Hawaii medical journal最新文献_第4页

Barriers to healthcare of homeless residents of three Honolulu shelters. 檀香山三个收容所无家可归居民的医疗障碍。

Hawaii medical journal Pub Date : 2011-10-01

Reid R Hoshide, Jenny D Manog, Thomas Noh, Jill Omori

引用次数: 0

Prevalence of comorbid conditions with aging among patients with diabetes and cardiovascular disease. 糖尿病和心血管疾病患者的老年共病患病率

Hawaii medical journal Pub Date : 2011-10-01

James W Davis, Richard Chung, Deborah T Juarez

{"title":"Prevalence of comorbid conditions with aging among patients with diabetes and cardiovascular disease.","authors":"James W Davis, Richard Chung, Deborah T Juarez","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: The objectives were to develop a methodology to understand the prevalence of medically complex patients, and to apply the methodology to examine patients with one or more of hypertension, hyperlipidemia, diabetes, and heart disease.Methods: Prevalence was measured using insurance data by calculating the proportion of days patients in a health state of interest contributed to the total days of enrollment. Graphs summarized the prevalence patterns within age and morbidity categories. Results by age and gender were supplemented with cubic spline curves that closely fit the prevalence data.Results: The study provides basic epidemiologic information on changes with aging in the prevalence of patients with one or more comorbid conditions. Patients such as those with hyperlipidemia alone rose in prevalence at younger ages and fell at older ages, whereas the prevalence of other patients, such as patients having hypertension, diabetes, and heart disease, progressively increased with age. With straightforward extensions of the methodology other issues such as the incidence of emergency department visits and hospitalizations might be investigated.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":"70 10","pages":"209-13"},"PeriodicalIF":0.0,"publicationDate":"2011-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215980/pdf/hmj7010_0209.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30319719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical School Hotline: Tobacco dependence and the management of tobacco-related disorders: how John A. Burns School of Medicine is preparing our future physicians. 医学院热线：烟草依赖和烟草相关疾病的管理：约翰伯恩斯医学院如何培养我们未来的医生。

Hawaii medical journal Pub Date : 2011-10-01

Jill S M Omori, Kenton Kramer

引用次数: 0

Hawaii medical journal Pub Date : 2011-09-01

Nafanua Braginsky, Jillian Inouye, Chen Yen Wang, Richard Arakaki

{"title":"Perceptions related to diet and exercise among Asians and Pacific Islanders with diabetes.","authors":"Nafanua Braginsky, Jillian Inouye, Chen Yen Wang, Richard Arakaki","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to explore the perceptions of Asians and Pacific Islanders (API) with Type 2 diabetes related to diet and exercise. A descriptive content analysis was conducted on verbalized responses from 15 participants in focus groups who were asked \"What role does your culture play in what, when, and how much you eat?\" and \"If and/or how much you exercise and what type of exercise you do?\" The participants recorded responses were transcribed verbatim and analyzed for themes utilizing the social ecological framework.The families, environment, and the local culture in Hawai'i greatly affect the dietary and physical activities of the participants. Psychosocial themes related to diet included depression, denial, and lack of self control. Physical activities were impacted by motivation and awareness of complications of diabetes. Family upbringing, social events, food portions and variety, and reciprocity contributed to eating behaviors of the participants. Family values in sports and role expectations of gender influenced physical activities.This study identified social ecological influences on health behavior among Asians and Pacific Islanders. The findings suggest various efforts for physicians and other health care providers to assist API in taking care of their diabetes.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":"70 9","pages":"196-9"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233401/pdf/hmj7009_0196.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30319610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergence of community-acquired extended-spectrum beta-lactamase Escherichia coli (ESBLEC) in Honolulu: a case series of three individuals with community-acquired ESBLEC bacteriuria. 檀香山出现社区获得性广谱β -内酰胺酶大肠杆菌(ESBLEC):三个社区获得性ESBLEC细菌尿的病例系列

Hawaii medical journal Pub Date : 2011-09-01

Reid R Hoshide, Heath Chung, Jinichi Tokeshi

引用次数: 0

Faculty and resident perceptions regarding overnight student call during the third year OB/GYN clerkship. 在妇产科实习的第三年，教师和住院医师对过夜学生的看法。

Hawaii medical journal Pub Date : 2011-09-01

Mark Hiraoka, Stephen Sung, James Davis, David Kim

{"title":"Faculty and resident perceptions regarding overnight student call during the third year OB/GYN clerkship.","authors":"Mark Hiraoka, Stephen Sung, James Davis, David Kim","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: The objective of this study is to identify university faculty, community physician, and resident perceptions of how a schedule that employs overnight call in addition to a traditional weekday schedule affects medical student education, well being, and patient care during the third year obstetrics and gynecology clerkship.Methods: In July 2007, a descriptive study was performed by distributing surveys to community teaching physicians, current residents, and faculty in the University of Hawai'i Department of Obstetrics and Gynecology. A total of 114 surveys were distributed to all current residents, clinical faculty and full-time faculty in the University of Hawai'i Department of Obstetrics and Gynecology. The survey included questions regarding the effect of the student call/work hour restrictions.Results: A response rate of 45.6% was obtained (52/114). Results demonstrate that 84.6% (44/52) of residents, faculty, and community attendings agree that third year medical students should take call during their obstetrics and gynecology clerkship. Data was analyzed utilizing Spearman correlation and Cochran-Mantel-Haenszel statistics. No statistical difference was detected in terms of age or physician type (resident vs faculty vs community attending).Conclusion: Most physician-educators believe that medical students benefit from taking overnight call during their obstetrics and gynecology clerkship. Careful consideration should be given prior to elimination of overnight call in the obstetrics and gynecology clerkship.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":"70 9","pages":"189-92"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233399/pdf/hmj7009_0189.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30319655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A polymorphism in the retinol binding protein 4 gene is not associated with gestational diabetes mellitus in several different ethnic groups. 视黄醇结合蛋白4基因多态性与妊娠糖尿病在几个不同的民族没有关联。

Hawaii medical journal Pub Date : 2011-08-01

Mark Hiraoka, Johann Urschitz, Omar Sultan, Kenneth Ward

{"title":"A polymorphism in the retinol binding protein 4 gene is not associated with gestational diabetes mellitus in several different ethnic groups.","authors":"Mark Hiraoka, Johann Urschitz, Omar Sultan, Kenneth Ward","doi":"","DOIUrl":"","url":null,"abstract":"Objective: Various Asian and Pacifific Islander groups have higher prevalence rates of type 2 diabetes and gestational diabetes. This increased incidence is likely to include genetic factors. Single nucleotide polymorphisms in the retinol binding protein 4 gene have been linked to the occurrence of type 2 diabetes. Hypothesizing a link between retinol binding protein 4 and gestational diabetes, we performed a candidate gene study to look for an association between an important retinol binding protein gene polymorphism (rs3758539) and gestational diabetes.Study design: Blood was collected from Caucasian, Asian, and Pacific Islander women diagnosed with gestational diabetes and from ethnically matched non-diabetic controls. DNA was extracted and real time PCR technology (TaqMan, Applied Biosystems) used to screen for the rs3758539 single nucleotide polymorphism located 5' of exon 1 of the retinol binding protein 4 gene.Results: Genotype and allele frequencies in the controls and gestational diabetes cases were tested using chi-square contingency tests. Genotype frequencies were in Hardy-Weinberg equilibrium. There was no association between the rs3758539 retinol binding protein 4 single nucleotide polymorphism and gestational diabetes in the Caucasian, Filipino, or Pacific Islander groups.Conclusion: Interestingly, the rs3758539 retinol binding protein 4 single nucleotide polymorphism was not found to be associated with gestational diabetes. The absence of association suggests that gestational and type 2 diabetes may have more divergent molecular pathophysiology than previously suspected.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":"70 8","pages":"164-7"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158378/pdf/hmj7008_0164.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30116401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical school hotline: first and lasting impressions of the John A. Burns school of medicine. 医学院热线:约翰·a·伯恩斯医学院的第一印象和持久印象。

Hawaii medical journal Pub Date : 2011-08-01

Darrell G Kirch

引用次数: 0

Student-written simulation scenarios: a novel cognitive assessment method in a trauma curriculum. 学生撰写的模拟情境:创伤课程中一种新的认知评估方法。

Hawaii medical journal Pub Date : 2011-08-01

Susan K Steinemann, Benjamin W Berg, Joseph W Turban, Kristine M Hara, Larry R Alfrey

{"title":"Student-written simulation scenarios: a novel cognitive assessment method in a trauma curriculum.","authors":"Susan K Steinemann, Benjamin W Berg, Joseph W Turban, Kristine M Hara, Larry R Alfrey","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Global cognitive and psychomotor assessment in simulation based curricula is complex. We describe assessment of novices' cognitive skills in a trauma curriculum using a simulation aligned facilitated discovery method.Methods: Third-year medical students in a surgery clerkship completed two student-written simulation scenarios (SWSS) as an assessment method in a trauma curriculum employing high fidelity human patient simulators (manikins). SWSS consisted of written physiologic parameters, intervention responses, a performance evaluation form, and a critical interventions checklist.Results: Seventy-one students participated. SWSS scores were compared to multiple choice test (MCQ), checklist-graded solo performance in a trauma scenario (STS), and clerkship summative evaluation grades. The SWSS appeared to be slightly better than STS in discriminating between Honors and non-Honors students, although the mean scores of Honors and non-Honors students on SWSS, STS, or MCQ were not significantly different. SWSS exhibited good equivalent form reliability (r=0.88), and higher interrater reliability versus STS (r=0.93 vs r=0.79).Conclusion: SWSS is a promising assessment method for simulation based curricula.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":"70 8","pages":"172-5"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158380/pdf/hmj7008_0172.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30116403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moyamoya disease in pregnancy: a case series and review of management options. 妊娠期烟雾病:病例系列和管理方案综述。

Hawaii medical journal Pub Date : 2011-08-01

Jacklyn C Ma, Janet M Burlingame

引用次数: 0