Hepatitis B virus (HBV) remains a challenging public-health issue in China. Hepatitis B carriers and patients suffer not only physically but also experience strong discrimination and stigma. China's rural population is 629 million. Thus, there is a great need to understand the situation surrounding HBV-related discrimination in everyday life in rural China. We studied 6,538 participants (18 y old) from 42 villages across 7 provinces (districts). Many studies have addressed discrimination against those with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). However, few studies have addressed HBV-related discrimination. We found that the fear of HBV infection, not lack of knowledge about it, predominantly leads to HBV-related discrimination (although limited knowledge is also a cause). Notably, receiving the HBV vaccination contributes to reduced discrimination. In addition, the existence of fewer misunderstandings about false HBV transmission routes plays a more important role in discrimination than does understanding of true HBV transmission routes. Therefore, to reduce HBV-related discrimination, policy makers should consider eliminating HBV-related fear, strengthening adult HBV immunization programs, developing large-scale education dissemination about HBV transmission routes and non-transmission routes, and paying greater attention to target populations.
Oil-in-water nanoemulsions were produced in the system water/Span 80-Tween 80/paraffin oil via the phase inversion composition (PIC) method at elevated temperature. With the increase of preparation temperature from 20 to 70 °C, we found that the emulsion droplet diameter decreases from 10.3 μm to 51 nm, proving the formation of nanoemulsions. The viscosity of nanoemulsions clearly increases with droplet volume fraction, φ, but the droplet size changes less. Significantly, at φ ≤ 0.5, the size distribution of nanoemulsions can be kept unchangeable more than 5 months. These results proved that the highly viscous paraffin oil can hardly be dispersed by the PIC method at 25 °C, but the increase in preparation temperature makes it possible for producing monodisperse nanoemulsions. Once the nanoemulsion is produced, the stability against Ostwald ripening is outstanding due to the extremely low solubility of the paraffin oil in the continuous phase. The highly stable nanoemulsions are of great importance in practical applications.
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