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Asian People (asian + people)
Selected AbstractsSexual dysfunction and physicians' perception in medicated patients with major depression in TaiwanDEPRESSION AND ANXIETY, Issue 9 2008Kao Ching Chen M.D. Abstract Although prevalent during antidepressant treatment, sexual dysfunction (SD) is frequently ignored by both physicians and patients in Asia. In spite of impact of SD on medicated patients with major depression, sexual issues and illness remain a forbidden topic for most Asian people. The aims of this study were to: (1) estimate the prevalence of SD among stable outpatients taking different antidepressants in Taiwan; (2) investigate the factors related to SD; (3) compare physician-perceived with patient-reported prevalence rates of antidepressant-associated SD; and (4) study the differences of SD among antidepressant subgroups. In this cross-sectional observational study, 125 medicated patients with major depression were recruited. Patients were assessed using the Changes in Sexual Functioning Questionnaire (CSFQ), Taiwanese Depression Questionnaire (TDQ), Quality of Life Index (QOL), and neuroticism scores in the Maudsley Personality Inventory (MPI). Sixty-two physicians completed the Physician Antidepressant Experience Questionnaire. The estimated prevalence rate of SD was 53.6% (95% CI = 44.9,62.3%) in medicated patients with major depression. There were no significant differences in prevalence rate of SD among different antidepressants. The SD subgroup had poorer quality of life and lower moods than the non-dysfunction subgroup. An underestimation of the prevalence of SD by physicians was noted. Because antidepressant-associated SD is highly prevalent and seriously underestimated by physicians, greater physicians' recognition and better patients' education are imperative when prescribing antidepressants. Depression and Anxiety. © 2007 Wiley-Liss, Inc. [source] The prevalence of depressive symptoms in a white European and South Asian population with impaired glucose regulation and screen-detected Type 2 diabetes mellitus: a comparison of two screening toolsDIABETIC MEDICINE, Issue 8 2010N. Aujla Diabet. Med. 27, 896,905 (2010) Abstract Aims, To compare the identification of prevalent depressive symptoms by the World Health Organization-5 Wellbeing Index (WHO-5) and Centre for Epidemiological Studies Depression Scale (CES-D) for South Asian and white European people, male and female, attending a diabetes screening programme, and to explore the adequacy of the screening tools for this population. An additional aim was to further explore associations of depressive symptoms with impaired glucose regulation (IGR) and Type 2 diabetes mellitus (Type2 DM). Methods, Eight hundred and sixty-four white European (40,75 years old) and 290 South Asian people (25,75 years old) underwent an oral glucose tolerance test (OGTT), detailed history and anthropometric measurements and completed the WHO-5 and CES-D. Depressive symptoms were defined by a WHO-5 score , 13, and CES-D score , 16. Results, Unadjusted prevalence of depressive symptoms with the WHO-5, for people with Type2 DM was 42.3% (47.4% in white European; 28.6% in South Asian) and for IGR 30.7% (26% in white European; 45.8% in South Asian). With the CES-D, the prevalence in Type2 DM was 27.2% (25.4% in white European; 31.8% in South Asian) and for IGR 30.7% (27.8% in white European; 40.7% in South Asian). Statistically significant differences in the prevalence of depressive symptoms for sex or ethnicity were not identified. Odds ratios adjusted for age, sex and ethnicity showed no significant association of depression with Type2 DM or IGR, with either WHO-5 or CES-D. Agreement was moderate (, = 0.48, 95% confidence intervals 0.42,0.54), and reduced when identifying depressive symptoms in people with Type2 DM. For this group, a WHO-5 cut-point of , 10 was optimal. Conclusions, Depressive symptoms, identified by WHO-5 or CES-D, were not significantly more prevalent in people with Type2 DM or IGR. The WHO-5 and CES-D differed in their identification of depressive symptoms in people with Type2 DM, though discrepancies between sex and ethnicity were not identified. [source] ,We didn't know it would get that bad': South Asian experiences of dementia and the service responseHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2003Alison Bowes BA PhD Abstract The aim of the present paper was to examine some views and experiences of dementia among older South Asian people, as well as their families and carers, and to explore central issues of service support. Data were collected in Scotland through interviews with 11 professionals working with South Asian people with dementia, and four case studies of South Asian people with a diagnosis of dementia, as well as their families and carers. The case studies demonstrated overwhelmingly negative experiences of dementia, with poor quality of life, desperate needs for support, lack of access to appropriate services, little knowledge of dementia, and isolation from community and family life. The interviews with professionals described a strong demand for services, a need to develop awareness and knowledge about dementia in South Asian communities, and a need to promote more culturally sensitive, individually responsive services. Similarities between South Asian people and the non-South Asian population include stress on carers, increasing isolation, problematic diagnostic practices, lack of knowledge and demand for service support. Differences include limited use of non-National Health Service (NHS) support, dealing with later stages of dementia at home, particularly negative views about residential care, culturally based attitudinal differences and use of the term ,dementia' in English as neutral rather than stigmatising. The present authors suggest that there is little knowledge and experience of dementia in South Asian communities, as well as restricted access to appropriate services, despite the efforts of voluntary sector and NHS special projects. There is demand for services, especially at home. Services need to develop individual responsiveness for effective working in a diverse society. [source] Avoidance Brings Japanese Employees What They Care About in Conflict Management: Its Functionality and "Good Member" ImageNEGOTIATION AND CONFLICT MANAGEMENT RESEARCH, Issue 2 2010Ken-ichi Ohbuchi Abstract Avoidance is preferred by Asian people in organizational conflicts. Even when self-assertion offers immediate rewards, it is viewed by collectivists as risky from the long-term perspective because it impairs group membership and future rewards associated with it. Instead, collectivists are concerned with being accepted by peers as "a good member (agreeable person)." We assume that avoidance in organizational conflicts is an identity strategy, by which collectivists seek to form an interdependent identity and secure future rewards. We asked 341 Japanese business employees to rate their conflicts with supervisors in terms of coping strategies and goal achievements. Consistent with our predictions, the results indicated that avoidance contributed to group harmony and interdependent identity while it hampered personal interests and fairness. The theory of the functionality of avoidance was validated, at least with collectivists, although this long-range strategy seems to depend on an individual's belief that the organization is properly managed. [source] An Analysis of Occupational Outcomes for Indigenous and Asian Employees in AustraliaTHE ECONOMIC RECORD, Issue 240 2002Vani K. Borooah This paper examines occupational performance in Australia across three racial groups in Australia: Indigenous Australians; Asian people, defined as all those whose language spoken at home was either Chinese, Vietnamese or other forms of a South-east or East Asian language; and white people, defined as the residual category. The paper has as its starting point, observed differences in occupational attainment among the three groups in Australia and sets out to account for these observed differences on the basis of both race and non-racial attributes such as, age, education and area of residence. [source] Clinicopathological study of Fox,Fordyce diseaseTHE JOURNAL OF DERMATOLOGY, Issue 9 2009Pei-Han KAO Abstract Fox,Fordyce disease (FFD) is a rare skin disease manifesting as multiple pruritic follicular papules involving the skin-bearing apocrine glands. Reports of FFD in Asian people are scant. In this retrospective study, we describe the clinicopathological findings of five cases of FFD affecting Taiwanese subjects. Clinically, all patients presented with numerous uniform, 2,3-mm, skin-colored to light brown, dome-shaped papules with smooth surface, which were distributed in the apocrine gland-containing areas. Pruritus varied from mild to severe. The histopathology is characterized by focal spongiosis in the upper infundibulum with perifollicular fibrosis and lymphohistiocytic infiltrate. FFD needs to be differentiated from lichen amyloidosis, Darier's disease, syringoma, lichen simplex chronicus and spongiotic dermatitis clinically or pathologically. The findings of focal spongiosis in upper infundibulum associated with a perifollicular lymphohistiocytic infiltrate can facilitate the diagnosis of FFD. [source] Scalp dermoscopy of androgenetic alopecia in Asian peopleTHE JOURNAL OF DERMATOLOGY, Issue 2 2009Shigeki INUI ABSTRACT Although dermoscopy is used mainly for diagnosing pigmented skin lesions, this device has been reported to be useful in observing alopecia areata and frontal fibrosing alopecia. Herein, we investigated the dermoscopic features and their incidence of androgenetic alopecia (AGA; n = 50 men) and female AGA (FAGA; n = 10 women) in Asian people. More than 20% hair diameter diversity (HDD), which reportedly is an early sign of AGA and corresponds to hair follicle miniaturization, was observed in the affected area of all AGA and FAGA cases, suggesting that HDD is an essential feature to diagnose AGA and FAGA. Peripilar signs, corresponding to perifollicular pigmentation, were seen in 66% (33/50) of AGA and 20% (2/10) of FAGA women. This incidence in the present study was lower than previously reported in white subjects possibly because the Asian skin color conceals slight peripilar pigmentation. Yellow dots were observed in 26% (13/50) of AGA and 10% (1/10) of FAGA cases and the number of yellow dots in AGA and FAGA was limited to 10 on the overall hair loss area. Yellow dots possibly indicate the coincidence of AGA and enlargement of the sebaceous glands caused by common end-organ hypersensitivity to androgen. In conclusion, dermoscopy is useful to diagnose AGA and FAGA and provides insights into the pathogenesis of AGA. [source] PILONIDAL DISEASE IN SINGAPORE: CLINICAL FEATURES AND MANAGEMENTANZ JOURNAL OF SURGERY, Issue 3 2000H. C. Lee Background: Pilonidal disease has not been well documented in Asian people. The aims of the present study were to investigate any variations in the clinical features and effectiveness of various surgical treatments in such a population. Methods: A prospectively collected computerized database of 61 consecutive patients admitted to a specialist colorectal unit over a 9-year period was studied. The five methods of surgical treatment used during this period (incision and drainage; laying open; marsupialization; primary closure; and the flap procedure) were compared. Results: There were 38 men and 23 women with a mean age of 27 ± 1.02 years. Pilonidal disease was significantly more common among the Indian people (52.5% of patients) than the other ethnic races in the Singaporean community (P < 0.001). Chronic discharging sinuses were the most common presentation (93.4%). There were no differences between the various surgical techniques employed with regard to the time required for wound healing (mean: 48 ± 21 days) and recurrence rates (4/61, 6.6%). Wound dehiscence after primary wound closure (10%) and flap procedures (42%) meant that the overall healing rate was not faster than when the wound was just laid open. Furthermore, flap procedures required a longer hospitalization than other procedures (P = 0.005). Conclusion: Pilonidal disease was more common among Indian people, the more hirsute among the Singaporean population. Primary closure and flap procedure did not improve overall wound healing because of dehiscence. [source] Asian Transnational Families in New Zealand: Dynamics and ChallengesINTERNATIONAL MIGRATION, Issue 4 2008Elsie Ho Since the 1990s, Asia has emerged as the major contributor of migration flows into New Zealand. Settler migration, tourism, international business and more recently, international education make up the diverse flows of Asian peoples into the country. This paper explores the changing dynamics of Asian transnational families over the last two decades, with a special focus on the experiences of young people within these families. In the early 1990s, bi-local families were commonly known as "astronaut" families, in which one or both parents returned to their countries of origin to work, leaving their children to be educated in New Zealand. Over time the structures of these families have changed, as many young migrants relocated back to their former homeland or re-migrated to a third country, while "astronaut parents" rejoined their spouses either in the origin or destination. More recently, the educational migration of international students from countries in Asia has given rise to another form of transnational family, in which young people enter New Zealand as international students and some subsequently become residents. In this paper, the experiences of these young people are explored within the wider context of family strategies for maximising benefits through spatially extended networks on the one hand, and government initiatives and immigration policy changes that have been taking place in New Zealand since the 1990s on the other. Familles transnationales asiatiques en Nouvelle-Zélande: dynamique et défis Depuis les années 1990, les Asiatiques occupent la première place dans les flux migratoires à destination de la Nouvelle-Zélande. La migration d'établissement, le tourisme, le commerce international et plus récemment, l'enseignement international composent les différents flux de populations asiatiques dans le pays. Le présent article explore la dynamique évolutive des familles transnationales asiatiques depuis ces vingt dernières années, en mettant l'accent sur les expériences des jeunes au sein de ces familles. Au début des années 90, les familles bilocales étaient communément appelées familles « astronautes », dans lesquelles un parent ou les deux rentrai(en)t dans leur pays d'origine pour travailler, laissant leurs enfants suivre un enseignement en Nouvelle-Zélande. Au fil du temps, les structures de ces familles se sont modifiées, car beaucoup de jeunes migrants sont retournés s'installer dans leur ancien pays d'origine ou ont émigré vers un autre pays, alors que les « parents astronautes » ont rejoint leur conjoint dans le pays d'origine ou de destination. Plus récemment, la migration scolaire d'étudiants étrangers originaires de pays asiatiques a donné lieu à une autre forme de famille transnationale, dans laquelle les jeunes entrent en Nouvelle-Zélande en tant qu'étudiants étrangers, et deviennent ensuite résidents , pour certains d'entre eux au moins. Dans cet article, les expériences de ces jeunes sont explorées dans le contexte plus large des stratégies familiales visant à tirer le maximum d'avantages possible, d'une part grâce à des réseaux plus étendus dans l'espace et, d'autre part, grâce aux initiatives prises par les gouvernements et aux changements apportés par la Nouvelle-Zélande à sa politique d'immigration depuis les années 90. Familias asiáticas transnacionales en Nueva Zelandia: Dinámica y retos Desde los años noventa, Asia se ha convertido en uno de los principales contribuyentes a los flujos migratorios hacia Nueva Zelandia. La migración con fines de asentamiento, de turismo, de negocios internacionales y, recientemente, de realizar estudios en el extranjero, componen los diversos flujos de asiáticos que se dirigen a ese país. En este artículo se examina la dinámica cambiante de las familias transnacionales asiáticas en los últimos veinte años, haciendo hincapié en las experiencias de los jóvenes de estas familias. A principios de los años noventa, las familias bi-locales se denominaban comúnmente "familias astronautas" puesto que uno de los padres o los dos retornaban al país de origen para trabajar, dejando a sus hijos en Nueva Zelandia para que prosiguieran sus estudios. Con el correr del tiempo, las estructuras de estas familias fueron cambiando, puesto que muchos jóvenes emigrantes volvieron a sus países de origen o emigraron hacia terceros países mientras que "los progenitores astronautas" se reunieron con sus cónyuges, ya sea en el país de origen o de destino. Últimamente, la inmigración de estudiantes provenientes de países de Asia, ha propiciado otra forma de familia transnacional, en la que algunos de los jóvenes que ingresan a Nueva Zelandia como estudiantes terminan convirtiéndose en residentes. En este artículo, se examinan las experiencias de estos jóvenes en el contexto de estrategias familiares más amplias para alentar al máximo los beneficios mediante, por un lado, extensas redes espaciales y, por otro, iniciativas gubernamentales y cambios en políticas de inmigración, que se están llevando a cabo en Nueva Zelandia desde los años noventa. [source] | |||||||||||||