Background: Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality in the United States (US) and globally. CHB disproportionately affects Asian Americans and many other immigrant minority ...Background: Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality in the United States (US) and globally. CHB disproportionately affects Asian Americans and many other immigrant minority populations, primarily owing to the high prevalence of CHB in their countries of origin. India is a country with a medium-to-high prevalence of hepatitis B (HB) (>2%) and has over 40 million people infected with hepatitis B virus (HBV), with more than 115,000 deaths annually from HBV-related complications. Indian Americans are one of the largest immigrant populations in the US but remain underdiagnosed and poorly linked to clinical care. We, therefore, assessed the HBV prevalence and evaluated the linkage-to-care (LTC) among Indian Americans to develop strategic plans to reduce the impact of HBV in the US. Methods: Between April 2022 and January 2024, serologic screening and surveys were provided to 328 Indian American adults (age 20 - 80) in New York City. All participants were tested for a triple panel consisting of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs), and hepatitis B core IgG antibody (anti-HBc). A survey was conducted on the subjects chronically infected with HBV regarding their histories of infection. Self-administered questionnaires were employed to evaluate demographic and epidemiologic characteristics. Results: Of 328 screened and evaluated (246 males and 82 females), 10 (3.0%) were HBV-infected, 222 (67.7%) were susceptible to HBV, and 96 (29.3%) were immune. The prevalence of chronic HBV varied between the age groups: 4.6% (age 20 - 40), 3.4% (age 41 - 60), and 1.7% (age 61 - 80). Of 10 chronically infected, only two subjects had been previously diagnosed but were not engaged in care. Conclusion: HBV disproportionately affects Asian Americans, primarily owing to immigration from parts of the world where the disease is endemic. Indian Americans belong to an intermediate-risk group, with an HBV prevalence of >2%, but remain underdiagnosed and poorly linked to care. Our pilot study on Indian American populations, the first of its kind, demonstrates a 3% prevalence of CHB, none of whom are linked to care. In addition, this population has a high percentage of unimmune subjects, creating a large reservoir for future infection. With the growing population of Indian Americans, our findings can be used to develop community-based strategies for HBV screenings and LTC that target high-risk groups.展开更多
Chronic hepatitis B (CHB) disproportionately affects minority groups in the US, particularly Asian Americans, with numerous factors contributing to this disparity. Of the 2.4 million people living with chronic HBV in ...Chronic hepatitis B (CHB) disproportionately affects minority groups in the US, particularly Asian Americans, with numerous factors contributing to this disparity. Of the 2.4 million people living with chronic HBV in the US, 60% are Asian American. Many are unaware of their status and lack access to proper clinical care, with less than ten percent receiving necessary antiviral treatment. Barriers to screening and care include lack of disease awareness, language and cultural barriers, and financial constraints. Additionally, healthcare providers and systems in the US often overlook the importance of CHB, leading to inadequate care. In response, the Center for Viral Hepatitis (CVH) has implemented a community-based outreach program over the past sixteen years, employing a multifaceted approach involving all sectors of society and various organizations to combat health disparities in CHB. This grassroots campaign has proven highly effective, leveraging CVH’s leadership in spearheading numerous collaborative activities with community members, healthcare professionals, and policymakers. We have summarized the key points of CVH's efforts and their significance in combating CHB-related health disparities. The CHB Screening and Awareness Campaign, tailored to the Asian American community, serves as a successful model for increasing CHB screening, linkage-to-care, and addressing socio-cultural barriers and health literacy. Insights from these outreach programs have guided the development of culturally relevant resources and education initiatives. These findings suggest that such community-driven approaches are essential for addressing health disparities. The strategies and outcomes of CVH’s efforts can inform future health initiatives for other minority communities in the US and globally.展开更多
This Paper mainly focuses on the Differences between American English and British English in Grammar. It discusses ten aspects of their differences with example(sthat is , differences in the use of certain verbs; diff...This Paper mainly focuses on the Differences between American English and British English in Grammar. It discusses ten aspects of their differences with example(sthat is , differences in the use of certain verbs; differences in the use of articles; differences in the use of prepositions ;the use of subjunctive; tense differences ;the use of collective nouns ;the way of expressing dates; the treatment of a repeated subject after the indefinite pronoun"one"; response question; negative form of the first person.).展开更多
American white moth is a remarkable worldwide quarantine pest. By the results combination of indoor incubation and field observation of American white moth in Langfang City of Hebei Province, series prevention and con...American white moth is a remarkable worldwide quarantine pest. By the results combination of indoor incubation and field observation of American white moth in Langfang City of Hebei Province, series prevention and control bottleneck factors for the invasive agricultural pest are analyzed, such as the main operation mode of the pest against host trees, diffusion and migration charaeteristies, biological characteristics, natural enemy control, pesticide prevention and so on. The re- search aims to search for the breakthrough point of the development of environment-friendly control techniques against American white moth, which also provides the reference for further improvement of integrated pest management system.展开更多
Isolationism and expansionism are two themes of American diplomacy. From the beginning of the state’s history, isolationism and expansionism have manifested themselves as two policy imperatives in American diplomacy....Isolationism and expansionism are two themes of American diplomacy. From the beginning of the state’s history, isolationism and expansionism have manifested themselves as two policy imperatives in American diplomacy. On the surface, isolationism and expansionism represent contradictory attitudes and assumptions about America’s proper relationship with the outside world: isolationism advocates diplomatic and military non-entanglement in world affairs; expansionism urges active involvement in external affairs. But in a deeper sense, both isolationism and expansionism are manifestations of American sense of mission, the belief that the US has a special role to perform for all nations in the world. Isolationism is a passive approach to accomplish that mission: it emphasizes the exemplary nature of their country. Expansionism stresses the need for active involvement to achieve that mission; thus, is an active approach to American mission.展开更多
There is a great discovery that most respondents prefer to use movies to assist their learning of English novels and they are more competent in the course according to a survey. Through watching movies, learners could...There is a great discovery that most respondents prefer to use movies to assist their learning of English novels and they are more competent in the course according to a survey. Through watching movies, learners could better understand and appreciate the basic elements of a novel including plot, character, setting, narrative point of view, theme and style. Thus this approach is recommended to teachers and learners of British and American novels.展开更多
In the wake of great expansion of cities as centers of production,the post-industrialization era saw American urban tran-sitions and transformations with cultural diversification highlighting consumption,service,marke...In the wake of great expansion of cities as centers of production,the post-industrialization era saw American urban tran-sitions and transformations with cultural diversification highlighting consumption,service,marketing and cultural integration.Cul-tural variations in cities,under the influence of non-material production,constantly worked for urban re-invention and urban re-newal,facilitating and expediting a high-level urban development.展开更多
Focuses on the modern American Dream,with the movie the Pursuit of Happyness as the background,this paper analyzes every hero's American Dream in the movie and the hard process of pursuing the dreams so as to make...Focuses on the modern American Dream,with the movie the Pursuit of Happyness as the background,this paper analyzes every hero's American Dream in the movie and the hard process of pursuing the dreams so as to make people rethinking the American Dream expressed in the movie and understanding the distinct characteristics of the modern American Dream.展开更多
Violence symbolized the dark side of America culture. The theme of this article is to explore the causes of the violence factors in American culture. American violence exists as a result of a complex network of elemen...Violence symbolized the dark side of America culture. The theme of this article is to explore the causes of the violence factors in American culture. American violence exists as a result of a complex network of elements from American history, American value, various social factors such as economic inequality, racial discrimination, mass media, wide spread of guns as well as drug abuse. Besides, the governmental policy plays an essential role in American violence to some extent.展开更多
Although there are appropriate stipulations for the chattel guarantees in the law of China, this guarantee system could not adapt to the request of economy's development because of the following reasons: the scope...Although there are appropriate stipulations for the chattel guarantees in the law of China, this guarantee system could not adapt to the request of economy's development because of the following reasons: the scope of chattel guarantees is narrow according to relevant stipulations; the transaction cost of the chattel is high; mortgage registration of chattel is in a mess; lack of efficiently executive guarantee system, etc. To counter the problems existing in the present Chinese chattel guarantee system, in this article, the author proposed some corresponding suggestions and countermeasures, hoping to perfect the chattel guarantee system in China.展开更多
As one part of social ideology,Country Dream not only deeply engraves in the people’s heart but also continuously pushes the country forward.American Dream and China Dream are widely adored by its people respectively...As one part of social ideology,Country Dream not only deeply engraves in the people’s heart but also continuously pushes the country forward.American Dream and China Dream are widely adored by its people respectively.This thesis is designated to unearth the differences between American Dream and China Dream.It is hoped that readers will develop a more objective understanding of the two concepts.展开更多
Language is a vehicle for culture. It is also a key component of culture. It not only reflects culture but also influences culture. As a variety of British English,American English,especially American words and expres...Language is a vehicle for culture. It is also a key component of culture. It not only reflects culture but also influences culture. As a variety of British English,American English,especially American words and expressions can reflect American culture from many aspects. This paper studies some typical traits of American culture reflected in words and expressions of American Eng lish.展开更多
After the War of Independence, America stood out as a new country, while its literature was greatly influenced by those ofEuropean. In many people's eyes, Americans had no literature. Washington Irving, together w...After the War of Independence, America stood out as a new country, while its literature was greatly influenced by those ofEuropean. In many people's eyes, Americans had no literature. Washington Irving, together with James Fennimore Cooper, firstbroke the dependence on English literature, and created plenty of works in the native style. In this article,"Rip Van Winkle"is an-alyzed to show how Irving revealed the American culture and style, which is mainly presented in the respect of American dream.展开更多
文摘Background: Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality in the United States (US) and globally. CHB disproportionately affects Asian Americans and many other immigrant minority populations, primarily owing to the high prevalence of CHB in their countries of origin. India is a country with a medium-to-high prevalence of hepatitis B (HB) (>2%) and has over 40 million people infected with hepatitis B virus (HBV), with more than 115,000 deaths annually from HBV-related complications. Indian Americans are one of the largest immigrant populations in the US but remain underdiagnosed and poorly linked to clinical care. We, therefore, assessed the HBV prevalence and evaluated the linkage-to-care (LTC) among Indian Americans to develop strategic plans to reduce the impact of HBV in the US. Methods: Between April 2022 and January 2024, serologic screening and surveys were provided to 328 Indian American adults (age 20 - 80) in New York City. All participants were tested for a triple panel consisting of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs), and hepatitis B core IgG antibody (anti-HBc). A survey was conducted on the subjects chronically infected with HBV regarding their histories of infection. Self-administered questionnaires were employed to evaluate demographic and epidemiologic characteristics. Results: Of 328 screened and evaluated (246 males and 82 females), 10 (3.0%) were HBV-infected, 222 (67.7%) were susceptible to HBV, and 96 (29.3%) were immune. The prevalence of chronic HBV varied between the age groups: 4.6% (age 20 - 40), 3.4% (age 41 - 60), and 1.7% (age 61 - 80). Of 10 chronically infected, only two subjects had been previously diagnosed but were not engaged in care. Conclusion: HBV disproportionately affects Asian Americans, primarily owing to immigration from parts of the world where the disease is endemic. Indian Americans belong to an intermediate-risk group, with an HBV prevalence of >2%, but remain underdiagnosed and poorly linked to care. Our pilot study on Indian American populations, the first of its kind, demonstrates a 3% prevalence of CHB, none of whom are linked to care. In addition, this population has a high percentage of unimmune subjects, creating a large reservoir for future infection. With the growing population of Indian Americans, our findings can be used to develop community-based strategies for HBV screenings and LTC that target high-risk groups.
文摘Chronic hepatitis B (CHB) disproportionately affects minority groups in the US, particularly Asian Americans, with numerous factors contributing to this disparity. Of the 2.4 million people living with chronic HBV in the US, 60% are Asian American. Many are unaware of their status and lack access to proper clinical care, with less than ten percent receiving necessary antiviral treatment. Barriers to screening and care include lack of disease awareness, language and cultural barriers, and financial constraints. Additionally, healthcare providers and systems in the US often overlook the importance of CHB, leading to inadequate care. In response, the Center for Viral Hepatitis (CVH) has implemented a community-based outreach program over the past sixteen years, employing a multifaceted approach involving all sectors of society and various organizations to combat health disparities in CHB. This grassroots campaign has proven highly effective, leveraging CVH’s leadership in spearheading numerous collaborative activities with community members, healthcare professionals, and policymakers. We have summarized the key points of CVH's efforts and their significance in combating CHB-related health disparities. The CHB Screening and Awareness Campaign, tailored to the Asian American community, serves as a successful model for increasing CHB screening, linkage-to-care, and addressing socio-cultural barriers and health literacy. Insights from these outreach programs have guided the development of culturally relevant resources and education initiatives. These findings suggest that such community-driven approaches are essential for addressing health disparities. The strategies and outcomes of CVH’s efforts can inform future health initiatives for other minority communities in the US and globally.
文摘This Paper mainly focuses on the Differences between American English and British English in Grammar. It discusses ten aspects of their differences with example(sthat is , differences in the use of certain verbs; differences in the use of articles; differences in the use of prepositions ;the use of subjunctive; tense differences ;the use of collective nouns ;the way of expressing dates; the treatment of a repeated subject after the indefinite pronoun"one"; response question; negative form of the first person.).
基金Supported by Science and Technology Planning Project in Langfang City(2009012009)~~
文摘American white moth is a remarkable worldwide quarantine pest. By the results combination of indoor incubation and field observation of American white moth in Langfang City of Hebei Province, series prevention and control bottleneck factors for the invasive agricultural pest are analyzed, such as the main operation mode of the pest against host trees, diffusion and migration charaeteristies, biological characteristics, natural enemy control, pesticide prevention and so on. The re- search aims to search for the breakthrough point of the development of environment-friendly control techniques against American white moth, which also provides the reference for further improvement of integrated pest management system.
文摘Isolationism and expansionism are two themes of American diplomacy. From the beginning of the state’s history, isolationism and expansionism have manifested themselves as two policy imperatives in American diplomacy. On the surface, isolationism and expansionism represent contradictory attitudes and assumptions about America’s proper relationship with the outside world: isolationism advocates diplomatic and military non-entanglement in world affairs; expansionism urges active involvement in external affairs. But in a deeper sense, both isolationism and expansionism are manifestations of American sense of mission, the belief that the US has a special role to perform for all nations in the world. Isolationism is a passive approach to accomplish that mission: it emphasizes the exemplary nature of their country. Expansionism stresses the need for active involvement to achieve that mission; thus, is an active approach to American mission.
文摘There is a great discovery that most respondents prefer to use movies to assist their learning of English novels and they are more competent in the course according to a survey. Through watching movies, learners could better understand and appreciate the basic elements of a novel including plot, character, setting, narrative point of view, theme and style. Thus this approach is recommended to teachers and learners of British and American novels.
文摘In the wake of great expansion of cities as centers of production,the post-industrialization era saw American urban tran-sitions and transformations with cultural diversification highlighting consumption,service,marketing and cultural integration.Cul-tural variations in cities,under the influence of non-material production,constantly worked for urban re-invention and urban re-newal,facilitating and expediting a high-level urban development.
文摘Focuses on the modern American Dream,with the movie the Pursuit of Happyness as the background,this paper analyzes every hero's American Dream in the movie and the hard process of pursuing the dreams so as to make people rethinking the American Dream expressed in the movie and understanding the distinct characteristics of the modern American Dream.
文摘Violence symbolized the dark side of America culture. The theme of this article is to explore the causes of the violence factors in American culture. American violence exists as a result of a complex network of elements from American history, American value, various social factors such as economic inequality, racial discrimination, mass media, wide spread of guns as well as drug abuse. Besides, the governmental policy plays an essential role in American violence to some extent.
文摘Although there are appropriate stipulations for the chattel guarantees in the law of China, this guarantee system could not adapt to the request of economy's development because of the following reasons: the scope of chattel guarantees is narrow according to relevant stipulations; the transaction cost of the chattel is high; mortgage registration of chattel is in a mess; lack of efficiently executive guarantee system, etc. To counter the problems existing in the present Chinese chattel guarantee system, in this article, the author proposed some corresponding suggestions and countermeasures, hoping to perfect the chattel guarantee system in China.
文摘As one part of social ideology,Country Dream not only deeply engraves in the people’s heart but also continuously pushes the country forward.American Dream and China Dream are widely adored by its people respectively.This thesis is designated to unearth the differences between American Dream and China Dream.It is hoped that readers will develop a more objective understanding of the two concepts.
文摘Language is a vehicle for culture. It is also a key component of culture. It not only reflects culture but also influences culture. As a variety of British English,American English,especially American words and expressions can reflect American culture from many aspects. This paper studies some typical traits of American culture reflected in words and expressions of American Eng lish.
文摘After the War of Independence, America stood out as a new country, while its literature was greatly influenced by those ofEuropean. In many people's eyes, Americans had no literature. Washington Irving, together with James Fennimore Cooper, firstbroke the dependence on English literature, and created plenty of works in the native style. In this article,"Rip Van Winkle"is an-alyzed to show how Irving revealed the American culture and style, which is mainly presented in the respect of American dream.
