Chorea Associated with Diabetic Striatopathy in an Elderly Female: A Case Report

Diabetic striatopathy is a rare manifestation of diabetes mellitus. The disease commonly affects individuals of Asian descent, female, and the elderly. Patients usually present with hemiballism-hemichorea caused by hyperosmolar hyperglycemic state. Prompt recognition of a hyperglycemiainduced hemiballism-hemichorea is essential because the symptoms are reversible with correction of hyperglycemia. Diagnosis is possible based on blood reports and neuroimaging findings. J Bangladesh Coll Phys Surg 2022; 40: 65-67

Asian Blepharoplasty: A Review of the Ethnocultural Motivations and Ethical Implications

Asian blepharoplasty is a well-established and popular surgical procedure among individuals of East Asian descent, primarily concerned with creating a well-defined upper eyelid crease. The academic literature on this procedure has been mainly dedicated to surgical techniques and anatomical considerations. However, the popularity of this procedure that purports to modify race-typical features among Asians has generated debates on its wider social implications. This review discusses the anatomy of the Asian upper eyelid as well as ethnocultural and ethical implications of the Asian blepharoplasty.

Voyageurs malgré eux: Silence, embodiment, and exposure in Minh Tran Huy and Doan Bui

In recent Franco-Vietnamese literature written by descendants of immigrants, the liminality of exile is portrayed in all its complexity through migrant bodies – that of parents’ bodies – and through political and social bodies – linked to History and the Việt Kiều’s positionality in French society. The experience of external movement becomes an internal one, creating porosity between the outside and the body, self and others, places and times. This article argues that, in Minh Tran Huy’s Voyageur malgré lui and Doan Bui’s Le Silence de mon père, by representing their family’s migration, both authors present the silenced histories of the Vietnamese community in France. In order to do so, Tran Huy and Bui first focus on uncovering and writing the stories of their silent fathers: through their embodiment of exilic history, the fathers transmit the wound of their immigrant condition to their daughters. Consequently, daughters come to manifest similar bodily expressions of traumas they have not experienced and know little about. The fathers’ histories are eventually voiced and re-invested by the second generation. This shows how the unearthing of their fathers’ life stories is also about reappropriating a dual identity as well as making Asian diasporic perspectives and histories visible, notably to create new avenues of representation for French individuals of Asian descent.

Constructivism Against Racism: Causes of Verbal Harassment Behavior Towards Asian Citizens During Covid-19 Pandemic

Verbal harassment has become a major scourge of racism against people of Asian descent around the world during the Covid-19 pandemic. According to the national Stop AAPI Hate data, verbal harassment is the most common type of racism among Asian citizens. This behavior takes various forms: scolding, insulting, berating, expelling, yelling, forcing, threatening, and accusing. Therefore, it is necessary to analyze why Non-Asians do not tolerate verbal harassment of people of Asian descent which tends to increase during the Covid-19 pandemic. This study aims to provide information and solutions to the problem of xenophobia during the Covid-19 pandemic against non-Asians which led to acts of racism in the form of verbal harassment of citizens of Asian descent, as well as providing information about the history of racism against Asians, especially in the United States which has been going on for a long time. The method used in this study is a literature review technique from library sources for the last three years with the keywords verbal harassment, racism, and anti-Asian using a constructivism approach. The findings of the study is that the Covid-19 pandemic has built an understanding that non-Asian people have a higher rate than Asian descent who is accused of being the main source of the spread of the pandemic, resulting in inequality in society. simply because they are of a different race. The significance of this research focuses on the main causes of the emergence of a superior understanding of race as seen from the Constructivism approach. Where the bad view of the race of Asian descent is constructed through the influence of the surrounding environment which leads to acts of racism in the form of verbal harassment.

Minor Feelings in the Wake of the Atlanta Attack: How a Mom of Asian Descent Spent the First 100 hours in the Aftermath

This autoethnographic writing documents how a family of Chinese descent spent their first 100 hours after the Atlanta Shooting on March 16, 2021, in which a White gunman killed eight people, including six Asian women. It bears witness to the rise of the anti-Asian racism in the United States during the COVID-19 pandemic and offers a snapshot of the private life of a family of Asian descent in the dawn of the Stop Asian Hate Movement. Drawing on Korean American poet Cathy Park Hong’s term minor feelings, this essay explores how emotions, rooted in racialized lived experience and triggered by the mass shooting, evolved, shifted, and fueled the sentiments that gave rise to the Stop Asian Hate Movement. Compared with the more visible violence against Asians and Asian Americans displayed on social media, it interrogates the less visible traumatic experience that haunts Asian and Asian American communities.

The Persistence of Caste: Part I—The Impossible Simultaneity of Religion and Social Revolution in Ambedkar’s Last Essay: Buddha or Karl Marx

This study will explore the problem of the persistence of caste in South Asia, particularly in India but not excluding the global diaspora of peoples of South Asian descent. Within Ambedkar’s massive, far-reaching corpus of writings we will explore his last great work Buddha or Karl Marx, written shortly before his death in 1956 but published posthumously. By examining this inexplicable constancy of caste, we will argue why it is a moral imperative to continue the legacy of Ambedkar by offering new philosophical reasons for its ultimate destruction.

Imigran dan Warga Keturunan Jepang di Amerika Serikat: Sentimen-Sentimen Terhadapnya Dulu dan Kini

Abstrak Sejarah mencatat sentimen rasial yang tertuang dalam produk undang-undang Amerika Serikat seperti Chinese Exclusion Act 1882, pada masanya turut menyasar para imigran dan warga keturunan Jepang. Beragam tindakan kekerasan verbal maupun fisik dan diskriminasi dialami imigran Asia, dalam konteks ini Cina dan Jepang, ketika itu. Lebih lanjut, merebaknya Covid-19 dalam kurun dua tahun ini kembali memunculkan masalah sosial serupa bagi komunitas imigran dan warga keturunan Asia, termasuk Jepang. Isu berhembus memojokan para pendatang dan warga keturunan Asia sebagai tertuduh pembawa virus Covid-19. Dengan demikian, aksi-aksi rasis, diskriminatif, dan xenophobic terrekam pada dua konteks waktu yang berbeda. Dengan mengumpulkan data-data melalui metode studi pustaka dan kemudian mengolahnya, diketahui terdapat perbedaan dan kesamaan fenomena di tengah sentimen-sentimen yang menarget imigran maupun warga keturunan Jepang di Amerika. Perbedaan yang dimaksud merujuk pada aspek pemicu. Pada masa-masa awal kedatangannya, sentimen terhadap imigran Jepang di Amerika Serikat dipicu oleh masalah kesempatan kerja dan kecurigaan bernuansa politik. Sementara itu, pada kurun waktu pandemi Covid-19 sentimen anti-Asian dipicu oleh isu penyebaran virus Covid-19. Di sisi lain, terdapat kesamaan dalam munculnya sentimen-setimen anti-Asian dulu dan kini yaitu tersebarnya informasi palsu dan provokatif, merebaknya prasangka dan diskriminasi rasial, adanya peran tokoh publik dalam menyebarkan kebencian, dan adanya kebijakan hukum yang diambil oleh otoritas untuk merespon isu terkait. Kata Kunci: Amerika Serikat, Jepang, Imigran, Xenophobia, Covid-19 AbstractChinese Exclusion Act of 1882, which was one of the US Federal Laws restricting immigration, was meant to target Chinese immigrants at that time. Being among the Asian communities in the US, the Japanese immigrants were unsurprisingly affected. Racial discrimination and hatred began to arise as the implementation of the law was going on. Various acts of verbal and physical violence suffered by the Asian (Chinese and Japanese) immigrants at that time. Further, the outbreak of Covid-19 in the past two years has raised similar social problems for the immigrant communities and people of Asian descent including Japanese. The issue of cornering the immigrants and the residents of this descent as being accused of carrying the Covid-19 virus arises. Various acts of hatred begin to target the immigrants and citizens of Asian descent. Applying the library research method and processing the relevant data, there found differences and similarities amidst the sentiments targeting the immigrants and citizens of Japanese descent in America. The difference refers to the triggering aspect. In the early days of their arrival, the anti-Japanese immigrant sentiment in the United States was more motivated by the problems of job opportunity and political suspicions. Meanwhile, during the Covid-19 pandemic, anti-Asian sentiment was triggered by the issue of the spread of the Covid-19 virus. On the other hand, there are similarities to the emergence of anti-Asian sentiments today including the spread of false and provocative information, the spread of racial prejudice and discrimination, the role of public figures in spreading hatred, and the existence of legal policies taken by authorities to respond to the related issues. Keywords: the United States, Japanese, Immigrants, Xenophobia, Covid-19

“The Unusual Suspect” - Insulin Autoimmune Syndrome, an Extremely Rare Cause of Hypoglycemia

Background: Insulin autoimmune syndrome (IAS), also called Hirata syndrome, is a rare diagnosis which is characterized by hypoglycemia, normal or elevated fasting insulin level, and elevated anti-insulin antibody titers. Clinical Case: 45-year-old nondiabetic Caucasian female presented to the emergency department (ED) with chief complaint of near-syncope. She reported difficulty concentrating and feeling faint roughly 1 hour after consuming breakfast. Upon ED arrival, fingerstick glucose (FSG) was 47 mg/dL. Her symptoms resolved with ingestion of orange juice and repeat blood glucose (BG) 15 minutes later was 120 mg/dL. She reported similar symptoms in the last 5 years happening “every few months” without a predictable pattern; twice with witnessed loss of consciousness. Workup for syncope in the past included normal neurologic, cardiac, and tilt-table testing. She had no prior low FSG/BG recorded, no personal history of bariatric surgery or family history of diabetes mellitus and no access to antihyperglycemic medications. Past medical history included ulcerative colitis and medications included sulfasalazine and multivitamins. Pertinent review of systems was negative for weight loss, nausea, and diarrhea. Vital signs were within normal limits. Physical exam was unremarkable. Height was 165 cm, weight 67.8 kg and body mass index 24.9 kg/m2. Blood draw after overnight fast revealed BG of 78 mg/dL, C-peptide 0.7 ng/mL (ref range 0.8–3.5), insulin 10 µIU/mL (3–19), proinsulin <1.6 pmol/L (<8.0), insulin-like growth factor-2 (IGF-2) 339 ng/mL (180–580) and insulin antibody level 10.0 U/mL (0.0–0.4). She was managed conservatively with frequent small meals and patient has continued to do well without recurrence of symptoms. Conclusion: IAS is an exceedingly rare disease entity with about 460 cases described in literature, mostly in patients of Asian descent. Workup for hypoglycemia in non-diabetic patients should include insulin antibody titers to rule out IAS. There appears to be a genetic predisposition to developing IAS in patients with major histocompatibility complex (MHC) genes HLA-DQA1, HLA-DQB1 and HLA-DRB1. It is now being more frequently described in patients of non-Asian descent, particularly those with other autoimmune or plasma cell dyscrasias. It is also associated with drugs containing sulfhydryl groups and viral infections. Treatment should be tailored to severity of disease. Most drug induced IAS resolves after cessation of culprit drug. Conservative management is usually the first step with frequent, low carbohydrate meals with diazoxide or octreotide as adjunctive options. Immunosuppression (high-dose prednisolone or rituximab) and plasma exchanged are reserved severe or refractory cases.