Health Services for Refugees in the United States: Policies and Recommendations

Some of refugees, who were forced to move out from a home country due to political or religious conflicts, war or natural or manmade disasters, resettle in another country. Resettlement in another country is challenging as refugees suffer from a number of mental and physical health problems. Under the Refugee Act of 1980, the United State (US) governments provide medical assistance as well as financial and immigration legal assistance. Yet, it is still challenging to ensure health and well-being of refugees who have diverse social and health conditions and needs. This study reviewed federal policies and limitations on refugee health in the US, which accepts the largest number of refugee resettlements in the world. The reviewed policies include health insurance policies, health promotion policies, the Survivors of Torture Program, and medical screening. Some refugees still have limited accessibility to services due to difficulties in understanding the healthcare system even when they are eligible for many of the services. While most policies on refugee health mainly focus on the early stage of resettlement and infectious disease screening, follow-up services for chronic conditions are essential to ensure health and well-being of refugees. Because social factors affect health of refugees, it is necessary to provide services that address social and health issues. There are several recommendations to improve policies and services to better serve refugee populations who resettled in the US. First, more comprehensive health promotion and education programs are necessary for refugees to better understand the US healthcare system and healthcare. Second, long-term follow-ups which include chronic health conditions are important to improve health of refugees. Lastly, social and health issues should be integrated with a bidirectional approach which supports both refugees and existing communities. Keywords: refugees, physical and mental health, resettlement, federal policies, United States

Terfezia boudieri: A Desert Truffle With Anticancer and Immunomodulatory Activities

© Copyright © 2020 Al Obaydi, Hamed, Al Kury and Talib. Desert truffles have high nutritional value and grow wild in the Mediterranean basin and Western Asia. Although, many studies were performed to evaluate truffles nutritious values and phytochemical composition, studies are limited to evaluate their anticancer and/ or immunomodulatory effects. Our study was conducted to evaluate the anticancer and immunomodulatory effects of Terfezia boudieri (desert truffle). Different solvent extracts were prepared from the truffle and MTT assay was used to measure their anticancer activity against cancer cell lines (T47D, MCF-7, MDA-MB231, HCT-116, and Hela). Total phenolic content in each extract was determined by using Folin-Ciocalteu reagent and qualitative phytochemical screening was performed using standard methods. The degree of apoptosis induction (using caspase 3 assay) and vascular endothelial growth factor expression were detected using standard kits. Also, ELISA was used to measure levels of IFN-γ, IL-2, IL-4, and IL-10 secreted by splenocytes after treatment with the extracts. The effect of the extracts on splenocytes proliferation was measured using MTT assay. Macrophage function was evaluated using nitro blue tetrazolium assay and pinocytosis function was evaluated using neutral red method. Terpenoids, phytosterols, and carbohydrates were present in all the solvent extracts, while tannins, alkaloids and flavonoids were detected only in aqueous/methanol and aqueous extracts. The highest total phenolic content was observed in aqueous and aqueous methanol extracts. The growth of cancer cell lines was inhibited by T. boudieri extracts in a dose dependent manner. N-hexane extract was the most potent against most cell lines. Aqueous/methanol extract showed high apoptosis induction and angiogenesis suppression effects. An increase in TH1 cytokines (IFN-γ, IL-2) level and a decrease in TH2 cytokine (IL-4) level were evident after lymphocytes stimulation by aqueous/methanol, n-hexane and ethyl acetate extracts of T. boudieri. Ethyl acetate extract of T. boudieri were the most potent extracts to stimulate lymphocytes proliferation while all other extracts showed moderate stimulation. Aqueous/methanol extract was the most active extract to stimulate phagocytosis. Ethyl acetate extract was the most active extract to stimulate pinocytosis. The use of T. boudieri provides variable health benefits. N-hexane, ethyl acetate, and aqueous/methanol extracts exhibited anticancer activities and are potent stimulators of innate and acquired immunity. Further testing is needed to identify the biologically active compounds and detect them quantitatively using GC-MS analysis

A Pragmatic Study of Gestural Strategies in English Sport TV Interviews

Gestures  and  speech  are  significant  features  that  collaborate  to  create  meaning  in  an  interaction. The current study aims to investigate the use of these gestural strategies in English sport TV interviews. This study is based on the hypothesis that interlocutors in TV interviews employ various gesture strategies. The  selected  interviews  have  been  analyzed  in  the  light  of  an  eclectic  model  based  on  model  Kulkarni  (2013)  and  Searle  (1979). The former is used to analyze the various types of body movements and gesticulation, while the latter is used to analyze gestures as speech acts. The results of the selected interviews revealed that gestural strategies are closely tied to the context of situation. Each gesture performs a specific speech act. The interlocutors in sport interviews express their feelings and attitudes through gestures in an efficient manner. They  use  gestures  to  express  agreement, openness, sympathy, grief and  anxiety. In  sport  interviews,  the  interlocutors  use  gestures freely by  moving  their  hands,  arms,  heads,  and  every  other  part  of  their  bodies

Digital immigrants’ attitudes toward e-reading in Iraq and Pakistan

Abstract Purpose: In the digital transformation race, the older generation, called digital immigrants (generation X), encounter various obstacles. This study aims to investigate the e-reading adoption and cross-cultural differences among generation X. Design/methodology/approach: This study collected survey-based data from generation X e-readers in Iraq and Pakistan (Pakistan, N = 235; Iraq, N = 251). Structural equation modeling and multigroup analysis (MGA) were used to arrive at a statistical decision regarding the hypotheses and the study’s primary objectives. Findings: Three hypotheses (H2, H3 and H8) were supported by both data sets. However, there is positive variance based on MGA for two hypotheses (H1 and H3) where the Pakistani sample’s path coefficients are greater than the Iraqi sample’s path coefficients. In contrast, there is negative variance based on MGA for two hypotheses (H7 and H9) where the Iraqi sample’s path coefficients are greater than the Pakistani sample’s path coefficients. Finally, these distinctions are examined, along with a few potential research topics. Originality/value: Although there is a plethora of literature on digital immigrants and technology adoption in general, and specifically on e-reading uptake. Research on e-reading adoption in a global learning context is still lacking. Therefore, this study examines the e-reading behavior of digital immigrants from two developing countries (Iraq and Pakistan) and identifies significant cross-cultural differences in e-reading adoption

Data_Sheet_1_What I know, what I want to know, what I learned: Activating EFL college students' cognitive, behavioral, and emotional engagement through structured feedback in an online environment.docx

Given the spread of the COVID-19 pandemic, online classes have received special attention worldwide. Since teachers have a lasting effect on the students, the teacher–student relationship is a pivotal factor in language learning classes. Students will not be engaged in class activities if they are not sufficiently challenged by them or if they do not find them interesting, especially in online classes. From this point of view, motivating, engaging, and testing techniques in online classes are highly important. The present study attempts to demonstrate a correlation between structured feedback and three types of engagement in an online class: cognitive, behavioral, and emotional engagement. The structured feedback, which is used at the end of each lesson lets the students express what they know, what they want to know, and what they learned. The sample of the study consists of 114 EFL third-year college students. The study's findings reveal positive and significant correlations between the three types of engagement; cognitive, behavioral, and emotional, and the use of structured feedback in online classes. In a nutshell, some academic implications and recommendations are provided.</p