Hawaii medical journal最新文献_第8页

Gastric volvulus, Borchardt's Triad, and Endoscopy: A Rare Twist. 胃扭转，Borchardt三联征和内窥镜:一个罕见的扭曲。

Hawaii medical journal Pub Date : 2011-04-01

Anthony P Cardile, David S Heppner

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Artesunate: investigational drug for the treatment of severe falciparum malaria in Hawai'i. 青蒿琥酯:用于治疗夏威夷严重恶性疟疾的研究药物。

Hawaii medical journal Pub Date : 2011-04-01

David M Callender, Gunther Hsue

{"title":"Artesunate: investigational drug for the treatment of severe falciparum malaria in Hawai'i.","authors":"David M Callender, Gunther Hsue","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: There are hundreds of millions of cases of malaria each year worldwide resulting in a million deaths. These deaths are mostly due to Plasmodium falciparum. The only Federal Drug Administration approved treatment for severe malaria is intravenous quinidine gluconate. Intravenous quinidine is increasingly unavailable in the United States. In 2007, the Center for Disease Control and Prevention implemented an investigational new drug protocol to allow the use of intravenous artesunate for cases of severe malaria in the United States. The authors present such a case treated under this protocol at Tripler Army Medical Center, Hawai'i.Case report: A 49-year-old man presented to Tripler Army Medical Center, Hawai'i in February 2009 with a one-month history of fever, chills, and weight loss. He recently travelled to multiple malaria endemic areas. Physical examination was significant for fever and prostration. Laboratory studies revealed anemia, thrombocytopenia, and a high parasite load of Plasmodium falciparum. A strategic network was activated to obtain and administer intravenous artesunate. His condition rapidly improved as his parasitemia cleared. He was discharged after six days with no adverse medication effects and full recovery upon six-month follow-up.Discussion: Our patient met the criteria for severe Plasmodium falciparum malaria. He was immediately treated with intravenous artesunate and manifested a quick and durable response to therapy. At present, intravenous artesunate is awaiting Federal Drug Administration approval but available via a strategic network controlled by the Centers for Disease Control and Prevention. This case highlights a common delay in diagnosis, importance of optimal prophylaxis, and attention to travel history as they relate to the development of severe malaria.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072541/pdf/hmj7004_0077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29883662","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}

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Medical school hotline: harnessing technology for a 21st century medical education. 医学院热线:为21世纪的医学教育利用技术。

Hawaii medical journal Pub Date : 2011-04-01

Joseph W Turban

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The weathervane. 风向标。

Hawaii medical journal Pub Date : 2011-04-01

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The Werner's Syndrome RecQ helicase/exonuclease at the nexus of cancer and aging. 在癌症和衰老关系中的维尔纳综合征解旋酶/核酸外切酶。

Hawaii medical journal Pub Date : 2011-03-01

Stephen G Chun, David S Shaeffer, Peter K Bryant-Greenwood

{"title":"The Werner's Syndrome RecQ helicase/exonuclease at the nexus of cancer and aging.","authors":"Stephen G Chun, David S Shaeffer, Peter K Bryant-Greenwood","doi":"","DOIUrl":"","url":null,"abstract":"Werner's Syndrome (WS) or adult-onset progeria is an autosomal recessive disorder of accelerated aging caused by mutations of the DNA RecQ helicase/exonuclease (WRN). WRN is an ATP-dependent helicase with 3' to 5' DNA exonuclease activity that regulates the replicative potential of dividing cells, and WRN loss-of-function mutations promote cellular senescence and neoplastic transformation. These molecular findings translate clinically into adult-onset progeria manifested by premature hair graying, dermal atrophy, cardiovascular disease, and cancer predilection along with a markedly reduced life expectancy. Recently, a patient with WS who developed pancreatic adenocarcinoma was identified in Honolulu suggesting a significant prevalence of loss-of-function WRN mutations in Hawaii's Japanese-American population. Based upon the indigenous Japanese WRN loss-of-function mutation heterozygote rate of 6 per 1,000, we speculate the possibility of approximately 1,200 heterozygotes in Hawaii. Our ongoing studies aim to evaluate Hawaii's true allelic prevalence of WRN loss-of-function mutations in the Japanese-American population, and the role of WRN silencing in sporadic cancers. In summary, WRN plays a nexus-like role in the complex interplay of cellular events that regulate aging, and analysis of WRN polymorphisms in Hawaii's population will generate novel insights to advance care for age-related pathologies.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071901/pdf/hmj7003_0052.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29708637","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}

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Postpartum follow-up rates before and after the postpartum follow-up initiative at Queen Emma Clinic. 产后随访率前后的产后随访倡议在艾玛女王诊所。

Hawaii medical journal Pub Date : 2011-03-01

Pai-Jong Stacy Tsai, Laurie Nakashima, Jan Yamamoto, Lynn Ngo, Bliss Kaneshiro

{"title":"Postpartum follow-up rates before and after the postpartum follow-up initiative at Queen Emma Clinic.","authors":"Pai-Jong Stacy Tsai, Laurie Nakashima, Jan Yamamoto, Lynn Ngo, Bliss Kaneshiro","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To study postpartum follow-up rates, as well as counseling opportunities, among Queen Emma Clinic patients before and after the implementation of the Queen Emma Clinic Postpartum Follow-up Initiative.Methods: This was a retrospective chart review of 221 women who received prenatal care at the Queen Emma Clinic and gave birth between April 2006 and April 2008. In April 2007 the postpartum initiative was started. The primary outcome was the number of postpartum follow-up visits. Secondary outcomes included breastfeeding, contraceptive use, depression screening and referral, follow-up screening for patien ts with gestational diabetes and subsequent pregnancy.Results: Postpartum follow-up rates were significantly higher after the Postpartum Follow-up Initiative (86.1% compared with 71.7%, P =.012). When comparing timing of follow-up, the first postpartum visit occurred approximately one week sooner in the post intervention group (2.96 weeks compared with 3.73 weeks, P=0.38) with no difference in timing of the second postpartum visit (6.62 weeks compared with 6.42 weeks, P=.72). In the post intervention group there were more patients breastfeeding at the first postpartum visit (28.7% compared with 16%, P=.015), as well as the second postpartum visit (28.7% compared with 12.3%, P=0.01). There were also more women using contraception in the post intervention group (84.3% compared with 71.7%, P=.009). There was no difference in depression screening or referral, follow-up screening for gestational diabetes, or timing of subsequent pregnancies.Conclusion: The Postpartum Follow-Up Initiative improved postpartum follow-up rates, as well as breastfeeding, and contraceptive use.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071902/pdf/hmj7003_0056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29708638","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

Preferred smoking cessation methods for Asian or Pacific Islander household smokers who live with hospitalized children. 与住院儿童同住的亚洲或太平洋岛民家庭吸烟者的首选戒烟方法。

Hawaii medical journal Pub Date : 2011-03-01

Meta T Lee, Jennifer Bracamontes, Evan Mosier, James Davis, Jay E Maddock

{"title":"Preferred smoking cessation methods for Asian or Pacific Islander household smokers who live with hospitalized children.","authors":"Meta T Lee, Jennifer Bracamontes, Evan Mosier, James Davis, Jay E Maddock","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: A qualitative study was conducted to determine preferred smoking cessation methods among Asian or Pacific Islander (API) smokers who live with hospitalized children. This study occurred in a children's hospital where a new cessation program would be developed.Methods: Twenty-six API smokers who live with children admitted to the hospital were interviewed and tape-recorded. Responses to survey questions were transcribed, categorized, and analyzed.Results: 73% were interested in quitting, 34% within the next 30 days. Few would independently use the quit-line (31%) or attend group classes (4%). However, if offered during their child's hospitalization, 52% would sign up for individualized counseling and 29% would attend group sessions. Respondents believed advice would be helpful from their physician (71%), child's pediatrician (65%, nurse (64%), respiratory therapist (65%), or smoking cessation counselor (75%).Conclusions: The majority of API smokers were interested in quitting and receptive to one-on-one counseling. Advice would be helpful from any healthcare professional.","PeriodicalId":12824,"journal":{"name":"Hawaii medical journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071900/pdf/hmj7003_0048.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29708636","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}

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Persistent danger from weight loss supplements. 减肥补充剂带来的持续危险。

Hawaii medical journal Pub Date : 2011-03-01

Ano L Lobb

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Medical School Hotline: from Kaka‘ako to Manila: lessons learned in global health. 医学院热线:从卡卡阿科到马尼拉:全球卫生方面的经验教训。

Hawaii medical journal Pub Date : 2011-03-01

Vanessa Cabe, Equardo Duquez, Krystle Salazar, Nicolas Villanueva, Allen Wong, Alycia Yee

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UH Cancer Center Hotline: addressing cancer care disparities for Filipinos in Hawai'i; a unique approach to communicating about cancer treatment. 休斯敦大学癌症中心热线:解决菲律宾人在夏威夷的癌症护理差距;这是一种交流癌症治疗的独特方式。

Hawaii medical journal Pub Date : 2011-03-01

William S Loui

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