minority participants.

  15. Do self-report measures of social anxiety reflect cultural bias or real difficulties for Asian American college students?

    Science.gov (United States)

    Ho, Lorinda Y; Lau, Anna S

    2011-01-01

    Construal of the self as independent or interdependent in relation to others has been found to correlate significantly with social anxiety symptom ratings, raising concerns about possible cultural bias in these measures for Asian Americans. To investigate the validity of self-reported social anxiety symptoms, we examined the role of ethnicity in the associations among social anxiety, self-construal, and adaptive social functioning in a sample of 229 Asian- and European American college students. Results revealed that ethnicity moderated the relationship between self-construal and social anxiety such that interdependent self-construal was associated with higher social anxiety only for first generation Asian Americans. However, there were no significant ethnic differences in the associations between social anxiety self-reports and several measures of social functioning.

  16. Time, Space, and National Belonging in The Namesake: Redrawing South Asian American Citizenship in the Shadow of 9/11

    Directory of Open Access Journals (Sweden)

    Sue Brennan

    2011-03-01

    Full Text Available The terms of national belonging after 9/11 for South Asian Americans have taken shape through a vague and depoliticized discourse around ethnic identity, one in which the clichés of multiculturalism and melting-pot nationalism stand in for the specific socioeconomic and historical conditions that helped form the South Asian diaspora in the US. This paper explores the ways in which Jhumpa Lahiri’s novel The Namesake and its cinematic adaptation by filmmaker Mira Nair challenge the erasure of South Asian American citizenship following 9/11. Recounting the journey of a young Bengali graduate student and his wife migrating to the US in the late 1960s, each text speaks back to the erasure of South Asian American citizenship through the materialization of time in space: while Lahiri foregrounds the state itself in producing the rhythms through which immigrants are assimilated into the nation, Nair creates a narrative world in which filmic space materializes many, and often competing, histories, unifying multiple temporalities and histories through the representations of space. I argue that the cinematic adaptation of The Namesake generates a new spatiotemporal state of affairs, one in which the iconography of 9/11 both challenges post-9/11 racial logics and destabilizes the singular, progressive, and institutionalized temporality through which Lahiri writes South Asian American immigrants back into nation.

  17. Perceptions of Asian American men about tobacco cigarette consumption: a social learning theory framework.

    Science.gov (United States)

    Spigner, Clarence; Shigaki, Alison; Tu, Shin-Ping

    2005-10-01

    Little information exists regarding the perceptions that ethnic-specific groups of Asian American men have about tobacco cigarette smoking. Thirty Asian American men of immigrant status living in Seattle, Washington, were stratified by ethnicity (Chinese and Vietnamese), language (Mandarin, Cantonese, Vietnamese) and age to comprise six focus groups (two Mandarin speaking men aged 20-40 years and 10 aged 41-65+ years; three Cantonese men aged 20-40 years and another six aged 41-65+ years; four Vietnamese men aged 20-40 years and another five aged 41-65+ years). All group interviews were audio-taped and six separate hard-copy transcripts were produced, independently theme-coded by three investigators to ensure inter-rater reliability, and analyzed with QRS NUD*IST ethnographic software. Bandura (1969, 1986) categorized emergent contextual themes within the constructs of "predisposing, enabling, and reinforcing" behavioral determinants from Social Learning Theory. Smoking to be sociable emerged as the most salient theme. Awareness of tobacco-related diseases other than lung cancer was less evident, as was a self-perceived lack of will-power to quit. Concerns about side-stream smoking affecting family members, along with smoking to alleviate stress, were key findings. Further tobacco-related research is needed that incorporates considerations for cultural dynamics.

  18. Consumption, drugs and style: Constructing intra-ethnic boundaries in Asian American youth cultures

    Science.gov (United States)

    Moloney, Molly; Hunt, Geoffrey P.

    2013-01-01

    Based on 250 qualitative interviews with Asian American young men and women in the dance/club scenes in the San Francisco area, we examine the interplay between consumption, style and taste cultures with issues of ethnic identity, gender and acculturation. We explore the ways that consumption and taste markers (e.g. fashion, cars, music and drugs) are used to establish or negotiate symbolic boundaries between groups in this youth culture. The picture they paint of the dance scene is one less about cohesiveness and unity and more about divisions and boundaries, not only between but also significantly within ethnic groupings. The choice of drugs and ways of exhibiting intoxication are among the types of consumption that the young people drew upon to mark symbolic boundaries and establish identities. The young men and women in this study discuss a number of key boundaries in the scene, e.g. between FOBs and twinkies, between pretty boys and thugs, as they attempt to establish the cultural legitimacy of their own styles of Asian American identities. PMID:24065869

  19. Another Look at the Melting Pot: Asian-American Undergraduates at the University of Maryland, College Park. Research Report #14-79.

    Science.gov (United States)

    Minatoya, Lydia Yuriko; Sedlacek, William E.

    Demographic characteristics and attitudes of Asian-American undergraduates at the University of Maryland, College Park, were studied. A random sample of 139 Asian-American students responded to a 51-item questionnaire, with a return rate of 81 percent. Seventy-five percent of the 86 male and 53 female respondents had resided for the longest period…

  20. Interspecific variation in resistance to emerald ash borer (Coleoptera: Buprestidae) among North American and Asian ash (Fraxinus spp.).

    Science.gov (United States)

    Rebek, Eric J; Herms, Daniel A; Smitley, David R

    2008-02-01

    We conducted a 3-yr study to compare the susceptibility of selected North American ash and an Asian ash species to emerald ash borer, Agrilus planipennis Fairmaire, an invasive wood-boring beetle introduced to North America from Asia. Because of a coevolutionary relationship between Asian ashes and emerald ash borer, we hypothesized an Asian ash species, Manchurian ash, is more resistant to the beetle than its North American congeners. Consistent with our hypothesis, Manchurian ash experienced far less mortality and yielded far fewer adult beetles than several cultivars of North American green and white ash. Surprisingly, a black ash (North American) x Manchurian ash hybrid was highly susceptible to emerald ash borer, indicating this cultivar did not inherit emerald ash borer resistance from its Asian parent. A corollary study investigated the efficacy of soil-applied imidacloprid, a systemic, neonicotinoid insecticide, for controlling emerald ash borer in each of the five cultivars. Imidacloprid had no effect on emerald ash borer colonization of Manchurian ash, which was low in untreated and treated trees. In contrast, imidacloprid did enhance survival of the North American and hybrid cultivars and significantly reduced the number of emerald ash borer adults emerging from green and white ash cultivars. We identify a possible mechanism of resistance of Manchurian ash to emerald ash borer, which may prove useful for screening, selecting, and breeding emerald ash borer-resistant ash trees.

  1. Knowledge of memory functions in European and Asian American adults and children: the relation to autobiographical memory.

    Science.gov (United States)

    Wang, Qi; Koh, Jessie Bee Kim; Song, Qingfang; Hou, Yubo

    2015-01-01

    This study investigated explicit knowledge of autobiographical memory functions using a newly developed questionnaire. European and Asian American adults (N = 57) and school-aged children (N = 68) indicated their agreement with 13 statements about why people think about and share memories pertaining to four broad functions-self, social, directive and emotion regulation. Children were interviewed for personal memories concurrently with the memory function knowledge assessment and again 3 months later. It was found that adults agreed to the self, social and directive purposes of memory to a greater extent than did children, whereas European American children agreed to the emotion regulation purposes of memory to a greater extent than did European American adults. Furthermore, European American children endorsed more self and emotion regulation functions than did Asian American children, whereas Asian American adults endorsed more directive functions than did European American adults. Children's endorsement of memory functions, particularly social functions, was associated with more detailed and personally meaningful memories. These findings are informative for the understanding of developmental and cultural influences on memory function knowledge and of the relation of such knowledge to autobiographical memory development.

  2. Principles supporting dynamic clinical care teams: an American College of Physicians position paper.

    Science.gov (United States)

    Doherty, Robert B; Crowley, Ryan A

    2013-11-05

    The U.S. health care system is undergoing a shift from individual clinical practice toward team-based care. This move toward team-based care requires fresh thinking about clinical leadership and responsibilities to ensure that the unique skills of each clinician are used to provide the best care for the patient as the patient's needs dictate, while the team as a whole must work together to ensure that all aspects of a patient's care are coordinated for the benefit of the patient. In this position paper, the American College of Physicians offers principles, definitions, and examples to dissolve barriers that prevent movement toward dynamic clinical care teams. These principles offer a framework for an evolving, updated approach to health care delivery, providing policy guidance that can be useful to clinical teams in organizing the care processes and clinician responsibilities consistent with professionalism.

  3. The Intersociety Professional Nutrition Education Consortium and American Board of Physician Nutrition Specialists: what have we learned?

    Science.gov (United States)

    Heimburger, Douglas C; McClave, Stephen A; Gramlich, Leah M; Merritt, Russell

    2010-01-01

    A significant obstacle to nutrition literacy among physicians is a paucity of physician nutrition specialists (PNSs) on medical school faculties who can effectively advocate for change in medical school and residency curricula, and who can serve as role models for incorporating nutrition into patient care. To address these issues, the Intersociety Professional Nutrition Education Consortium (IPNEC) developed a paradigm for PNSs that is designed to attract more physicians into the field; promulgated educational standards for fellowship training of PNSs; and established a unified mechanism for certifying PNSs, the American Board of Physician Nutrition Specialists (ABPNS). With a board of directors consisting of members nominated by 7 professional nutrition societies in addition to at-large members, the ABPNS incorporates broad participation by all professional nutrition societies that have substantial physician members. The ABPNS certificate is intended to be the premier comprehensive credential for physicians who wish to identify nutrition as an area of expertise. Certification is equally accessible to physicians with backgrounds in any of the specialties and subspecialties relevant to clinical nutrition. This article outlines the history and features of IPNEC and ABPNS and the consensus paradigm, training standards, and certification process they developed. We discuss achievements, opportunities, and challenges facing the maintenance of a consensus-based certification body in order to inform future initiatives designed to expand the number of physician nutrition specialists.

  4. Does Nativity Status Matter in the Relationship between Perceived Racism and Academic Performance of Asian American College Students?

    Science.gov (United States)

    Yoo, Hyung Chol; Castro, Kimberly S.

    2011-01-01

    The moderation effect of nativity status on the relationship between perceived racism and academic performance of Asian American college students was investigated. We hypothesized that perceived racism would negatively correlate with academic performance and that this relationship would be stronger for US-born students compared to foreign-born…

  5. Socioeconomic Status and Asian American and Pacific Islander Students' Transition to College: A Structural Equation Modeling Analysis

    Science.gov (United States)

    Museus, Samuel D.; Vue, Rican

    2013-01-01

    The purpose of this study is to examine socioeconomic differences in the interpersonal factors that influence college access among Asian Americans and Pacific Islanders (AAPIs). Data on 1,460 AAPIs from the Education Longitudinal Study (ELS: 02/06) were analyzed using structural equation modeling techniques. Findings suggest that parental…

  6. A Critical Review of the Model Minority Myth in Selected Literature on Asian Americans and Pacific Islanders in Higher Education

    Science.gov (United States)

    Poon, OiYan; Squire, Dian; Kodama, Corinne; Byrd, Ajani; Chan, Jason; Manzano, Lester; Furr, Sara; Bishundat, Devita

    2016-01-01

    This article presents a critical review of 112 works of research on Asian Americans and Pacific Islanders (AAPIs) in higher education. It focuses on ways previous scholarship framed AAPIs in higher education, and specifically on how those works engaged in a sustained project of countering the model minority myth (MMM). Many publications on AAPIs…

  7. College Access and Success among High School Graduates Taking the SAT®: Asian American Students. Research Note 2013-8

    Science.gov (United States)

    McKillip, Mary E. M.; Mackey, Philip E.

    2013-01-01

    This report shows college enrollment and graduation trends among Asian American SAT® takers who finished high school in 2004 and 2010 by student characteristics, including aspirations, self-perceived ability, and academic achievements. In every case, students in the top categories (high aspirations, high-perceived ability, high-assessed ability)…

  8. Learning to Become a Lawyer...of Color: Asian American and Latino Law Students Negotiate Ambitions, Expectations and Obligations

    Science.gov (United States)

    Pan, Yung-Yi

    2012-01-01

    This dissertation interrogates the experiences of Asian American and Latino law students, as racialized second-generation, children of immigrants entering an elite profession. Intersecting immigration, race and ethnicity, and professional socialization literature, I compare the students' experiences across race, gender, socioeconomic…

  9. The Role of Internalized Stereotyping, Parental Pressure, and Parental Support on Asian Americans' Choice of College Major

    Science.gov (United States)

    Shen, Frances C.

    2015-01-01

    The author explored the relationship between internalized stereotyping, parental pressure, and parental support on major choices among 315 Asian American undergraduate and graduate students. Results indicated that parental support, but not parental pressure, toward certain majors was associated with more stereotypical major choices. In addition,…

  10. Enrichment in Pre-Kindergarten Life Predicts Initiation of Cigarette Smoking in Asian American and Hispanic/Latino Adolescents

    Science.gov (United States)

    Chen, Xinguang; Weiss, Jie Wu

    2007-01-01

    The risk of tobacco use during adolescence may be traced back to early childhood, the time when a child is most vulnerable to environmental influence. We examined daily-life enrichment during pre-kindergarten period as a predictor of initiation of cigarette smoking among Asian American and Hispanic/Latino children during adolescence. Survey data…

  11. The Role of Coping in the Relationship between Perceived Racism and Racism-Related Stress for Asian Americans: Gender Differences

    Science.gov (United States)

    Liang, Christopher T. H.; Alvarez, Alvin N.; Juang, Linda P.; Liang, Mandy X.

    2007-01-01

    On the basis of stress and coping theory, the authors examined coping as a mediator of the relationship between perceptions of racism and racism-related stress with a sample of Asian American college students (N = 336). Results indicated that coping mediated the relationship between racism and racism-related stress differentially by gender. The…

  12. Maternal Influences on Asian American-Pacific Islander Adolescents' Perceived Maternal Sexual Expectations and Their Sexual Initiation

    Science.gov (United States)

    Kao, Tsui-Sui Annie; Loveland-Cherry, Carol; Guthrie, Barbara

    2010-01-01

    Maternal influences on adolescents' sexual initiation have been examined over two time points in 433 Asian American-Pacific Islander (AAPI) adolescents in a secondary analysis of the Add Health data set using structural equation modeling. A longitudinal model built on a preliminary qualitative study is used to examine the fit between data and…

  13. The Relationships of Racial Identity and Gender Role Conflict to Self-Esteem of Asian American Undergraduate Men

    Science.gov (United States)

    Shek, Yen Ling; McEwen, Marylu K.

    2012-01-01

    This study was conducted using a sample of Asian American male college students (N = 173) from one east coast public, research institution and one west coast public, research institution to explore the relationships of racial identity and gender role conflict with self-esteem. The study employed the People of Color Racial Identity Attitudes Scale,…

  14. A Content Analysis of Asian-Pacific Folk Songs in American Elementary Music Textbooks from 1967 to 2008

    Science.gov (United States)

    Culig, Edna Aurora C.

    2012-01-01

    In this quanto-historical study, the author conducted a content analysis of Asian-Pacific (AP) folk songs in 18 American elementary music textbooks published from 1967 to 2008. The researcher addressed the questions: (1) To what degree are AP folk songs included in the printed and recorded repertoire of elementary music textbook series published…

  15. Does Ethnic Identity Buffer or Exacerbate the Effects of Frequent Racial Discrimination on Situational Well-Being of Asian Americans?

    Science.gov (United States)

    Yoo, Hyung Chol; Lee, Richard M.

    2008-01-01

    A quasi-experimental vignette study was conducted to test whether ethnic identity moderated the effects of frequent racial discrimination on situational positive and negative affect of Asian American college students. Results showed that imagining multiple incidents of racial discrimination was related to higher negative affect than imagining a…

  16. The Racial and Ethnic Identity Formation Process of Second-Generation Asian Indian Americans: A Phenomenological Study

    Science.gov (United States)

    Iwamoto, Derek Kenji; Negi, Nalini Junko; Partiali, Rachel Negar; Creswell, John W.

    2013-01-01

    This phenomenological study elucidates the identity development processes of 12 second-generation adult Asian Indian Americans. The results identify salient sociocultural factors and multidimensional processes of racial and ethnic identity development. Discrimination, parental, and community factors seemed to play a salient role in influencing…

  17. Unpacking the Complex and Multifaceted Nature of Parental Influences on Southeast Asian American College Students' Educational Trajectories

    Science.gov (United States)

    Museus, Samuel D.

    2013-01-01

    This article reports on a study that examined the ways in which parents influence the educational trajectories of Southeast Asian American (SEAA) undergraduates at four-year institutions. Individual, face-to-face interviews with 34 SEAAs were conducted and analyzed. Findings illustrate the complex and multifaceted ways that parental influences…

  18. Languages, geography and HLA haplotypes in native American and Asian populations.

    Science.gov (United States)

    Monsalve, M V; Helgason, A; Devine, D V

    1999-11-01

    A number of studies based on linguistic, dental and genetic data have proposed that the colonization of the New World took place in three separate waves of migration from North-East Asia. Recently, other studies have suggested that only one major migration occurred. It is the aim of this study to assess these opposing migration hypotheses using molecular-typed HLA class II alleles to compare the relationships between linguistic and genetic data in contemporary Native American populations. Our results suggest that gene flow and genetic drift have been important factors in shaping the genetic landscape of Native American populations. We report significant correlations between genetic and geographical distances in Native American and East Asian populations. In contrast, a less clear-cut relationship seems to exist between genetic distances and linguistic affiliation. In particular, the close genetic relationship of the neighbouring Na-Dene Athabaskans and Amerindian Salishans suggests that geography is the more important factor. Overall, our results are most congruent with the single migration model.

  19. Comments on: Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline From the American College of Physicians

    OpenAIRE

    2012-01-01

    Comments on:Qaseem A., Humphrey L.L., Sweet D.E., Starkey M., Shekelle P. Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2012 Feb 7;156(3):218-31.

  20. Comments on: Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline From the American College of Physicians

    Directory of Open Access Journals (Sweden)

    Ekaterina A Pigarova

    2012-06-01

    Full Text Available Comments on:Qaseem A., Humphrey L.L., Sweet D.E., Starkey M., Shekelle P. Oral Pharmacologic Treatment of Type 2 Diabetes Mellitus: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2012 Feb 7;156(3:218-31.

  1. Acculturation levels and personalizing orthognathic surgery for the Asian American patient.

    Science.gov (United States)

    Sy, A A; Kim, W S; Chen, J; Shen, Y; Tao, C; Lee, J S

    2016-10-01

    This study was performed to investigate whether the level of acculturation among Asians living in the USA plays a significant role in their opinion of facial profiles. One hundred and ninety-eight Asian American subjects were asked to complete a pre-validated survey to measure their level of acculturation and to evaluate four sets of pictures that displayed a class II male, class II female, class III male, and class III female. Each set consisted of three lateral profile pictures: an initial unaltered photo, a picture simulating a flatter profile (orthodontic camouflage in class II; mandibular setback in class III), and a picture simulating a fuller profile (mandibular advancement in class II; maxillary advancement in class III). For the class II male, subjects who were more acculturated indicated that a flatter profile (orthodontic camouflage) was less attractive. For the class II female, higher acculturated subjects chose expansive treatment (mandibular advancement) as more aesthetic compared to the less acculturated subjects. Each of these scenarios had statistically significant odds ratios. In general, highly acculturated subjects preferred a fuller facial profile, while low acculturated subjects preferred a flatter facial profile appearance, except for the class III female profile, which did not follow this trend.

  2. Sources of Health Information Among Select Asian American Immigrant Groups in New York City.

    Science.gov (United States)

    Islam, Nadia S; Patel, Shilpa; Wyatt, Laura C; Sim, Shao-Chee; Mukherjee-Ratnam, Runi; Chun, Kay; Desai, Bhairavi; Tandon, S Darius; Trinh-Shevrin, Chau; Pollack, Henry; Kwon, Simona C

    2016-01-01

    Health information can potentially mitigate adverse health outcomes among ethnic minority populations, but little research has examined how minorities access health information. The aim of this study was to examine variations in the use of health information sources among Asian American (AA) subgroups and to identify differences in characteristics associated with the use of these sources. We analyzed data from a foreign-born community sample of 219 Asian Indians, 216 Bangladeshis, 484 Chinese, and 464 Koreans living in New York City. Results found that use of health information sources varied by AA subgroup. Print media source use, which included newspapers, magazines, and/or journals, was highest among Chinese (84%), Koreans (75%), and Bangladeshis (80%), while radio was most utilized by Chinese (48%) and Koreans (38%). Television utilization was highest among Bangladeshis (74%) and Koreans (64%). Koreans (52%) and Chinese (40%) were most likely to use the Internet to access health information. Radio use was best explained by older age and longer time lived in the United States, while print media were more utilized by older individuals. Results also highlighted differences in native-language versus non-native-language media sources for health information by subgroup. Media sources can be used as a vehicle to disseminate health information among AAs.

  3. Collective self-esteem: role of social context among Asian-American college students.

    Science.gov (United States)

    Kim, Eunha; Lee, Donghyuck

    2011-12-01

    The present study explored several layers of individual and contextual variables as related to collective self-esteem among 304 Asian-American college students. The findings suggested that variables, such as immigration generation status and cultural identification, were significantly associated with Private collective self-esteem (personal evaluation of one's ethnic group), while contextual variables, including number of same-ethnicity peers and community ethnic composition, were associated with Public collective self-esteem (judgment of how other people evaluate one's ethnic group). In addition to these variables, age and fluency of heritage language were positively related to Membership esteem (how worthy one feels as a member of one's ethnic group). For the Importance of identity (the importance of ethnic group membership to one's self-concept), cultural identification, number of same-ethnicity peers, and perceived campus climate were statistically significant. The implication of the present findings for future research is discussed.

  4. The White ceiling heuristic and the underestimation of Asian-American income.

    Directory of Open Access Journals (Sweden)

    Chris C Martin

    Full Text Available The belief that ethnic majorities dominate ethnic minorities informs research on intergroup processes. This belief can lead to the social heuristic that the ethnic majority sets an upper limit that minority groups cannot surpass, but this possibility has not received much attention. In three studies of perceived income, we examined how this heuristic, which we term the White ceiling heuristic leads people to inaccurately estimate the income of a minority group that surpasses the majority. We found that Asian Americans, whose median income has surpassed White median income for nearly three decades, are still perceived as making less than Whites, with the least accurate estimations being made by people who strongly believe that Whites are privileged. In contrast, income estimates for other minorities were fairly accurate. Thus, perceptions of minorities are shaped both by stereotype content and a heuristic.

  5. Phylogeny and Biogeography of Thuja L. (Cupressaceae), an Eastern Asian and North American Disjunct Genus

    Institute of Scientific and Technical Information of China (English)

    Jian-Hua LI; Qiao-Ping XIANG

    2005-01-01

    In order to develop better insights into biogeographic patterns of eastern Asian and North American disjunct plant genera, sequences of nuclear ribosomal DNA internal transcribed spacer (nr DNA ITS) region were used to estimate interspecific relationships of Thuja L. (Cupressaceae) and infer its biogeography based on the phylogeny. According to the phylogenetic analysis, two clades were recognized. The first clade included Thuja plicata D. Don (western North America) and T. koraiensis Nakai (northeastern Asia), and the second one contained T. occidentalis (Gord.) Carr. (Japan). The ancestral area of Thuja was inferred to be eastern Asia, and two dispersal events were responsible for the modern distribution of Thuja in North America. Both the North Atlantic land bridge and Bering land bridge were possible routes for the migration of ancestral populations to North America.

  6. Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans.

    Science.gov (United States)

    Hwang, Wei-Chin; Ting, Julia Y

    2008-04-01

    This study examines the impact of level of acculturation and acculturative stress on the mental health of Asian American college students. Hierarchical regression analyses were used to clarify the relation between level of acculturation, acculturative stress, and mental health outcomes (psychological distress and clinical depression). Being less identified with mainstream United States culture was associated with higher psychological distress and clinical depression, but lost significance when acculturative stress was introduced into the model. Retention or relinquishing of identification with one's heritage culture was not associated with mental health outcomes. Although understanding level of acculturation can help us identify those at risk, findings suggest that acculturative stress is a more proximal risk factor and increases risk for mental health problems independently of global perceptions of stress.

  7. Regional fat distribution changes with aging in Caucasian, African-American and Asian women

    Institute of Scientific and Technical Information of China (English)

    Sun Ai-jun; Dympna Gallagher; Richard N. Pierson Jr

    2007-01-01

    Background: A central pattern of fat distribution in postmenopausal women is regarded as a contributor to the increased risk of developing cardiovascular disease.Both ethnicity and occurrence of menopause appear to influence regional fat distribution.However the influence of ethnicity has been under-investigated.Objective: The objective of this study was to test the hypothesis that centralized fat distribution is influenced by ethnic origin.Furthermore, we hypothesize that the menopause-related changes in central adiposity in Caucasian,African-American and Asian women occur at different rates.Method: Total and regional body fat ratios were measured by whole body dual energy X-ray absorptiometry (DXA) in a cross-sectional study using a general linear regression model.After adjustment for age, weight, height,and total body fat, the android and gynoid fat compartments, and the ratio of trunk/leg fat, were analyzed.Results: Four hundred and forty-four women (227 Caucasian (Ca), 128 African-American (AA) and 89 Asian (As)) aged 18-94 y were recruited.Race was significantly (P<0.0001) related to the dependent variables: android and gynoid fat, and ratio of trunk/leg adiposity, in all subjects, adjusted by age, weight, height and total body fat.The interaction of race * menopause was also found to be significant (P=0.028).In each group, regional and total body fat levels, and especially android adiposity, were higher in postmenopausal than in premenopausal women.Interestingly, the postmenopausal difference in android fat in Ca was found significant (P<0.05), whereas such differences had no impact in AA and As subjects (NS).Conclusions: The differences in fat mass and its distribution were racially dependent.The impact of menopause was only significant in Ca group.

  8. Social Determinants of Physical Activity Among Adult Asian-Americans: Results from a Population-Based Survey in California.

    Science.gov (United States)

    Becerra, Monideepa B; Bhattacharya Becerra, Monideepa; Herring, Patti; Marshak, Helen Hopp; Banta, Jim E

    2015-08-01

    The objective of this study was to evaluate the key social determinants of physical activity among six Asian-American subgroups using public access 2007 California Health Interview Survey data. Physical activity was defined as meeting the American College of Sports Medicine recommendation of 450 metabolic equivalent-minutes per week. Factors positively associated with meeting physical activity recommendations included being bilingual among Chinese and Vietnamese, and increasing age for Chinese only. On the other hand, being middle aged, currently married, and low neighborhood safety were significantly associated with lower odds of meeting physical activity recommendations, as were being female for Japanese and Koreans, and living above the poverty level for Vietnamese. Such results highlight the heterogeneity among Asian-Americans and need for health messages targeted at specific subgroups. Additionally, the role of built environment, particularly in areas with high Filipino residents, should be a public health priority for increasing physical activity outcomes.

  9. Spatiotemporal dynamics of DENV-2 Asian-American genotype lineages in the Americas.

    Science.gov (United States)

    Mir, Daiana; Romero, Hector; Fagundes de Carvalho, Luiz Max; Bello, Gonzalo

    2014-01-01

    The Asian/American (AS/AM) genotype of dengue virus type 2 (DENV-2) has been evolving in the Americas over the last 30 years, leading to several waves of dengue epidemics and to the emergence of different viral lineages in the region. In this study, we investigate the spatiotemporal dissemination pattern of the DENV-2 lineages at a regional level. We applied phylogenetic and phylogeographic analytical methods to a comprehensive data set of 582 DENV-2 E gene sequences of the AS/AM genotype isolated from 29 different American countries over a period of 30 years (1983 to 2012). Our study reveals that genetic diversity of DENV-2 AS/AM genotype circulating in the Americas mainly resulted from one single founder event and can be organized in at least four major lineages (I to IV), which emerged in the Caribbean region at the early 1980s and then spread and die out with different dynamics. Lineages I and II dominate the epidemics in the Caribbean region during the 1980s and early 1990 s, lineage III becomes the prevalent DENV-2 one in the Caribbean and South America during the 1990 s, whereas lineage IV dominates the epidemics in South and Central America during the 2000s. Suriname and Guyana seem to represent important entry points for DENV-2 from the Lesser Antilles to South America, whereas Venezuela, Brazil and Nicaragua were pointed as the main secondary hubs of dissemination to other mainland countries. Our study also indicates that DENV-2 AS/AM genotype was disseminated within South America following two main routes. The first route hits Venezuela and the western side of the Andes, while the second route mainly hits Brazil and the eastern side of the Andes. The phenomenon of DENV-2 lineage replacement across successive epidemic outbreaks was a common characteristic in all American countries, although the timing of lineage replacements greatly vary across locations.

  10. Spatiotemporal dynamics of DENV-2 Asian-American genotype lineages in the Americas.

    Directory of Open Access Journals (Sweden)

    Daiana Mir

    Full Text Available The Asian/American (AS/AM genotype of dengue virus type 2 (DENV-2 has been evolving in the Americas over the last 30 years, leading to several waves of dengue epidemics and to the emergence of different viral lineages in the region. In this study, we investigate the spatiotemporal dissemination pattern of the DENV-2 lineages at a regional level. We applied phylogenetic and phylogeographic analytical methods to a comprehensive data set of 582 DENV-2 E gene sequences of the AS/AM genotype isolated from 29 different American countries over a period of 30 years (1983 to 2012. Our study reveals that genetic diversity of DENV-2 AS/AM genotype circulating in the Americas mainly resulted from one single founder event and can be organized in at least four major lineages (I to IV, which emerged in the Caribbean region at the early 1980s and then spread and die out with different dynamics. Lineages I and II dominate the epidemics in the Caribbean region during the 1980s and early 1990 s, lineage III becomes the prevalent DENV-2 one in the Caribbean and South America during the 1990 s, whereas lineage IV dominates the epidemics in South and Central America during the 2000s. Suriname and Guyana seem to represent important entry points for DENV-2 from the Lesser Antilles to South America, whereas Venezuela, Brazil and Nicaragua were pointed as the main secondary hubs of dissemination to other mainland countries. Our study also indicates that DENV-2 AS/AM genotype was disseminated within South America following two main routes. The first route hits Venezuela and the western side of the Andes, while the second route mainly hits Brazil and the eastern side of the Andes. The phenomenon of DENV-2 lineage replacement across successive epidemic outbreaks was a common characteristic in all American countries, although the timing of lineage replacements greatly vary across locations.

  11. Asian Student Depression in American High Schools: Differences in Risk Factors

    Science.gov (United States)

    Song, Suzan J.; Ziegler, Robert; Arsenault, Lisa; Fried, Lise E.; Hacker, Karen

    2011-01-01

    There are inconsistent findings about depression in Asians. This study examined risk factors for depression in Asian and Caucasian adolescents. Stratified bivariate secondary analyses of risk indicators and depressed mood were performed in this cross-sectional study of high school survey data (9th to 12th grades) from 2,542 students (198 Asian).…

  12. Healers and strangers. Immigrant attitudes toward the physician in America--a relationship in historical perspective.

    Science.gov (United States)

    Kraut, A M

    1990-04-04

    The current wave of immigration to the United States--mostly Asians and Latin Americans--may well be the largest in the 20th century. Many newcomers practice habits of health and hygiene deficient by American standards. Some prefer the shaman to the physician and traditional herb remedies to modern medical therapies. Physicians find themselves practicing at an invisible border separating them from their foreign-born patients, where differences of language and culture can lead to misunderstanding and frustration, impeding a physician's ability to gain cooperation with prescribed therapy. Similar issues faced physicians at the turn of the century. Newly arrived Italians, East European Jews, and Chinese were often ambivalent toward physicians and their therapies. Quacks further undermined the physician's credibility among immigrants. Today, some physicians try collaborating with shamans and herbalists to accommodate patients' cultural preferences. Respect for the customs and taboos of immigrant patients pays dividends in physician effectiveness and efficiency.

  13. Validation of the subtle and blatant racism scale for Asian American college students (SABR-A(2)).

    Science.gov (United States)

    Yoo, Hyung Chol; Steger, Michael F; Lee, Richard M

    2010-07-01

    This investigation describes the validation of a measure of perceived racism developed to assess racial experiences of Asian American college students. In three studies across two different regions of the United States, there was strong evidence for the validation of the 8-item Subtle and Blatant Racism Scale for Asian American College Students (SABR-A2). The subtle racism subscale refers to instances of discrimination attributable implicitly to racial bias or stereotype, whereas the blatant racism subscale refers to instances of discrimination attributable explicitly to racial bias or stereotype. The two-subscale structure of the SABR-A2 was supported by exploratory and confirmatory factor analyses and demonstrated discriminant, convergent, and incremental validity, as well as internal reliability and stability over 2 weeks.

  14. Gender power control, sexual experiences, safer sex practices, and potential HIV risk behaviors among young Asian-American women.

    Science.gov (United States)

    Hahm, Hyeouk Chris; Lee, Jieha; Rough, Kathryn; Strathdee, Steffanie A

    2012-01-01

    We examined the prevalence of three domains of sexual behaviors among young Asian-American women: sexual experiences, safer sex practices, and potential HIV risk behaviors. We also investigated the impact of gender power control on these domains. Among sexually experienced women, 51% reported using condoms during their most recent sex act, 63% reported inconsistent condom use, and 18% reported ever having forced sex. Multiple logistic regression analyses revealed that women's perceived lower relationship power control was not associated with vaginal sex or safer sex practices, but it was powerfully associated with forced sex and all three potential HIV risk behaviors. This study demonstrates that control within young Asian-American women's intimate relationships exerts different associations depending on the type of sexual behavior. The application of the Theory of Gender and Power should be employed with prudence when designing HIV interventions for this population.

  15. Socioecological perspectives on cervical cancer and cervical cancer screening among Asian American women.

    Science.gov (United States)

    Lee, Jongwon; Carvallo, Mauricio

    2014-10-01

    Although cervical cancer is one of the most commonly diagnosed cancers among Vietnamese American women (VAW) and Korean American women (KAW), both groups consistently report much lower rates of cervical cancer screening compared with other Asian ethnic subgroups and non-Hispanic Whites. This study aimed to explore multilevel factors that may underlie low screening rates among VAW and KAW living in a city where their ethnic communities are relatively small. The socioecological model was used as a conceptual framework. Thirty participants were conveniently recruited from ethnic beauty salons run by VA and KA cosmetologists in Albuquerque, New Mexico. The participants' average age was 44.6 years (SD = .50; range = 21-60). Most participants were married (80 %) and employed (73.3 %), and had health insurance (83.3 %). A qualitative interview was conducted in Vietnamese or Korean and transcribed verbatim. A thematic content analysis was used to identify major codes, categories, and patterns across the transcripts. The study identified several factors at the individual (e.g., pregnancy, poverty, personality), interpersonal (e.g., family responsibility, mother as influential referent), and community (e.g., lack of availability, community size) levels. The study sheds light on four major areas that must be taken into consideration in the development of culturally appropriate, community-based interventions aimed to reduce disparities in cervical cancer screening among ethnic minority women in the United States: (1) ethnic community size and geographic location; (2) cross-cultural similarities and dissimilarities; (3) targeting of not only unmarried young women, but also close referents; and (4) utilization of trusted resources within social networks.

  16. Religious coping moderates the relation between racism and psychological well-being among Christian Asian American college students.

    Science.gov (United States)

    Kim, Paul Youngbin; Kendall, Dana L; Webb, Marcia

    2015-01-01

    The authors examined the moderating role of positive and negative religious coping in the relation between racism and psychological well-being in a sample of Catholic and Protestant Asian American college students (N = 107). On the basis of prior theorizing on the 2 types of religious coping, combined with some limited empirical evidence, they predicted that positive religious coping would have a buffering effect (Hypothesis 1) on the racism-mental health relation and that negative religious coping would have an exacerbating effect (Hypothesis 2). Participants completed an online survey containing measures corresponding to the study variables. Results indicated that the interaction between positive religious coping and racism was nonsignificant, so Hypothesis 1 was not supported. For Hypothesis 2, the negative religious coping and racism interaction term was statistically significant, but the moderating effect was in an unexpected direction, such that negative religious coping actually protected against the deleterious impact of racism on mental health. The findings suggest that the theorized deleterious influence of negative religious coping may need to be reconsidered in an Asian American setting. The findings have the potential to inform practitioners who work with Asian American college students to better cope with the detrimental consequences of racism.

  17. The role of critical ethnic awareness and social support in the discrimination-depression relationship among Asian Americans: path analysis.

    Science.gov (United States)

    Kim, Isok

    2014-01-01

    This study used a path analytic technique to examine associations among critical ethnic awareness, racial discrimination, social support, and depressive symptoms. Using a convenience sample from online survey of Asian American adults (N = 405), the study tested 2 main hypotheses: First, based on the empowerment theory, critical ethnic awareness would be positively associated with racial discrimination experience; and second, based on the social support deterioration model, social support would partially mediate the relationship between racial discrimination and depressive symptoms. The result of the path analysis model showed that the proposed path model was a good fit based on global fit indices, χ²(2) = 4.70, p = .10; root mean square error of approximation = 0.06; comparative fit index = 0.97; Tucker-Lewis index = 0.92; and standardized root mean square residual = 0.03. The examinations of study hypotheses demonstrated that critical ethnic awareness was directly associated (b = .11, p racial discrimination experience, whereas social support had a significant indirect effect (b = .48; bias-corrected 95% confidence interval [0.02, 1.26]) between the racial discrimination experience and depressive symptoms. The proposed path model illustrated that both critical ethnic awareness and social support are important mechanisms for explaining the relationship between racial discrimination and depressive symptoms among this sample of Asian Americans. This study highlights the usefulness of the critical ethnic awareness concept as a way to better understand how Asian Americans might perceive and recognize racial discrimination experiences in relation to its mental health consequences.

  18. Analysis of the features of the entrepreneurship and leadership in the Asian and Latin American countries

    Directory of Open Access Journals (Sweden)

    Hugo Martín Moreno Zacarías

    2012-06-01

    Full Text Available The development of the necessary skills to transform entrepreneurial activities into business largely depends on the so-called "Triple Helix development ¨. This is the relationship University-Industry-Government. This relationship leads to the transformation of business ideas, into real companies, through education, economic and financial support and the support given to businesses experiences. This article reviews the concepts and definitions of various authors regarding the importance of entrepreneurial activities and the leadership approach to carry out such business. The article takes the examples of activities undertaken in this regard in different countries of Asia and Latin America, including Mexico, Brazil, Argentina, and Chile in Latin America and Japan, Malaysia and the Philippines in Asia. These countries are included in international systems of measurement of entrepreneurship worldwide. According to the information available, such ratings are declining in Asia whilst increasing in Latin America. It is important to note however that in both groups of countries there is a different entrepreneurial development. In the countries of Asia, the entrepreneurs seek to achieve business innovation while Latin American countries, the entrepreneurs are moved by the economic necessity to seek other options to complete their consumption needs. In a general basis, the triple helix could be observed in the entrepreneurial activity in most Asian countries.

  19. Socioeconomic stress and academic adjustment among Asian American adolescents: the protective role of family obligation.

    Science.gov (United States)

    Kiang, Lisa; Andrews, Kandace; Stein, Gabriela L; Supple, Andrew J; Gonzalez, Laura M

    2013-06-01

    Socioeconomic stress has long been found to place youth at risk, with low family income conferring disadvantages in adolescents' school achievement and success. This study investigates the role of socioeconomic stress on academic adjustment, and pinpoints family obligation as a possible buffer of negative associations. We examined direct and interactive effects at two time points in the same sample of Asian American adolescents-early high school (N = 180 9th-10th graders; 60 % female) and 2 years later in late high school (N = 156 11th-12th graders; 87% of original sample). Results suggest that socioeconomic stress is indeed associated with poor academic adjustment, measured broadly through self-reported GPA, importance of academic success, and educational aspirations and expectations. Family obligation was positively related to adjustment, and also was found to buffer the negative effects of socioeconomic stress, but only during adolescents' later high school years. Adolescents reporting more family obligation experienced less of the negative effects of financial stress on academic outcomes than those reporting lower obligation. Cultural and developmental implications are discussed in light of these direct and moderating effects.

  20. A cluster analytic examination of acculturation and health status among Asian Americans in the Washington DC metropolitan area, United States.

    Science.gov (United States)

    Lee, Sunmin; Chen, Lu; He, Xin; Miller, Matthew J; Juon, Hee-Soon

    2013-11-01

    Previous studies reported mixed findings on the relationship between acculturation and health status among Asian Americans due to different types of acculturation measures used or different Asian subgroups involved in various studies. We aim to fill the gap by applying multiple measures of acculturation in a diverse sample of Asian subgroups. A cross sectional study was conducted among Chinese, Korean and Vietnamese Americans in Washington D.C. Metropolitan Area to examine the association between health status and acculturation using multiple measures including the Suinn-Lew Asian Self-Identity Acculturation (SL-ASIA) scale, clusters based on responses to SL-ASIA, language preference, length of stay, age at arrival in the United Sates and self-identity. Three clusters (Asian (31%); Bicultural (47%); and American (22%)) were created by using a two-step hierarchical method and Bayesian Information Criterion values. Across all the measures, more acculturated individuals were significantly more likely to report good health than those who were less acculturated after adjusting for covariates. Specifically, those in the American cluster were 3.8 times (95% Confidence Interval (CI): 2.2, 6.6) more likely and those in the Bicultural cluster were 1.7 times more likely (95% CI: 1.1, 2.4) to report good health as compared to those in the Asian cluster. When the conventional standardized SL-ASIA summary score (range:-1.4 to 1.4) was used, a one point increase was associated with 2.2 times greater odds of reporting good health (95% CI: 1.5, 3.2). However, the interpretation may be challenging due to uncertainty surrounding the meaning of a one point increase in SL-ASIA summary score. Among all the measures used, acculturation clusters better approximated the acculturation process and provided us with a more accurate test of the association in the population. Variables included in this measure were more relevant for our study sample and may have worked together to capture the

  1. The human sexuality education of physicians in North American medical schools.

    Science.gov (United States)

    Solursh, D S; Ernst, J L; Lewis, R W; Prisant, L Michael; Mills, T M; Solursh, L P; Jarvis, R G; Salazar, W H

    2003-10-01

    Individuals seeking treatment for sexual problems frequently would like to turn to a source they consider knowledgeable and worthy of respect, their doctor. The objective was to assess how well the 125 schools of medicine in the United States and the 16 in Canada prepare physicians to diagnose and treat sexual problems. A prospective cohort study was carried out. The main outcome results were description of the medical educational experiences, teaching time, specific subject areas, clinical programs, clerkships, continuing education programs in the domain of human sexuality in North American medical schools. The results were as follows. There were 101 survey responses (71.6%) of a potential of 141 medical schools (74% of United States and 50% of Canadian medical schools). A total of 84 respondents (83.2%) for sexuality education used a lecture format. A single discipline was responsible for this teaching in 32 (31.7%) schools, but a multidisciplinary team was responsible in 64 (63.4%) schools (five schools failed to respond to the question). The majority (54.1%) of the schools provided 3-10 h of education. Causes of sexual dysfunction (94.1%), its treatment (85.2%) altered sexual identification (79.2%) and issues of sexuality in illness or disability (69.3%) were included in the curriculum of 96 respondents. Only 43 (42.6%) schools offered clinical programs, which included a focus on treating patients with sexual problems and dysfunctions, and 56 (55.5%) provided the students in their clerkships with supervision in dealing with sexual issues. In conclusion, expansion of human sexuality education in medical schools may be necessary to meet the public demand of an informed health provider.

  2. Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL Limitations: Immigration and Other Factors Associated with Institutionalization

    Directory of Open Access Journals (Sweden)

    Esme Fuller-Thomson

    2012-09-01

    Full Text Available This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203, Korean (n = 131, Japanese (n = 193, Filipino (n = 309, Asian Indian (n = 169, Chinese (n = 404, Hawaiian/Pacific Islander (n = 54, and non-Hispanic whites (n = 55,040 aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8% (p < 0.001. After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively. When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.

  3. Comparative Analysis: Potential Barriers to Career Participation by North American Physicians in Global Health

    Directory of Open Access Journals (Sweden)

    Daniel S. Rhee

    2014-01-01

    Full Text Available Physician interest in global health, particularly among family physicians, is reflected by an increasing proliferation of field training and service experiences. However, translating initial training involvement into a defined and sustainable global health career remains difficult and beset by numerous barriers. Existing global health literature has largely examined training experiences and related ethical considerations while neglecting the role of career development in global health. To explore this, this paper extrapolates potential barriers to global health career involvement from existing literature and compares these to salary and skills requirements for archetypal physician positions in global health, presenting a framework of possible barriers to sustained physician participation in global health work. Notable barriers identified include financial limitations, scheduling conflicts, security/family concerns, skills limitations, limited awareness of opportunities, and specialty choice, with family practice often closely aligned with global health experience. Proposed solutions include financial support, protected time, family relocation support, and additional training. This framework delineates barriers to career involvement in global health by physicians. Further research regarding these barriers as well as potential solutions may help direct policy and initiatives to better utilize physicians, particularly family physicians, as a valuable global health human resource.

  4. Pre-migration Trauma Exposure and Psychological Distress for Asian American Immigrants: Linking the Pre- and Post-migration Contexts.

    Science.gov (United States)

    Li, Miao; Anderson, James G

    2016-08-01

    Drawing on the life course perspective and the assumptive world theory, this paper examines whether pre-migration trauma exposure is associated with psychological distress through post-migration perceived discrimination for Asian American immigrants. The study is based on cross-sectional data from the National Latino and Asian American Study (N = 1639). Structural equation model is used to estimate the relationship between pre-migration trauma, post-migration perceived discrimination, and psychological distress. Additional models are estimated to explore possible variations across ethnic groups as well as across different types of pre-migration trauma experience. Pre-migration trauma exposure is associated with higher levels of psychological distress, both directly and indirectly through higher level of perceived discrimination, even after controlling for demographic/acculturative factors and post-migration trauma exposure. This pattern holds for the following sub-types of pre-migration trauma: political trauma, crime victimization, physical violence, accidental trauma, and relational trauma. Multi-group analyses show that this pattern holds for all Asian immigrant subgroups except the Vietnamese. Studies of immigrant mental health primarily focus on post-migration stressors. Few studies have considered the link between pre- and post-migration contexts in assessing mental health outcomes. The study illustrates the usefulness of bridging the pre- and post-migration context in identifying the mental health risks along the immigrant life course.

  5. Delaying Academic Tasks? Predictors of Academic Procrastination among Asian International Students in American Universities

    Science.gov (United States)

    Kim, Eunyoung; Alhaddab, Taghreed A.; Aquino, Katherine C.; Negi, Reema

    2016-01-01

    Existing body of research indicates that both cognitive and non-cognitive factors contribute to college students' tendency of academic procrastination. However, little attention has been paid to the likelihood of academic procrastination among Asian international college students. Given the need for empirical research on why Asian international…

  6. Associations with E-cigarette use among Asian American and Pacific Islander young adults in California.

    Science.gov (United States)

    Maglalang, Dale Dagar; Brown-Johnson, Cati; Prochaska, Judith J

    2016-12-01

    With attention to the rapidly growing market of electronic nicotine delivery systems (ENDS/e-cigarettes) and the fastest growing US ethnic minority group, the current study explored associations between awareness, perceived risks, and use of ENDS among Asian American and Pacific Islander (AAPI) young adults. AAPI young adults (ages 18-25) in California were recruited via social media, college classes, listservs for AAPI-serving non-profits, and snowball sampling to complete an anonymous survey between 2014 and 2015. The sample (N = 501) was 57% women, 15% LGBTQIA; with a mean age of 21; 26% foreign-born; identifying as Filipino (29%), Chinese (24%), Vietnamese (14%), mixed-AAPI heritage (13%), or 21% other. Nearly half the sample (44%) reported ever ENDS use; 11% were current users. Current ENDS use was twofold greater for: Filipino and Vietnamese compared to Chinese respondents; men versus women; LGBTQIA-identified respondents; those vocationally trained; and employed. Awareness of ENDS from peers/friends was most common and was associated with ever though not current ENDS use. Most respondents perceived ENDS as harmful (62%); low compared to high risk perception was associated with a three-fold greater likelihood of ever use and six-fold greater likelihood of current use. Popular flavors were fruit (49%, e.g., lychee, taro) and candy/sweets (26%). Current users viewed ENDS as a healthier alternative or quit aid for conventional cigarettes (42%); recreation/social use (33%) also was common. Findings indicate ENDS visibility among AAPI young adults in California with affinity for flavors and many engaging in trial and current use for harm reduction and recreational/social aims.

  7. Heart Disease and Asians and Pacific Islanders

    Science.gov (United States)

    ... Data > Minority Population Profiles > Asian American > Heart Disease Heart Disease and Asians and Pacific Islanders Overall, Asian American ... are less likely than white adults to have heart disease and they are less likely to die from ...

  8. Evaluation of Demographics and Social Life Events of Asian (Elephas maximus) and African Elephants (Loxodonta africana) in North American Zoos.

    Science.gov (United States)

    Prado-Oviedo, Natalia A; Bonaparte-Saller, Mary K; Malloy, Elizabeth J; Meehan, Cheryl L; Mench, Joy A; Carlstead, Kathy; Brown, Janine L

    2016-01-01

    This study quantified social life events hypothesized to affect the welfare of zoo African and Asian elephants, focusing on animals that were part of a large multi-disciplinary, multi-institutional elephant welfare study in North America. Age was calculated based on recorded birth dates and an age-based account of life event data for each elephant was compiled. These event histories included facility transfers, births and deaths of offspring, and births and deaths of non-offspring herd mates. Each event was evaluated as a total number of events per elephant, lifetime rate of event exposure, and age at first event exposure. These were then compared across three categories: species (African vs. Asian); sex (male vs. female); and origin (imported vs. captive-born). Mean age distributions differed (p<0.05) between the categories: African elephants were 6 years younger than Asian elephants, males were 12 years younger than females, and captive-born elephants were 20 years younger than imported elephants. Overall, the number of transfers ranged from 0 to 10, with a 33% higher age-adjusted transfer rate for imported African than imported Asian elephants, and 37% lower rate for imported females than males (p<0.05). Other differences (p<0.05) included a 96% higher rate of offspring births for captive-born females than those imported from range countries, a 159% higher rate of birthing event exposures for captive-born males than for their imported counterparts, and Asian elephant females being 4 years younger than African females when they produced their first calf. In summarizing demographic and social life events of elephants in North American zoos, we found both qualitative and quantitative differences in the early lives of imported versus captive-born elephants that could have long-term welfare implications.

  9. Evaluation of Demographics and Social Life Events of Asian (Elephas maximus and African Elephants (Loxodonta africana in North American Zoos.

    Directory of Open Access Journals (Sweden)

    Natalia A Prado-Oviedo

    Full Text Available This study quantified social life events hypothesized to affect the welfare of zoo African and Asian elephants, focusing on animals that were part of a large multi-disciplinary, multi-institutional elephant welfare study in North America. Age was calculated based on recorded birth dates and an age-based account of life event data for each elephant was compiled. These event histories included facility transfers, births and deaths of offspring, and births and deaths of non-offspring herd mates. Each event was evaluated as a total number of events per elephant, lifetime rate of event exposure, and age at first event exposure. These were then compared across three categories: species (African vs. Asian; sex (male vs. female; and origin (imported vs. captive-born. Mean age distributions differed (p<0.05 between the categories: African elephants were 6 years younger than Asian elephants, males were 12 years younger than females, and captive-born elephants were 20 years younger than imported elephants. Overall, the number of transfers ranged from 0 to 10, with a 33% higher age-adjusted transfer rate for imported African than imported Asian elephants, and 37% lower rate for imported females than males (p<0.05. Other differences (p<0.05 included a 96% higher rate of offspring births for captive-born females than those imported from range countries, a 159% higher rate of birthing event exposures for captive-born males than for their imported counterparts, and Asian elephant females being 4 years younger than African females when they produced their first calf. In summarizing demographic and social life events of elephants in North American zoos, we found both qualitative and quantitative differences in the early lives of imported versus captive-born elephants that could have long-term welfare implications.

  10. East Asian Attitudes toward Death— A Search for the Ways to Help East Asian Elderly Dying in Contemporary America

    Science.gov (United States)

    Lee, Sok K

    2009-01-01

    The art of dying well has been a quintessential subject of ethicoreligious matters among the people in the West and the East. Most of us wish to die at home; however, about 50% of Americans die in acute care hospitals. Furthermore, immigrants from East Asian cultures feel more uncomfortable near death, because their physicians are not familiar with their traditions. This article is written to help American physicians understand the unique aspects of East Asian Confucian Ethics for the better care of the dying elderly. Western attitudes toward death are briefly reviewed and the six East Asian concepts related to death are elaborated from Confucian Chinese philosophy. To widen the horizon of bioethics and to embrace the Confucian wisdom of dying well, three pearls of wisdom from classical Confucianism are proposed: the relational autonomy of family, Confucian creative self-transformation, and the unity of transcendence and the human being. PMID:20740092

  11. Ethnicity and Acculturation: Influences on Asian American Consumers' Purchase Decision Making for Social Clothes.

    Science.gov (United States)

    Kang, Jikyeong; Kim, Youn-Kyung

    1998-01-01

    Responses from 172 Chinese Americans, 185 Japanese Americans, and 144 Korean Americans revealed distinct reference group, media, and store attribute influences on clothing purchases. Patterns differed depending on degree of acculturation. (SK)

  12. Culture and aesthetic preference: comparing the attention to context of East Asians and Americans.

    Science.gov (United States)

    Masuda, Takahiko; Gonzalez, Richard; Kwan, Letty; Nisbett, Richard E

    2008-09-01

    Prior research indicates that East Asians are more sensitive to contextual information than Westerners. This article explored aesthetics to examine whether cultural variations were observable in art and photography. Study 1 analyzed traditional artistic styles using archival data in representative museums. Study 2 investigated how contemporary East Asians and Westerners draw landscape pictures and take portrait photographs. Study 3 further investigated aesthetic preferences for portrait photographs. The results suggest that (a) traditional East Asian art has predominantly context-inclusive styles, whereas Western art has predominantly object-focused styles, and (b) contemporary members of East Asian and Western cultures maintain these culturally shaped aesthetic orientations. The findings can be explained by the relation among attention, cultural resources, and aesthetic preference.

  13. 美国亚裔文本中的双重“他者”书写%Writing the Double“Others”in Asian American Texts

    Institute of Scientific and Technical Information of China (English)

    王绍平

    2015-01-01

    The paper discusses the thematic issues of literary texts by Chinese Americans, Japanese Americans and Korean Americans with Northeast Asian descent from a cross-cultural perspective. First, two terms “Asian American” and “Asian American Sensibility”are introduced. Then, focusing on identity motif, the analyses are provided from the aspects of cultural nostalgia, historical burdens and realistic predicaments so as to present the double“Others”in Chinese, Japanese and Korean American texts. Finally, the paper concludes that studying Asian American texts beneift our understanding of both Asian Americans and Northeast Asian culture under the global context.%本文以跨文化视角分析具有东北亚文化血统的美国华裔、日裔、韩裔等文学文本主旨。首先,文章介绍美国亚裔研究的两个关键词“亚裔美国人”和“亚裔美国感”。之后,围绕身份认同主题,从文化乡愁、历史负重与现实纠结等层面,探讨中日韩裔文本建构的双重“他者”。结论指出,研究美国亚裔文本有益于我们了解美国亚裔以及全球化背景下的东北亚文化。

  14. Too big to be noticed: cryptic invasion of Asian camel crickets in North American houses.

    Science.gov (United States)

    Epps, Mary Jane; Menninger, Holly L; LaSala, Nathan; Dunn, Robert R

    2014-01-01

    Despite the rapid expansion of the built environment, we know little about the biology of species living in human-constructed habitats. Camel crickets (Rhaphidophoridae) are commonly observed in North American houses and include a range of native taxa as well as the Asian Diestrammena asynamora (Adelung), a species occasionally reported from houses though considered to be established only in greenhouses. We launched a continental-scale citizen science campaign to better understand the relative distributions and frequency of native and nonnative camel crickets in human homes across North America. Participants contributed survey data about the presence or absence of camel crickets in homes, as well as photographs and specimens of camel crickets allowing us to identify the major genera and/or species in and around houses. Together, these data offer insight into the geographical distribution of camel crickets as a presence in homes, as well as the relative frequency and distribution of native and nonnative camel crickets encountered in houses. In so doing, we show that the exotic Diestrammena asynamora not only has become a common presence in eastern houses, but is found in these environments far more frequently than native camel crickets. Supplemental pitfall trapping along transects in 10 urban yards in Raleigh, NC revealed that D. asynamora can be extremely abundant locally around some homes, with as many as 52 individuals collected from pitfalls in a single yard over two days of sampling. The number of D. asynamora individuals present in a trap was negatively correlated with the trap's distance from a house, suggesting that these insects may be preferentially associated with houses but also are present outside. In addition, we report the establishment in the northeastern United States of a second exotic species, putatively Diestrammena japanica Blatchley, which was previously undocumented in the literature. Our results offer new insight into the relative frequency

  15. An official American Thoracic Society/American College of Chest Physicians policy statement: the Choosing Wisely top five list in adult pulmonary medicine.

    Science.gov (United States)

    Wiener, Renda Soylemez; Ouellette, Daniel R; Diamond, Edward; Fan, Vincent S; Maurer, Janet R; Mularski, Richard A; Peters, Jay I; Halpern, Scott D

    2014-06-01

    The American Board of Internal Medicine Foundation's Choosing Wisely campaign aims to curb health-care costs and improve patient care by soliciting lists from medical societies of the top five tests or treatments in their specialty that are used too frequently and inappropriately. The American Thoracic Society (ATS) and American College of Chest Physicians created a joint task force, which produced a top five list for adult pulmonary medicine. Our top five recommendations, which were approved by the executive committees of the ATS and American College of Chest Physicians and published by Choosing Wisely in October 2013, are as follows: (1) Do not perform CT scan surveillance for evaluation of indeterminate pulmonary nodules at more frequent intervals or for a longer period of time than recommended by established guidelines; (2) do not routinely offer pharmacologic treatment with advanced vasoactive agents approved only for the management of pulmonary arterial hypertension to patients with pulmonary hypertension resulting from left heart disease or hypoxemic lung diseases (groups II or III pulmonary hypertension); (3) for patients recently discharged on supplemental home oxygen following hospitalization for an acute illness, do not renew the prescription without assessing the patient for ongoing hypoxemia; (4) do not perform chest CT angiography to evaluate for possible pulmonary embolism in patients with a low clinical probability and negative results of a highly sensitive D-dimer assay; (5) do not perform CT scan screening for lung cancer among patients at low risk for lung cancer. We hope pulmonologists will use these recommendations to stimulate frank discussions with patients about when these tests and treatments are indicated--and when they are not.

  16. Parental pressure and support toward Asian Americans' self-efficacy, outcome expectations, and interests in stereotypical occupations: Living up to parental expectations and internalized stereotyping as mediators.

    Science.gov (United States)

    Shen, Frances C; Liao, Kelly Yu-Hsin; Abraham, W Todd; Weng, Chih-Yuan

    2014-04-01

    This study examined whether living up to parental expectations and internalized stereotyping (i.e., internalizing Asian American stereotypes) mediated the impact of parental pressure and support on occupational outcomes (i.e., self-efficacy, outcome expectations, and interests in stereotypical occupations) among 229 Asian American students from universities nationwide. Results indicated that living up to parental expectations and internalized stereotyping partially mediated the associations between parental pressure and these 3 occupational outcomes. In addition, living up to parental expectations fully mediated the associations between parental support and the 3 occupational outcomes, but internalized stereotyping did not. The results demonstrated the differential role of parental pressure and parental support as well as the mediating role of living up to parental expectations and internalized stereotyping in Asian Americans' occupational outcomes. Future research directions and clinical implications are discussed.

  17. How Cuba's Latin American School of Medicine challenges the ethics of physician migration.

    Science.gov (United States)

    Huish, Robert

    2009-08-01

    This paper demonstrates a working alternative to the accepted ethics of physician migration. A dominant cosmopolitan ethics encourages upward mobility of physicians in a globalized labour force, and this ultimately advances the position of individuals rather than improving public health-care service for vulnerable communities in the global South. Cuba's Escuela Latinoamericana de Medicina (ELAM) challenges this trend as its institutional ethics furnishes graduates with appropriate skills, knowledge and service ethics to deliver quality care in marginalized areas. This paper provides an analysis of how ELAM trains physicians in community-oriented service for marginalized areas in the global South. The principle finding of this analysis is that ELAM exhibits a working alternative to the accepted ethics of physician migration, as it encourages graduates to practice in marginalized communities rather than feed the migration pipeline into the North. Arguably, ELAM serves as an important case study in how a medical school's ethics can work to bring graduates closer to the communities that are in desperate need of their skills and of their compassion.

  18. Historical climates explain contrasting dormancy-breaking requirements in North American, Asian, and European woody species

    Science.gov (United States)

    Zohner, Constantin M.; Benito, Blas M.; Fridley, Jason D.; Svenning, Jens-Christian; Renner, Susanne S.

    2016-04-01

    Leaf-out times in temperate woody species are determined by winter chilling and spring warming, with day length playing a minor role. The species-specific relative importance of these phenological cues determines the sensitivity of leaf unfolding to climate warming in the globe's temperate forests. Using experimental and monitoring data on leaf-out cues in 495 woody species [about 1/3rd each from Asia, Europe, and North America (NA)], we show that NA species have higher winter chilling and spring warming requirements than do European and Asian species of similar genetic stock. The continent effect remained significant when controlling for the modern climates that species are adapted to, suggesting that contrasting historic climate conditions led to the differentiation of leaf-out strategies among NA, European, and Asian plants. The NA flora experienced more and longer periods of climatic instability and harshness (esp. since the Pliocene) than did southern Europe and East Asia, which may explain why NA species have higher dormancy requirements and leaf-out later than Asian species, which are characterized by a more shallow dormancy. That species from Asia require significantly less chilling than their NA relatives suggests contrasting responses of NA and Asian temperate forests to continued climate warming. Earlier leaf-out in NA trees and shrubs will be constrained by unmet chilling requirements as winters get warmer, whereas Asian woody species generally lack such temperature limitations.

  19. Multiculturalism as a dimension of school climate: the impact on the academic achievement of Asian American and Hispanic youth.

    Science.gov (United States)

    Chang, Janet; Le, Thao N

    2010-10-01

    Multiculturalism constitutes an important element of school climate, but the relation between perceived multiculturalism and academic achievement has not been widely studied. This study examined the influence of students' perceptions of school support for multiculturalism on academic achievement among 280 Asian American and Hispanic youth, including ethnic identity and ethnocultural empathy as potential mediators. Results of structural equation modeling revealed that perceived multiculturalism was significantly positively related to ethnocultural empathy for Asian Americans and Hispanics, and that ethnocultural empathy, in turn, was predictive of academic achievement for Hispanics only. Results of bootstrapping to test for mediation effects revealed ethnocultural empathy to be a salient mediator for Hispanic youth. Although ethnic identity did not mediate the link between multiculturalism and academic achievement, ethnic identity was significantly predictive of achievement for Hispanics. On the whole, these findings suggest that fostering a school climate supportive of multiculturalism may improve empathy toward ethnic out-groups. Furthermore, schools that promote compassion and tolerance for diverse ethnic groups may achieve better academic outcomes among Hispanic youth.

  20. Phylogenetics and biogeography of eastern Asian-North American disjunct genus Pachysandra (Buxaceae) inferred from nucleotide sequences

    Institute of Scientific and Technical Information of China (English)

    Zhi-hua JIAO; Jian-hua LI

    2009-01-01

    Pachysandra is an eastern Asian-North American disjunct genus with three species, two in eastern Asia (Pachysandra axillaris and Pachysandra terminalis) and one in eastern North America (Pachysandra procumbens). Although morphological and cytological studies suggest a close affinity of Pprocumbens with P axillaris, molecular data from nuclear and chloroplast DNA regions have provided conflicting signals. In this study, we tested previous phylogenetic hypotheses using sequences of nuclear ribosomal DNA internal transcribed spacers and chloroplast ndhF gene from multiple individuals of each of the three species. We also estimated the time of divergence between eastern Asia and eastern North America. Our results support the morphological and cytological conclusion that P procumbens is more closely related to P axillaris than to P terminalis. The estimated time of divergence of P axillaris and P procumbens was 14.64-5.5 mya, consistent with estimates from many other eastern Asian-North American disjunct genera. The migration of Pachysandra populations from eastern Asia to North America might have occurred by way of the North Atlantic land bridge.

  1. The "Moral Minority" Meets Social Justice: A Case Study of an Evangelical Christian Urban Immersion Program and Its Influence on the Post-College Civic Engagement of Asian American College Students

    Science.gov (United States)

    Lew, Jonathan W.

    2013-01-01

    Asian Americans, as a group, are not as civically engaged as might be expected given their rapid growth in population and high average levels of education and income. The undergraduate years are a critical period in which this "civic engagement gap" could be addressed given the dramatic growth in Asian American college students and…

  2. Group Work with Survivors of the 2004 Asian Tsunami: Reflections of an American-Trained Counselor

    Science.gov (United States)

    Fernando, Delini M.

    2009-01-01

    This article describes a support group for Sri Lankan women survivors of the 2004 Asian Tsunami. The article discusses unique leader challenges in doing group work in a diverse and foreign setting, and presents leader reflections, recommendations, and implications for group workers who may work with disaster survivors.

  3. The burden of diagnosed and undiagnosed diabetes in Native Hawaiian and Asian American hospitalized patients

    Directory of Open Access Journals (Sweden)

    T.L. Sentell

    2015-12-01

    Conclusions: Hospitalized Native Hawaiians (41% and Asian subgroups had significantly higher overall diabetes burdens compared to Whites (23%. Potentially undiagnosed diabetes was associated with poor outcomes. Hospitalized patients, irrespective of race/ethnicity, may require more effective inpatient identification and management of previously undiagnosed diabetes to improve clinical outcomes.

  4. Goals of Education in Asian and American Cultures. Reflective Essay #2

    Science.gov (United States)

    Cummings, Alexandra

    2008-01-01

    Traditional Chinese proverbs such as: "The sea of learning knows no bounds; only through diligence may its shore be reached" and "If you don't succeed, try again." (p. 296) illustrate that educational success in the Asian culture is viewed as the result of a single notion--"hard work". This paper will examine how this…

  5. Beyond K's Specter: Chang-rae Lee’s A Gesture Life, Comfort Women Testimonies, and Asian American Transnational Aesthetics

    Directory of Open Access Journals (Sweden)

    Belinda Kong

    2011-03-01

    Full Text Available

    This essay argues that Chang-rae Lee’s novel A Gesture Life exemplifies both the conceptual gains and the potential pitfalls of current Asian American literature’s transnationalism. The first section of the essay discusses the interlocking of psychoanalytic theory and political philosophy, specifically Freud’s uncanny and Arendt’s banality of evil, in Lee’s portrait of the psychology of criminal repression. The second section juxtaposes Lee’s novel against real-life comfort women’s survivor testimonies to probe broader questions of historical memory, politicized historiography, and the modes of circulation and authority in contemporary international comfort women discourse. The final section, which recontextualizes Lee’s novel within current debates in Asian and Asian American Studies, argues against a paradigm of alterity vis-à-vis the comfort women and proposes instead a transnational aesthetic premised on the human.

  6. Clinical documentation in the 21st century: executive summary of a policy position paper from the American College of Physicians.

    Science.gov (United States)

    Kuhn, Thomson; Basch, Peter; Barr, Michael; Yackel, Thomas

    2015-02-17

    Clinical documentation was developed to track a patient's condition and communicate the author's actions and thoughts to other members of the care team. Over time, other stakeholders have placed additional requirements on the clinical documentation process for purposes other than direct care of the patient. More recently, new information technologies, such as electronic health record (EHR) systems, have led to further changes in the clinical documentation process. Although computers and EHRs can facilitate and even improve clinical documentation, their use can also add complexities; new challenges; and, in the eyes of some, an increase in inappropriate or even fraudulent documentation. At the same time, many physicians and other health care professionals have argued that the quality of the systems being used for clinical documentation is inadequate. The Medical Informatics Committee of the American College of Physicians has undertaken this review of clinical documentation in an effort to clarify the broad range of complex and interrelated issues surrounding clinical documentation and to suggest a path forward such that care and clinical documentation in the 21st century best serve the needs of patients and families.

  7. Complete Genome Sequences of Eight Human Papillomavirus Type 16 Asian American and European Variant Isolates from Cervical Biopsies and Lesions in Indian Women

    Science.gov (United States)

    Mandal, Paramita; Sen, Shrinka; Bhattacharya, Amrapali; Roy Chowdhury, Rahul; Mondal, Nidhu Ranjan

    2016-01-01

    Human papillomavirus type 16 (HPV16), a member of the Papillomaviridae family, is the primary etiological agent of cervical cancer. Here, we report the complete genome sequences of four HPV16 Asian American variants and four European variants, isolated from cervical biopsies and scrapings in India. PMID:27198009

  8. An Introductory Mixed-Methods Intersectionality Analysis of College Access and Equity: An Examination of First-Generation Asian Americans and Pacific Islanders

    Science.gov (United States)

    Museus, Samuel D.

    2011-01-01

    In this article, the author discusses how researchers can use mixed-methods approaches and intersectional analyses to understand college access among first-generation Asian American and Pacific Islanders (AAPIs). First, he discusses the utility of mixed-methods approaches and intersectionality research in studying college access. Then, he…

  9. Perceived Discrimination and Its Associations with Mental Health and Substance Use among Asian American and Pacific Islander Undergraduate and Graduate Students

    Science.gov (United States)

    Chen, Angela Chia-Chen; Szalacha, Laura A.; Menon, Usha

    2014-01-01

    Objectives: Racial discrimination experiences can negatively affect health. This study examined perceived discrimination and its relationship with mental health and substance use among Asian American and Pacific Islander (API) undergraduate and graduate students. Participants: A total of 113 API students aged 18-35 completed the study during…

  10. Cross-Cultural Issues in Parent-Professional Interactions: A Qualitative Study of Perceptions of Asian American Mothers of Children with Developmental Disabilities

    Science.gov (United States)

    Jegatheesan, Brinda

    2009-01-01

    This study investigated the perspectives of 23 first-generation Asian American mothers of children with developmental disabilities. The intent was to explore the working relationships between the mothers and professionals in health care and special education in the United States. The participants in this study were from China, Taiwan, Vietnam,…

  11. Housing and Social Environments of African (Loxodonta africana) and Asian (Elephas maximus) Elephants in North American Zoos.

    Science.gov (United States)

    Meehan, Cheryl L; Hogan, Jennifer N; Bonaparte-Saller, Mary K; Mench, Joy A

    2016-01-01

    We evaluated 255 African (Loxodonta africana) and Asian (Elephas maximus) elephants living in 68 North American zoos over one year to quantify housing and social variables. All parameters were quantified for the both the day and the night and comparisons were made across these time periods as well as by species and sex. To assess housing, we evaluated not only total exhibit size, but also individual animals' experiences based on the time they spent in the unique environments into which the exhibits were subdivided. Variables developed to assess housing included measurements of area as a function of time (Total Space Experience), environment type (Indoor, Outdoor, In/Out Choice) and time spent on hard and soft flooring. Over the year, Total Space Experience values ranged from 1,273 square feet to 169,692 square feet, with Day values significantly greater than Night values (pSocial factors included number of animals functionally housed together (Social Experience) and social group characteristics such as time spent with juveniles and in mixed-sex groups. Overall Social Experience scores ranged from 1 to 11.2 and were significantly greater during the Day than at Night (psocial or housing differences between African (N = 138) and Asian (N = 117) species or between males (N = 54) and females (N = 201). The most notable exception was Total Space Experience, with African and male elephants having larger Total Space Experience than Asian and female elephants, respectively (P-valuehousing and social variables evaluated herein have been used in a series of subsequent epidemiological analyses relating to various elephant welfare outcomes.

  12. Imported Asian swamp eels (Synbranchidae: Monopterus) in North American live food markets: Potential vectors of non-native parasites

    Science.gov (United States)

    Nico, Leo G.; Sharp, Paul; Collins, Timothy M.

    2011-01-01

    Since the 1990s, possibly earlier, large numbers of Asian swamp eels (Synbranchidae: Monopterus spp.), some wild-caught, have been imported live from various countries in Asia and sold in ethnic food markets in cities throughout the USA and parts of Canada. Such markets are the likely introduction pathway of some, perhaps most, of the five known wild populations of Asian swamp eels present in the continental United States. This paper presents results of a pilot study intended to gather baseline data on the occurrence and abundance of internal macroparasites infecting swamp eels imported from Asia to North American retail food markets. These data are important in assessing the potential role that imported swamp eels may play as possible vectors of non-native parasites. Examination of the gastrointestinal tracts and associated tissues of 19 adult-sized swamp eels—identified as M. albus "Clade C"—imported from Vietnam and present in a U.S. retail food market revealed that 18 (95%) contained macroparasites. The 394 individual parasites recovered included a mix of nematodes, acanthocephalans, cestodes, digeneans, and pentastomes. The findings raise concern because of the likelihood that some parasites infecting market swamp eels imported from Asia are themselves Asian taxa, some possibly new to North America. The ecological risk is exacerbated because swamp eels sold in food markets are occasionally retained live by customers and a few reportedly released into the wild. For comparative purposes, M. albus "Clade C" swamp eels from a non-native population in Florida (USA) were also examined and most (84%) were found to be infected with internal macroparasites. The current level of analysis does not allow us to confirm whether these are non-native parasites.

  13. Partner violence victimization and unintended pregnancy in Latina and Asian American women: Analysis using structural equation modeling.

    Science.gov (United States)

    Cha, Susan; Masho, Saba W; Heh, Victor

    2017-04-01

    Intimate partner violence (IPV) is a pervasive public health problem in the U.S., affecting nearly one in every three women over their lifetimes. Using structural equation modeling, we evaluated the association between IPV and unintended pregnancy, mediated by condom use and perceived spousal/partner support among Latina and Asian women. Data came from the 2002-2003 National Latino and Asian American Study (NLAAS). The analysis was restricted to married or cohabiting female respondents aged 18+ years (n = 1,595). Dependent variables included unintended pregnancy, condom use, and perceived partner support. Independent variables included physical abuse or threats by current partner and primary decision-maker. Weighted least squares was used to fit path models to data comprising dichotomous and ordinal variables. More than 13% of women reported IPV during their relationship with their partner/spouse. Abused women were twice as likely as non-abused women to have had an unintended pregnancy. This association was partially mediated by perceived partner support. Condom use had a positive, but non-significant association with unintended pregnancy, and IPV had a negative, but non-significant association with condom use. Results highlight the importance of IPV screening for minority women. Efforts to combine family planning and violence prevention services may help reduce unintended pregnancy.

  14. The cultural context of nondisclosure of alcohol-involved acquaintance rape among Asian American college women: a qualitative study.

    Science.gov (United States)

    Koo, Kelly H; Nguyen, Hong V; Andrasik, Michele P; George, William H

    2015-01-01

    With high college enrollment and increasing alcohol use, Asian American (AA) college women may be at particular risk for experiencing alcohol-involved acquaintance rape. Although AA women have expressed the weakest intentions to report rape when compared to other ethnic groups, cultural factors influencing these intentions remain unexamined. Guided by grounded theory, 17 self-identified AA college women were interviewed about how the average AA college woman would respond to an alcohol-involved acquaintance rape. Despite awareness of benefits of disclosing rape, participants emphasized that nondisclosure would be the normative response. Three themes emerged from participants: institutional, sociocultural, and psychological contexts of nondisclosure. At an institutional level, nondisclosure referenced mental health and police services, which included Asian stereotypes and mistrust of police. Within a sociocultural context, rape nondisclosure focused on negative consequences on relationships with parents and, to a lesser extent, on friendships. Emotional avoidance and not labeling an acquaintance rape as rape were psychological strategies for rape nondisclosure. Participant's conceptualizations of mental and physical health concerns, specifically post-rape concerns, were framed within sociocultural/macrostructural contexts and may not match that of the more individualistic U.S. mainstream conceptualizations of health. Culturally sensitive rape education may be more effective in increasing rape prevention and support.

  15. The Culture and Development Index (CDI: Measuring Values and Attitudes Associated With Development In Selected Asian and Latin American Countries

    Directory of Open Access Journals (Sweden)

    Joseph I. B. Gonzales

    2011-06-01

    Full Text Available Analyzing data gathered in five waves in the period 1981–2005 for up to 97 societies (most of which are independent countries, the World Values Survey Organization (WVSO identified two orthogonal factors, Traditional/Secular-Rational Values, and Survival/Self-Expression Values, that account for up to 70 percent of cross-cultural variation worldwide. However, one weakness of the two-factor construct is that it overlooks regional or local patterns in values and attitudes that may be vitally related to development. Alternatively, the Culture and Development Index (CDI and the closely related Culture and Corruption Index (CCI are constructed for selected South and Southeast Asian, Latin American, and East Asian countries to account for cross-cultural variation in terms of a different set of orthogonal factors, some of which are strongly associated with leading measures of development and of corruption. Both CDI and CCI reveal patterns of value and attitudinal change relevant to promoting development and to mitigating corruption.

  16. The Relationship between Cultural Identity and Academic Achievement of Asian American Students.

    Science.gov (United States)

    Lee, Steven K.

    A study investigated the relationship between students' level of interest in maintaining their cultural identity and their academic achievement. Subjects were 105 United States-born Chinese-American and Korean-American high school students attending two public high schools in Southern California. The two groups represented the largest minority…

  17. Change in ethnic identity across the high school years among adolescents with Latin American, Asian, and European backgrounds.

    Science.gov (United States)

    Kiang, Lisa; Witkow, Melissa R; Baldelomar, Oscar A; Fuligni, Andrew J

    2010-06-01

    Changes in adolescents' ethnic identity (e.g., exploration, belonging) were examined over the 4 years of high school. Results from 541 adolescents (51% female) with Latin American, Asian, and European backgrounds suggest that, as a group, adolescents do not report developmental changes in their ethnic exploration and belonging over time. Yet, within-person analyses of change reveal that individual adolescents exhibited substantial fluctuation in ethnic identity across the years, and this fluctuation was associated with concurrent changes in family cohesion, proportion of same-ethnic peers, and ethnic centrality. The discussion focuses on the value of examining intraindividual change over at least several years in order to more fully understand processes of ethnic identity development during adolescence.

  18. Assessing Collectivism in Latino, Asian/Pacific Islander, and African American Men Who Have Sex With Men: A Psychometric Evaluation.

    Science.gov (United States)

    Sauceda, John A; Paul, Jay P; Gregorich, Steven E; Choi, Kyung-Hee

    2016-02-01

    The study of collectivism has implications for HIV prevention research, especially in studies that use a social networking or community mobilization approach. However, research on collectivism in race/ethnicity and sexual minority groups is limited. We psychometrically evaluated a brief version of the Individualism-Collectivism Interpersonal Assessment Inventory (ICIAI) in a chain-referral sample of 400 Latino, 393 Asian/Pacific Islander, and 403 African American men who have sex with men (MSM). Data were collected via a one-time survey on demographics, the ICIAI, acculturation, and ethnicity identity. We conducted a multiple groups confirmatory factor analysis to assess for measurement invariance across the three groups of MSM, as well as tested its reliability and validity. The ICIAI evidenced good psychometric properties and was invariant across all groups. We highlight implications for how this measure of collectivism can be applied toward the study of HIV prevention and in lesbian, gay, bisexual and transgender communities.

  19. Advancing research in transitional care: challenges of culture, language and health literacy in Asian American and native Hawaiian elders.

    Science.gov (United States)

    Nishita, Christy; Browne, Colette

    2013-02-01

    Recent federal policy supports an individual's preference for home and community-based long-term care, even among nursing home residents. Optimizing transitions from the nursing home to home is a complex undertaking that requires addressing the interrelationships between health literacy and cultural-linguistic factors in the nation's increasingly diverse older adult population. We look at four Asian American and Pacific Islander elder populations to illustrate that differing health profiles and cultural-linguistic values can affect the type of care and support needed and preferred. A research gap exists that links these factors together for optimal transitional care. The paper presents a conceptual framework and proposes a six-point research agenda that includes family assessments of health literacy abilities, exploring the relationship between culture, health, and decision-making, and the development/adaptation of transition planning tools.

  20. Comparison of Body Mass Index (BMI) Categories Based on Asian and Universal Standards and Language Spoken at Home among Asian American University Students

    Science.gov (United States)

    Ng, Tiffany; McMahan, Shari; Mouttapa, Michele; Tanjasiri, Sora Park; Beam, William

    2009-01-01

    Background: The World Health Organization released lower Body Mass Index (BMI) cutoff points for Asian individuals to account for increased body fat percentage (BF%) and risk of obesity-related conditions at a lower body mass index. Purpose: This preliminary study: (1) explores the impact of utilizing Asian BMI standards (compared to universal…

  1. Mis/Representations of Asian/Americans in the Curricula: Perspectives from Second-Generation Japanese American Youth

    Science.gov (United States)

    Endo, Rachel

    2012-01-01

    This case study explores how six second-generation Japanese American youth recalled learning about cultural diversity at their high schools, particularly information that was intended to represent their identities as ethnic and racial minorities. Semi-structured interviews were used to investigate how the participants made sense of curricular…

  2. The susceptibility of Asian, European and North American Fraxinus species to the ash dieback pathogen Hymenoscyphus fraxineus reflects their phylogenetic history

    DEFF Research Database (Denmark)

    Nielsen, Lene R.; McKinney, Lea V.; Hietala, Ari M.;

    2016-01-01

    that there is species-specific variation in disease susceptibility among European and North American Fraxinus species, but a wider comparison at the genus level has been missing so far. We assessed disease symptoms and pathogen apothecium development in 17 Fraxinus species from Asia, Europe and North America exposed...... susceptibility where closely related Asian, European and North American species in section Fraxinus had relatively high levels of H. fraxineus DNA in the leaves and supported high production of apothecia. Leaves from some North American species also contained relatively high levels of H. fraxineus DNA, supported...

  3. Physician-patient argumentation and communication, comparing Toulmin's model, pragma-dialectics, and American sociolinguistics.

    Science.gov (United States)

    Rivera, Francisco Javier Uribe; Artmann, Elizabeth

    2015-12-01

    This article discusses the application of theories of argumentation and communication to the field of medicine. Based on a literature review, the authors compare Toulmin's model, pragma-dialectics, and the work of Todd and Fisher, derived from American sociolinguistics. These approaches were selected because they belong to the pragmatic field of language. The main results were: pragma-dialectics characterizes medical reasoning more comprehensively, highlighting specific elements of the three disciplines of argumentation: dialectics, rhetoric, and logic; Toulmin's model helps substantiate the declaration of diagnostic and therapeutic hypotheses, and as part of an interpretive medicine, approximates the pragma-dialectical approach by including dialectical elements in the process of formulating arguments; Fisher and Todd's approach allows characterizing, from a pragmatic analysis of speech acts, the degree of symmetry/asymmetry in the doctor-patient relationship, while arguing the possibility of negotiating treatment alternatives.

  4. Cervical cancer screening: attitudes and behaviors of young Asian American women.

    Science.gov (United States)

    Yoo, Grace J; Le, Mai Nhung; Vong, Stephen; Lagman, Regina; Lam, Amy G

    2011-12-01

    Compared to other racial/ethnic groups, Korean, Filipino, and Vietnamese American women experience high incidence rates of cervical cancer but low rates of cervical cancer screenings. This study examines the behaviors and attitudes towards screening in young Korean, Filipino, and Vietnamese American women (n = 304) in the San Francisco Bay Area. Results indicated Vietnamese American (OR = 2.51) and Filipino American (OR = 2.31) women had greater odds of ever having a Pap test than Korean American women. Those older (OR = 1.55), born in the USA (OR = 2.64), and those comfortable with the test (OR = 3.41) also had greater odds of ever having a Pap test. Correct knowledge of cervical cancer and the human papillomavirus did not significantly affect the odds of having a Pap test. Interventions to increase Pap testing in these populations should focus on increasing levels of comfort and should target those younger and foreign born.

  5. Asian American women in science, engineering, and mathematics: Background contextual and college environment influences on self-efficacy and academic achievement

    Science.gov (United States)

    Vogt, Kristen E.

    2005-07-01

    The purpose of this research study was to examine, for undergraduate women of various Asian American ethnic backgrounds, the influence of background contextual and college environment factors on their sense of academic self-efficacy and achievement in science, technology, engineering, and mathematics (STEM) majors. Social cognitive career theory and its critiques provided a theoretical foundation for relationships from past performance, socioeconomic status, acculturation, and college environment variables (compositional diversity, racial climate, gendered climate, academic peer support), to academic self-efficacy and achievement. Data were collected through an online survey. Instrumentation included the scales of Language, Identity, and Behavioral Acculturation; Gender Discrimination; Faculty and Classroom Behavior; Interactions with Peers; and Academic Milestones Self-efficacy. The participants were 228 Asian American undergraduate women in STEM at a large public, doctoral research extensive university on the east coast; the response rate was 51%. In three MANOVAs for nine social cognitive career variables, four ethnic groups (East, South, Southeast, and Multi-ethnic Asian American) significantly differed only on socioeconomic status. In path analysis, the initial model was not a good fit and was rejected. The model was respecified through statistical and theoretical evaluation, tested in exploratory analysis, and considered a good fit. The respecified model explained 36% of semester GPA (achievement) and 28% of academic self-efficacy. The academic achievement of Asian American women in STEM was related to past performance, background contextual factors, academic self-efficacy, academic peer support, and gendered climate. The strongest direct influence on achievement was academic self-efficacy followed by past performance. The total effect of Asian acculturation on achievement was negative and the total effect of American acculturation on achievement was not

  6. Heritage Language Education and Investment among Asian American Middle Schoolers: Insights from a Charter School

    Science.gov (United States)

    Wu, Ming-Hsuan; Lee, Kathy; Leung, Genevieve

    2014-01-01

    This paper investigates Mandarin learning experiences of Chinese American teenagers from working-class families. Drawing on a subset of data from a larger ethnographic study, we focus on 14 middle schoolers who studied Mandarin as a heritage language at a socially engaging school with Mandarin as part of its official curriculum. The data highlight…

  7. Asian germplasm in American horticulture: new thoughts on an old theme

    Science.gov (United States)

    North American horticulture cultivates an astonishing diversity of ornamental species, from nearly every floristic region, but its landscapes are dominated by temperate species drawn from the Eastern Asiatic floristic region. The East Asiatic floristic region is one of the most diverse in the world...

  8. Asian American College Students: Making Racial Meaning in an Era of Color-Blind Racism

    Science.gov (United States)

    Pendakur, Vijay

    2013-01-01

    Since the end of the Civil Rights era, a new paradigm has emerged for understanding race and racism in American society. This neoliberal hegemonic discourse argues that systemic racism ended with the abolishment of formal, juridical racism and that any continued investment in race is both unnecessary and deeply problematic. Critical race theorists…

  9. Earnings Differentials Between Whites and Ethnic Minorities: The Cases of Asian Americans, Blacks, and Chicanos

    Science.gov (United States)

    Jiobu, Robert M.

    1976-01-01

    The three aspects of the differential earnings between non-Spanish surnamed, native-born whites and blacks, Chinese, Mexican, and Japanese Americans considered are: (1) rates of return on age, education, and occupation; (2) the net cost of minority status; and (3) the possible effects of raising minority socioeconomic status to white levels. (NQ)

  10. Housing and Social Environments of African (Loxodonta africana and Asian (Elephas maximus Elephants in North American Zoos.

    Directory of Open Access Journals (Sweden)

    Cheryl L Meehan

    Full Text Available We evaluated 255 African (Loxodonta africana and Asian (Elephas maximus elephants living in 68 North American zoos over one year to quantify housing and social variables. All parameters were quantified for the both the day and the night and comparisons were made across these time periods as well as by species and sex. To assess housing, we evaluated not only total exhibit size, but also individual animals' experiences based on the time they spent in the unique environments into which the exhibits were subdivided. Variables developed to assess housing included measurements of area as a function of time (Total Space Experience, environment type (Indoor, Outdoor, In/Out Choice and time spent on hard and soft flooring. Over the year, Total Space Experience values ranged from 1,273 square feet to 169,692 square feet, with Day values significantly greater than Night values (p<0.001. Elephants spent an average of 55.1% of their time outdoors, 28.9% indoors, and 16% in areas with a choice between being in or out. Time spent on hard flooring substrate ranged from 0% to 66.7%, with Night values significantly greater than Day (p<0.001. Social factors included number of animals functionally housed together (Social Experience and social group characteristics such as time spent with juveniles and in mixed-sex groups. Overall Social Experience scores ranged from 1 to 11.2 and were significantly greater during the Day than at Night (p<0.001. There were few significant social or housing differences between African (N = 138 and Asian (N = 117 species or between males (N = 54 and females (N = 201. The most notable exception was Total Space Experience, with African and male elephants having larger Total Space Experience than Asian and female elephants, respectively (P-value<0.05. The housing and social variables evaluated herein have been used in a series of subsequent epidemiological analyses relating to various elephant welfare outcomes.

  11. Genetic linkage maps for Asian and American lotus constructed using novel SSR markers derived from the genome of sequenced cultivar

    Directory of Open Access Journals (Sweden)

    Yang Mei

    2012-11-01

    Full Text Available Abstract Background The genus Nelumbo Adans. comprises two living species, N. nucifera Gaertan. (Asian lotus and N. lutea Pers. (American lotus. A genetic linkage map is an essential resource for plant genetic studies and crop improvement but has not been generated for Nelumbo. We aimed to develop genomic simple sequence repeat (SSR markers from the genome sequence and construct two genetic maps for Nelumbo to assist genome assembly and integration of a genetic map with the genome sequence. Results A total of 86,089 SSR motifs were identified from the genome sequences. Di- and tri-nucleotide repeat motifs were the most abundant, and accounted for 60.73% and 31.66% of all SSRs, respectively. AG/GA repeats constituted 51.17% of dinucleotide repeat motifs, followed by AT/TA (44.29%. Of 500 SSR primers tested, 386 (77.20% produced scorable alleles with an average of 2.59 per primer, and 185 (37.00% showed polymorphism among two parental genotypes, N. nucifera ‘Chinese Antique’ and N. lutea ‘AL1’, and six progenies of their F1 population. The normally segregating markers, which comprised 268 newly developed SSRs, 37 previously published SSRs and 53 sequence-related amplified polymorphism markers, were used for genetic map construction. The map for Asian lotus was 365.67 cM with 47 markers distributed in seven linkage groups. The map for American lotus was 524.51 cM, and contained 177 markers distributed in 11 genetic linkage groups. The number of markers per linkage group ranged from three to 34 with an average genetic distance of 3.97 cM between adjacent markers. Moreover, 171 SSR markers contained in linkage groups were anchored to 97 genomic DNA sequence contigs of ‘Chinese Antique’. The 97 contigs were merged into 60 scaffolds. Conclusion Genetic mapping of SSR markers derived from sequenced contigs in Nelumbo enabled the associated contigs to be anchored in the linkage map and facilitated assembly of the genome sequences of

  12. CSR Strategies in Greater China: Global, East Asian, American, European Style?

    Directory of Open Access Journals (Sweden)

    Heiduk Guenter

    2014-10-01

    Full Text Available The concept of Corporate Social Responsibility emerged in the United States and spread to Europe and Asia while being adapted to national/local characteristics. Since borders between markets and societies are blurring and globalization is promoting MNCs which find themselves acting in hybrid societies, international institutions put efforts into the development and moral acceptance of global CSR standards. The scientific interest in CSR focused on the conflicts between company returns and benefits for society. The resulting concepts of performance-oriented, awareness-oriented and welfare-oriented CSR should facilitate the evaluation of CSR strategies implemented by MNCs. In research on the cultural dimensions of economies, it might be possible to allocate geographically the three concepts. Regarding the newly emerging Chinese MNCs, the paper aims to shed light on which concept they follow. On the one hand, CSR concepts of American and/or European MNCs that are present in China might serve as a role model; on the other hand, by learning from Taiwanese/ Hong Kong MNCs, a “greater China CSR approach” might emerge. Empirical studies and own field research suggest that compared to American and European companies, CSR is less deeply rooted in Chinese companies. Furthermore, significant differences between Mainland China, Hong Kong and Taiwanese companies indicate that a Greater Chinese CSR approach does not yet exist. Therefore, it cannot be assumed that American and European CSR concepts will experience a Chinese influence in the near future.

  13. Assessing the needs and guiding the future: findings from the health needs assessment in 13 Asian American communities of Maryland in the United States.

    Science.gov (United States)

    Lee, Sunmin; Ma, Grace X; Juon, Hee-Soon; Martinez, Genevieve; Hsu, Chiehwen E; Bawa, Julie

    2011-04-01

    There is lack of in depth data on health needs of diverse Asian American communities. We conducted 19 focus groups in 13 Asian American communities in Maryland in 2007. We developed a moderator's guide to collect qualitative data on health needs from 174 participants, and used MAX QDA to analyze data and code emergent themes. Cardiovascular disease related conditions, diabetes, and mental health were the top three health concerns. Weight concerns, cancer, arthritis, smoking, osteoporosis, and hepatitis B followed next. Many participants were not receiving preventive health service such as cancer screening due to a lack of access to health care or lack of awareness of preventive care. Additionally, under-represented communities lacked adequate health resources and advocacy, potentially due to a relatively shorter history of immigration and a small population. The results render support for awareness education on importance of preventive care and mental health.

  14. What Teachers Should Know About Why These Students Perform so Well: An Examination of Korean-American Achievement through Student Perspectives of East Asian Parenting Beliefs, Styles and Practices

    OpenAIRE

    2016-01-01

    It has been widely reported that Korean-American students as a group outperform most other groups of students in terms of academic achievement due to having parents with especially high academic expectations due to traditional Confucian values. To examine this achievement, this study examines the common factors across the indigenous East Asian parenting ideologies, styles, and practices based on the perceptions of high-achieving, Korean-American primary school students through the East Asian ...

  15. Real-world experience with interferon-free, direct acting antiviral therapies in Asian Americans with chronic hepatitis C and advanced liver disease

    Science.gov (United States)

    Chang, Christine Y.; Nguyen, Pauline; Le, An; Zhao, Changqing; Ahmed, Aijaz; Daugherty, Tami; Garcia, Gabriel; Lutchman, Glen; Kumari, Radhika; Nguyen, Mindie H.

    2017-01-01

    Abstract Real-life data on interferon (IFN)-free direct acting antiviral (DAA) therapies for chronic hepatitis C (CHC) is limited for Asian Americans. To evaluate sustained virologic response (SVR) and adverse events (AE) in Asian Americans treated with sofosbuvir (SOF)-based, IFN-free DAA therapies. This is a retrospective study of 110 consecutive Asian Americans with HCV genotypes 1 to 3 or 6 treated with IFN-free SOF-based regimens for 8 to 24 weeks between February 2014 and March 2016 at a university center in Northern California. Mean age was 63 ± 12 years, mean BMI was 25 ± 6 (kg/m2), and about half (52%) were male. Most patients were infected with HCV genotype 1 (HCV-1, 64%), followed by HCV-2 (14%), HCV-6 (13%), and HCV-3 (8%). Half had cirrhosis, and the majority of these (67%) had decompensation. Overall SVR12 was 93% (102/110), and highest among patients without cirrhosis, liver transplant, or HCC (100%, 37/37). SVR12 was lower among patients with HCC (82%, 14/17), decompensated cirrhosis (84%, 31/37), or liver transplant (89%, 17/19), regardless of treatment and genotype. Most common AEs were anemia (25%), fatigue (20%), and headache (12%). Anemia was highest in patients receiving SOF/RBV (67%). There was 1 treatment-unrelated serious adverse effect (SAE). There were 7 dose reductions due to anemia or fatigue from RBV and 2 treatment discontinuations due to fatigue or loss of insurance authorization. This real-life cohort of Asian American CHC patients treated with IFN-free SOF-based therapies showed high overall treatment response and good tolerability, despite very high rates of advanced disease and prior treatment failure. PMID:28178174

  16. Stigma and On-line Health Information Seeking of U.S. South Asian Cancer Survivors.

    Science.gov (United States)

    George, Sheba M; Kagawa Singer, Marjorie

    2015-01-01

    The internet has replaced physicians as primary health information source for cancer-survivors.It is important to uncover barriers/facilitators to cancer information seeking, particularly on-line.Asian Americans are the fastest growing U.S racial/ethnic minority, 2) cancer is the leading cause of r death and 3) cancer knowledge is low among them and little research is done on their cancer information seeking strategies. This study aims to examine qualitatively cancer information-seeking patterns of the Asian American group, South Asians, using in-depth interview methods. Family members and social networks are highly engaged in providing informational support to South Asian cancer survivors. such collaborative information seeking is limited by stigma related to cancer and must be taken into consideration when developing culturally appropriate cancer health information seeking interventions in such communities.

  17. Fish gut microbiota analysis differentiates physiology and behavior of invasive Asian carp and indigenous American fish.

    Science.gov (United States)

    Ye, Lin; Amberg, Jon; Chapman, Duane; Gaikowski, Mark; Liu, Wen-Tso

    2014-03-01

    Gut microbiota of invasive Asian silver carp (SVCP) and indigenous planktivorous gizzard shad (GZSD) in Mississippi river basin were compared using 16S rRNA gene pyrosequencing. Analysis of more than 440 000 quality-filtered sequences obtained from the foregut and hindgut of GZSD and SVCP revealed high microbial diversity in these samples. GZSD hindgut (GZSD_H) samples (n=23) with >7000 operational taxonomy units (OTUs) exhibited the highest alpha-diversity indices followed by SVCP foregut (n=15), GZSD foregut (n=9) and SVCP hindgut (SVCP_H) (n=24). UniFrac distance-based non-metric multidimensional scaling (NMDS) analysis showed that the microbiota of GZSD_H and SVCP_H were clearly separated into two clusters: samples in the GZSD cluster were observed to vary by sampling location and samples in the SVCP cluster by sampling date. NMDS further revealed distinct microbial community between foregut to hindgut for individual GZSD and SVCP. Cyanobacteria, Proteobacteria, Actinobacteria and Bacteroidetes were detected as the predominant phyla regardless of fish or gut type. The high abundance of Cyanobacteria observed was possibly supported by their role as the fish's major food source. Furthermore, unique and shared OTUs and OTUs in each gut type were identified, three OTUs from the order Bacteroidales, the genus Bacillariophyta and the genus Clostridium were found significantly more abundant in GZSD_H (14.9-22.8%) than in SVCP_H (0.13-4.1%) samples. These differences were presumably caused by the differences in the type of food sources including bacteria ingested, the gut morphology and digestion, and the physiological behavior between GZSD and SVCP.

  18. Fish gut microbiota analysis differentiates physiology and behavior of invasive Asian carp and indigenous American fish

    Science.gov (United States)

    Ye, Lin; Amberg, Jon J.; Chapman, Duane C.; Gaikowski, Mark P.; Liu, Wen-Tso

    2014-01-01

    Gut microbiota of invasive Asian silver carp (SVCP) and indigenous planktivorous gizzard shad (GZSD) in Mississippi river basin were compared using 16S rRNA gene pyrosequencing. Analysis of more than 440 000 quality-filtered sequences obtained from the foregut and hindgut of GZSD and SVCP revealed high microbial diversity in these samples. GZSD hindgut (GZSD_H) samples (n=23) with >7000 operational taxonomy units (OTUs) exhibited the highest alpha-diversity indices followed by SVCP foregut (n=15), GZSD foregut (n=9) and SVCP hindgut (SVCP_H) (n=24). UniFrac distance-based non-metric multidimensional scaling (NMDS) analysis showed that the microbiota of GZSD_H and SVCP_H were clearly separated into two clusters: samples in the GZSD cluster were observed to vary by sampling location and samples in the SVCP cluster by sampling date. NMDS further revealed distinct microbial community between foregut to hindgut for individual GZSD and SVCP. Cyanobacteria, Proteobacteria, Actinobacteria and Bacteroidetes were detected as the predominant phyla regardless of fish or gut type. The high abundance of Cyanobacteria observed was possibly supported by their role as the fish’s major food source. Furthermore, unique and shared OTUs and OTUs in each gut type were identified, three OTUs from the order Bacteroidales, the genus Bacillariophyta and the genus Clostridium were found significantly more abundant in GZSD_H (14.9–22.8%) than in SVCP_H (0.13–4.1%) samples. These differences were presumably caused by the differences in the type of food sources including bacteria ingested, the gut morphology and digestion, and the physiological behavior between GZSD and SVCP.

  19. What Teachers Should Know About Why These Students Perform so Well: An Examination of Korean-American Achievement through Student Perspectives of East Asian Parenting Beliefs, Styles and Practices

    Directory of Open Access Journals (Sweden)

    Wendi J. OTTO

    2016-09-01

    Full Text Available It has been widely reported that Korean-American students as a group outperform most other groups of students in terms of academic achievement due to having parents with especially high academic expectations due to traditional Confucian values. To examine this achievement, this study examines the common factors across the indigenous East Asian parenting ideologies, styles, and practices based on the perceptions of high-achieving, Korean-American primary school students through the East Asian Parenting Model. Perceptions about child development and learning, the mother-child relationship, authoritarian parenting style, and specific East Asian parenting practices are patterns explored in this study. These findings may inform teachers, pre-service teachers, and others involved in the education of Korean-American students about differentiating factors (i.e., specific East Asian parental and/or teaching practices that may be influential for explaining and improving the academic achievement for the children in this group.

  20. American College of Physicians

    Science.gov (United States)

    ... Network State Health Policy Advocacy in Action Current Public Policy Papers ACP Policies & Recommendations Store Membership Benefits for ... Network State Health Policy Advocacy in Action Current Public Policy Papers ACP Policies & Recommendations Store Search Google Appliance ...

  1. An Epidemiological Investigation of Male-Female Differences in Drinking and Drinking-Related Problems between US-Born and Foreign-Born Latino and Asian Americans

    Directory of Open Access Journals (Sweden)

    Hui G. Cheng

    2013-01-01

    Full Text Available Background. It has been widely documented that males were more likely to drinking alcohol and have alcohol use disorders (AUD. The degrees of the male-female differences in drinking and AUD have varied across countries. The reasons behind these variations have not been fully understood. The current study compared the estimated male-female differences across US-born and foreign-born Latino and Asian Americans with respect to alcohol drinking behavior and AUD. Method. Data come from the National Latino and Asian American Study (NLAAS, a national household survey of adults with Latinos and Asian decent in the United States. Male-female differences were estimated for drinking behavior and AUD among drinkers for US-born and foreign-born individuals, respectively. Zero-inflated Poisson regressions were utilized to estimate male-female differences in the number of AUD clinical features once it occurs. Results. Larger male-female differences were found for foreign-born individuals as compared to US-born individuals, especially the occurrence of AUD among drinkers. Once AUD clinical feature occurs, there was no male-female difference for foreign-born individuals, while there was a males excess in the number of clinical features for US-born individuals. Conclusion. Results from this study supports the importance of sociocultural influence in drinking and AUD. Implications for prevention and intervention programs were discussed.

  2. Measurement Invariance Testing of a Three-Factor Model of Parental Warmth, Psychological Control, and Knowledge across European and Asian/Pacific Islander American Youth.

    Science.gov (United States)

    Luk, Jeremy W; King, Kevin M; McCarty, Carolyn A; Stoep, Ann Vander; McCauley, Elizabeth

    2016-06-01

    While the interpretation and effects of parenting on developmental outcomes may be different across European and Asian/Pacific Islander (API) American youth, measurement invariance of parenting constructs has rarely been examined. Utilizing multiple-group confirmatory factor analysis, we examined whether the latent structure of parenting measures are equivalent or different across European and API American youth. Perceived parental warmth, psychological control, and knowledge were reported by a community sample of 325 adolescents (242 Europeans and 83 APIs). Results indicated that one item did not load on mother psychological control for API American youth. After removing this item, we found metric invariance for all parenting dimensions, providing support for cross-cultural consistency in the interpretation of parenting items. Scalar invariance was found for father parenting, whereas three mother parenting items were non-invariant across groups at the scalar level. After taking into account several minor forms of measurement non-invariance, non-invariant factor means suggested that API Americans perceived lower parental warmth and knowledge but higher parental psychological control than European Americans. Overall, the degree of measurement non-invariance was not extensive and was primarily driven by a few parenting items. All but one parenting item included in this study may be used for future studies across European and API American youth.

  3. Forging the New Desi Music: Transnational Identity and Musical Syncretism at a South Asian-American Festival

    OpenAIRE

    Miller, Kevin

    2004-01-01

    For three days in late April of 2002, Hollywood, California, was home to Artwallah, a multimedia arts festival of the South Asian Diaspora. "Artwallah" essentially means "one who does art," and over 65 artists and performers of South Asian heritage contributed their individual talents and distinctive voices to a collective expression that included dance, film, visual arts, theater, literature, stand-up comedy, and music. In addition to creating a temporary physical space conducive to the sh...

  4. Use of psychotropic medications during pregnancy: perception of teratogenic risk among physicians in two Latin American countries

    Directory of Open Access Journals (Sweden)

    Amaury Cantilino

    2014-05-01

    Full Text Available Objective: Pregnant women and their health care professionals commonly believe that use of medications during pregnancy may be harmful to the unborn fetus. The objective of this study was to evaluate the risk perception of psychotropic drug use in pregnancy among physicians in different medical specialties. Method: This was a convenience survey conducted at outpatient clinics in the cities of Recife, Brazil, and La Plata, Bahía Blanca, and Buenos Aires, Argentina. Physicians who agreed to participate were asked to rate their perception of teratogenic risk among different classes of drugs, which included antidepressants, antipsychotics, anticonvulsants, and benzodiazepines. Results: Two hundred and thirty-eight physicians completed the survey (response rate, 98%. These included psychiatrists, obstetricians, neurologists, cardiologists, gastroenterologists, and general practitioners. Among different specialties, a minority of psychiatrists perceived psychotropic drugs to be highly teratogenic (antidepressants, 12.5%; antipsychotics, 15%; benzodiazepines, 25% as compared with other specialties (p < 0.003 for each drug class. There was no difference in perceived risk of antiepileptic drugs among specialties, including psychiatrists. Conclusion: The risk associated with use of psychotropic drugs in pregnancy was overestimated by physicians of all medical specialties, except psychiatry. All physicians should be aware of the safety/risk of psychotropic agents in pregnancy, as they may be required to give advice and/or prescribe these drugs to pregnant women.

  5. The perioperative management of antithrombotic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).

    Science.gov (United States)

    Douketis, James D; Berger, Peter B; Dunn, Andrew S; Jaffer, Amir K; Spyropoulos, Alex C; Becker, Richard C; Ansell, Jack

    2008-06-01

    This article discusses the perioperative management of antithrombotic therapy and is part of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). The primary objectives of this article are the following: (1) to address the perioperative management of patients who are receiving vitamin K antagonists (VKAs) or antiplatelet drugs, such as aspirin and clopidogrel, and require an elective surgical or other invasive procedures; and (2) to address the perioperative use of bridging anticoagulation, typically with low-molecular-weight heparin (LMWH) or unfractionated heparin (UFH). A secondary objective is to address the perioperative management of such patients who require urgent surgery. The recommendations in this article incorporate the grading system that is discussed in this supplement (Guyatt G et al, CHEST 2008; 133:123S-131S). Briefly, Grade 1 recommendations are considered strong and indicate that the benefits do (or do not) outweigh risks, burden, and costs, whereas Grade 2 recommendations are referred to as suggestions and imply that individual patient values may lead to different management choices. The key recommendations in this article include the following: in patients with a mechanical heart valve or atrial fibrillation or venous thromboembolism (VTE) at high risk for thromboembolism, we recommend bridging anticoagulation with therapeutic-dose subcutaneous (SC) LMWH or IV UFH over no bridging during temporary interruption of VKA therapy (Grade 1C); in patients with a mechanical heart valve or atrial fibrillation or VTE at moderate risk for thromboembolism, we suggest bridging anticoagulation with therapeutic-dose SC LMWH, therapeutic-dose IV UFH, or low-dose SC LMWH over no bridging during temporary interruption of VKA therapy (Grade 2C); in patients with a mechanical heart valve or atrial fibrillation or VTE at low risk for thromboembolism, we suggest low-dose SC LMWH or no bridging over bridging with

  6. Profile: Asian Americans

    Science.gov (United States)

    ... Childhood Trauma Grants HIV/AIDS Grants Lupus Grants Justice and Health Grants State Partnership Grants Violence Prevention ... groups: 51 percent of Vietnamese, 46 percent of Chinese, 23 percent of Filipinos and 21 percent of ...

  7. Helicobacter pylori genotyping from American indigenous groups shows novel Amerindian vacA and cagA alleles and Asian, African and European admixture.

    Directory of Open Access Journals (Sweden)

    Margarita Camorlinga-Ponce

    Full Text Available It is valuable to extend genotyping studies of Helicobacter pylori to strains from indigenous communities across the world to better define adaption, evolution, and associated diseases. We aimed to genetically characterize both human individuals and their infecting H. pylori from indigenous communities of Mexico, and to compare them with those from other human groups. We studied individuals from three indigenous groups, Tarahumaras from the North, Huichols from the West and Nahuas from the center of Mexico. Volunteers were sampled at their community site, DNA was isolated from white blood cells and mtDNA, Y-chromosome, and STR alleles were studied. H. pylori was cultured from gastric juice, and DNA extracted for genotyping of virulence and housekeeping genes. We found Amerindian mtDNA haplogroups (A, B, C, and D, Y-chromosome DYS19T, and Amerindian STRs alleles frequent in the three groups, confirming Amerindian ancestry in these Mexican groups. Concerning H.pylori cagA phylogenetic analyses, although most isolates were of the Western type, a new Amerindian cluster neither Western nor Asian, was formed by some indigenous Mexican, Colombian, Peruvian and Venezuelan isolates. Similarly, vacA phylogenetic analyses showed the existence of a novel Amerindian type in isolates from Alaska, Mexico and Colombia. With hspA strains from Mexico and other American groups clustered within the three major groups, Asian, African or European. Genotyping of housekeeping genes confirmed that Mexican strains formed a novel Asian-related Amerindian group together with strains from remote Amazon Aborigines. This study shows that Mexican indigenous people with Amerindian markers are colonized with H. pylori showing admixture of Asian, European and African strains in genes known to interact with the gastric mucosa. We present evidence of novel Amerindian cagA and vacA alleles in indigenous groups of North and South America.

  8. Helicobacter pylori Genotyping from American Indigenous Groups Shows Novel Amerindian vacA and cagA Alleles and Asian, African and European Admixture

    Science.gov (United States)

    Camorlinga-Ponce, Margarita; Perez-Perez, Guillermo; Gonzalez-Valencia, Gerardo; Mendoza, Irma; Peñaloza-Espinosa, Rosenda; Ramos, Irma; Kersulyte, Dangeruta; Reyes-Leon, Adriana; Romo, Carolina; Granados, Julio; Muñoz, Leopoldo; Berg, Douglas E.; Torres, Javier

    2011-01-01

    It is valuable to extend genotyping studies of Helicobacter pylori to strains from indigenous communities across the world to better define adaption, evolution, and associated diseases. We aimed to genetically characterize both human individuals and their infecting H. pylori from indigenous communities of Mexico, and to compare them with those from other human groups. We studied individuals from three indigenous groups, Tarahumaras from the North, Huichols from the West and Nahuas from the center of Mexico. Volunteers were sampled at their community site, DNA was isolated from white blood cells and mtDNA, Y-chromosome, and STR alleles were studied. H. pylori was cultured from gastric juice, and DNA extracted for genotyping of virulence and housekeeping genes. We found Amerindian mtDNA haplogroups (A, B, C, and D), Y-chromosome DYS19T, and Amerindian STRs alleles frequent in the three groups, confirming Amerindian ancestry in these Mexican groups. Concerning H.pylori cagA phylogenetic analyses, although most isolates were of the Western type, a new Amerindian cluster neither Western nor Asian, was formed by some indigenous Mexican, Colombian, Peruvian and Venezuelan isolates. Similarly, vacA phylogenetic analyses showed the existence of a novel Amerindian type in isolates from Alaska, Mexico and Colombia. With hspA strains from Mexico and other American groups clustered within the three major groups, Asian, African or European. Genotyping of housekeeping genes confirmed that Mexican strains formed a novel Asian-related Amerindian group together with strains from remote Amazon Aborigines. This study shows that Mexican indigenous people with Amerindian markers are colonized with H. pylori showing admixture of Asian, European and African strains in genes known to interact with the gastric mucosa. We present evidence of novel Amerindian cagA and vacA alleles in indigenous groups of North and South America. PMID:22073291

  9. Results of the third reproductive assessment survey of North American Asian (Elephas maximus) and African (Loxodonta africana) female elephants.

    Science.gov (United States)

    Dow, T L; Holásková, I; Brown, J L

    2011-01-01

    A written survey assessed reproductive status of female Asian and African elephants in AZA/SSP facilities in 2008, and data were compared to surveys conducted in 2002 and 2005. Results showed that ovarian acyclicity rates across the surveys remained unchanged for Asian (13.3, 10.9 and 11.1%) and African (22.1, 31.2 and 30.5%) elephants, respectively (P > 0.05), but were higher overall for African compared to Asian elephants (P elephants with irregular cycles (14.3 and 15.8%) and irregular + no cycles (25.4 and 46.4%) was similar to 2005 (7.6 and 11.8%; 18.5 and 43.0%), but were increased compared to 2002 (2.6 and 5.2%; 16.0 and 27.3%), respectively (P elephants compared to females at facilities with no male, respectively. Cyclicity rates were higher for Asian (86.8 vs. 65.2%) and African (67.9 vs. 56.7%) elephants managed in free compared to protected contact programs (P 0.05). In summary, incidence of ovarian cycle problems continues to predominantly affect African elephants. Although percentages of acyclicity did not increase between 2005 and 2008, 42.2% Asian and 30.2% African females were no longer being hormonally monitored; thus, reproductive cycle abnormalities could be worse than current data suggest.

  10. Validation of the internalization of the Model Minority Myth Measure (IM-4) and its link to academic performance and psychological adjustment among Asian American adolescents.

    Science.gov (United States)

    Yoo, Hyung Chol; Miller, Matthew J; Yip, Pansy

    2015-04-01

    There is limited research examining psychological correlates of a uniquely racialized experience of the model minority stereotype faced by Asian Americans. The present study examined the factor structure and fit of the only published measure of the internalization of the model minority myth, the Internalization of the Model Minority Myth Measure (IM-4; Yoo et al., 2010), with a sample of 155 Asian American high school adolescents. We also examined the link between internalization of the model minority myth types (i.e., myth associated with achievement and myth associated with unrestricted mobility) and psychological adjustment (i.e., affective distress, somatic distress, performance difficulty, academic expectations stress), and the potential moderating effect of academic performance (cumulative grade point average). Results suggested the 2-factor model of the IM-4 had an acceptable fit to the data and supported the factor structure using confirmatory factor analyses. Internalizing the model minority myth of achievement related positively to academic expectations stress; however, internalizing the model minority myth of unrestricted mobility related negatively to academic expectations stress, both controlling for gender and academic performance. Finally, academic performance moderated the model minority myth associated with unrestricted mobility and affective distress link and the model minority myth associated with achievement and performance difficulty link. These findings highlight the complex ways in which the model minority myth relates to psychological outcomes.

  11. The effects of home computer access and social capital on mathematics and science achievement among Asian-American high school students in the NELS:88 data set

    Science.gov (United States)

    Quigley, Mark Declan

    The purpose of this researcher was to examine specific environmental, educational, and demographic factors and their influence on mathematics and science achievement. In particular, the researcher ascertained the interconnections of home computer access and social capital, with Asian American students and the effect on mathematics and science achievement. Coleman's theory on social capital and parental influence was used as a basis for the analysis of data. Subjects for this study were the base year students from the National Education Longitudinal Study of 1988 (NELS:88) and the subsequent follow-up survey data in 1990, 1992, and 1994. The approximate sample size for this study is 640 ethnic Asians from the NELS:88 database. The analysis was a longitudinal study based on the Student and Parent Base Year responses and the Second Follow-up survey of 1992, when the subjects were in 12th grade. Achievement test results from the NELS:88 data were used to measure achievement in mathematics and science. The NELS:88 test battery was developed to measure both individual status and a student's growth in a number of achievement areas. The subject's responses were analyzed by principal components factor analysis, weights, effect sizes, hierarchial regression analysis, and PLSPath Analysis. The results of this study were that prior ability in mathematics and science is a major influence in the student's educational achievement. Findings from the study support the view that home computer access has a negative direct effect on mathematics and science achievement for both Asian American males and females. None of the social capital factors in the study had either a negative or positive direct effect on mathematics and science achievement although some indirect effects were found. Suggestions were made toward increasing parental involvement in their children's academic endeavors. Computer access in the home should be considered related to television viewing and should be closely

  12. Intergenerational cultural conflict, mental health, and educational outcomes among Asian and Latino/a Americans: Qualitative and meta-analytic review.

    Science.gov (United States)

    Lui, P Priscilla

    2015-03-01

    Among immigrant Asian and Latino groups, the contrast between collectivism in traditional heritage and individualism in the mainstream American cultures presents unique challenges for their family relationships. This systematic review was designed to answer 3 fundamental questions: to what extent do(es) (a) acculturation mismatch (AM) correlate with intergenerational cultural conflict (ICC); (b) ICC correlate with offspring's mental health and educational outcomes; and (c) demographic and study characteristics moderate these relationships. Sixty-one research reports were reviewed, with 68 independent study samples (N = 14,453; 41 and 27 Asian and Latino/a samples, respectively) subjected to 3 meta-analyses. AM positively correlated with ICC (r = .23), which in turn negatively correlated with offspring mental health (r = -.20) and educational outcomes (r = -.09). Findings provided support for acculturation gap-distress theory. While these effect size estimates were small, participant and methodological variables affected their magnitude. Contrary to findings on intergenerational conflict within mainstream non-immigrant families, the relationships among AM, ICC, and mental health were larger in young adult than adolescent groups within immigrant families. ICC significantly correlated with internalizing problems and adaptive functioning, but not externalizing problems. AM was more closely related to ICC among women and second-generation immigrant offspring. AM and ICC were more problematic among offspring who were low-risk and lived in less ethnically disperse regions, particularly when studied in cross-sectional studies. Effect sizes also differed significantly across measurement tools for the key constructs. Limitations to generalizability (few studies on educational outcomes, relative under-representation of Latino/a to Asian American samples), and implications for intervention and future research are discussed.

  13. Optimal older adult emergency care: introducing multidisciplinary geriatric emergency department guidelines from the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine.

    Science.gov (United States)

    Carpenter, Christopher R; Bromley, Marilyn; Caterino, Jeffrey M; Chun, Audrey; Gerson, Lowell W; Greenspan, Jason; Hwang, Ula; John, David P; Lyons, William L; Platts-Mills, Timothy F; Mortensen, Betty; Ragsdale, Luna; Rosenberg, Mark; Wilber, Scott

    2014-07-01

    In the United States and around the world, effective, efficient, and reliable strategies to provide emergency care to aging adults is challenging crowded emergency departments (EDs) and strained healthcare systems. In response, geriatric emergency medicine clinicians, educators, and researchers collaborated with the American College of Emergency Physicians, American Geriatrics Society, Emergency Nurses Association, and Society for Academic Emergency Medicine to develop guidelines intended to improve ED geriatric care by enhancing expertise, educational, and quality improvement expectations, equipment, policies, and protocols. These Geriatric Emergency Department Guidelines represent the first formal society-led attempt to characterize the essential attributes of the geriatric ED and received formal approval from the boards of directors of each of the four societies in 2013 and 2014. This article is intended to introduce emergency medicine and geriatric healthcare providers to the guidelines while providing recommendations for continued refinement of these proposals through educational dissemination, formal effectiveness evaluations, cost-effectiveness studies, and eventually institutional credentialing.

  14. Assessing the Patient Care Implications of "Concierge" and Other Direct Patient Contracting Practices: A Policy Position Paper From the American College of Physicians.

    Science.gov (United States)

    Doherty, Robert

    2015-12-15

    As physicians seek innovative practice models, one that is gaining ground is for practices to contract with patients to pay directly for some or all services-often called cash-only, retainer, boutique, concierge, or direct primary care or specialty care practices. Such descriptions do not reflect the variability found in practices. For the purposes of this paper, the American College of Physicians (ACP) defines a direct patient contracting practice (DPCP) as any practice that directly contracts with patients to pay out-of-pocket for some or all of the services provided by the practice, in lieu of or in addition to traditional insurance arrangements, and/or charges an administrative fee to patients, sometimes called a retainer or concierge fee, often in return for a promise of more personalized and accessible care. This definition encompasses the practice types previously described. The move to DPCPs is based on the premise that access and quality of care will be improved without third-party payers imposing themselves between the patient and the physician. Yet concerns have been raised that DPCPs may cause access issues for patients who cannot afford to pay directly for care. This ACP position paper, initiated and written by its Medical Practice and Quality Committee and approved by the Board of Regents on 25 July 2015, assesses the impact of DPCPs on access, cost, and quality; discusses principles from the ACP Ethics Manual, Sixth Edition, that should apply to all practice types; and makes recommendations to mitigate any adverse effect on underserved patients.

  15. The American College of nuclear physicians 18th annual meeting and scientific sessions DOE day: Substance abuse and nuclear medicine abstracts

    Energy Technology Data Exchange (ETDEWEB)

    1992-02-01

    Despite the enormous personal and social cost Of substance abuse, there is very little knowledge with respect to the mechanisms by which these drugs produce addiction as well as to the mechanisms of toxicity. Similarly, there is a lack of effective therapeutic intervention to treat the drug abusers. In this respect, nuclear medicine could contribute significantly by helping to gather information using brain imaging techniques about mechanisms of drug addiction which, in turn, could help design better therapeutic interventions, and by helping in the evaluation and diagnosis of organ toxicity from the use of drugs of abuse. This volume contains six short descriptions of presentations made at the 18th Meeting of the American College of Nuclear Physicians -- DOE Day: Substance Abuse and Nuclear Medicine.

  16. The role of collective self-esteem for Asian Americans experiencing racism-related stress: a test of moderator and mediator hypotheses.

    Science.gov (United States)

    Liang, Christopher T H; Fassinger, Ruth E

    2008-01-01

    This study examined the role of four dimensions of collective self-esteem (CSE) as a moderator and mediator in the relationship between racism-related stress and psychological adjustment among 134 Asian American college students. CSE was not found to moderate the effects of racism-related stress on self-esteem problems, interpersonal problems, or career problems. However, the results of mediator analyses indicated that public CSE is a mechanism that explains the relationship between racism-related stress and self-esteem problems and interpersonal problems but not career problems. No other dimensions of CSE were found to be significant mediators. The implications for these findings for research and practice are discussed.

  17. Community perceptions of safety in relation to perceived youth violence-delinquency in a primarily native Hawaiian and Asian American community in Hawai'i.

    Science.gov (United States)

    Hishinuma, Earl S; Chang, Janice Y; Soli, Faapisa M

    2012-02-01

    Perception of safety is an important component to the well-being of community members in their own neighborhood. The present study was the first of its kind to model community perception of safety utilizing a primarily Native Hawaiian and Asian American community sample (N = 101) and with perceived youth violence and delinquency as prominent potential influences. The study found that the majority of participants felt that several types of youth violence and delinquency were problems in the community. The overall social-ecological model evidenced a strong fit and indicated that community perception of safety was adversely impacted by perceived youth violence and delinquency and increased through positive relations with neighbors. The implications included the need for a more comprehensive approach to positive youth development and community capacity-building, including incorporation of cultural components, and to determine whether the model is applicable to other minority communities.

  18. The Asian Newspaper's Reluctant Revolution.

    Science.gov (United States)

    Lent, John A., Ed.

    This book is composed of 19 articles written by both Asian and American scholars on the history and present conditions of newspapers in 15 Asian nations: China, Hong Kong, Japan, Korea, Taiwan, Australia, Burma, Indonesia, Malaysia and Singapore, the Philippines, Thailand, South Vietnam, Ceylon, India, and Pakistan. Two overviews of the Asian…

  19. The future for physician assistants.

    Science.gov (United States)

    Cawley, J F; Ott, J E; DeAtley, C A

    1983-06-01

    Physician assistants were intended to be assistants to primary care physicians. Physicians in private practice have only moderately responded to the availability of these professionals. Cutbacks in the numbers of foreign medical graduates entering American schools for graduate medical education, concern for overcrowding in some specialties, and the economic and clinical capabilities of physician assistants have lead to new uses for these persons. Physician assistants are employed in surgery and surgical subspecialties; in practice settings in institutions such as medical, pediatric, and surgical house staff; and in geriatric facilities, occupational medicine clinics, emergency rooms, and prison health systems. The projected surplus of physicians by 1990 may affect the use of physician assistants by private physicians in primary care.

  20. Physician Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Physician Compare, which meets Affordable Care Act of 2010 requirements, helps you search for and select physicians and other healthcare professionals enrolled in...

  1. Research/Advocacy/Community: Reflections on Asian American trauma, heteropatriarchal betrayal, and trans/gender-variant health disparities research

    Directory of Open Access Journals (Sweden)

    S. J. Hwahng

    2013-11-01

    Full Text Available This article first examines the author’s positionality with reference to the historical and inter-generational transmission of Asian trauma, the contemporary plight of North Koreans, and the betrayal of anatomically-female individuals (including those who are sexual minority/gender-variant within Asian heteropatriarchal systems. An analysis of the relevance of empirical research on low-income trans/gender-variant people of color is then discussed, along with an examination of HIV and health disparities in relation to the socio-economic positioning of low-income trans/gender-variant people of color and sexual minority women, and how social contexts often gives rise to gender identity, including transmasculine identities. What next follows is an appeal to feminist and queer/trans studies to truly integrate those located on the lowest socio-economic echelons. The final section interrogates concepts of health, well-being, and happiness and how an incorporation of the most highly disenfranchised/marginalized communities and populations challenges us to consider more expansive visions of social transformation.

  2. Assessment of Body Condition in African (Loxodonta africana and Asian (Elephas maximus Elephants in North American Zoos and Management Practices Associated with High Body Condition Scores.

    Directory of Open Access Journals (Sweden)

    Kari A Morfeld

    Full Text Available Obesity has a negative effect on health and welfare of many species, and has been speculated to be a problem for zoo elephants. To address this concern, we assessed the body condition of 240 elephants housed in North American zoos based on a set of standardized photographs using a 5-point Body Condition Score index (1 = thinnest; 5 = fattest. A multi-variable regression analysis was then used to determine how demographic, management, housing, and social factors were associated with an elevated body condition score in 132 African (Loxodonta africana and 108 Asian (Elephas maximus elephants. The highest BCS of 5, suggestive of obesity, was observed in 34% of zoo elephants. In both species, the majority of elephants had elevated BCS, with 74% in the BCS 4 (40% and 5 (34% categories. Only 22% of elephants had BCS 3, and less than 5% of the population was assigned the lowest BCS categories (BCS 1 and 2. The strongest multi-variable model demonstrated that staff-directed walking exercise of 14 hours or more per week and highly unpredictable feeding schedules were associated with decreased risk of BCS 4 or 5, while increased diversity in feeding methods and being female was associated with increased risk of BCS 4 or 5. Our data suggest that high body condition is prevalent among North American zoo elephants, and management strategies that help prevent and mitigate obesity may lead to improvements in welfare of zoo elephants.

  3. A critical examination of the construct of perfectionism and its relationship to mental health in Asian and African Americans using a cross-cultural framework.

    Science.gov (United States)

    DiBartolo, Patricia Marten; Rendón, María José

    2012-04-01

    Although the bulk of the research literature on the construct of perfectionism and its relationship to mental health in the last 20 years has focused predominantly on Caucasian American samples, researchers are paying increasing attention to understanding perfectionism's dimensions across ethnicities. Given this momentum, the purpose of this paper is to use a cross-cultural framework to review published studies assessing perfectionism in members of an ethnic minority group living in the United States. Research to date has focused exclusively on Asian and African American samples and we organize our review by separating this literature into those studies that use level and structure-oriented cross-cultural approaches. Structure-oriented approaches empirically explore the phenomenology and/or correlates of perfectionism within each ethnic group whereas level-oriented approaches examine the relative magnitude of perfectionism's levels across groups. The last section of the review critically examines the strength of the evidence in support of researchers' arguments that certain sociocultural factors, such as collectivism and parenting style, influence perfectionism's expression and implications for ethnic minorities. Throughout the review, we offer a series of steps researchers can take to foster our understanding of perfectionism and its impacts using a cross-cultural perspective.

  4. Assessment of Body Condition in African (Loxodonta africana) and Asian (Elephas maximus) Elephants in North American Zoos and Management Practices Associated with High Body Condition Scores.

    Science.gov (United States)

    Morfeld, Kari A; Meehan, Cheryl L; Hogan, Jennifer N; Brown, Janine L

    2016-01-01

    Obesity has a negative effect on health and welfare of many species, and has been speculated to be a problem for zoo elephants. To address this concern, we assessed the body condition of 240 elephants housed in North American zoos based on a set of standardized photographs using a 5-point Body Condition Score index (1 = thinnest; 5 = fattest). A multi-variable regression analysis was then used to determine how demographic, management, housing, and social factors were associated with an elevated body condition score in 132 African (Loxodonta africana) and 108 Asian (Elephas maximus) elephants. The highest BCS of 5, suggestive of obesity, was observed in 34% of zoo elephants. In both species, the majority of elephants had elevated BCS, with 74% in the BCS 4 (40%) and 5 (34%) categories. Only 22% of elephants had BCS 3, and less than 5% of the population was assigned the lowest BCS categories (BCS 1 and 2). The strongest multi-variable model demonstrated that staff-directed walking exercise of 14 hours or more per week and highly unpredictable feeding schedules were associated with decreased risk of BCS 4 or 5, while increased diversity in feeding methods and being female was associated with increased risk of BCS 4 or 5. Our data suggest that high body condition is prevalent among North American zoo elephants, and management strategies that help prevent and mitigate obesity may lead to improvements in welfare of zoo elephants.

  5. Malaysian Cinema, Asian Film

    NARCIS (Netherlands)

    Heide, van der William

    2002-01-01

    This title series departs from traditional studies of national cinema by accentuating the intercultural and intertextual links between Malaysian films and Asian (as well as European and American) film practices. Using cross-cultural analysis, the author characterizes Malaysia as a pluralist society

  6. North American (Panax quinquefolius and Asian Ginseng (Panax ginseng Preparations for Prevention of the Common Cold in Healthy Adults: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Jennifer Krebs Seida

    2011-01-01

    Full Text Available Background: Standardized ginseng extract has become the best-selling cold and flu remedy in Canada, yet much controversy regarding the efficacy of ginseng in preventing common colds remains. Objective: To assess the efficacy of ginseng preparations for the prevention of common colds in healthy adults. Methods: Comprehensive bibliographic database, trial registry and grey literature searches were conducted up to December 2007. Randomized controlled trials or controlled clinical trials comparing North American (Panax quinquefolius or Asian ginseng (Panax ginseng root extract to placebo or no treatment in healthy adults were included. Two reviewers independently applied the study selection criteria and assessed methodological quality. Results: Five trials involving 747 participants were included. All five trials examined North American ginseng. The methodological quality of the trials varied widely. Ginseng preparations significantly reduced the total number of common colds by 25% compared to placebo (one trial; 95% CI: 5–45. There was a tendency toward a lower incidence of having at least one common cold or other acute respiratory infection (ARI in the ginseng group compared to the placebo group (five trials; relative risk: 0.70; 95% CI: 0.48–1.02. Compared to placebo, ginseng significantly shortened the duration of colds or ARIs by 6.2 days (two trials; 95% CI: 3.4–9.0. Conclusions: There is insufficient evidence to conclude that ginseng reduces the incidence or severity of common colds. North American ginseng appears to be effective in shortening the duration of colds or ARIs in healthy adults when taken preventatively for durations of 8–16 weeks.

  7. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>APJTB Monthly Aims&Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public

  8. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Aims & Scope Asian Pacific Journal of TropicalBiomedicine(APJTB) aims to set up and provide an international academic communication plaffom for physicians,medical scientisis,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges

  9. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>Aims&Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding

  10. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    APJTB MonthlyAims&Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges

  11. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    APJTB Monthly Aims&Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  12. Teaching Economic Geography in Two Contrasting Asian Contexts: Decentering Anglo-American Economic Geography in China and Singapore

    Science.gov (United States)

    Yeung, Henry Wai-Chung; Liu, Weidong

    2006-01-01

    Teaching economic geography outside Anglo-American countries presents a particular pedagogical challenge, as theories and concepts developed in these countries might not be directly applicable outside their intellectual and national contexts. In this paper, the authors show how the peculiar institutional and development environments in China and…

  13. The Days and Nights of Zoo Elephants: Using Epidemiology to Better Understand Stereotypic Behavior of African Elephants (Loxodonta africana and Asian Elephants (Elephas maximus in North American Zoos.

    Directory of Open Access Journals (Sweden)

    Brian J Greco

    Full Text Available Stereotypic behavior is an important indicator of compromised welfare. Zoo elephants are documented to perform stereotypic behavior, but the factors that contribute to performance have not been systematically assessed. We collected behavioral data on 89 elephants (47 African [Loxodonta africana], 42 Asian [Elephas maximus] at 39 North American zoos during the summer and winter. Elephants were videoed for a median of 12 daytime hours per season. A subset of 32 elephants (19 African, 13 Asian was also observed live for a median of 10.5 nighttime hours. Percentages of visible behavior scans were calculated from five minute instantaneous samples. Stereotypic behavior was the second most commonly performed behavior (after feeding, making up 15.5% of observations during the daytime and 24.8% at nighttime. Negative binomial regression models fitted with generalized estimating equations were used to determine which social, housing, management, life history, and demographic variables were associated with daytime and nighttime stereotypic behavior rates. Species was a significant risk factor in both models, with Asian elephants at greater risk (daytime: p<0.001, Risk Ratio = 4.087; nighttime: p<0.001, Risk Ratio = 8.015. For both species, spending time housed separately (p<0.001, Risk Ratio = 1.009, and having experienced inter-zoo transfers (p<0.001, Risk Ratio = 1.175, increased the risk of performing higher rates of stereotypy during the day, while spending more time with juvenile elephants (p<0.001, Risk Ratio = 0.985, and engaging with zoo staff reduced this risk (p = 0.018, Risk Ratio = 0.988. At night, spending more time in environments with both indoor and outdoor areas (p = 0.013, Risk Ratio = 0.987 and in larger social groups (p = 0.039, Risk Ratio = 0.752 corresponded with reduced risk of performing higher rates of stereotypy, while having experienced inter-zoo transfers (p = 0.033, Risk Ratio = 1.115 increased this risk. Overall, our results

  14. The Days and Nights of Zoo Elephants: Using Epidemiology to Better Understand Stereotypic Behavior of African Elephants (Loxodonta africana) and Asian Elephants (Elephas maximus) in North American Zoos.

    Science.gov (United States)

    Greco, Brian J; Meehan, Cheryl L; Hogan, Jen N; Leighty, Katherine A; Mellen, Jill; Mason, Georgia J; Mench, Joy A

    2016-01-01

    Stereotypic behavior is an important indicator of compromised welfare. Zoo elephants are documented to perform stereotypic behavior, but the factors that contribute to performance have not been systematically assessed. We collected behavioral data on 89 elephants (47 African [Loxodonta africana], 42 Asian [Elephas maximus]) at 39 North American zoos during the summer and winter. Elephants were videoed for a median of 12 daytime hours per season. A subset of 32 elephants (19 African, 13 Asian) was also observed live for a median of 10.5 nighttime hours. Percentages of visible behavior scans were calculated from five minute instantaneous samples. Stereotypic behavior was the second most commonly performed behavior (after feeding), making up 15.5% of observations during the daytime and 24.8% at nighttime. Negative binomial regression models fitted with generalized estimating equations were used to determine which social, housing, management, life history, and demographic variables were associated with daytime and nighttime stereotypic behavior rates. Species was a significant risk factor in both models, with Asian elephants at greater risk (daytime: p<0.001, Risk Ratio = 4.087; nighttime: p<0.001, Risk Ratio = 8.015). For both species, spending time housed separately (p<0.001, Risk Ratio = 1.009), and having experienced inter-zoo transfers (p<0.001, Risk Ratio = 1.175), increased the risk of performing higher rates of stereotypy during the day, while spending more time with juvenile elephants (p<0.001, Risk Ratio = 0.985), and engaging with zoo staff reduced this risk (p = 0.018, Risk Ratio = 0.988). At night, spending more time in environments with both indoor and outdoor areas (p = 0.013, Risk Ratio = 0.987) and in larger social groups (p = 0.039, Risk Ratio = 0.752) corresponded with reduced risk of performing higher rates of stereotypy, while having experienced inter-zoo transfers (p = 0.033, Risk Ratio = 1.115) increased this risk. Overall, our results indicate

  15. Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement.

    Science.gov (United States)

    Kotloff, Robert M; Blosser, Sandralee; Fulda, Gerard J; Malinoski, Darren; Ahya, Vivek N; Angel, Luis; Byrnes, Matthew C; DeVita, Michael A; Grissom, Thomas E; Halpern, Scott D; Nakagawa, Thomas A; Stock, Peter G; Sudan, Debra L; Wood, Kenneth E; Anillo, Sergio J; Bleck, Thomas P; Eidbo, Elling E; Fowler, Richard A; Glazier, Alexandra K; Gries, Cynthia; Hasz, Richard; Herr, Dan; Khan, Akhtar; Landsberg, David; Lebovitz, Daniel J; Levine, Deborah Jo; Mathur, Mudit; Naik, Priyumvada; Niemann, Claus U; Nunley, David R; O'Connor, Kevin J; Pelletier, Shawn J; Rahman, Omar; Ranjan, Dinesh; Salim, Ali; Sawyer, Robert G; Shafer, Teresa; Sonneti, David; Spiro, Peter; Valapour, Maryam; Vikraman-Sushama, Deepak; Whelan, Timothy P M

    2015-06-01

    This document was developed through the collaborative efforts of the Society of Critical Care Medicine, the American College of Chest Physicians, and the Association of Organ Procurement Organizations. Under the auspices of these societies, a multidisciplinary, multi-institutional task force was convened, incorporating expertise in critical care medicine, organ donor management, and transplantation. Members of the task force were divided into 13 subcommittees, each focused on one of the following general or organ-specific areas: death determination using neurologic criteria, donation after circulatory death determination, authorization process, general contraindications to donation, hemodynamic management, endocrine dysfunction and hormone replacement therapy, pediatric donor management, cardiac donation, lung donation, liver donation, kidney donation, small bowel donation, and pancreas donation. Subcommittees were charged with generating a series of management-related questions related to their topic. For each question, subcommittees provided a summary of relevant literature and specific recommendations. The specific recommendations were approved by all members of the task force and then assembled into a complete document. Because the available literature was overwhelmingly comprised of observational studies and case series, representing low-quality evidence, a decision was made that the document would assume the form of a consensus statement rather than a formally graded guideline. The goal of this document is to provide critical care practitioners with essential information and practical recommendations related to management of the potential organ donor, based on the available literature and expert consensus.

  16. Housing and Demographic Risk Factors Impacting Foot and Musculoskeletal Health in African Elephants [Loxodonta africana] and Asian Elephants [Elephas maximus] in North American Zoos.

    Directory of Open Access Journals (Sweden)

    Michele A Miller

    Full Text Available For more than three decades, foot and musculoskeletal conditions have been documented among both Asian [Elephas maximus] and African [Loxodonta africana] elephants in zoos. Although environmental factors have been hypothesized to play a contributing role in the development of foot and musculoskeletal pathology, there is a paucity of evidence-based research assessing risk. We investigated the associations between foot and musculoskeletal health conditions with demographic characteristics, space, flooring, exercise, enrichment, and body condition for elephants housed in North American zoos during 2012. Clinical examinations and medical records were used to assess health indicators and provide scores to quantitate conditions. Using multivariable regression models, associations were found between foot health and age [P value = 0.076; Odds Ratio = 1.018], time spent on hard substrates [P value = 0.022; Odds Ratio = 1.014], space experienced during the night [P value = 0.041; Odds Ratio = 1.008], and percent of time spent in indoor/outdoor exhibits during the day [P value < 0.001; Odds Ratio = 1.003]. Similarly, the main risk factors for musculoskeletal disorders included time on hard substrate [P value = 0.002; Odds Ratio = 1.050] and space experienced in indoor/outdoor exhibits [P value = 0.039; Odds Ratio = 1.037]. These results suggest that facility and management changes that decrease time spent on hard substrates will improve elephant welfare through better foot and musculoskeletal health.

  17. Housing and Demographic Risk Factors Impacting Foot and Musculoskeletal Health in African Elephants [Loxodonta africana] and Asian Elephants [Elephas maximus] in North American Zoos.

    Science.gov (United States)

    Miller, Michele A; Hogan, Jennifer N; Meehan, Cheryl L

    2016-01-01

    For more than three decades, foot and musculoskeletal conditions have been documented among both Asian [Elephas maximus] and African [Loxodonta africana] elephants in zoos. Although environmental factors have been hypothesized to play a contributing role in the development of foot and musculoskeletal pathology, there is a paucity of evidence-based research assessing risk. We investigated the associations between foot and musculoskeletal health conditions with demographic characteristics, space, flooring, exercise, enrichment, and body condition for elephants housed in North American zoos during 2012. Clinical examinations and medical records were used to assess health indicators and provide scores to quantitate conditions. Using multivariable regression models, associations were found between foot health and age [P value = 0.076; Odds Ratio = 1.018], time spent on hard substrates [P value = 0.022; Odds Ratio = 1.014], space experienced during the night [P value = 0.041; Odds Ratio = 1.008], and percent of time spent in indoor/outdoor exhibits during the day [P value < 0.001; Odds Ratio = 1.003]. Similarly, the main risk factors for musculoskeletal disorders included time on hard substrate [P value = 0.002; Odds Ratio = 1.050] and space experienced in indoor/outdoor exhibits [P value = 0.039; Odds Ratio = 1.037]. These results suggest that facility and management changes that decrease time spent on hard substrates will improve elephant welfare through better foot and musculoskeletal health.

  18. The physician leader as logotherapist.

    Science.gov (United States)

    Washburn, E R

    1998-01-01

    Today's physicians feel helpless and angry about changing conditions in the medical landscape. This is due, in large part, to our postmodernist world view and the influence of corporations on medical practice. The life and work of existentialist psychiatrist Viktor Frankl is proposed as a role model for physicians to take back control of their profession. Physician leaders are in the best position to bring the teachings and insight of Frankl's logotherapy to rank-and-file physicians in all practice settings, as well as into the board rooms of large medical corporations. This article considers the spiritual and moral troubles of American medicine, Frankl's answer to that affliction, and the implications of logotherapy for physician organizations and leadership. Physician executives are challenged to take up this task.

  19. Interspecific variation in resistance of Asian, European, and North American birches (Betula spp.) to bronze birch borer (Coleoptera: Buprestidae).

    Science.gov (United States)

    Nielsen, David G; Muilenburg, Vanessa L; Herms, Daniel A

    2011-06-01

    Bronze birch borer (Agrilus anxius Gory) is the key pest of birches (Betula spp.) in North America, several of which have been recommended for ornamental landscapes based on anecdotal reports of borer resistance that had not been confirmed experimentally. In a 20-yr common garden experiment initiated in 1979 in Ohio, North American birch species, including paper birch (Betula papyrifera Marshall), 'Whitespire' gray birch (Betula populifolia Marshall), and river birch (Betula nigra L.), were much more resistant to bronze birch borer than species indigenous to Europe and Asia, including European white birch (Betula pendula Roth), downy birch (Betula pubescens Ehrh.), monarch birch (Betula maximowicziana Regel), and Szechuan white birch (Betula szechuanica Jansson). Within 8 yr of planting, every European white, downy, and Szechuan birch had been colonized and killed, although 100% of monarch birch had been colonized and 88% of these plants were killed after nine years. Conversely, 97% of river birch, 76% of paper birch, and 73% Whitespire gray birch were alive 20 yr after planting, and river birch showed no evidence of colonization. This pattern is consistent with biogeographic theory of plant defense: North American birch species that share a coevolutionary history with bronze birch borer were much more resistant than naïve hosts endemic to Europe and Asia, possibly by virtue of evolution of targeted defenses. This information suggests that if bronze birch borer were introduced to Europe or Asia, it could threaten its hosts there on a continental scale. This study also exposed limitations of anecdotal observation as evidence of host plant resistance.

  20. Asian Media Productions

    DEFF Research Database (Denmark)

    This work consists of 12 essays on different aspects of Asian media by Japanese, European, and American scholars, many of whom have themselves been involved in the production of media forms. Working in the fields of anthropology, media and cultural studies, and on the basis of hands-on research, ......, they have written a book on the social practices and cultural attitudes of people producing, reading, watching and listening to different kinds of media in Japan, China, Taiwan, Indonesia, Vietnam, Singapore and India.......This work consists of 12 essays on different aspects of Asian media by Japanese, European, and American scholars, many of whom have themselves been involved in the production of media forms. Working in the fields of anthropology, media and cultural studies, and on the basis of hands-on research...

  1. White pine blister rust resistance in North American, Asian and european species - results from artificial inoculartion trials in Oregon

    Directory of Open Access Journals (Sweden)

    R.A. Sniezko

    2013-12-01

    Full Text Available Dorena Genetic Resource Center (DGRC has used artificial inoculation trials to evaluate progenies of thousands of Pinus monticola and P. lambertiana selections from Oregon and Washington for resistance to white pine blister rust caused by Cronartium ribicola. In addition, early results are now available for P. albicaulis and P. strobiformis. DGRC has also recently evaluated seed orchard progenies of P. strobus, as well as bulked seedlots from P. armandii and P. peuce. The majority of P. monticola, P. lambertiana, P. albicaulis, and P. strobus progenies are very susceptible to blister rust. However, resistance exists in all these species. P. strobiformis showed relatively high levels of resistance for the eight progenies tested. Resistance in P. armandii was mainly reflected in the very low percentage of cankered seedlings; for P. peuce, the high percentage of cankered seedlings alive three years after inoculation was notable. R-genes are present in some of the North American five-needle pine species, but partial resistance traits (e.g. bark reaction will play a major role in breeding activities for P. monticola and P. lambertiana and will likely be the key to developing durable resistance.

  2. White pine blister rust resistance in North American, Asian and European species - results from artificial inoculation trials in Oregon

    Directory of Open Access Journals (Sweden)

    R.A. Sniezko

    2008-09-01

    Full Text Available Dorena Genetic Resource Center (DGRC has used artificial inoculationtrials to evaluate progenies of thousands of Pinus monticola and P. lambertiana selections from Oregon and Washington for resistance to white pine blister rust caused by Cronartium ribicola. In addition, early results are now available for P.albicaulis and P. strobiformis. DGRC has also recently evaluated seed orchard progenies of P.strobus, as well as bulked seedlots from P. armandii and P. peuce.The majority of P. monticola, P. lambertiana, P. albicaulis, and P. strobus progenies are very susceptible to blister rust. However, resistance exists in all these species. P.strobiformis showed relatively high levels of resistance for the eight progenies tested.Resistance in P. armandii was mainly reflected in the very low percentage of cankered seedlings; for P. peuce, the high percentage of cankered seedlings alive three years after inoculation was notable. R-genes are present in some of the North American five-needle pine species, but partial resistance traits (e.g. bark reactionwill play a major role in breeding activities for P. monticola and P. lambertiana and will likely be the key to developing durable resistance.

  3. The Making of the "Women's Physician" in American Obstetrics and Gynecology: Re-Forging an Occupational Identity and a Division of Labor

    Science.gov (United States)

    Zetka, James R., Jr.

    2008-01-01

    After struggling as a surgical specialty, obstetrics and gynecology initiated its "women's physician" program in the 1970s. This program officially defined the mostly male obstetricians and gynecologists at that time as women's primary care physicians. Using archival data, this article explains this development as a response to the specialty's…

  4. Association of American Indian Physicians

    Science.gov (United States)

    ... Why is it important to have diversity in academic medicine? A short video produced in partnership with ANAMS, ... medical students about the importance of diversity in academic medicine. Watch the video here. Membership Membership in AAIP ...

  5. American College of Chest Physicians

    Science.gov (United States)

    ... Master Fellows Staff & Contact Us CHEST Newsroom Staff Job Opportunities at CHEST Contact Us Industry Support Industry Support ... of Global Governors Master Fellows CHEST Newsroom Staff Job Opportunities at CHEST Contact Us Industry Support Industry Advisory ...

  6. The Idealized Cultural Identities Model on Help-Seeking and Child Sexual Abuse: A Conceptual Model for Contextualizing Perceptions and Experiences of South Asian Americans

    Science.gov (United States)

    Kanukollu, Shanta N.; Mahalingam, Ramaswami

    2011-01-01

    In this paper, we propose an interdisciplinary framework to study perceptions of child sexual abuse and help-seeking among South Asians living in the United States. We integrate research on social marginality, intersectionality, and cultural psychology to understand how marginalized social experience accentuates South Asian immigrants' desire to…

  7. Population genomics reveals that an anthropophilic population of Aedes aegypti mosquitoes in West Africa recently gave rise to American and Asian populations of this major disease vector

    KAUST Repository

    Crawford, Jacob E.

    2017-02-20

    BackgroundThe mosquito Aedes aegypti is the main vector of dengue, Zika, chikungunya and yellow fever viruses. This major disease vector is thought to have arisen when the African subspecies Ae. aegypti formosus evolved from being zoophilic and living in forest habitats into a form that specialises on humans and resides near human population centres. The resulting domestic subspecies, Ae. aegypti aegypti, is found throughout the tropics and largely blood-feeds on humans.ResultsTo understand this transition, we have sequenced the exomes of mosquitoes collected from five populations from around the world. We found that Ae. aegypti specimens from an urban population in Senegal in West Africa were more closely related to populations in Mexico and Sri Lanka than they were to a nearby forest population. We estimate that the populations in Senegal and Mexico split just a few hundred years ago, and we found no evidence of Ae. aegypti aegypti mosquitoes migrating back to Africa from elsewhere in the tropics. The out-of-Africa migration was accompanied by a dramatic reduction in effective population size, resulting in a loss of genetic diversity and rare genetic variants.ConclusionsWe conclude that a domestic population of Ae. aegypti in Senegal and domestic populations on other continents are more closely related to each other than to other African populations. This suggests that an ancestral population of Ae. aegypti evolved to become a human specialist in Africa, giving rise to the subspecies Ae. aegypti aegypti. The descendants of this population are still found in West Africa today, and the rest of the world was colonised when mosquitoes from this population migrated out of Africa. This is the first report of an African population of Ae. aegypti aegypti mosquitoes that is closely related to Asian and American populations. As the two subspecies differ in their ability to vector disease, their existence side by side in West Africa may have important implications for

  8. Finding benefits from acculturative stress among Asian Americans: Self-reflection moderating the mediating effects of ethnocultural empathy on positive outcomes.

    Science.gov (United States)

    Wei, Meifen; Li, Chun-I; Wang, Cixin; Ko, Stacy Y

    2016-11-01

    This study examined a moderated mediation model to see whether self-reflection moderated (a) the association between acculturative stress and ethnocultural empathy and (b) the indirect effects of acculturative stress on 2 positive outcomes (i.e., bicultural competence and making positive sense of adversity) through ethnocultural empathy. A total of 330 Asian American college students from a West coast university participated in an online survey. Results from PROCESS supported hypotheses. First, self-reflection significantly moderated the effects of acculturative stress on ethnocultural empathy. Specifically, the effect of acculturative stress on ethnocultural empathy was significantly positive for those with lower self-reflection. Conversely, this effect was not significant for those with higher self-reflection, but ethnocultural empathy was consistently high across all levels of acculturative stress for those with higher self-reflection. Post hoc exploratory analyses examined the moderated mediation model using each of the 5 domains of acculturative stress as predictors; results supported the moderated mediation hypotheses for 2 domains, discrimination and cultural isolation. Second, self-reflection significantly moderated the indirect effects of acculturative stress on 2 positive outcomes through ethnocultural empathy. Results from conditional indirect effects suggested that the indirect effects of acculturative stress on 2 positive outcomes through ethnocultural empathy were significantly positive for those with lower self-reflection. Conversely, the indirect effects were not significant for those with higher self-reflection, but the 2 positive outcomes stayed high at all levels of acculturative stress. Post hoc analyses found that 5 of 6 components of bicultural competence used as outcome variables supported the moderation mediation hypotheses. (PsycINFO Database Record

  9. Introgression of leginsulin, a cysteine-rich protein, and high-protein trait from an Asian soybean plant introduction genotype into a North American experimental soybean line.

    Science.gov (United States)

    Krishnan, Hari B; Kim, Won-Seok; Oehrle, Nathan W; Alaswad, Alaa A; Baxter, Ivan; Wiebold, William J; Nelson, Randall L

    2015-03-25

    Soybean is an important protein source for both humans and animals. However, soybean proteins are relatively poor in the sulfur-containing amino acids, cysteine and methionine. Improving the content of endogenous proteins rich in sulfur-containing amino acids could enhance the nutritive value of soybean meal. Leginsulin, a cysteine-rich peptide, predominantly accumulates in Asian soybean accessions but not in most North American cultivars. By screening diverse soybean accessions from the USDA Soybean Germplasm Collection, we were able to identify one plant introduction, PI 427138, as a high-protein line with relatively high amounts of both elemental sulfur and leginsulin. We introgressed these desirable traits from PI 427138 into an experimental line with the aim of improving the overall protein content and quality of seed proteins. Biochemical characterization of inbred progenies from the cross of LD00-3309 with PI 427138 grown at six locations revealed stable ingression of high protein, high elemental sulfur, and high leginsulin accumulation. Comparison of soybean seed proteins resolved by high-resolution 2-D gel electrophoresis in combination with Delta2D image analysis software revealed preferential accumulation of a few glycinin subunits contributed to the increased protein content in the introgressed lines. Amino acid analysis revealed that even though the leginsulin introgressed lines had higher protein, leginsulin, and elemental sulfur, the overall concentration of sulfur-containing amino acids was not significantly altered when compared with the parental lines. The experimental soybean lines developed during this study (Leg-3, Leg-7, and Leg-8) lack A5, A4, and B3 glycinin subunits and could be utilized in breeding programs to develop high-quality tofu cultivars.

  10. Stress and coping with racism and their role in sexual risk for HIV among African American, Asian/Pacific Islander, and Latino men who have sex with men.

    Science.gov (United States)

    Han, Chong-suk; Ayala, George; Paul, Jay P; Boylan, Ross; Gregorich, Steven E; Choi, Kyung-Hee

    2015-02-01

    The deleterious effects of racism on a wide range of health outcomes, including HIV risk, are well documented among racial/ethnic minority groups in the United States. However, little is known about how men of color who have sex with men (MSM) cope with stress from racism and whether the coping strategies they employ buffer against the impact of racism on sexual risk for HIV transmission. We examined associations of stress and coping with racism with unprotected anal intercourse (UAI) in a sample of African American (N = 403), Asian/Pacific Islander (N = 393), and Latino (N = 400) MSM recruited in Los Angeles County, CA during 2008-2009. Almost two-thirds (65 %) of the sample reported being stressed as a consequence of racism experienced within the gay community. Overall, 51 % of the sample reported having UAI in the prior 6 months. After controlling for race/ethnicity, age, nativity, marital status, sexual orientation, education, HIV serostatus, and lifetime history of incarceration, the multivariate analysis found statistically significant main effects of stress from racism and avoidance coping on UAI; no statistically significant main effects of dismissal, education/confrontation, and social-support seeking were observed. None of the interactions of stress with the four coping measures were statistically significant. Although stress from racism within the gay community increased the likelihood of engaging in UAI among MSM of color, we found little evidence that coping responses to racism buffered stress from racism. Instead, avoidance coping appears to suggest an increase in UAI.

  11. Tumourigenesis driven by the human papillomavirus type 16 Asian-American e6 variant in a three-dimensional keratinocyte model.

    Directory of Open Access Journals (Sweden)

    Robert Jackson

    Full Text Available Infection with a transforming human papillomavirus (HPV such as type 16 (of species Alphapapillomavirus 9 causes ano-genital and oral tumours via viral persistence in human squamous cell epithelia. Epidemiological studies showed that the naturally occurring HPV16 Asian-American (AA variant (sublineage D2/D3 is found more often than the European Prototype (EP (sublineage A1 in high-grade cervical neoplasia and tumours compared to non-cancer controls. Just three amino acid changes within the early gene, E6, of HPV16 AA have been linked to this augmented tumourigenicity. The AAE6 variant's greater immortalizing and transforming potential over EPE6 has recently been confirmed in retrovirally-transduced keratinocytes expressing the E6 gene only. However, the tumourigenic role of the full-length viral genome of HPV16 has not yet been addressed with regard to these E6 variants. To investigate this process in the context of these two HPV16 E6 genotypes, an organotypic tissue culture model was used to simulate the HPV infectious life cycle. The AAE6 variant demonstrated an enhanced ability over EPE6 to drive the viral life cycle toward tumourigenesis, as evidenced phenotypically-by a more severe grade of epithelial dysplasia with higher proliferation and deregulated differentiation, and molecularly-by high viral oncogene E6 and E7 expression, but lack of productive viral life cycle markers. In contrast, EPE6 had low E6 and E7 but high E1∧E4 expression, indicative of a productive life cycle. We suggest increased viral integration into the host genome for AAE6 as one possible mechanism for these observed differences from EPE6. Additionally, we found downstream effects on immortalization and host innate immune evasion. This study highlights how minor genomic variations in transforming viruses can have a significant affect on their tumourigenic ability.

  12. Asian Creativity: A Response to Satoshi Kanazawa

    Directory of Open Access Journals (Sweden)

    Geoffrey Miller

    2006-01-01

    Full Text Available This article responds to Satoshi Kanazawa's thoughtful and entertaining comments about my article concerning the Asian future of evolutionary psychology. Contra Kanazawa's argument that Asian cultural traditions and/or character inhibit Asian scientific creativity, I review historical evidence of high Asian creativity, and psychometric evidence of high Asian intelligence (a cognitive trait and openness to experience (a personality trait — two key components of creativity. Contra Kanazawa's concern that political correctness is a bigger threat to American evolutionary psychology than religious fundamentalism, I review evidence from research funding patterns and student attitudes suggesting that fundamentalism is more harmful and pervasive. Finally, in response to Kanazawa's focus on tall buildings as indexes of national wealth and creativity, I find that 13 of the world's tallest 25 buildings are in China, Hong Kong, or Taiwan — of which 11 were built in the last decade. Asian creativity, secularism, and architectural prominence point to a bright future for Asian science.

  13. Dengue virus 2 American-Asian genotype identified during the 2006/2007 outbreak in Piauí, Brazil reveals a Caribbean route of introduction and dissemination of dengue virus in Brazil.

    Science.gov (United States)

    Barcelos Figueiredo, Leandra; Sakamoto, Tetsu; Leomil Coelho, Luiz Felipe; de Oliveira Rocha, Eliseu Soares; Gomes Cota, Marcela Menezes; Ferreira, Gustavo Portela; de Oliveira, Jaquelline Germano; Kroon, Erna Geessien

    2014-01-01

    Dengue virus (DENV) is the most widespread arthropod-borne virus, and the number and severity of outbreaks has increased worldwide in recent decades. Dengue is caused by DENV-1, DENV- 2, DENV-3 and DENV-4 which are genetically distant. The species has been subdivided into genotypes based on phylogenetic studies. DENV-2, which was isolated from dengue fever patients during an outbreak in Piaui, Brazil in 2006/2007 was analyzed by sequencing the envelope (E) gene. The results indicated a high similarity among the isolated viruses, as well as to other DENV-2 from Brazil, Central America and South America. A phylogenetic and phylogeographic analysis based on DENV-2E gene sequences revealed that these viruses are grouped together with viruses of the American-Asian genotype in two distinct lineages. Our results demonstrate the co-circulation of two American-Asian genotype lineages in northeast Brazil. Moreover, we reveal that DENV-2 lineage 2 was detected in Piauí before it disseminated to other Brazilian states and South American countries, indicating the existence of a new dissemination route that has not been previously described.

  14. Asian Heroes

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    China,South Korea and Japan keep Olympic flag flying Atotal of 19 countries and regions of Asia competed at the 2008 Beijing Olympics, winning 86 gold, 54 silver and 72 bronze medals. Their gold medal haul accounted for 28.5 percent of the total 302 gold medals awarded. Of the Asian medal winners, China, Japan and South Korea were the top three accounting for 73 gold medals, and 84.9 percent of all medals won by Asian countries.

  15. Asian Banks: Leading the Way to Recovery

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ The global financial crisis has rocked the American and European Union banking system leaving many Western banks teetering on the verge of bankruptcy.But in the East,Asian banks have fared well so far.

  16. 亚裔美国史学五十年:反思与展望%Fifty Years of Asian- American Historiography: Reflecting on the Past and Looking into the Future

    Institute of Scientific and Technical Information of China (English)

    王心扬

    2012-01-01

    This essay aims to examine the merits and problems of Asian -American historiography in the past 50 years. In the early days, a major problem in the field was an ideology -guided, monistic approach to academic research. By only focusing on racial discrimination and by deterring others from exploring Asian immigration history from different or additional perspectives, this approach dominated the field for nearly three decades at the cost of a fuller and more balanced picture of historical events. In recent years, however, there have emerged some new trends challenging the dogmatic approach to Asian - American studies. By examining the relationships between whites, blacks, and Asians as a triangulated relationship instead of a binary one, scholars writing since the mid - 1990s have refuted the traditional "black and white" theory on race relations in America. Meanwhile, those who explore Asian - American history from a transnational perspective have argued, persuasively, that Asian immigrants had dual nationalism and dual- cultural identities. In particular, they have discovered that Japanese immigration and Japanese expansionism were closely intertwined. Behind the decision to relocate the Japanese during World War II, "military necessity" did exist, ese new trends indicate that Asian- American historiography is headed toward maturity.%回顾和检讨亚裔美国史学在过去半个世纪里所走过的道路可以发现,早期亚裔美国史学中一个最突出的问题是以意识形态为主导的一元论历史观。在近30年的时间里,学者大都仅仅从“种族歧视”这一个角度去诠释历史事件,反对从其他视野去观察亚洲移民的经历。不过,最近15年来,这个领域中出现了冲破一元论历史观束缚的趋势。新一代学者提出了白人、黑人和亚裔之间三角形关系的论点,从而否定了“有色对白种”的双重种族关系理论模式。从“跨国主义”的视野观察

  17. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>APJTB Monthly Aims&Scope Asian Pacific Jounrnal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges

  18. Physician unionization.

    Science.gov (United States)

    Lebowitz, P H

    1997-01-01

    Typically, doctors have seemed unsuited for and uncomfortable with the idea of unions but with the current changes in practices and referral patterns, doctors are looking--at least warily--at unions. Two sets of laws apply to possible unionization of physicians; one, federal antitrust laws, the other, both federal and state labor laws as they apply to changes in the medical profession. Antitrust laws are designed to protect competition by prohibiting price fixing. Another typical antitrust issue that applies to healthcare is that of a group boycott or refusal to deal, where competitors try to coerce a third party to set prices where competitors want them set. Congress' earliest legislation to aide the labor movement involved exceptions to the antitrust laws. Some provisions of the laws are limited to workers who are employees, defined as someone who is employed by any person. Doctors are searching for solutions that provide the collective power of the labor laws without offending the antitrust laws. The question is whether doctors can form unions under these two conflicting forces. The first main issue is whether the doctor is or is not an employee. Although radiologic technologists, typically employees of hospitals or provider groups, have been unionized for years, doctors are usually not employees, at least not if they have their own practices. Although not employees, physicians may affiliate with a larger union to use that broader bargaining power, a purpose that is permissible under current law. Membership in a union does have its responsibilities and disadvantages. Some have suggested that the definition of employee be broadened to cover physician duties under managed care payer agreements, for example. Meanwhile, the Federal Trade Commission and the Justice Department are watching that non-employee physicians not use the union label to mask price fixing, boycotts or refusals to deal.

  19. Asian-American Interracial Marriage.

    Science.gov (United States)

    Kitano, Harry H. L.; And Others

    1984-01-01

    Presented data on Chinese, Japanese, and Korean marriages in Los Angeles and Hawaii. Found that the Japanese have the highest rates of outmarriage (one partner not of the specific nationality group) in Los Angeles, and Chinese and Koreans were characterized by high rates of outmarriage in Hawaii. (LLL)

  20. Mental Health and Asian Americans

    Science.gov (United States)

    ... Grants Awards Access to Health Care Coverage Grants Childhood Trauma Grants HIV/AIDS Grants Lupus Grants Justice and ... for post-traumatic stress disorder (PTSD) associated with trauma experienced before ... of serious psychological distress increases with lower levels of income, as ...

  1. U.S. and East Asian Integration

    Institute of Scientific and Technical Information of China (English)

    Lin Limin

    2008-01-01

    the U.S. is directly impacting on the future of the East Asian community. Therefore, finding ways to get along with the U.S. is crucial to the speed, direction, configuration and character of the East Asian community. In this paper, the author has analyzed the interests of the United States in East Asia and its stands towards the East Asian integration. The author concludes that it is to the interest of the United States to make more efforts to further join in the East Asian integration.And East Asia should accept and welcome the American participation.

  2. Asian Pacific Journal of Tropical Biomedicine

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>Aims&Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.APJTB publishes new findings in both basic and clinical(including modern,traditional and epidemiological)research

  3. Awareness and Use of South Asian Tobacco Products Among South Asians in New Jersey.

    Science.gov (United States)

    Hrywna, Mary; Jane Lewis, M; Mukherjea, Arnab; Banerjee, Smita C; Steinberg, Michael B; Delnevo, Cristine D

    2016-12-01

    South Asians are the third largest Asian group in the US and among the fastest growing racial groups in New Jersey. Tobacco consumption among South Asians is characterized by several smoked and smokeless tobacco products indigenous to the Indian subcontinent. However, there is a paucity of research on tobacco use behaviors among South Asians in the US. The goal of this study was to examine the awareness and use of South Asian tobacco products such as bidis, gutkha, paan, paan masala, and zarda as well as other potentially carcinogenic products such as supari, their context of use, and their cultural significance among South Asians living in the US. Eight focus groups were conducted with South Asian adults living in Central New Jersey. Overall, participants were aware of a wide variety of foreign and American tobacco products with older South Asians identifying a greater variety of indigenous products compared to younger South Asians. Hookah was consistently recognized as popular among the younger generation while products such as paan or paan masala were more commonly identified with elders. Use of tobacco-related products such as paan and supari were described as common at social gatherings or after meals. In addition, light or social users of South Asian tobacco products, including products not consistently defined as tobacco, may not report tobacco use on a survey. Better understanding of the use of these products among South Asians and how some may classify tobacco usage can inform future research and public health interventions in these communities.

  4. Physician unionization efforts gain momentum, support.

    Science.gov (United States)

    Keating, G C

    1999-11-01

    Physicians increasingly are assuming the status of employees in healthcare organizations. Physicians also are seeing restrictions imposed on their practices by healthcare organizations seeking to control costs of care delivery. These trends have led a growing number of physicians to attempt to organize into unions. Obstacles to physician unionization efforts have included Federal antitrust laws that prohibit physicians from organizing, as well as physician reluctance to engage in organized activities they see as antithetical to their professional duties (e.g., strikes). In addition, physicians' attempts to unionize frequently have failed due to provisions of the National Labor Relations Act, which authorize collective bargaining only among individuals designated as "employees." Physicians seeking to form unions often are thwarted by the argument that they are not employees, but rather students, independent contractors, or supervisors, and therefore not entitled to protection under the act. Nonetheless, a number of recent developments, such as the American Medical Association's decision to endorse unionization by physicians and the National Labor Relations Board's decision that attending physicians should be regarded as employees, not supervisors, are creating a climate more conducive to physician unionization in the United States.

  5. Etanol e biodiesel como recursos energéticos alternativos: perspectivas da América Latina e da Ásia Ethanol and biofuels as alternatives energetic sources: Latin-American e Asian perspectives

    Directory of Open Access Journals (Sweden)

    Gilmar Masiero

    2008-12-01

    Full Text Available Este trabalho apresenta as perspectivas latino-americanas e asiáticas na emergente indústria dos biocombustiveis. As possibilidades brasileiras de participação na indústria e no comércio internacional de etanol e de biodiesel são discutidas. Uma questão sobre os possíveis parceiros "estratégicos" do Brasil neste setor é levantada: os enormes mercados consumidores de países desenvolvidos ou os emergentes e também famintos consumidores asiáticos de energia?This paper presents Latin American and Asian perspectives on the biofuels emerging industry. The Brazilian's possibilities of participation on this industry evolution and the involvement on the world trade for ethanol and biodiesel are discussed. Also, an investigation about who will be the main "strategic" partners of Brazil in this sector is made: the huge consumer markets of developed countries or the emerging and also hungry consumers of energy Asian economies?

  6. "Mid-G" region sequences of the glycoprotein gene of Austrian infectious hematopoietic necrosis virus isolates form two lineages within European isolates and are distinct from American and Asian lineages.

    Science.gov (United States)

    Kolodziejek, Jolanta; Schachner, Oskar; Dürrwald, Ralf; Latif, Muna; Nowotny, Norbert

    2008-01-01

    Infectious hematopoietic necrosis virus (IHNV) is one of the most important pathogens of salmonid fish. In this study a comprehensive phylogenetic analysis of the genetic evolution and variety of Austrian IHNV strains, as well as selected strains ensuring worldwide coverage, is presented. The phylogenetic investigation is based on sequences comprising the "mid-G" region of the G gene, and it includes all currently available IHNV sequences of the G gene with a length of at least 615 bp. Austrian IHNVs are located--together with other European IHNV isolates--in two clusters of genogroup M (M-Eur1 and M-Eur2) and are clearly separated from American and Asian lineages. The genetic clustering, however, could not be linked to certain clinical symptoms or significant differences in the mortality rates.

  7. Ethical issues in the response to Ebola virus disease in United States emergency departments: a position paper of the American College of Emergency Physicians, the Emergency Nurses Association, and the Society for Academic Emergency Medicine.

    Science.gov (United States)

    Venkat, Arvind; Asher, Shellie L; Wolf, Lisa; Geiderman, Joel M; Marco, Catherine A; McGreevy, Jolion; Derse, Arthur R; Otten, Edward J; Jesus, John E; Kreitzer, Natalie P; Escalante, Monica; Levine, Adam C

    2015-05-01

    The 2014 outbreak of Ebola virus disease (EVD) in West Africa has presented a significant public health crisis to the international health community and challenged U.S. emergency departments (EDs) to prepare for patients with a disease of exceeding rarity in developed nations. With the presentation of patients with Ebola to U.S. acute care facilities, ethical questions have been raised in both the press and medical literature as to how U.S. EDs, emergency physicians (EPs), emergency nurses, and other stakeholders in the health care system should approach the current epidemic and its potential for spread in the domestic environment. To address these concerns, the American College of Emergency Physicians, the Emergency Nurses Association, and the Society for Academic Emergency Medicine developed this joint position paper to provide guidance to U.S. EPs, emergency nurses, and other stakeholders in the health care system on how to approach the ethical dilemmas posed by the outbreak of EVD. This paper will address areas of immediate and potential ethical concern to U.S. EDs in how they approach preparation for and management of potential patients with EVD.

  8. Samuel Holden Parsons Lee (1772-1863): American physician, entrepreneur and selfless fighter of the 1798 Yellow Fever epidemic of New London, Connecticut.

    Science.gov (United States)

    Mattie, James K; Desai, Sukumar P

    2015-02-01

    Samuel Holden Parsons Lee practised medicine at a time when the germ theory of disease had not yet been proposed and antibiotics remained undiscovered. In 1798 he served selflessly as the only physician in town who was willing to battle the Yellow Fever outbreak of New London, Connecticut. Because he practised at the dawn of the age of patent medicine, unfortunately his name also came to be associated with medical quackery. We argue that his contributions have been grossly underestimated. He compounded and vended medications - including bilious pills and bitters - that were gold standards of the day. Moreover, one preparation for treatment of kidney stones led to his sub-specialization in this field and was met with such success that its sale continued for nearly 100 years after his death. While a talented medical man, Lee also had a knack for business, finding success in trading, whaling and real estate.

  9. Characterization of volatile organic compounds (VOCs in Asian and north American pollution plumes during INTEX-B: identification of specific Chinese air mass tracers

    Directory of Open Access Journals (Sweden)

    A. J. Weinheimer

    2009-07-01

    Full Text Available We present results from the Intercontinental Chemical Transport Experiment – Phase B (INTEX-B aircraft mission conducted in spring 2006. By analyzing the mixing ratios of volatile organic compounds (VOCs measured during the second part of the field campaign, together with kinematic back trajectories, we were able to identify five plumes originating from China, four plumes from other Asian regions, and three plumes from the United States. To identify specific tracers for the different air masses we characterized their VOC composition and we compared their background levels with those obtained during the 2004 INTEX-A mission. The Chinese and other Asian air masses were significantly enhanced in carbonyl sulfide (OCS and methyl chloride (CH3Cl, while all CFC replacement compounds were elevated in US plumes, particularly HFC-134a.

    Although elevated mixing ratios of Halon-1211 were measured in some Chinese plume samples, several measurements at background levels were also observed. After analyzing the VOC distribution and correlations within the Chinese pollution plumes and applying principal component analysis (PCA, we suggest the use of a suite of species, rather than a single gas, as specific tracers of Chinese air masses (namely OCS, CH3Cl, 1,2-dichloroethane, ethyl chloride, and Halon-1211. In an era of constantly changing halocarbon usage patterns, this suite of gases best reflects new emission characteristics from China.

  10. Characterization of volatile organic compounds (VOCs in Asian and North American pollution plumes during INTEX-B: identification of specific Chinese air mass tracers

    Directory of Open Access Journals (Sweden)

    B. Barletta

    2009-03-01

    Full Text Available We present results from the Intercontinental Chemical Transport Experiment – Phase B (INTEX-B aircraft mission conducted in spring 2006. By analyzing the mixing ratios of volatile organic compounds (VOCs measured during the second part of the field campaign, together with kinematic back trajectories, we were able to identify five plumes originating from China, four plumes from other Asian regions, and three plumes from the United States. To identify specific tracers for the different air masses, we focused on characterizing the VOC composition of these different pollution plumes. The Chinese and other Asian air masses were significantly enhanced in carbonyl sulfide (OCS and methyl chloride (CH3Cl, while all CFC replacement compounds were elevated in US plumes, particularly HCFC-134a.

    Although elevated mixing ratios of Halon-1211 were measured in some of the Chinese plumes, several measurements at background levels were also observed. After analyzing the VOC distribution in the Chinese pollution plumes and the correlations among selected compounds, we suggest the use of a suite of species, rather than the use of a single gas, to be used as specific tracers of Chinese air masses (namely OCS, CH3Cl, 1,2-dichloroethane, and Halon-1211. In an era of constantly changing halocarbon usage patterns, this suite of gases best reflects new emission characteristics from China.

  11. The Import of Trust in Regular Providers to Trust in Cancer Physicians among White, African American, and Hispanic Breast Cancer Patients

    Science.gov (United States)

    Rauscher, Garth H.; Jacobs, Elizabeth A.; Strenski, Teri A.; Estwing Ferrans, Carol; Warnecke, Richard B.

    2010-01-01

    BACKGROUND Interpersonal trust is an important component of the patient-doctor relationship. Little is known about patients’ trust in the multiple providers seen when confronting serious illness. OBJECTIVES To characterize breast cancer patients’ trust in their regular providers, diagnosing physicians, and cancer treatment team and examine whether high trust in one’s regular provider confers high trust to cancer physicians. DESIGN In-person interviews. PARTICIPANTS 704 white, black, and Hispanic breast cancer patients, age 30 to 79, with a first primary in situ or invasive breast cancer who reported having a regular provider. MEASURES We measure trust in: (1) regular provider, (2) diagnosing doctors, and (3) cancer treatment team. Other variables include demographic variables, preventive health care, comorbidities, time with regular provider, time since diagnosis, cancer stage, and treatment modality. RESULTS Sixty-five percent of patients reported high trust in their regular provider, 84% indicated high trust in their diagnosing doctors, and 83% reported high trust in their treatment team. Women who reported high trust in their regular provider were significantly more likely to be very trusting of diagnosing doctors (OR: 3.44, 95% CI: 2.27–5.21) and cancer treatment team (OR: 3.09, 95% CI: 2.02–4.72 ). Black women were significantly less likely to be very trusting of their regular doctor (OR: 0.58, 95% CI: 0.38–0.88) and cancer treatment team (OR: 0.45, 95% CI: 0.25–0.80). English-speaking Hispanic women were significantly less trusting of their diagnosing doctors (OR: 0.29, 95% CI: 0.11–0.80). CONCLUSIONS Our results suggest that patients are very trusting of their breast cancer providers. This is an important finding given that research with other populations has shown an association between trust and patient satisfaction and treatment adherence. Our findings also suggest that a trusting relationship with a regular provider facilitates trusting

  12. The Confucian Asian cluster

    Directory of Open Access Journals (Sweden)

    Ionel Sergiu Pirju

    2013-11-01

    Full Text Available The Confucian Asian cluster consists of China, Hong Kong, Japan, Singapore, South Korea, and Taiwan. Confucian tradition countries were defined by achieving a consistent performance in the global economy, they still representing the major competitors in the EU and North American countries. Their progress is defined by a great national management that was able to influence beneficial management systems applied in organizations, these rules characterized by authority; aims to ensure the confidence in business. This article will present the intercultural values characterizing it, the leadership style and also tracing major macroeconomic considerations. The research is synchronic, analysing the contemporary situation of these countries, and the analysis will be interdisciplinary exploratory, identifying specific regional cultural elements.

  13. OCA youth achievement scholarship essay What does it mean to be a Chinese or Asian American?(Ⅱ)%中国人VS亚裔美国人

    Institute of Scientific and Technical Information of China (English)

    Victoria Hu

    2008-01-01

    @@ A little girl was standing in a swarm of elementary school kids trying desperately not to draw attention to herself and trying to fit in.Fitting in is a state of mind that every single person goes through,because fitting in means that you are normal and that you are accepted.However,as I grew older,I threw the goal of fitting in out the window.To me,it became no longer important to fit my Asian face into the sea of Caucasian faces I see everyday.It became a thrill to be different and unique,and I flaunted my Chinese culture rather than hid it.

  14. Family physician perspectives on primary immunodeficiency diseases

    Directory of Open Access Journals (Sweden)

    Jordan eOrange

    2016-03-01

    Full Text Available Primary immunodeficiency diseases (PID include over 250 diverse disorders. The current study assessed management of PID by family practice physicians. The American Academy of Allergy, Asthma, and Immunology Primary Immunodeficiency Committee and the Immune Deficiency Foundation conducted an incentivized mail survey of family practice physician members of the American Medical Association and the American Osteopathic Association in direct patient care. Responses were compared with subspecialist immunologist responses from a similar survey. Surveys were returned by 528 (of 4500 surveys mailed family practice physicians, of whom 44% reported following ≥1 patient with a PID. Selective immunoglobulin A (IgA, deficiency (21%, and chronic granulomatous disease (11% were most common and were followed by significantly more subspecialist immunologists (P<.0001. Use of intravenously administered Ig, and live viral vaccinations across PID was significantly different (P<.0001. Few family practice physicians were aware of professional guidelines for diagnosis and management of PID (4% vs. 79% of subspecialist immunologists, P<.0001. Family practice physicians will likely encounter patients with a PID diagnoses during their career. Differences in how family practice physicians and subspecialist immunologists manage patients with PID underscore areas where improved educational and training initiatives may benefit patient care.

  15. CONDITIONAL ASIAN OPTIONS

    OpenAIRE

    Runhuan Feng; Volkmer, Hans W.

    2015-01-01

    Conditional Asian options are recent market innovations, which offer cheaper and long-dated alternatives to regular Asian options. In contrast with payoffs from regular Asian options which are based on average asset prices, the payoffs from conditional Asian options are determined only by average prices above certain threshold. Due to the limited inclusion of prices, conditional Asian options further reduce the volatility in the payoffs than their regular counterparts and have been promoted i...

  16. Always "Outsiders": Asians, Naturalization, and the Supreme Court.

    Science.gov (United States)

    Lesser, Jeff H.

    1986-01-01

    Focuses on Supreme Court naturalization rulings in relation to Asian immigrants. Asserts that an ethos of racial exclusion set the stage for internment of Japanese Americans in World War II and continues to discriminate against Asian immigrants in the United States today. (GC)

  17. Southeast Asian Refugee Resettlement in the United States and Canada.

    Science.gov (United States)

    Haines, David W.

    1989-01-01

    Explores the lessons drawn from a comparative examination of the North American experience with Southeast Asian refugee resettlement efforts from 1975 to 1978. Reviews demographic dimensions of Southeast Asian refugee resettlement. Provides an overview of the programatic response to refugee arrivals. Assesses these responses with regard to refugee…

  18. Interference with the patient-physician relationship

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2012-11-01

    Full Text Available No abstract available. Article truncated at 150 words. “Life is like a boomerang. Our thoughts, deeds and words return to us sooner or later, with astounding accuracy.”-Brant M. Bright, former project leader with IBM A recent sounding board in the New England Journal of Medicine discussed legislative interference with the patient-physician relationship (1. The authors, the executive staff leadership of the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the American College of Physicians, and the American College of Surgeons believe that legislators should abide by principles that put patients’ best interests first. Critical to achieving this goal is respect for the importance of scientific evidence, patient autonomy, and the patient-physician relationship. According to the authors, lawmakers are increasingly intruding into the realm of medical practice, often to satisfy political agendas without regard to established, evidence-based guidelines for care. The article goes on to cite examples including: The Florida ….

  19. Rape: an Asian perspective.

    Science.gov (United States)

    Nadesan, K

    2001-06-01

    Rape is one of the fastest growing violent crimes in many parts of the world. Rape laws have been amended in most countries in an attempt to cope with the proliferation of this crime. Even though the legal definition of rape and the procedural laws have been amended, rape remains a serious problem in both the developed and developing nations. In some countries the offence of rape carries severe punishment sometimes even the death sentence. In many jurisdictions the term 'sexual penetration' is being used instead of 'sexual intercourse'. Sexual penetration includes sexual intercourse, anal intercourse, cunnilingus, fellatio or any other intrusions involving any part of a human body or of any object into the genital or anal opening of a person's body. In many countries rape and other sexual offences have been replaced with a series of gender neutral and graded offences with appropriate punishments. Medical examination can provide independent, scientific, corroborative evidence that may be of value to the court in arriving at a judgement. Doctors should have a clear understanding of different rape laws in order to apprectiate the various issues involved. Special knowledge, skill and experience are essential to conduct a good-quality medical examination. There is a dearth of trained forensic physicians in many Asian countries. However, managing a rape victim (survivor) goes for beyond proving the case in a court of law. There should be an adequate rehabilitation programme available to the victims to help them cope.

  20. Physician Fee Schedule Search

    Data.gov (United States)

    U.S. Department of Health & Human Services — This website is designed to provide information on services covered by the Medicare Physician Fee Schedule (MPFS). It provides more than 10,000 physician services,...

  1. Asian Varieties of English: Attitudes towards Pronunciation

    Science.gov (United States)

    Tokumoto, Mina; Shibata, Miki

    2011-01-01

    According to previous studies, Japanese EFL learners who wish to acquire American or British English pronunciation are reluctant to speak their L1-accented English. In view of this tendency, the present study examined the attitudes of Asian learners toward their L1-accented English. University students from Japan, South Korea, and Malaysia…

  2. The Asian Student in the Classroom.

    Science.gov (United States)

    Coker, Dolores Muga

    1988-01-01

    Educators can better meet the educational needs of Asian American students through greater awareness and understanding of their cultural heritage. Teachers and counselors can best serve these students through specific strategies, such as directive rather than group counseling, that reflect sensitivity to cultural differences and that will foster…

  3. Cutaneous and systemic plasmacytosis in an Asian male born in the North American continent: a controversial entity potentially related to multicentric Castleman disease.

    Science.gov (United States)

    Shadel, Brooke N; Frater, John L; Gapp, Joshua D G; Hurley, M Yadira

    2010-06-01

    Cutaneous and systemic plasmacytosis is a rare condition primarily affecting middle-aged individuals of Japanese descent and has principally been reported in cases originating from Asia. Its relationship, if any, to Castleman disease, is controversial. The authors report a case of cutaneous and systemic plasmacytosis involving a 36-year-old man of Chinese ancestry born in North America. The biopsy of an involved lymph node revealed changes resembling Castleman disease. Significantly, this case to our knowledge represents the first case of cutaneous and systemic plasmacytosis presenting in a patient of Chinese ancestry born on the North American mainland.

  4. The Asian-American variant of human papillomavirus type 16 exhibits higher activation of MAPK and PI3K/AKT signaling pathways, transformation, migration and invasion of primary human keratinocytes.

    Science.gov (United States)

    Hochmann, Jimena; Sobrinho, João S; Villa, Luisa L; Sichero, Laura

    2016-05-01

    Asian-American (AA) HPV-16 variants are associated with higher risk of cancer. Abnormal activation of intracellular signaling play a critical role in cancer development and progression. Our aim was to elucidate mechanisms underlying the higher oncogenic potential attributed to AA variant. We evaluated activation of MAPK and PI3K/AKT pathways in primary human keratinocytes (PHKs) transduced with E6/E7 of three HPV-16 variants: E-P, AA, E-350G. Phenotypes examined included migration, anchorage independent growth and invasion. AA PHKs presented the highest levels of active proteins involved in all cascades analyzed: MAPK-ERK, MAPK-p38 and PI3K-AKT. AA PHKs were more efficient in promoting anchorage independent growth, and in stimulating cell migration and invasion. MEK1 inhibition decreased migration. The mesenchymal phenotype marker vimentin was increased in AA PHKs. Our results suggest that MEK1, ERK2, AKT2 hyperactivation influence cellular behavior by means of GSK-3b inactivation and EMT induction prompting AA immortalized PHKs to more efficiently surpass carcinogenesis steps.

  5. Quantitative complete tooth variation among east Asians and Native Americans: developmental biology as a tool for the assessment of human divergence.

    Science.gov (United States)

    Shields, E D

    1996-01-01

    The quantification of total tooth structure derived from X-rays of Vietnamese, Southern Chinese, Mongolians, Western Eskimos, and Peruvian pre-Inca (Huari Empire) populations was used to examine dental divergence and the morphogenetics of change. Multivariate derived distances between the samples helped identify a quasicontinuous web of ethnic groups with two binary clusters ensconced within the web. One cluster was composed of Mongolians, Western Eskimos, and pre-Inca, and the other group consisted of the Southern Chinese and Vietnamese. Mongolians entered the quasicontinuum from a divergent angle (externally influenced) from that of the Southeast Asians. The Chinese and pre-Inca formed the polar samples of the distance superstructure. The pre-Inca sample was the most isolated, its closest neighbor being the Western Eskimos. Univariate and multivariate analyses suggested that the pre-Inca, whose ancestors arrived in America perhaps approximately 30,000 years ago, was the least derived sample. Clearly, microevolutionary change occurred among the samples, but the dental phenotype was resistant to environmental developmental perturbations. An assessment of dental divergence and developmental biology suggested that the overall dental phenotype is a complex multigenic morphological character, and that the observed variation evolved through total genomic drift. The quantified dental phenotype is greater than its highly multigenic algorithm and its development homeostasis is tightly controlled, or canalized, by the deterministic organization of a complex nonlinear epigenetic milieu. The overall dental phenotype quantified here was selectively neutral and a good character to help reconstruct the sequence of human evolution, but if the outlying homeostatic threshold was or will be exceeded in antecedents and descendants, respectively, evolutionary saltation occurs.

  6. Asian Pacific Journal of Tropical Biomedicine APJTB Bimonthly

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    <正>Aims & Scope Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controUing the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  7. The physician's perception of health care.

    Science.gov (United States)

    Lawrence, R S

    1994-01-01

    A general malaise appears to have settled on the American medical scene; most Americans continue to trust their own physicians but do not trust the medical profession or the health system as a whole, while many physicians feel harassed by the regulatory, bureaucratic, or litigious intrusions upon the patient-doctor relationship. The strains on mutual trust among physicians, their patients, and the public are being played out against a background of contradictions. The advances of biomedicine are offset by the neglect of social and behavioural aspects of medical care. Preoccupation with specialized, hospital-based treatment is accompanied by isolation of public health and preventive interests from medical education and practice. Society remains uncertain whether health care is a right or a privilege while accepting public responsibility for financing the health care of certain groups such as the indigent sick (Medicaid), the elderly (Medicare), Native Americans, or members of the armed forces and veterans. Rising expectations about better outcomes through advances in technology are accompanied by rising anxieties about cost, appropriateness of care, access, and quality. Physicians must alter their perception of health care by adopting a population-based approach to need, a commitment to restoring equity in staffing patterns and compensation between primary care and specialty care, and adoption of a social contract that provides for full access by all Americans to basic cost-effective preventive and clinical services before spending on less cost-effective services.

  8. Authoritarian Parenting and Asian Adolescent School Performance: Insights from the US and Taiwan

    Science.gov (United States)

    Pong, Suet-ling; Johnston, Jamie; Chen, Vivien

    2010-01-01

    Our study re-examines the relationship between parenting and school performance among Asian students. We use two sources of data: wave I of the Adolescent Health Longitudinal Survey (Add Health), and waves I and II of the Taiwan Educational Panel Survey (TEPS). Analysis using Add Health reveals that the Asian-American/European-American difference…

  9. What reforms physicians want. Interview by Debra Mamorsky.

    Science.gov (United States)

    Todd, J S

    1994-01-01

    An executive vice president of the American Medical Association says that while physicians across the United States have mixed reviews of the President's proposal, they are basically looking for stability and predictability in a new system.

  10. Type 2 diabetes among Asian Americans: Prevalence andprevention

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Type 2 diabetes mellitus (T2DM) is a growing problemamong Asian Americans. Based on the Centers forDisease Control, the age-adjusted prevalence of T2DMfor Asian Americans is 9%, placing them at "moderaterisk". However differential patterns of disease burdenemerge when examining disaggregated data acrossAsian American ethnic groups; with Filipino, PacificIslander, Japanese, and South Asian groups consistentlydescribed as having the highest prevalence of T2DM.Disentangling and strengthening prevalence data is vitalfor on-going prevention efforts. The strongest evidencecurrently available to guide the prevention of T2DMin the United States comes from a large multicenterrandomized clinical control trial called the DiabetesPrevention Program, which targets individual lifestylebehavior changes. It has been translated and adoptedfor some Asian American groups, and shows promise.However stronger study designs and attention toseveral key methodological considerations will improvethe science. Increased attention has also been directedtoward population level downstream prevention efforts.Building an infrastructure that includes both individualand population approaches is needed to prevent T2DMamong Asian American populations, and is essential forreducing health disparities.

  11. Civil Rights and Japanese-American Internment.

    Science.gov (United States)

    Francis, Greg; Hojo, Samantha; Lai, Selena; Mukai, Gary; Yoda, Steven

    Students may not be as familiar with the Asian American struggle for equal rights as they are with the black struggle for equal rights. But Asian Americans' civil rights have also been challenged and/or denied throughout their history in the United States. This curriculum module contains six lessons and can be used as a supplement to history…

  12. Korean Wife-American Husband Families in America.

    Science.gov (United States)

    Lee, Don Chang

    Many American servicemen have married Asian women and brought them to the United States. Asian wife-American husband families are unique compared to black-white or European-American marriages because they are both interracial and cross-cultural. Yet, few studies have been done to analyze their relationships and problems in adjusting to American…

  13. Physicians, unions, and antitrust.

    Science.gov (United States)

    Hirshfeld, E B

    1999-01-01

    The increasing consolidation of our healthcare delivery systems and the concomitant push for perceived efficiencies, speed, and profits has laid the foundation for a renewed interest in unionization by many physicians. This Article analyzes the barriers to such unionization that are posed by the antitrust laws, and provides an analysis of how to proceed with unionization without violating those laws. The Article also analyzes the current status of physician ability to unionize, and surveys the present status of physician unions.

  14. Confronting the disruptive physician.

    Science.gov (United States)

    Linney, B J

    1997-01-01

    Ignoring disruptive behavior is no longer an option in today's changing health care environment. Competition and managed care have caused more organizations to deal with the disruptive physician, rather than look the other way as many did in years past. But it's not an easy task, possibly the toughest of your management career. How should you confront a disruptive physician? By having clearly stated expectations for physician behavior and policies in place for dealing with problem physicians, organizations have a context from which to address the situation.

  15. Negotiation for physicians.

    Science.gov (United States)

    Hill, Micah J; DeCherney, Alan H

    2013-05-01

    Physicians are involved in negotiations on a daily basis. Interactions with patients, support staff, nurses, fellow physicians, administrators, lawyers, and third parties all can occur within the context of negotiation. This article reviews the basic principles of negotiation and negotiation styles, models, and practical tools.

  16. Counselors and the Legalization of Physician-Assisted Suicide.

    Science.gov (United States)

    Kiser, Jerry D.

    1996-01-01

    With the shift in Americans' beliefs regarding legalizing physician-assisted suicide for the terminally ill, counselors must be prepared to counsel clients who have decided to end their lives. For counselors to avoid violating the ethical guidelines established by the American Counseling Association (ACA) regarding these clients, a reevaluation of…

  17. Involve physicians in marketing.

    Science.gov (United States)

    Randolph, G T; Baker, K M; Laubach, C A

    1984-01-01

    Many everyday problems in medical group practice can be attacked by a marketing approach. To be successful, however, this kind of approach must have the full support of those involved, especially the physicians, since they are the principal providers of healthcare services. When marketing is presented in a broad context, including elements such as patient mix, population distribution, and research, physicians are more likely to be interested and supportive. The members of Geisinger Medical Center's Department of Cardiovascular Medicine addressed their patient appointment backlog problem with a marketing approach. Their method is chronicled here and serves as a fine example of how physician involvement in marketing can lead to a positive outcome.

  18. Construct validity and factor structure of the pittsburgh sleep quality index and epworth sleepiness scale in a multi-national study of African, South East Asian and South American college students.

    Directory of Open Access Journals (Sweden)

    Bizu Gelaye

    Full Text Available The Pittsburgh Sleep Quality Index (PSQI and the Epworth Sleepiness Scale (ESS are questionnaires used to assess sleep quality and excessive daytime sleepiness in clinical and population-based studies. The present study aimed to evaluate the construct validity and factor structure of the PSQI and ESS questionnaires among young adults in four countries (Chile, Ethiopia, Peru and Thailand.A cross-sectional study was conducted among 8,481 undergraduate students. Students were invited to complete a self-administered questionnaire that collected information about lifestyle, demographic, and sleep characteristics. In each country, the construct validity and factorial structures of PSQI and ESS questionnaires were tested through exploratory and confirmatory factor analyses (EFA and CFA.The largest component-total correlation coefficient for sleep quality as assessed using PSQI was noted in Chile (r = 0.71 while the smallest component-total correlation coefficient was noted for sleep medication use in Peru (r = 0.28. The largest component-total correlation coefficient for excessive daytime sleepiness as assessed using ESS was found for item 1 (sitting/reading in Chile (r = 0.65 while the lowest item-total correlation was observed for item 6 (sitting and talking to someone in Thailand (r = 0.35. Using both EFA and CFA a two-factor model was found for PSQI questionnaire in Chile, Ethiopia and Thailand while a three-factor model was found for Peru. For the ESS questionnaire, we noted two factors for all four countries.Overall, we documented cross-cultural comparability of sleep quality and excessive daytime sleepiness measures using the PSQI and ESS questionnaires among Asian, South American and African young adults. Although both the PSQI and ESS were originally developed as single-factor questionnaires, the results of our EFA and CFA revealed the multi- dimensionality of the scales suggesting limited usefulness of the global PSQI and ESS

  19. Hitler's Jewish Physicians.

    Science.gov (United States)

    Weisz, George M

    2014-07-01

    The mystery behind the behavior of infamous personalities leaves many open questions, particularly when related to the practice of medicine. This paper takes a brief look at two Jewish physicians who played memorable roles in the life of Adolf Hitler.

  20. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  1. Physician Referral Patterns

    Data.gov (United States)

    U.S. Department of Health & Human Services — The physician referral data was initially provided as a response to a Freedom of Information (FOIA) request. These files represent data from 2009 through June 2013...

  2. Physician Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — This is the official dataset associated with the Medicare.gov Physician Compare Website provided by the Centers for Medicare and Medicaid Services (CMS). These data...

  3. Physician Shared Patient Patterns

    Data.gov (United States)

    U.S. Department of Health & Human Services — The physician referral data linked below was provided as a response to a Freedom of Information Act (FOIA) request. These files represent the number of encounters a...

  4. Asian & Pacific Islander American Health Forum

    Science.gov (United States)

    ... 30 years to build a health equity agenda. Learn More Action for Health Justice Free Health Insurance Glossaries Available in: English, Korean, Laotian, Marshallese, Tagalog, Traditional Chinese, Tongan, and Vietnamese. ...

  5. Asian Indians in America: The influence of values and culture on mental health.

    Science.gov (United States)

    Chandra, Rohit M; Arora, Lily; Mehta, Urvakhsh M; Asnaani, Anu; Radhakrishnan, Rajiv

    2016-08-01

    Asian Indians represent a significant portion of the largest growing race of Asians in the past decade in the United States. This selective review examines major cultural themes related to first- and second-generation Asian Indians living in the United States as they impact psychological and psychiatric dysfunction in this population. Specifically, we review the impact of Asian Indian culture on mental health, discuss the impact of acculturation and ethnic identity development on the mental health of Indian-Americans, and focus on typical mental health problems of Asian Indian adolescents, women and elderly in America. Finally, we provide a brief overview of empirically-supported treatment approaches and cultural considerations for additional treatments relevant to this population. This review is intended to provide an important foundation for more systematic empirically-driven investigation into better understanding how Asian Indian cultural themes impact mental health for Indian-Americans, and how to develop effective treatments for these issues in this cultural group.

  6. Central Asian Republic Info

    Data.gov (United States)

    US Agency for International Development — CAR Info is designed and managed by the Central Asian Republic Mission to fill in the knowledge and reporting gaps in existing agency systems for that Mission. It...

  7. The Asian war bow

    CERN Document Server

    Nieminen, Timo A

    2011-01-01

    The bow is one of the earliest complex machines, a prime example of the storage and transfer of energy. The physics of the bow illuminates compromises and design choices made in Asian military archery.

  8. Asian Art on Display

    DEFF Research Database (Denmark)

    Borggreen, Gunhild Ravn

    2010-01-01

    Med udgangspunkt i seminaret Visualising Asian Modernity diskuteres forholdet mellem antropologi og samtidskunst i lyset af hvorledes asiatisk kunst fremvises og formidles i vestlig og dansk sammenhæng....

  9. Glaucoma in Asian Populations

    Science.gov (United States)

    ... Us Donate In This Section Glaucoma In Asian Populations email Send this article to a friend by ... an even more serious problem as the world population and longevity increases. The other major glaucoma type ...

  10. The South Asian genome.

    Directory of Open Access Journals (Sweden)

    John C Chambers

    Full Text Available The genetic sequence variation of people from the Indian subcontinent who comprise one-quarter of the world's population, is not well described. We carried out whole genome sequencing of 168 South Asians, along with whole-exome sequencing of 147 South Asians to provide deeper characterisation of coding regions. We identify 12,962,155 autosomal sequence variants, including 2,946,861 new SNPs and 312,738 novel indels. This catalogue of SNPs and indels amongst South Asians provides the first comprehensive map of genetic variation in this major human population, and reveals evidence for selective pressures on genes involved in skin biology, metabolism, infection and immunity. Our results will accelerate the search for the genetic variants underlying susceptibility to disorders such as type-2 diabetes and cardiovascular disease which are highly prevalent amongst South Asians.

  11. Survey shows consumers open to a greater role for physician assistants and nurse practitioners.

    Science.gov (United States)

    Dill, Michael J; Pankow, Stacie; Erikson, Clese; Shipman, Scott

    2013-06-01

    Impending physician shortages in the United States will necessitate greater reliance on physician assistants and nurse practitioners, particularly in primary care. But how willing are Americans to accept that change? This study examines provider preferences from patients' perspective, using data from the Association of American Medical Colleges' Consumer Survey. We found that about half of the respondents preferred to have a physician as their primary care provider. However, when presented with scenarios wherein they could see a physician assistant or a nurse practitioner sooner than a physician, most elected to see one of the other health care professionals instead of waiting. Although our findings provide evidence that US consumers are open to the idea of receiving care from physician assistants and nurse practitioners, it is important to consider barriers to more widespread use, such as scope-of-practice regulations. Policy makers should incorporate such evidence into solutions for the physician shortage.

  12. Physicians' Abdominal Auscultation

    DEFF Research Database (Denmark)

    John, Gade; Peter, Kruse; Andersen, Ole Trier

    1998-01-01

    Background: Abdominal auscultation has an important position in the physical examination of the abdomen. Little is known about rater agreement. The aim of this study was to describe rater agreement and thus, indirectly, the value of the examination. Methods: In a semi-virtual setup 12 recordings...... of the intestinal sounds from 8 patients with acute abdominal pain and 4 healthy volunteers were presented to 100 physicians. The physicians were asked to characterize the intestinal sounds as normal or pathologic. Fisher's exact test was used for comparison between groups of physicians. Results: Overall, 72......% of the answers with regard to healthy volunteers concluded that the sounds were normal (equalling agreement), whereas 64% of answers with regard to intestinal obstruction concluded that the sounds were pathologic (but agreement was higher due to agreement on wrong diagnosis in one case). Bowel sounds from...

  13. Marital stability among physicians.

    Science.gov (United States)

    Rose, K D; Rosow, I

    1972-03-01

    Analysis of 57,514 initial complaints for divorce, separate maintenance, and annulment filed in California during the first six months of 1968 reveals that physicians are considerably less prone to marital failure than men of comparable age in the general population. Furthermore, when compared to professionals in general, doctors also appear less prone to marital collapse. For physicians, marriages break down in the greatest numbers and at the greatest rate between the ages of 35 and 44. Women doctors are at least 40% more prone to marital instability than men, and black physicians are nearly 70% more prone to divorce than their white colleagues. Of the individual specialists, orthopedists and psychiatrists possibly have the highest rates of marital demise.

  14. Instrumentation problems for physicians.

    Science.gov (United States)

    Turner, G O

    1980-01-01

    The physician has, for whatever reasons, diminished his or her level of involvement on the team dedicated to developing, refining, and evaluating medical technology. As a result, the challenge confronting the physician and the technology development team today is to orchestrate a team structure that will ensure the greatest input and commitment from physicians and other professionals during current and future technology development. The charges of cost escalation and dehumanization in our system of health care delivery will also be discussed, as will the lack of, or confusion about, access to data concerning cost of a given instrument, and fuzzy semantics and perspectives on technology and instrumentation. The author suggests answers to, or means to ameliorate, the problems.

  15. Leasing physician office space.

    Science.gov (United States)

    Murray, Charles

    2009-01-01

    When leasing office space, physicians should determine the effective lease rate (ELR) for each building they are considering before making a selection. The ELR is based on a number of factors, including building quality, building location, basic form of lease agreement, rent escalators and add-on factors in the lease, tenant improvement allowance, method of square footage measurement, quality of building management, and other variables. The ELR enables prospective physician tenants to accurately compare lease rates being quoted by building owners and to make leasing decisions based on objective criteria.

  16. [Hippocrates' treatise physician].

    Science.gov (United States)

    Frøland, Anders

    2005-01-01

    This small treatise does not appear to have been published in Danish in its entirety. It gives a vivid picture of the physician in ancient Greece. The well known first chapter describes the attitudes and attributes of the doctor. It goes on discussing in some detail how the light should be in the surgery, the instruments to be used, the preparations of bandages and drugs, and the use of cupping instruments. The author stresses both the needs of the patient and the necessity of the physician's dignity and integrity.

  17. Racial Discrimination and Psychological Distress: The Impact of Ethnic Identity and Age among Immigrant and United States-Born Asian Adults

    Science.gov (United States)

    Yip, Tiffany; Gee, Gilbert C.; Takeuchi, David T.

    2008-01-01

    The association between racial and ethnic discrimination and psychological distress was examined among 2,047 Asians (18 to 75 years of age) in the National Latino and Asian American Study, the first-ever nationally representative study of mental health among Asians living in the United States. Stratifying the sample by age in years (i.e., 18 to…

  18. Quality of care in inflammatory bowel disease in Asia: the results of a multinational web-based survey in the 2nd Asian Organization of Crohn's and Colitis (AOCC) meeting in Seoul

    Science.gov (United States)

    Song, Hye Kyung; Jung, Sung-Ae; Hong, Sung Noh; Han, Dong Soo; Yang, Suk-Kyun

    2016-01-01

    Background/Aims The quality of care in inflammatory bowel disease (IBD) has not been systematically estimated. The aim of this study was to investigate the current status of quality of IBD care in Asian countries. Methods A questionnaire-based survey was conducted between March 2014 and May 2014. The questionnaire was adopted from "An adult inflammatory bowel disease physician performance measure set" developed by the American Gastroenterological Association. If the respondent executed the performance measure in more than 70% of patients, the measure was regarded as well performed. Results A total of 353 medical doctors from Asia completed the survey (116 from Korea, 114 from China, 88 from Japan, 17 from Taiwan, 8 from Hong-Kong, 4 from India, 3 from Singapore, and 1 each from the Philippines, Malaysia and Indonesia). The delivery of performance measures, however, varied among countries. The documentation of IBD and tuberculosis screening before anti-tumor necrosis factor therapy were consistently performed well, while pneumococcal immunization and prophylaxis of venous thromboembolisms in hospitalized patients were performed less frequently in all countries. Physician awareness was positively associated with the delivery of performance measures. Variations were also noted in reasons for non-performance or low performance of quality measures, and the two primary reasons cited were consideration of the measure to be unimportant and lack of time. Conclusions The delivery of performance measures varies among physicians in Asian countries, and reflects variations in the quality of care among the countries. This variation should be recognized to improve the quality of care in Asian countries. PMID:27433146

  19. Physicians in transition.

    Science.gov (United States)

    Bluestein, P

    1995-12-01

    The study of physicians as managed care executives has been relatively recent. Much of what was written in the past focused primarily on doctors who had taken hospital-based administrative positions, especially as medical directors or vice presidents of medical affairs.1 But the '80s brought rising health care costs and the emergence of the "O's"--HMOs, PPOs, UROs, EPOs, PHOs, H2Os, and Uh-Ohs--in response. It also brought a growing number of physicians who traded their white coats and their particular "ologies" for the blue suits of executive management. I am convinced that it is important now, and will be increasingly important in the future, to better understand that transition. That belief led me to undertake, with the help and support of ACPE, the survey that is reported in this article. A questionnaire was sent in 1994 to a random sample of 300 managed care physician executive members of ACPE. Responses were returned by 225 members, a response rate of better than 80 percent. Twenty-five of the responses were not applicable, having been returned by physicians who had never made a transition from clinical careers. The remaining 230 responses form the basis for this report.

  20. Information for travellers' physicians.

    Science.gov (United States)

    Allison, D J; Blinco, K

    1990-07-01

    Physicians can obtain advice about international travel for their patients from many different sources of information. The authors review some of the most common sources based on their experience at the International Travellers' Clinic operated by the New Brunswick Department of Health and Community Services in Fredericton. They identify readily available handbooks and periodicals and compare two computer software programs.

  1. Information for Travellers' Physicians

    OpenAIRE

    Allison, David J; Blinco, Kimberley

    1990-01-01

    Physicians can obtain advice about international travel for their patients from many different sources of information. The authors review some of the most common sources based on their experience at the International Travellers' Clinic operated by the New Brunswick Department of Health and Community Services in Fredericton. They identify readily available handbooks and periodicals and compare two computer software programs.

  2. Medication counselling: physicians' perspective.

    Science.gov (United States)

    Bonnerup, Dorthe Krogsgaard; Lisby, Marianne; Eskildsen, Anette Gjetrup; Saedder, Eva Aggerholm; Nielsen, Lars Peter

    2013-12-01

    Medication reviews have the potential to lower the incidence of prescribing errors. To benefit from a medication review, the prescriber must adhere to medication counselling. Adherence rates vary from 39 to 100%. The aim of this study was to examine counselling-naive hospital physicians' perspectives and demands to medication counselling as well as study factors that might increase adherence to the counselling. The study was conducted as a questionnaire survey among physicians at Aarhus University Hospital, Denmark. The questionnaire was developed based on focus group interviews and literature search, and was pilot-tested among 30 physicians before being sent to 669 physicians. The questionnaire consisted of 35 items divided into four categories: attitudes (19 items), behaviours (3 items), assessment (8 items) and demographics (5 items). The response rate was 60% (400/669). Respondents were employed at psychiatric, medical or surgical departments. Eighty-five per cent of respondents agreed that patients would benefit of an extra medication review, and 72% agreed that there was a need for external medication counselling. The most important factor that could increase adherence was the clinical relevance of the counselling as 78% rated it of major importance. The most favoured method for receiving counselling was via the electronic patient record.

  3. Physicians and Insider Trading.

    Science.gov (United States)

    Kesselheim, Aaron S; Sinha, Michael S; Joffe, Steven

    2015-12-01

    Although insider trading is illegal, recent high-profile cases have involved physicians and scientists who are part of corporate governance or who have access to information about clinical trials of investigational products. Insider trading occurs when a person in possession of information that might affect the share price of a company's stock uses that information to buy or sell securities--or supplies that information to others who buy or sell--when the person is expected to keep such information confidential. The input that physicians and scientists provide to business leaders can serve legitimate social functions, but insider trading threatens to undermine any positive outcomes of these relationships. We review insider-trading rules and consider approaches to securities fraud in the health care field. Given the magnitude of the potential financial rewards, the ease of concealing illegal conduct, and the absence of identifiable victims, the temptation for physicians and scientists to engage in insider trading will always be present. Minimizing the occurrence of insider trading will require robust education, strictly enforced contractual provisions, and selective prohibitions against high-risk conduct, such as participation in expert consulting networks and online physician forums, by those individuals with access to valuable inside information.

  4. Counties Without a Physician.

    Science.gov (United States)

    Getz, Virginia

    1982-01-01

    Uses a budgeting technique to determine if free-market incentives or forces would provide an economic base sufficient to support medical professionals who might practice in the approximately 140 U.S. counties that lack a physician (located mainly in a narrow band from west Texas north through South Dakota). (AH)

  5. The ideal physician entrepreneur.

    Science.gov (United States)

    Bottles, K

    2000-01-01

    How does the sometimes elusive and high-stakes world of venture capital really work? How can physician executives with innovative ideas or new technologies approach venture capitalists to help them raise capital to form a start-up company? These important questions are explored in this new column on the physician as entrepreneur. The ideal physician executive is described as: (1) an expert in an area that Wall Street perceives as hot; (2) a public speaker who can enthusiastically communicate scientific and business plans to a variety of audiences; (3) a team leader who is willing to share equity in the company with other employees; (4) a recruiter and a motivator; (5) an implementer who can achieve milestones quickly that allow the company to go public as soon as possible; and (6) a realist who does not resent the terms of the typical deal. The lucrative world of the venture capitalists is foreign territory for physician executives and requires a great idea, charisma, risk-taking, connections, patience, and perseverance to navigate it successfully.

  6. Physician Satisfaction and Physician Well-Being: Should Anyone Care?

    Directory of Open Access Journals (Sweden)

    Lawrence P. Casalino

    2015-05-01

    Full Text Available We present a model of hypothesized relationships between physician satisfaction, physician well-being and the quality of care, in addition to a review of relevant literature. The model suggests that physicians who are stressed, burned out, depressed, and/or have poor self-care are more likely to be dissatisfied, and vice-versa. Both poor physician well-being and physician dissatisfaction are hypothesized to lead to diminished physician concentration, effort, empathy, and professionalism. This results in misdiagnoses and other medical errors, a higher rate of inappropriate referrals and prescriptions, lower patient satisfaction and adherence to physician recommendations, and worse physician performance in areas not observed by others. Research to date largely supports the model, but high quality studies are few. Research should include studies that are prospective, larger, and have a stronger analytic design, ideally including difference in differences analyses comparing quality of care for patients of physicians who become dissatisfied to those who remain satisfied, and vice versa.Keywords: physician satisfaction, physician dissatisfaction, quality of care, physician well-being, physician burnout 

  7. Asian Americans and American Immigration and Naturalization Policy

    Directory of Open Access Journals (Sweden)

    Yvonne Walter

    2007-01-01

    Full Text Available Since its beginnings, the United States has been heralded as a nation of immigrants, a safe heaven for those who have to leave their homes, be the reasons hunger, political or religious persecution, the desire for land or the possibility of finding work. This self-perception as a country of immigration has been carved in stone at the foot of the symbol of the immigrant nation, the Statue of liberty.

  8. XX1 Asian chestnut gall wasp (Dryocosmus kuriphilus) (Hymenoptera: Cynipidae)

    Science.gov (United States)

    The Asian chestnut gall wasp, Dryocosmus kuriphilus, is an invasive pest of chestnut in Japan, Europe, and the United States. D. kuriphilus induces formation of galls on all chestnut species. Damage caused by galling reduces commercial chestnut yields and threatens restoration of American chestnut i...

  9. Report to the Governor on Discrimination Against Asians.

    Science.gov (United States)

    Washington State Commission on Asian-American Affairs, Olympia.

    The purpose of this report is to stimulate discussion, promote understanding, develop better awareness, and thereby bring about action to make necessary changes toward racial equality and justice. The public hearing conducted on March 3, 1973 by the Washington State Asian American Advisory Council brought attention to the fact that racism has and…

  10. Physician Information Seeking Behaviors: Are Physicians Successful Searchers?

    Science.gov (United States)

    Swiatek-Kelley, Janice

    2010-01-01

    In the recent past, physicians found answers to questions by consulting colleagues, textbooks, and professional journals. Now, the availability of medical information through electronic resources has changed physician information-seeking behaviors. Evidence-based medicine is now the accepted decision-making paradigm, and a physician's ability to…

  11. Primary care physician characteristics associated with cancer screening: a retrospective cohort study in Ontario, Canada.

    Science.gov (United States)

    Lofters, Aisha K; Ng, Ryan; Lobb, Rebecca

    2015-02-01

    Primary care physicians can serve as both facilitators and barriers to cancer screening, particularly for under-screened groups such as immigrant patients. The objective of this study was to inform physician-targeted interventions by identifying primary care physician characteristics associated with cancer screening for their eligible patients, for their eligible immigrant patients, and for foreign-trained physicians, for their eligible immigrant patients from the same world region. A population-based retrospective cohort study was performed, looking back 3 years from 31 December 2010. The study was performed in urban primary care practices in Ontario, Canada's largest province. A total of 6303 physicians serving 1,156,627 women eligible for breast cancer screening, 2,730,380 women eligible for cervical screening, and 2,260,569 patients eligible for colorectal screening participated. Appropriate breast screening was defined as at least one mammogram in the previous 2 years, appropriate cervical screening was defined as at least one Pap test in the previous 3 years, and appropriate colorectal screening as at least one fecal occult blood test in the previous 2 years or at least one colonoscopy or barium enema in the previous 10 years. Just fewer than 40% of physicians were female, and 26.1% were foreign trained. In multivariable analyses, physicians who attended medical schools in the Caribbean/Latin America, the Middle East/North Africa, South Asia, and Western Europe were less likely to screen their patients than Canadian graduates. South Asian-trained physicians were significantly less likely to screen South Asian women for cervical cancer than other foreign-trained physicians who were seeing region-congruent patients (adjusted odds ratio: 0.56 [95% confidence interval 0.32-0.98] versus physicians from the USA, Australia and New Zealand). South Asian patients were the most vulnerable to under-screening, and decreasing patient income quintile was consistently

  12. Spatial error in geocoding physician location data from the AMA Physician Masterfile: implications for spatial accessibility analysis.

    Science.gov (United States)

    McLafferty, Sara; Freeman, Vincent L; Barrett, Richard E; Luo, Lan; Shockley, Alisa

    2012-04-01

    The accuracy of geocoding hinges on the quality of address information that serves as input to the geocoding process; however errors associated with poor address quality are rarely studied. This paper examines spatial errors that arise due to incorrect address information with respect to physician location data in the United States. Studies of spatial accessibility to physicians in the U.S. typically rely on data from the American Medical Association's Physician Masterfile. These data are problematic because a substantial proportion of physicians only report a mailing address, which is often the physician's home (residential) location, rather than the address for the location where health care is provided. The incorrect geocoding of physicians' practice locations based on inappropriate address information results in a form of geocoding error that has not been widely analyzed. Using data for the Chicago metropolitan region, we analyze the extent and implications of geocoding error for measurement of spatial accessibility to primary care physicians. We geocode the locations of primary care physicians based on mailing addresses and office addresses. The spatial mismatch between the two is computed at the county, zip code and point location scales. Although mailing and office address locations are quite close for many physicians, they are far apart (>20 km) for a substantial minority. Kernel density estimation is used to characterize the spatial distribution of physicians based on office and mailing addresses and to identify areas of high spatial mismatch between the two. Errors are socially and geographically uneven, resulting in overestimation of physician supply in some high-income suburban communities, and underestimation in certain central city locations where health facilities are concentrated. The resulting errors affect local measures of spatial accessibility to primary care, biasing statistical analyses of the associations between spatial access to care and

  13. Changing physician prescribing behaviour.

    Science.gov (United States)

    Gray, J

    2006-01-01

    Didactic approaches to educating physicians and/or other health professionals do not produce changes in learner behaviour. Similarly, printed materials and practice guidelines have not been shown to change prescribing behaviour. Evidence-based educational approaches that do have an impact on provider behaviour include: teaching aimed at identified learning needs; interactive educational activities; sequenced and multifaceted interventions; enabling tools such as patient education programs, flow charts, and reminders; educational outreach or academic detailing; and audit and feedback to prescribers. Dr. Jean Gray reflects over the past 25 years on how there has been a transformation in the types of activities employed to improve prescribing practices in Nova Scotia. The evolution of Continuing Medical Education (CME) has resulted in the creation of the Drug Evaluation Alliance of Nova Scotia (DEANS) program, which is one exemplar of an evidence-based educational approach to improving physician prescribing in that province. Key words: Evidence-based, education, prescribing.

  14. Physicians in literature: three portrayals.

    Science.gov (United States)

    Cameron, I A

    1986-02-01

    Literature can provide an objective glimpse of how the public perceives physicians. Physicians have been recipients of the full range of human response in literature, from contempt to veneration. This article examines the impressions of three authors: Mark Twain, Sir Arthur Conan Doyle, and Arthur Hailey. Their descriptions provide insight into the complex relationship physicians have with their colleagues and patients.

  15. Scrolling and Strolling, Asian Style

    Science.gov (United States)

    Sterling, Joan

    2012-01-01

    In this article, the author describes a lesson on Asian cultures. Asian cultures demonstrate respect for nature through their art. Students learned how to use Asian brush techniques and designs to create scrolls. They also learned how to write Haiku, a three-line form of poetry that uses a pattern of syllables.

  16. South Asian Diaspora in Scandinavia

    DEFF Research Database (Denmark)

    Singla, Rashmi

    2005-01-01

    and exclusion, individualization and interdependency, these relationships are delineated on the basis of two empirical projects, combined with an array of secondary sources. South Asian youth are becoming a part of the receiving society along with developing their complex diaspora identities through strategies...... societies, South Asian countries and the South Asian diaspora living in Scandinavia....

  17. Physician practice management companies: should physicians be scared?

    Science.gov (United States)

    Scott-Rotter, A E; Brown, J A

    1999-01-01

    Physician practice management companies (PPMCs) manage nonclinical aspects of physician care and control physician groups by buying practice assets. Until recently, PPMCs were a favorite of Wall Street. Suddenly, in early 1998, the collapse of the MedPartners-PhyCor merger led to the rapid fall of most PPMC stock, thereby increasing wariness of physicians to sell to or invest in PPMCs. This article explores not only the broken promises made by and false assumptions about PPMCs, but also suggests criteria that physicians should use and questions would-be PPMC members should ask before joining. Criteria include: demonstrated expertise, a company philosophy that promotes professional autonomy, financial stability, freedom from litigation, and satisfied physicians already in the PPMC. The authors recommend that physicians seek out relatively small, single-specialty PPMCs, which hold the best promise of generating profits and permitting professional control over clinical decisions.

  18. Media images of physicians and nurses in the United States.

    Science.gov (United States)

    Krantzler, N J

    1986-01-01

    This paper analyzes images of physicians and nurses presented in advertisements in the medical and nursing journals JAMA (Journal of the American Medical Association) and AJN (American Journal of Nursing). Advertisements are viewed as hyper-ritualized displays of symbols and rituals associated with medical and nursing practice, both reflecting and reaffirming stereotypes and beliefs that are widely held in the society at large. Trends over the past few decades show that medical advertisements are dropping some traditional symbols (such as the white coat and stethoscope) in favor of depicting science-in-action and high technology. Nursing advertisements, however, are more frequently utilizing the symbols formerly reserved for physicians. Both physicians and nurses are depicted in their respective journals as existing largely independent of one another. While these advertisements clearly do not depict social reality, they present a fictionalized version which reflects and reproduces some of the expressed ideals in medical and nursing practice.

  19. HIV Among Asians

    Science.gov (United States)

    ... Prevention VIH En Español Get Tested Find an HIV testing site near you. Enter ZIP code or city Follow HIV/AIDS CDC HIV CDC HIV/AIDS See RSS | ... Email Updates on HIV Syndicated Content Website Feedback HIV Among Asians Format: Select One File [143K] Recommend ...

  20. A New Asian Alliance

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The inauguration of the China-ASEAN Free Trade Area caps 10 years of fruitful efforts It was not only the birth of a new decade. January 1 also witnessed a day of celebration on the mainland and beyond after Beijing and its partners in the Association of Southeast Asian Nations (ASEAN) fully established the China-ASEAN Free Trade Area (CAFTA).

  1. Asian Yellow Goat Cloned

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ It was released on August 24,2005 by Prof. CHEN Dayuan (Da-Yuan Chen) from the CAS Institute of Zoology that the first success in cloning the Asian Yellow Goat by nuclear transfer had recently been achieved in east China's Shandong Province.

  2. Asian fungal fermented food

    NARCIS (Netherlands)

    Nout, M.J.R.; Aidoo, K.E.

    2010-01-01

    In Asian countries, there is a long history of fermentation of foods and beverages. Diverse micro-organisms, including bacteria, yeasts and moulds, are used as starters, and a wide range of ingredients can be made into fermented foods. The main raw materials include cereals, leguminous seeds, vegeta

  3. Articulating Asianness: Young Asian Dutch and non-homeland Asian popular media

    NARCIS (Netherlands)

    R.A. Kartosen; E.S.H. Tan

    2013-01-01

    This study explores Asian Dutch young people’s ethnic-cultural identification in relation to their media consumption, and specifically their consumption of popular media from Asian countries other than their country of origin. A survey was conducted among 486 Asian Dutch (18-35 years old). In concur

  4. Roles of the Team Physician.

    Science.gov (United States)

    Kinderknecht, James

    2016-07-01

    The roles of the team physician are much more than providing medical coverage at a sport's event. The team physician has numerous administrative and medical responsibilities. The development of an emergency action plan is an essential administrative task as an example. The implementation of the components of this plan requires the team physician to have the necessary medical knowledge and skill. An expertise in returning an athlete to play after an injury or other medical condition is a unique attribute of the trained team physician. The athlete's return to participation needs to start with the athlete's safety and best medical interests but not inappropriately restrict the individual from play. The ability to communicate on numerous levels needs to be a characteristic of the team physician. There are several potential ethical conflicts the team physician needs to control. These conflicts can create unique medicolegal issues. The true emphasis of the team physician is to focus on what is best for the athlete.

  5. Patients' and physicians' attitudes regarding the physician's professional appearance.

    Science.gov (United States)

    Gjerdingen, D K; Simpson, D E; Titus, S L

    1987-07-01

    Although physician appearance has been a topic of interest to medical historians for more than two centuries, little objective investigation has been made into patients' and physicians' attitudes toward the physician's appearance. This study analyzed responses from 404 patients, residents, and staff physicians regarding their attitudes toward various aspects of the male and female physician's professional appearance. Positive responses from all participants were associated with traditional items of dress such as the dress, shirt and tie, dress shoes, and nylons, and for physician-identifying items such as a white coat and a name tag. Negative responses were associated with casual items such as blue jeans, scrub suits, athletic shoes, clogs, and sport socks. Negative ratings were also associated with overly feminine items such as prominent ruffles and female dangling earrings and such temporarily fashionable items as long hair on men, male earrings, and patterned hose on women. Overall, patients were less discriminating in their attitude toward physician appearance than physicians. Patients rated traditional items less positively and casual items less negatively. This study confirms the importance of the physician's appearance in physician-patient communication.

  6. Too Many Americans Have High Blood Pressure, Doctors Warn

    Science.gov (United States)

    ... news/fullstory_163468.html Too Many Americans Have High Blood Pressure, Doctors Warn With February designated National Heart Month, ... physicians warns that too many Americans struggle with high blood pressure. High blood pressure is a major risk factor ...

  7. Orientalism in contemporary Asian American literature : mounting Madame Butterfly on the Asian American needle

    OpenAIRE

    Bahety, Shruti

    2009-01-01

    Representations of the unknown and the foreign can be found in every culture. Paralleling the method of constructing identity in relation to the Other, all cultures create myths about the ‘foreign’ in order to discern what the ‘native’ is, and thus often essentialize them as either good or bad, ultimately to vindicate one’s own actions and values. The nature of myths has it as such that they lend themselves to images, which are easily transformed into representations. Representations of the f...

  8. (Un)Necessary Toughness?: Those "Loud Black Girls" and Those "Quiet Asian Boys."

    Science.gov (United States)

    Lei, Joy L.

    2003-01-01

    Examines the process of identity construction and its relationship to discursive and representational acts in producing students as academic and social beings. Drawing on Judith Butler's work on gender performativity, the paper highlights African American female and southeast Asian American male high school students, analyzing the symbolic and…

  9. Mental Illness Stigma as a Mediator of Differences in Caucasian and South Asian College Students' Attitudes toward Psychological Counseling

    Science.gov (United States)

    Loya, Fred; Reddy, Radhika; Hinshaw, Stephen P.

    2010-01-01

    Previous research has established that Asian Americans use mental health services less frequently and hold poorer attitudes toward psychological counseling than Caucasians. The authors directly tested whether stigmatizing beliefs regarding mental illness might explain such differential attitudes toward counseling in a South Asian and Caucasian…

  10. Mood disorders in Asians.

    Science.gov (United States)

    Yeung, Albert; Chang, Doris

    2014-02-01

    Mood disorders are disorders that have a disturbance in mood as the predominant feature. They are common psychiatric disorders and are associated with significant distress and functional impairment. As the theory of mood disorders is based on the philosophy of mind/body dichotomy in the West, it contradicts the holistic tradition of medicine in the East. This may partially explain why many Asians with mood disorders emphasize their physical symptoms in discussions with their treatment providers. In the development of the DSM and ICD diagnostic systems, it is presumed that the diagnostic categories are applicable to all races and ethnicities. Similarly, many consider pharmacological and psychological treatment approaches to mood disorders universally applicable. To effectively treat Asians with mood disorders, clinicians need to customize biological and psychosocial interventions in consideration of patients' potential genetic and cultural differences.

  11. Is Asian Currency Unit Attractive to East Asian Economies?

    Institute of Scientific and Technical Information of China (English)

    Bin Zhang; Fan He

    2007-01-01

    Pegging the RMB exchange rate to the Asian currency unit (ACU) has not, at least in the short term, been proved a better solution than pegging to the US dollar or pegging to a G-3 (US$, Japaneseyen and euro) currency basket. Although the Asian currency unit can help Asian economies to keep the relative price of regional currencies stable, the cost of joining a formal regional monetary cooperation is the relinquishment of the autonomy of their domestic policies. Asian monetary cooperation needs to provide more potential benefits if it is to attract Asian economies. We argue that Asian monetary cooperation should be designed to solve the problem of regional trade imbalance, and regional exchange rate policy coordination should be adopted as the first step towards exchange rate cooperation.

  12. Patient Preferences and Physician Practice Patterns Regarding Breast Radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Hoopes, David J., E-mail: david.hoopes@wpafb.af.mil [Uniformed Services University of the Health Sciences, Department of Radiology and Radiological Sciences, WPAFB, OH (United States); Kaziska, David; Chapin, Patrick [Air Force Institute of Technology, WPAFB, OH (United States); Weed, Daniel [Clarian Healthcare, Methodist Hospital, Department of Radiation Oncology, Indianapolis, IN (United States); Smith, Benjamin D. [M.D. Anderson Cancer Center, Department of Radiation Oncology, Houston, TX (United States); Hale, E. Ronald [Wright-Patterson Medical Center, Department of Radiation Oncology, WPAFB, OH (United States); Johnstone, Peter A. [Indiana University School of Medicine, Department of Radiation Oncology, Indianapolis, IN (United States)

    2012-02-01

    Purpose: There are multiple current strategies for breast radiotherapy (RT). The alignment of physician practice patterns with best evidence and patient preferences will enhance patient autonomy and improve cancer care. However, there is little information describing patient preferences for breast RT and physician practice patterns. Methods and Materials: Using a reliable and valid instrument, we assessed the preferences of 5,000 randomly selected women (with or without cancer) undergoing mammography. To assess practice patterns, 2,150 randomly selected physician-members of American Society for Radiation Oncology were surveyed. Results: A total of 1,807 women (36%) and 363 physicians (17%) provided usable responses. The 95% confidence interval is < {+-}2.3% for patients and < {+-}5.3% for physicians. Patient preferences were hypofractionated whole breast irradiation (HF-WBI) 62%, partial breast irradiation (PBI) 28%, and conventionally fractionated whole breast irradiation (CF-WBI) 10%. By comparison, 82% of physicians use CF-WBI for more than 2/3 of women and 56% never use HF-WBI. With respect to PBI, 62% of women preferred three-dimensional (3D)-PBI and 38% favor brachytherapy-PBI, whereas 36% of physicians offer 3D-PBI and 66% offer brachytherapy-PBI. 70% of women prefer once-daily RT over 10 days vs. twice-daily RT over 5 days. 55% of physicians who use PBI do not offer PBI on clinical trial. Conclusions: HF-WBI, while preferred by patients and supported by evidence, falls behind the unproven and less preferred strategy of PBI in clinical practice. There is a discrepancy between women's preferences for PBI modality and type of PBI offered by physicians. Further alignment is needed between practice patterns, patient preferences, and clinical evidence.

  13. Physicians in Nursing Homes: Effectiveness of Physician Accountability and Communication

    Science.gov (United States)

    Lima, Julie C; Intrator, Orna; Wetle, Terrie

    2015-01-01

    Objectives To develop a measure of the perceptions of nursing home (NH) Directors of Nursing (DON) on the adequacy of physician care and to examine its variation as well as its construct validity. Design A nationwide cross-sectional study with primary data collection Setting 2043 NHs surveyed August 2009 – April 2011 Participants Directors of Nursing (DONs) and NH Administrators responded to questions pertaining to their perceptions of the care provided by physicians in their NH. Measurements Ten items were used to create three domains: medical staff attentiveness, physician communication, and staff concerns about physician practice. These were combined into an overall summary score measure called “Effectiveness of Physician Accountability and Communication” (EPAC). EPAC construct validity was ascertained from other DON questions and from a complementary survey of NH Administrators. RESULTS The established EPAC score is the first measure to capture specific components of the adequacy of physician care in NHs. EPAC exhibited good construct validity: more effective practices were correlated with greater physician involvement in discussions of Do-Not-Resuscitate orders, the frequency that the Medical Director checked on the medical care delivered by attending physician, the tightness of nursing home's control of its physician resources, and the DON's perception of whether or not avoidable hospitalizations and ER visits could be reduced with greater physician attention to resident needs. Conclusion As increased attention is given to the quality of care provided to vulnerable elders, effective measures of processes of care are essential. The EPAC measure provides an important new metric that can be used in these efforts. The goal is that future studies could use EPAC and its individual domains to shed light on the manner through which physician presence is related to resident outcomes in the NH setting. PMID:25858283

  14. Fractals for physicians.

    Science.gov (United States)

    Thamrin, Cindy; Stern, Georgette; Frey, Urs

    2010-06-01

    There is increasing interest in the study of fractals in medicine. In this review, we provide an overview of fractals, of techniques available to describe fractals in physiological data, and we propose some reasons why a physician might benefit from an understanding of fractals and fractal analysis, with an emphasis on paediatric respiratory medicine where possible. Among these reasons are the ubiquity of fractal organisation in nature and in the body, and how changes in this organisation over the lifespan provide insight into development and senescence. Fractal properties have also been shown to be altered in disease and even to predict the risk of worsening of disease. Finally, implications of a fractal organisation include robustness to errors during development, ability to adapt to surroundings, and the restoration of such organisation as targets for intervention and treatment.

  15. Physician revalidation in Europe.

    Science.gov (United States)

    Merkur, Sherry; Mossialos, Elias; Long, Morgan; McKee, Martin

    2008-08-01

    Despite the increasing attention on patient mobility, there remains a lack of European-level interest in assuring the sustained competence of health professionals. Specifically, the existing European legal framework fails to recognise the introduction of periodic revalidation and requirements to participate in continuing professional development in some countries. This study shows that the definitions and mechanisms of revalidation vary significantly across member states. While some countries, eg Austria, Germany and Spain, look to continuing medical education as a means to promote recertification and quality of care, other countries, eg Belgium, France and the Netherlands, also incorporate peer review. In the UK the proposed revalidation scheme would include elements of relicensure through appraisal and feedback as well as physician recertification. Divergence between countries also exists in monitoring and enforcement. The European Commission should explore the implications for professional mobility of the diversity in the regulation of the medical profession.

  16. Current Update in Asian Rhinoplasty

    Directory of Open Access Journals (Sweden)

    Clyde H. Ishii, MD, FACS

    2014-04-01

    Full Text Available Summary: There has been a tremendous growth of cosmetic surgery among Asians worldwide. Rhinoplasty is second only to blepharoplasty in terms of popularity among Asians regarding cosmetic surgical procedures. Most Asians seek to improve their appearance while maintaining the essential features of their ethnicity. There are considerable ethnic nasal and facial variations in this population alone. Successful rhinoplasty in Asians must take into account underlying anatomic differences between Asians and whites. Due to ethnic variations, cultural differences, and occasional language barriers, careful preoperative counseling is necessary to align the patient’s expectations with the limitations of the procedure. This article will review the many facets of Asian rhinoplasty as it is practiced today.

  17. Lay health educators within primary care practices to improve cancer screening uptake for South Asian patients: challenges in quality improvement

    Science.gov (United States)

    Lofters, AK; Vahabi, M; Prakash, V; Banerjee, L; Bansal, P; Goel, S; Dunn, S

    2017-01-01

    Background Cancer screening uptake is known to be low among South Asian residents of Ontario. The objective of this pilot study was to determine if lay health educators embedded within the practices of primary care providers could improve willingness to screen and cancer screening uptake for South Asian patients taking a quality improvement approach. Materials and methods Participating physicians selected quality improvement initiatives to use within their offices that they felt could increase willingness to screen and cancer screening uptake. They implemented initiatives, adapting as necessary, for six months. Results Four primary care physicians participated in the study. All approximated that at least 60% of their patients were of South Asian ethnicity. All physicians chose to work with a preexisting lay health educator program geared toward South Asians. Health ambassadors spoke to patients in the office and telephoned patients. For all physicians, ~60% of South Asian patients who were overdue for cancer screening and who spoke directly to health ambassadors stated they were willing to be screened. One physician was able to track actual screening among contacted patients and found that screening uptake was relatively high: from 29.2% (colorectal cancer) to 44.6% (breast cancer) of patients came in for screening within six months of the first phone calls. Although physicians viewed the health ambassadors positively, they found the study to be time intensive and resource intensive, especially as this work was additional to usual clinical duties. Discussion Using South Asian lay health educators embedded within primary care practices to telephone patients in their own languages showed promise in this study to increase awareness about willingness to screen and cancer screening uptake, but it was also time intensive and resource intensive with numerous challenges. Future quality improvement efforts should further develop the phone call invitation process, as well as

  18. An Empirical Study of Asian Crude Oil Premiums

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The price of Middle East crude oil exported to Asian countries has been higher than that to Europe and America for a long period, and this price differential made Asian countries pay more than European and American countries. Prior investigations found that "Asian Crude Oil Premium" did exist at a relatively low oil price level. However, world oil price soared after 2003, making the price of Middle East crude oil exported to European countries or America rise quickly, sometimes even higher than that to Asia. Under this situation, this paper uses the price of Middle East crude oil sold to Europe or America or Asia to test if the premium exists at a high oil price level and concludes that the crude oil price premium of Asia against America does not exist, but the premium of Asia against Europe still exists.

  19. International portfolio diversification: United States and south Asian equity markets

    Directory of Open Access Journals (Sweden)

    Mushtaq Rizwan

    2014-01-01

    Full Text Available This paper explores the dynamic liaison between US and three developing South Asian equity markets in short and long term. To gauge the long-term relationship, we applied Johansen co-integration procedure as all the representative indices are found to be non-stationary at level. The findings illustrate that the US equity market index exhibits a reasonably different movement over time in contrast to the three developing equity markets under consideration. However, the Granger-causality test divulge that the direction of causality scamper from US equity market to the three South Asian markets. It further indicates that within the three developing equity markets the direction of causality emanates from Bombay stock market to Karachi and Colombo. Overall, the results of the study suggest that the American investors can get higher returns through international diversification into developing equity markets, while the US stock market would also be a gainful upshot for South Asian investors.

  20. Physician migration to the U.S.--foreign aid for U.S. manpower.

    Science.gov (United States)

    Ronaghy, H A; Zeighami, E; Zeighami, B

    1976-06-01

    Data were obtained from the American Medical Association on Iranian physicians practicing in the U.S., and from the Iranian Medical Registry on U.S.-trained Iranian physicians who have returned to practice in Iran. There were 2,066 Iranian physicians practicing in the U.S. in 1972, 1,234 (60%) of whom were not undergoing any training. Only 600 of Iran's 9,535 physicians in 1972 had been trained in the United States. Thus, less than one-third of the specialists who have completed training in the U.S. have returned to practice in Iran. The specialist group with the highest rate of return is the combined surgery subspecialties (neurosurgery, thoracic surgery, orthopedic surgery, and plastic surgery). The specialist groups with the lowest rates of return were pathology, anesthesiology, and psychiatry. A comparison is made of the manpower problems Iran faces and the American problems in the area of physician manpower.

  1. "Are We 'Real' Americans?": Cultural Production of "Forever Foreigners" at a Diversity Event

    Science.gov (United States)

    Park, Gilbert C.

    2011-01-01

    Although the history of Asian immigrants dates back to the 17th century, their status as authentic Americans is still questioned today. With this in mind, this article looks at how a diversity event at a racially diverse inner-city high school produces the image of Asian Americans as "forever foreigners." Using qualitative tools like observation…

  2. The Effects of Hospital-Level Factors on Patients' Ratings of Physician Communication.

    Science.gov (United States)

    Al-Amin, Mona; Makarem, Suzanne C

    2016-01-01

    The quality of physician-patient communication influences patient health outcomes and satisfaction with healthcare delivery. Yet, little is known about contextual factors that influence physicians' communication with their patients. The main purpose of this article is to examine organizational-level factors that influence patient perceptions of physician communication in inpatient settings. We used the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and American Hospital Association data to determine patients' ratings of physician communication at the hospital level, and to collect information about hospital-level factors that can potentially influence physician communication. Our sample consisted of 2,756 hospitals. We ran a regression analysis to determine the predictors of poor physician communication, measured as the percentage of patients in a hospital who reported that physicians sometimes or never communicated well. In our sample of hospitals, this percentage ranged between 0% and 21%, with 25% of hospitals receiving poor ratings from more than 6% of patients. Three organizational factors had statistically significant negative associations with physician communication: for-profit ownership, hospital size, and hospitalists providing care in the hospital, On the other hand, the number of full-time-equivalent physicians and dentists per 10,000 inpatient days, physician ownership of the hospital, Medicare share of inpatient days, and public ownership were positively associated with patients' ratings of physician communication. Physician staffing levels are an understudied area in healthcare research. Our findings indicate that physician staffing levels affect the quality of physician communication with patients. Moreover, for-profit and larger hospitals should invest more in physician communication given the role that HCAHPS plays in value-based purchasing.

  3. Physician Requirements-1990. For Cardiology.

    Science.gov (United States)

    Tracy, Octavious; Birchette-Pierce, Cheryl

    Professional requirements for physicians specializing in cardiology were estimated to assist policymakers in developing guidelines for graduate medical education. The determination of physician requirements was based on an adjusted needs rather than a demand or utilization model. For each illness, manpower requirements were modified by the…

  4. Abortion and compelled physician speech.

    Science.gov (United States)

    Orentlicher, David

    2015-01-01

    Informed consent mandates for abortion providers may infringe the First Amendment's freedom of speech. On the other hand, they may reinforce the physician's duty to obtain informed consent. Courts can promote both doctrines by ensuring that compelled physician speech pertains to medical facts about abortion rather than abortion ideology and that compelled speech is truthful and not misleading.

  5. Communicating Drug Information to Physicians

    Science.gov (United States)

    Herman, Colman M.; Rodowskas, Christopher A.

    1976-01-01

    Reviews the studies of researchers who have attempted to identify the sources of drug information, both professional and commercial, utilized by physicians, discussing relationship between physicians' sources and the choice of drugs and severity of conditions being treated. Also notes new sources of drug information being considered by the Food…

  6. South Asian Cluster

    Directory of Open Access Journals (Sweden)

    Ionel Sergiu Pirju

    2014-12-01

    Full Text Available This article aims at presenting the South Asian cluster composed of India, Indonesia, Iran and Malaysia, the intercultural values that characterizes it, the supported leadership style and tracing the main macroeconomic considerations which characterizes them. The research is synchronic, analysing the contemporary situation of these countries without reference to their evolution in time, by using the positivist paradigm that explains the reality at one point. It will be analysed the overall cluster with the existing interactions between the countries that composes it, while the article being one of information will avoid building recommendation, or new theories.

  7. South Asian adolescents' experiences of acculturative stress and coping.

    Science.gov (United States)

    Tummala-Narra, Pratyusha; Deshpande, Anita; Kaur, Jasleen

    2016-03-01

    Despite the significant growth in the South Asian population in the United States over the past 2 decades, the experiences of South Asian adolescents have remained largely invisible. Guided by a socioecological perspective (American Psychological Association, 2012; García Coll & Marks, 2012), this study examined South Asian adolescents' experiences of acculturative stress and approaches to coping with this stress across home and school contexts. A semistructured interview was completed by 16 participants (9 girls, 7 boys; ages 14-18 years) from different South Asian backgrounds, attending an urban public high school in the Northeastern part of the United States. Conventional content analysis was used to analyze the interview data, and revealed 4 broad categories or domains related to participants' experiences as young South Asians in the U.S. These domains include the following: (a) Connection to family, community, and heritage; (b) Challenges to acculturation; (c) Stress accompanying the navigation across cultural contexts; and (d) Coping and resilience. Participants' narratives reflect acculturative stress experienced in home and school contexts which can inhibit psychological well-being and bicultural identity development. The findings have important implications for culturally informed research, intervention, and policy. (PsycINFO Database Record

  8. What makes a physician revenue cycle tick.

    Science.gov (United States)

    Freeman, Thomas; Stephen, Stan

    2011-09-01

    Hospitals should boost the revenue cycle performance of acquired physician practices by: Effectively assimilating the physician practice into the overall organization. Standardizing revenue cycle processes, policies, and tools between the hospital and physician practice. Enhancing physician/patient scheduling policies and procedures. Regularly auditing physician documentation and periodically comparing hospital charges against practice charges. Improving procedures for responding to denials.

  9. Shared consultant physician posts.

    LENUS (Irish Health Repository)

    Cooke, J

    2012-01-31

    Our aim was to assess the acceptability and cost-efficiency of shared consultancy posts. Two consultant physicians worked alternate fortnights for a period of twelve months. Questionnaires were distributed to general practitioners, nurses, consultants and junior doctors affected by the arrangement. Patients or their next of kin were contacted by telephone. 1\\/17 of consultants described the experience as negative. 14\\/19 junior doctors reported a positive experience. 11 felt that training had been improved while 2 felt that it had been adversely affected. 17\\/17 GPs were satisfied with the arrangement. 1\\/86 nurses surveyed reported a negative experience. 1\\/48 patients were unhappy with the arrangement. An extra 2.2 (p<0.001) patients were seen per clinic. Length of stay was shortened by 2.49 days (p<0.001). A saving of 69,212 was made due to decreased locum requirements. We present data suggesting structured shared consultancy posts can be broadly acceptable and cost efficient in Ireland.

  10. Physicians' strikes and the competing bases of physicians' moral obligations.

    Science.gov (United States)

    MacDougall, D Robert

    2013-09-01

    Many authors have addressed the morality of physicians' strikes on the assumption that medical practice is morally different from other kinds of occupations. This article analyzes three prominent theoretical accounts that attempt to ground such special moral obligations for physicians--practice-based accounts, utilitarian accounts, and social contract accounts--and assesses their applicability to the problem of the morality of strikes. After critiquing these views, it offers a fourth view grounding special moral obligations in voluntary commitments, and explains why this is a preferable basis for understanding physicians' moral obligations in general and especially as pertaining to strikes.

  11. What do family physicians consider an error? A comparison of definitions and physician perception

    Directory of Open Access Journals (Sweden)

    Pallerla Harini

    2006-12-01

    Full Text Available Abstract Background Physicians are being asked to report errors from primary care, but little is known about how they apply the term "error." This study qualitatively assesses the relationship between the variety of error definitions found in the medical literature and physicians' assessments of whether an error occurred in a series of clinical scenarios. Methods A systematic literature review and pilot survey results were analyzed qualitatively to search for insights into what may affect the use of the term error. The National Library of Medicine was systematically searched for medical error definitions. Survey participants were a random sample of active members of the American Academy of Family Physicians (AAFP and a selected sample of family physician patient safety "experts." A survey consisting of 5 clinical scenarios with problems (wrong test performed, abnormal result not followed-up, abnormal result overlooked, blood tube broken and missing scan results was sent by mail to AAFP members and by e-mail to the experts. Physicians were asked to judge if an error occurred. A qualitative analysis was performed via "immersion and crystallization" of emergent insights from the collected data. Results While one definition, that originated by James Reason, predominated the literature search, we found 25 different definitions for error in the medical literature. Surveys were returned by 28.5% of 1000 AAFP members and 92% of 25 experts. Of the 5 scenarios, 100% felt overlooking an abnormal result was an error. For other scenarios there was less agreement (experts and AAFP members, respectively agreeing an error occurred: 100 and 87% when the wrong test was performed, 96 and 87% when an abnormal test was not followed up, 74 and 62% when scan results were not available during a patient visit, and 57 and 47% when a blood tube was broken. Through qualitative analysis, we found that three areas may affect how physicians make decisions about error: the

  12. South Asian Families in Diaspora

    DEFF Research Database (Denmark)

    Singla, Rashmi

    2008-01-01

      South Asian Family in Diaspora: Retreat from marriage, myth or reality?   This paper proposes to explore the dynamics of close ties in the South Asian families in the Nordic countries, especially Denmark through intimate partnership formation in the context of late modern societal discourse...

  13. Asian Banks:Leading the Way to Recovery

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The global financial crisis has rocked the American and European Union banking system leaving many Western banks teetering on the verge of bankruptcy. But in the East, Asian banks have fared well so far. But what’s the secret to their success in riding out the crisis? Karen Fawcett, Group Head of Transaction Banking of Standard Chartered Bank, gave her answers in the following article with Beijing Review. Edited excerpts follow:

  14. Pacific Asian Business Programs in the United States

    OpenAIRE

    Chuk C Y Kwok

    1986-01-01

    As Pacific Asia becomes increasingly important in the world economy, business programs are needed for preparing students who want to specialize in this region. This study develops a comprehensive listing of Pacific Asian business programs currently available in the U.S. It is found that the programs vary significantly in terms of length, structure and regional focus. Although there are a few programs of this kind available, the number may still be insufficient. The American business schools m...

  15. The impact of acculturation and acculturative stress on alcohol use across Asian immigrant subgroups.

    Science.gov (United States)

    Park, So-Youn; Anastas, Jeane; Shibusawa, Tazuko; Nguyen, Duy

    2014-06-01

    Acculturation and acculturative stress are examined as predictors of alcohol use among Asian immigrants, using the 2004 National Latino and Asian Americans Survey (NLAAS). Separate regression analyses were conducted for Chinese (n = 600), Filipino (n = 508), and Vietnamese (n = 520) immigrants. Alcohol use varied for the three groups. English proficiency was associated with drinking for all groups. Family conflict was associated with drinking for Chinese immigrants. General acculturative stress and discrimination were associated with drinking for Vietnamese immigrants. Results underscore acculturation and acculturative stress as being contributors to alcohol consumption, and the importance of considering the heterogeneity of Asian immigrants in research on their alcohol use. The study's limitations are noted.

  16. From Archives to Action: Zines, Participatory Culture, and Community Engagement in Asian America

    Directory of Open Access Journals (Sweden)

    Todd Honma

    2016-07-01

    Full Text Available As a pedagogical tool, zines exist at the intersection of radical history, analog creativity, participatory culture, and community engagement. This article highlights the importance of contextualizing zines within a history of social activism to shift the focus of zines from individualism and self motivation to their role in community empowerment and social justice. This is particularly relevant when teaching about the topic of Asian American zines and community engagement. The first half of this article discusses the use of Densho’s online archive of the complete print run of the Asian American movement periodical Gidra as a way to teach students about histories of Asian American independent publishing, racial formation, and community activism. The second part of this article moves from archives to practice, concerning how students can use the skills and knowledge that they learn from these archival materials and apply them to current events and community engagement projects surrounding gentrification and tenants’ rights in Los Angeles Chinatown.

  17. HCMR interviews physician administrator leaders. Interview by Michael J. Enright.

    Science.gov (United States)

    Edwards, C; Henry, R A; Kiser, W S; Mayberry, W E; Kaufman, R P

    1984-01-01

    This interview departs from HCMR's usual format, interviewing several leaders in health care administration for their ideas on current economic pressures, the impact of competition and joint ventures, attitudes toward equity and capital formation, and competition between the interest of clinical medicine and the cost of care. The physician administrators interviewed hold senior administrative positions: Charles Edwards, President and Chief Executive Officer of Scripps Clinic and Research Foundation; Robert A. Henry, President and Chief Executive Officer of Swedish-American Corporation; William S. Kiser, Chairman of the Board of Governors at Cleveland Clinic Foundation; W. Eugene Mayberry, Chairman of the Board of Governors at Mayo Clinic; and Ronald P. Kaufman, Vice-President for Medical Affairs of George Washington University Hospital. All are members of the Board of Regents or Fellows of the American College of Physician Executives.

  18. Special article: physician burnout-the experience of three physicians

    Directory of Open Access Journals (Sweden)

    Raschke RA

    2015-04-01

    Full Text Available No abstract available. Article truncated at 150 words. Our fellowship held a discussion on physician burnout which was facilitated by Kris Cooper PhD, a psychologist who has long experience working with struggling physicians. We were joined by three physicians who volunteered to share their personal experiences regarding burnout. Each of these three physicians are exceptional in their devotion to their profession, high self-expectation, and level of professional achievement. Yet the commendable personal characteristics they share may have actually set them up to ultimately suffer burnout. Each of them responded to burnout in a different way. The first physician is an intensivist who left work suddenly 6 months ago, likely never to return. Over a long career, this physician had earned the respect of his colleagues and was beloved by the nurses for seeming to always knowing the right thing to do and dedicating himself fully to the care of the sickest patients and their families. For most of ...

  19. An analogue study of the effects of asian cultural values and counselor multicultural competence on counseling process.

    Science.gov (United States)

    Li, Lisa C; Kim, Bryan S K; O'Brien, Karen M

    2007-03-01

    One-hundred-and-sixteen Asian American college students viewed analogue videotapes in which an actress portraying a European American female "counselor" expressed cultural values that were either consistent or inconsistent with Asian culture to an actress portraying an Asian American female "client." In addition, the counselor either acknowledged racial differences or did not acknowledge racial differences with the client. The results showed that when the counselor expressed values that were inconsistent with Asian culture, the counselor who acknowledged racial differences was perceived to be more cross-culturally competent than the counselor who did not acknowledge racial differences. Also, the results showed that observer-participants' adherence to the value of conformity to norms was positively associated with their ratings of counselor credibility and crosscultural counseling competence. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  20. Physician wellness: a missing quality indicator.

    Science.gov (United States)

    Wallace, Jean E; Lemaire, Jane B; Ghali, William A

    2009-11-14

    When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems. We show that health systems should routinely measure physician wellness, and discuss the challenges associated with implementation.

  1. Gun Violence, mental health, and Connecticut physicians.

    Science.gov (United States)

    Dodds, Peter R; Anderson, Caitlyn O; Dodds, Jon H

    2014-01-01

    While there is a public perception that gun violence is associated with mental illness we present evidence that it is a complex public health problem which defies simple characterizations and solutions. Only a small percentage of individuals with mental illness are at risk for extreme violence and they account for only a small percentage of gun-related homicides. Individuals who are at risk for gun violence are difficult to identify and successfully treat. The incidence, and perhaps the demographics, of gun violence vary substantially from state to state. We make a case for Connecticut physicians to study gun violence at the state level. We recommend that Connecticut physicians promote and expand upon the American Academy of Pediatrics' recommendation for creating a "safe home environment. "We suggest that guns be secured in all homes in which there are children. In addition we suggest that guns be voluntarily removed from homes in which there are individuals with a history of violence, threats of violence, depression, drug and/or alcohol abuse, and individuals with major mental illnesses who are not cooperating with therapy.

  2. Unique Physician Identification Number (UPIN) Directory

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Unique Physician Identification Number (UPIN) Directory contains selected information on physicians, doctors of Osteopathy, limited licensed practitioners and...

  3. Detection of elephant endotheliotropic herpesvirus infection among healthy Asian elephants (Elephas maximus) in South India.

    Science.gov (United States)

    Stanton, Jeffrey J; Nofs, Sally A; Zachariah, Arun; Kalaivannan, N; Ling, Paul D

    2014-04-01

    Elephant endotheliotropic herpesviruses (EEHVs) can cause fatal hemorrhagic disease in Asian (Elephas maximus) and African (Loxodonta africana) elephants. Of the seven known EEHV species, EEHV1 is recognized as the most common cause of hemorrhagic disease among Asian elephants in human care worldwide. Recent data collected from ex situ Asian elephants located in multiple North American and European institutions suggest that subclinical EEHV1 infection is common in this population of elephants. Although fatal EEHV1-associated hemorrhagic disease has been reported in range countries, data are lacking regarding the prevalence of subclinical EEHV infections among in situ Asian elephants. We used previously validated EEHV-specific quantitative real-time PCR assays to detect subclinical EEHV infection in three regionally distinct Asian elephant cohorts, totaling 46 in situ elephants in South India, during October and November 2011. Using DNA prepared from trunk washes, we detected EEHV1, EEHV3/4, and EEHV5 at frequencies of 7, 9, and 20% respectively. None of the trunk washes was positive for EEHV2 or 6. At least one EEHV species was detectable in 35% (16/46) of the samples that were screened. These data suggest that subclinical EEHV infection among in situ Asian elephants occurs and that Asian elephants may be natural hosts for EEHV1, EEHV3 or 4, and EEHV5, but not EEHV2 and EEHV6. The methodology described in this study provides a foundation for further studies to determine prevalences of EEHV infection in Asian elephants throughout the world.

  4. Her earnings: Exploring variation in wives' earning contributions across six major Asian groups and Whites.

    Science.gov (United States)

    Kulkarni, Veena S

    2015-07-01

    Previous research on understanding race-ethnic differentials in employment and economic contributions by married women has primarily focused on Blacks, Hispanics, or Whites. This study investigates variations in wives' earning contributions as measured by wives earnings as a proportion of total annual household earnings among six Asian groups, Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese relative to native born non-Hispanic White. I disaggregate the six Asian groups by their ethnicity and nativity status. Using pooled data from 2009-2011 American Community Survey, the findings show significance of human capital, hours of paid labor market engagement and nativity status. There is strong and negative association between husbands' human capital and labor supply with wives' earning contributions suggesting near universality of male-breadwinner status. Notwithstanding the commonalities, there is significant intergroup diversity. While foreign born and native born Filipina wives despite their spouses' reasonably high human capital and work hours, contribute one of the highest shares, the same cannot be said for the Asian Indians and Japanese. For foreign born Asian Indian and to some extent Japanese women, their high human capital is not translated to high earning contribution after controlling for husband's human capital. Further, nativity status impacts groups differentially. Native born Vietnamese wives contribute the greatest. Overall, the findings underscore the relevance of employing multiple conceptual frameworks in understanding earning contributions of foreign and native born Asian wives belonging to the six Asian groups, Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese.

  5. Physician Compare National Downloadable File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Physician Compare National Downloadable File is organized at the individual eligible professional level; each line is unique at the professional/enrollment...

  6. Working with Generation X physicians.

    Science.gov (United States)

    Shields, Mark C; Shields, Margaux T

    2003-01-01

    Learn ways to integrate Generation X physicians into your hospital or practice. Discover how their career goals differ from the earlier generation's and find out how health care organizations can help meet those goals.

  7. Fighting Asian soybean rust

    Directory of Open Access Journals (Sweden)

    Caspar eLangenbach

    2016-06-01

    Full Text Available Phakopsora pachyrhizi is a biotrophic fungus provoking Asian soybean rust (SBR disease. SBR poses a major threat to global soybean production. Though several resistance genes provided soybean immunity to certain P. pachyrhizi races, the pathogen swiftly overcame this resistance. Therefore, fungicides are the only current means to control SBR. However, insensitivity to fungicides is soaring in P. pachyrhizi and, therefore, alternative measures are needed for SBR control. In this article, we discuss the different approaches for fighting SBR and their potential, disadvantages, and advantages over other measures. These encompass conventional breeding for SBR resistance, transgenic approaches, exploitation of transcription factors, secondary metabolites, and antimicrobial peptides, RNAi/HIGS, and biocontrol strategies. It seems that an integrating approach exploiting different measures is likely to provide the best possible means for the effective control of SBR.

  8. Physician motivation, satisfaction and survival.

    Science.gov (United States)

    Zimberg, S E; Clement, D G

    1997-01-01

    Physicians are working harder today and enjoying it less. What has happened to create such dissatisfaction among those in one of the most autonomous professions? What can be done to address the anger, fear and unhappiness? This article is an analysis of the factors influencing human motivation. Maslow's hierarchy of needs--physiological, safety/security, social/affiliation, esteem and self-actualization--is used to suggest ways physicians can satisfy their needs in turbulent financial and professional times.

  9. Defining Tiger Parenting in Chinese Americans.

    Science.gov (United States)

    Kim, Su Yeong

    2013-09-01

    "Tiger" parenting, as described by Amy Chua [2011], has instigated scholarly discourse on this phenomenon and its possible effects on families. Our eight-year longitudinal study, published in the Asian American Journal of Psychology [Kim, Wang, Orozco-Lapray, Shen, & Murtuza, 2013b], demonstrates that tiger parenting is not a common parenting profile in a sample of 444 Chinese American families. Tiger parenting also does not relate to superior academic performance in children. In fact, the best developmental outcomes were found among children of supportive parents. We examine the complexities around defining tiger parenting by reviewing classical literature on parenting styles and scholarship on Asian American parenting, along with Amy Chua's own description of her parenting method, to develop, define, and categorize variability in parenting in a sample of Chinese American families. We also provide evidence that supportive parenting is important for the optimal development of Chinese American adolescents.

  10. Medieval European medicine and Asian spices.

    Science.gov (United States)

    Nam, Jong Kuk

    2014-08-01

    This article aimed to explain the reasons why Asian spices including pepper, ginger, and cinnamon were considered as special and valuable drugs with curative powers in the Medieval Europe. Among these spices, pepper was most widely and frequently used as medicine according to medieval medical textbooks. We analyzed three main pharmacology books written during the Middle Ages. One of the main reasons that oriental spices were widely used as medicine was due to the particular medieval medical system fundamentally based on the humoral theory invented by Hippocrates and Galen. This theory was modified by Arab physicians and imported to Europe during the Middle Ages. According to this theory, health is determined by the balance of the following four humors which compose the human body: blood, yellow bile, black bile, and phlegm. Each humor has its own qualities such as cold, hot, wet, and dry. Humoral imbalance was one of the main causes of disease, so it was important to have humoral equilibrium. Asian spices with hot and dry qualities were used to balance the cold and wet European diet. The analysis of several major medical textbooks of the Middle Ages proves that most of the oriental spices with hot and dry qualities were employed to cure diverse diseases, particularly those caused by coldness and humidity. However, it should be noted that the oriental spices were considered to be much more valuable and effective as medicines than the local medicinal ingredients, which were not only easily procured but also were relatively cheap. Europeans mystified oriental spices, with the belief that they have marvelous and mysterious healing powers. Such mystification was related to the terrestrial Paradise. They believed that the oriental spices were grown in Paradise which was located in the Far East and were brought to the Earthly world along the four rivers flowing from the Paradise.

  11. Excerpt from Pluralist Universalism: An Asian Americanist Critique of U.S. and Chinese Multiculturalisms

    Directory of Open Access Journals (Sweden)

    Wen Jin

    2011-12-01

    Full Text Available Pluralist Universalism: An Asian Americanist Critique of U.S. and Chinese Multiculturalisms is an extended comparison of US and Chinese multiculturalisms during the post–Cold War era. Her book situates itself at the intersection of Asian American literary critique and the growing field of comparative multiculturalism. Through readings of fictional narratives that address the issue of racial and ethnic difference in both national contexts simultaneously, the author models a “double critique” framework for US–Chinese comparative literary studies.The book approaches U.S. liberal multiculturalism and China’s ethnic policy as two competing multiculturalisms, one grounded primarily in a history of racial desegregation and the other in the legacies of a socialist revolution. Since the end of the Cold War, the two multiculturalisms have increasingly been brought into contact through translation and other forms of mediation. Pluralist Universalism demonstrates that a number of fictional narratives, including those commonly classified as Chinese, American, and Chinese American, have illuminated incongruities and connections between the ethno-racial politics of the two nations.The “double critique” framework builds upon critical perspectives developed in Asian American studies and adjacent fields. The book brings to life an innovative vision of Asian American literary critique, even as it offers a unique intervention in ideas of ethnicity and race prevailing in both China and the United States in the post–Cold War era.

  12. Bounds for Asian basket options

    Science.gov (United States)

    Deelstra, Griselda; Diallo, Ibrahima; Vanmaele, Michèle

    2008-09-01

    In this paper we propose pricing bounds for European-style discrete arithmetic Asian basket options in a Black and Scholes framework. We start from methods used for basket options and Asian options. First, we use the general approach for deriving upper and lower bounds for stop-loss premia of sums of non-independent random variables as in Kaas et al. [Upper and lower bounds for sums of random variables, Insurance Math. Econom. 27 (2000) 151-168] or Dhaene et al. [The concept of comonotonicity in actuarial science and finance: theory, Insurance Math. Econom. 31(1) (2002) 3-33]. We generalize the methods in Deelstra et al. [Pricing of arithmetic basket options by conditioning, Insurance Math. Econom. 34 (2004) 55-57] and Vanmaele et al. [Bounds for the price of discrete sampled arithmetic Asian options, J. Comput. Appl. Math. 185(1) (2006) 51-90]. Afterwards we show how to derive an analytical closed-form expression for a lower bound in the non-comonotonic case. Finally, we derive upper bounds for Asian basket options by applying techniques as in Thompson [Fast narrow bounds on the value of Asian options, Working Paper, University of Cambridge, 1999] and Lord [Partially exact and bounded approximations for arithmetic Asian options, J. Comput. Finance 10 (2) (2006) 1-52]. Numerical results are included and on the basis of our numerical tests, we explain which method we recommend depending on moneyness and time-to-maturity.

  13. Evaluation of Physicians and Physician Extenders: Manpower Resources

    Science.gov (United States)

    1981-07-01

    47 61 32 Physician 126 64,195 !5__35 Physical therapist 62 2,251 5,767 2,303 Radiation therapy technologist 92 848 437 310 Rad i ographer 795 26,715...percent (combining medicine and osteopathy graduates). The projected increase in physician graduates from 1975 to 1990 represents a far greater...23,683 24,196 24,689 Ch iId Psychiatry 2,067 2,242 2,384 2,557 2,618 2,877 Physical t’ledicine anid Rehabil itation ---------- 1,443 1,:503 1,557 1,615

  14. How to motivate physicians and develop a physician champion.

    Science.gov (United States)

    McGrath, Debra

    2006-01-01

    Physician champions and leaders are essential to the success ofa CCIS implementation. Physician champions or leaders can be developed by recognizing the qualities of a leader and cultivating them. Finally, sustainable second-order change is facilitated bv a transformational leader--a leader who is charismatic, considers individual characteristics and needs of the constituency, and stimulates the constituency intellectually. A transformational leader does not accept the status quo but rather is continually questioning and offering constructive problem solutions. Transformational leadership may require more patience, time, tolerance, and resources, but it is worth the effort.

  15. Organized doctors. Unionization of physicians a small but significant force as relationships with hospitals change.

    Science.gov (United States)

    Thompson, E

    2000-02-28

    The number of unionized physicians is still small, but those doctors are becoming a force to be reckoned with as organizing continues to grow and the fledgling union formed by the American Medical Association becomes more established. "The state of the unions in healthcare is excellent," says Barry Liebowitz, M.D., (left) president of the Doctors Council, which represents 16,000 physicians nationally.

  16. Psychiatric rehabilitation education for physicians.

    Science.gov (United States)

    Rudnick, Abraham; Eastwood, Diane

    2013-06-01

    As part of a rapidly spreading reform toward recovery-oriented services, mental health care systems are adopting Psychiatric/Psychosocial Rehabilitation (PSR). Accordingly, PSR education and training programs are now available and accessible. Although psychiatrists and sometimes other physicians (such as family physicians) provide important services to people with serious mental illnesses and may, therefore, need knowledge and skill in PSR, it seems that the medical profession has been slow to participate in PSR education. Based on our experience working in Canada as academic psychiatrists who are also Certified Psychiatric Rehabilitation Practitioners (CPRPs), we offer descriptions of several Canadian initiatives that involve physicians in PSR education. Multiple frameworks guide PSR education for physicians. First, guidance is provided by published PSR principles, such as the importance of self-determination (www.psrrpscanada.ca). Second, guidance is provided by adult education (andragogy) principles, emphasizing the importance of addressing attitudes in addition to knowledge and skills (Knowles, Holton, & Swanson, 2011). Third, guidance in Canada is provided by Canadian Medical Education Directives for Specialists (CanMEDS) principles, which delineate the multiple roles of physicians beyond that of medical expert (Frank, 2005) and have recently been adopted in Australia (Boyce, Spratt, Davies, & McEvoy, 2011).

  17. Antibiotic management of complicated intra-abdominal infections in adults: The Asian perspective

    Directory of Open Access Journals (Sweden)

    Asok Kurup

    2014-09-01

    Full Text Available Regional epidemiological data and resistance profiles are essential for selecting appropriate antibiotic therapy for intra-abdominal infections (IAIs. However, such information may not be readily available in many areas of Asia and current international guidelines on antibiotic therapy for IAIs are for Western countries, with the most recent guidance for the Asian region dating from 2007. Therefore, the Asian Consensus Taskforce on Complicated Intra-Abdominal Infections (ACT-cIAI was convened to develop updated recommendations for antibiotic management of complicated IAIs (cIAIs in Asia. This review article is based on a thorough literature review of Asian and international publications related to clinical management, epidemiology, microbiology, and bacterial resistance patterns in cIAIs, combined with the expert consensus of the Taskforce members. The microbiological profiles of IAIs in the Asian region are outlined and compared with Western data, and the latest available data on antimicrobial resistance in key pathogens causing IAIs in Asia is presented. From this information, antimicrobial therapies suitable for treating cIAIs in patients in Asian settings are proposed in the hope that guidance relevant to Asian practices will prove beneficial to local physicians managing IAIs.

  18. 42 CFR 415.172 - Physician fee schedule payment for services of teaching physicians.

    Science.gov (United States)

    2010-10-01

    ... teaching physicians. 415.172 Section 415.172 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.172 Physician fee schedule payment for services of teaching physicians....

  19. [Sherlock Holmes as amateur physician].

    Science.gov (United States)

    Madsen, S

    1998-03-30

    The medical literature contains numerous articles dealing with Sherlock Holmes and his companion Dr. Watson. Some of the articles are concerned with the medical and scientific aspects of his cases. Other articles adopt a more philosophical view: They compare the methods of the master detective with those of the physician--the ideal clinician should be as astute in his profession as the detective must be in his. It this article the author briefly reviews the abilities of Sherlock Holmes as an amateur physician. Often Holmes was brilliant, but sometimes he made serious mistakes. In one of his cases (The Adventure of the Lion's Mane) he misinterpreted common medical signs.

  20. Impacts of East Asian aerosols on the Asian monsoon

    Science.gov (United States)

    Bartlett, Rachel; Bollasina, Massimo; Booth, Ben; Dunstone, Nick; Marenco, Franco

    2016-04-01

    Over recent decades, aerosol emissions from Asia have increased rapidly. Aerosols are able to alter radiative forcing and regional hydroclimate through direct and indirect effects. Large emissions within the geographical region of the Asian monsoon have been found to impact upon this vital system and have been linked to observed drying trends. The interconnected nature of smaller regional monsoon components (e.g. the Indian monsoon and East Asian monsoon) presents the possibility that aerosol sources could have far-reaching impacts. Future aerosol emissions are uncertain and may continue to dominate regional impacts on the Asian monsoon. Standard IPCC future emissions scenarios do not take a broad sample of possible aerosol pathways. We investigate the sensitivity of the Asian monsoon to East Asian aerosol emissions. Experiments carried out with HadGEM2-ES use three time-evolving future anthropogenic aerosol emissions scenarios with similar time-evolving greenhouse gases. We find a wetter summer over southern China and the Indochina Peninsula associated with increased sulfate aerosol over China. The southern-flood-northern-drought pattern seen in observations is reflected in these results. India is found to be drier in the summer overall, although wetter in June. These precipitation changes are linked to the increase in sulfate through the alteration of large scale dynamics. Sub-seasonal changes are also seen, with an earlier withdrawal of the monsoon over East Asia.