Hawai''i journal of health & social welfare最新文献_第2页

Bioinformatics Research at University of Hawai'i: an Overview and Undergraduate Student Perspective. 夏威夷大学生物信息学研究：概述与本科生视角。

Hawai''i journal of health & social welfare Pub Date : 2026-01-05 eCollection Date: 2026-01-01 DOI: 10.62547/PVZI7945

Micaiah Cape

引用次数: 0

Monitoring Public Health During the 2023 Maui Wildfire Using Google Search Trends. 利用谷歌搜索趋势监测2023年毛伊岛野火期间的公共卫生状况。

Hawai''i journal of health & social welfare Pub Date : 2026-01-03 eCollection Date: 2026-01-01 DOI: 10.62547/QCKY9141

Jim P Stimpson, Ketan Tamirisa, Joseph Keaweʻaimoku Kaholokula, Alexander N Ortega

{"title":"Monitoring Public Health During the 2023 Maui Wildfire Using Google Search Trends.","authors":"Jim P Stimpson, Ketan Tamirisa, Joseph Keaweʻaimoku Kaholokula, Alexander N Ortega","doi":"10.62547/QCKY9141","DOIUrl":"https://doi.org/10.62547/QCKY9141","url":null,"abstract":"Wildfires pose acute and long-term threats to public health. This study used Google Trends to assess real-time public interest in health-related topics before, during and after the August 2023 Maui wildfires. Search terms were grouped into four categories: health care access, physical health, mental health, and help-seeking behavior. Daily search interest scores were aggregated and analyzed across three periods: pre-wildfire, wildfire, and post-wildfire. Findings revealed that physical health and health care access search interest remained relatively stable throughout the study period, with no measurable surge during or after the wildfire event. This lack of increase may reflect reliance on pre-established care plans among individuals with chronic respiratory conditions, in-person care-seeking, or prioritization of immediate safety over online information-seeking. In contrast, mental health-related searches rose substantially in the weeks following the wildfire, while help-seeking searches showed episodic fluctuations with notable peaks post-disaster. These findings illustrate how online search patterns can reveal evolving public health priorities in the wake of disasters. Google Trends offers a timely and scalable tool to monitor evolving health concerns during disasters, complementing traditional surveillance systems. Integrating search data into disaster response planning could enhance resource allocation, guide communication strategies, and ensure timely support for emerging needs, particularly mental health recovery following wildfire events.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"85 1","pages":"10-16"},"PeriodicalIF":0.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481848","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

Historical Review of Acute Myocardial Ischemia Risk Assessment. 急性心肌缺血风险评估的历史回顾。

Hawai''i journal of health & social welfare Pub Date : 2026-01-01 DOI: 10.62547/JMJM6124

Jerris R Hedges, W Brian Gibler, Gary P Young

{"title":"Historical Review of Acute Myocardial Ischemia Risk Assessment.","authors":"Jerris R Hedges, W Brian Gibler, Gary P Young","doi":"10.62547/JMJM6124","DOIUrl":"https://doi.org/10.62547/JMJM6124","url":null,"abstract":"The specialty of emergency medicine has emphasized the importance of the rapid diagnosis and treatment of time-dependent conditions. Recognition of the emergency patient at high risk for myocardial ischemia is one such condition. In collaboration with cardiologists and laboratory medicine specialists, emergency physicians have revolutionized the approach to diagnosing patients at risk for myocardial ischemia in the emergency department. This article provides a historical viewpoint based upon the authors' practice and research in myocardial ischemia risk recognition beginning in the 1980s, along with the work of selected researchers in the field to describe an evolving understanding of the underlying pathophysiology, the application of serial laboratory diagnostic techniques, and resultant goal-directed multidisciplinary care of the at-risk patient. Such an approach lends itself to the clinical assessment of patients in a multicultural, multiethnic environment as seen in Hawai'i. The evolution of acute myocardial ischemia risk assessment through emergency medicine research is detailed, including (a) the recognition of the limitations of patient discomfort subjective language descriptors, (b) the incorporation of highly specific and sensitive laboratory biomarkers for MI, and (c) the use of mechanistically-driven, serial clinical and laboratory assessments. Today's objective emergency approach to acute myocardial ischemia risk assessment is relevant to cross-cultural applications, as is required for medical care in the Pacific Basin.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"85 1","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481811","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

Socioeconomic Risk Factors for Extreme Preterm Birth in Hawai'i. 夏威夷极端早产的社会经济风险因素。

Hawai''i journal of health & social welfare Pub Date : 2025-12-01 DOI: 10.62547/VTQZ2327

Joanna P Reinhardt, Maile M Taualii

{"title":"Socioeconomic Risk Factors for Extreme Preterm Birth in Hawai'i.","authors":"Joanna P Reinhardt, Maile M Taualii","doi":"10.62547/VTQZ2327","DOIUrl":"10.62547/VTQZ2327","url":null,"abstract":"Socioeconomic status and race/ethnicity are widely understood to be determinants of adverse birth outcomes, but studies have been limited by lack of income data in health records and aggregation of racial groups in reporting. This study aims to evaluate the relationship of socioeconomic status to extreme preterm birth outcomes in the diverse ethnic population of Hawai'i. Statistical analyses were conducted on Hawai'i birth records 2004-2013 linked to American Community Survey data by maternal residence. Community-level income demographics were stratified into wealth quintiles and stratum specific odds ratios were calculated for extreme preterm birth with analysis focused on the highest and lowest income-quintiles. The overall rates of extreme preterm birth were similar in high vs low-income communities, yet the individual risk factors were significantly different. In low-income communities, increased risk of extreme preterm birth was identified for women less than 20 years old and Black women, while in high-income communities, Native Hawaiian and Black women were at increased risk. Previous preterm birth, birth of a first child and cumulative maternal medical conditions were significant risk factors at all income levels. For Native Hawaiian women, the significant overall increased risk of extreme preterm birth persists in high-income communities but not in low-income communities, suggesting that increased risks previously attributed to Native Hawaiian race/ethnicity may be partially explained by low socioeconomic status.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 12","pages":"283-292"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020056","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

Impacts of the Farm to Keiki Program: An Anthropological Evaluation. 农场对Keiki计划的影响：一个人类学评价。

Hawai''i journal of health & social welfare Pub Date : 2025-12-01 DOI: 10.62547/UVUI8788

Steve Migdol, Lisa Henry

引用次数: 0

Erratum in: Effects of Tummo Meditation and Niguma Yoga on Brain Activity. 修正：Tummo冥想和Niguma瑜伽对大脑活动的影响。

Hawai''i journal of health & social welfare Pub Date : 2025-12-01 DOI: 10.62547/PTJZ8938

引用次数: 0

Advancing Health Equity: Reducing Maternal-Fetal Mortality in Hawai'i through Community-Academic Partnership. 促进健康公平：通过社区-学术伙伴关系降低夏威夷的母婴死亡率。

Hawai''i journal of health & social welfare Pub Date : 2025-12-01 DOI: 10.62547/GUJQ3103

Kyoung Eun Lee, Sunny Chen, Molly R Altman, Holly B Fontenot, Joanne R Loos

引用次数: 0

Increasing Trend in Pediatric Brazilian Jiu Jitsu Injuries Presenting to US Emergency Departments and an Injury Profile - A 10-Year Analysis. 美国急诊科的巴西儿童柔术损伤呈上升趋势和损伤概况- 10年分析。

Hawai''i journal of health & social welfare Pub Date : 2025-11-01 DOI: 10.62547/IYGC2678

Morgan E Hasegawa, Kyle K Obana, Julian B Rimm, Kyle M Ishikawa, Jon Z Tan, Trent M Tamate, Jennifer A Sheasley, Timothy H Stocker-Downing, Scott N Crawford

{"title":"Increasing Trend in Pediatric Brazilian Jiu Jitsu Injuries Presenting to US Emergency Departments and an Injury Profile - A 10-Year Analysis.","authors":"Morgan E Hasegawa, Kyle K Obana, Julian B Rimm, Kyle M Ishikawa, Jon Z Tan, Trent M Tamate, Jennifer A Sheasley, Timothy H Stocker-Downing, Scott N Crawford","doi":"10.62547/IYGC2678","DOIUrl":"10.62547/IYGC2678","url":null,"abstract":"Brazilian Jiu Jitsu (BJJ) is an increasingly popular martial arts discipline. Yet, BJJ injuries remain understudied in light of increasing popularity. In particular, pediatric injuries have a dearth of literature examining epidemiologic trends and injury profiles. As such, this study's purpose was to evaluate trends in pediatric Brazilian Jiu Jitsu (BJJ) injuries over a 10-year period and formulate an injury profile. The US Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS) database was queried for martial arts related injuries from January 1, 2012, to December 31, 2021. Codes, and narratives were examined to compile data for patients 18 years of age or younger sustaining BJJ-related injuries. In the study period there were 7722 recorded martial arts related injuries (national estimate [NE]= 282 315) , with 264 (NE= 8357) pediatric BJJ related injuries identified. In all, 70.4% of the patients were male, and the average age was 11.6 years of age (range 4-18).There was a statistically significant increasing linear trend in pediatric BJJ injuries from 2012 to 2021 (P< .001). Most injuries were treated in emergency departments without admission. The most common diagnoses weresprains/strains (28.3%), fractures (20.1%), and the most injured body parts were head (14.2%), shoulder (9.8%), and lower arm (8.9%). This study presents novel data concerning pediatric BJJ injuries epidemiology and injury profile, providing useful information for health care professionals to treat these patients.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 11","pages":"269-276"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019963","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

Utilization of Genetic Testing and Surgical Implications in an Ethnically Diverse Hawaiian Population. 利用基因检测和外科手术在一个种族多样化的夏威夷人口。

Hawai''i journal of health & social welfare Pub Date : 2025-11-01 DOI: 10.62547/ZFYG5300

Amelia Wong, Saskia Leonard, Katlyn An, Brendan Seto, Jared Su, Jessica Kieu, Hyeong Jun Ahn, Ashley Marumoto

{"title":"Utilization of Genetic Testing and Surgical Implications in an Ethnically Diverse Hawaiian Population.","authors":"Amelia Wong, Saskia Leonard, Katlyn An, Brendan Seto, Jared Su, Jessica Kieu, Hyeong Jun Ahn, Ashley Marumoto","doi":"10.62547/ZFYG5300","DOIUrl":"10.62547/ZFYG5300","url":null,"abstract":"Genetic testing is recommended for young women diagnosed with breast cancer. While studies have demonstrated an increased likelihood of variants of unknown significance (VUS) among racial/ethnic minorities compared to non-Hispanic Whites, results in the ethnically diverse population of Hawai'i are largely unknown. Additionally, current consensus guidelines dictate that VUS mutations are not clinically actionable and surgical decision-making is not standardized. This study aims to examine the utilization of genetic testing in Hawai'i and evaluate for any subsequent impacts on surgical practice patterns. A retrospective chart review of women age <45 diagnosed with breast cancer between 2016 and 2020 was performed at a single institution in Honolulu, Hawai'i. Ethnicity, cancer history, detected genes/variants, and surgical intervention were extracted. Of 236 patients identified, 134 (56.7%) were Asian, 57 (24.1%) Native Hawaiian/Pacific Islander (NHPI), and 45 (19.1%) Other. The majority (n=201, 85.2%) underwent genetic testing. A family history of breast cancer was predictive of testing (P<.001). The most common finding was VUS (n= 95, 47.2%) with no statistical difference by ethnicity. Pathogenic mutations were more common in Other (Non-Asian/Non-NHPI) populations (P=.047). All patients with pathogenic mutations underwent bilateral mastectomy (n=16). In contrast, patients with VUS were more likely to undergo partial (n=53, 50.9%) or unilateral mastectomy (n=28, 26.9%) rather than bilateral mastectomy (n=21, 20.2%) regardless of tumor staging (P<.001). This study demonstrated high utilization of genetic testing among young women diagnosed with breast cancer. Pathogenic and non-pathogenic mutations varied according to race. The high prevalence of VUS in this ethnically diverse cohort emphasizes the importance of genetic testing in this population and warrants further research.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 11","pages":"251-260"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020028","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

Breast Cancer Surgery Practice Patterns in Hawai'i Compared to the Rest of the U.S. 夏威夷乳腺癌手术实践模式与美国其他地区的比较

Hawai''i journal of health & social welfare Pub Date : 2025-11-01 DOI: 10.62547/VUPD5652

Jared Su, Jessica Kieu, Amelia Wong, Brenda Y Hernandez, Lenora Wm Loo, Ashley Marumoto

{"title":"Breast Cancer Surgery Practice Patterns in Hawai'i Compared to the Rest of the U.S.","authors":"Jared Su, Jessica Kieu, Amelia Wong, Brenda Y Hernandez, Lenora Wm Loo, Ashley Marumoto","doi":"10.62547/VUPD5652","DOIUrl":"10.62547/VUPD5652","url":null,"abstract":"Women with early stage breast cancer have two therapeutic surgical options for local control: breast conserving surgery (BCS) or mastectomy. This study aimed to compare practice patterns for breast cancer surgery in Hawai'i (HI) and the rest of the United States (US). Retrospective data from the National Cancer Institute (NCI) Surveillance, Epidemiology, and End Results (SEER) program were evaluated for women diagnosed with early stage primary breast cancer between 2004 and 2018. First course surgical treatment was compared between Hawai'i and the rest of the US and evaluated by stage, race/ethnicity, and age. A total of 1 160 914 female breast cancer patients with in situ, stage 1 or 2 disease were evaluated (HI 20 434 vs US SEER 1 140 480). The proportion of patients treated with BCS was higher among Hawai'i patients compared to the rest of the US (HI 56.3% vs. US 53.4%, P≤.001), regardless of stage. Hawai'i had significantly higher percentages of BCS compared to the rest of the US among Asian (HI 58.0% vs. US 49.7%, P<.001) and Native Hawaiian/Other Pacific Islander (HI 54.0% vs. US 51.3%, P=.008) women. The percentage of BCS was also significantly higher among both younger and older women in Hawai'i compared to those in the rest of the US (HI 49.8% vs. US 44.1%, P<.001; HI 8.0% vs. US 55.9%, P<.001). Between 2004 to 2018, there was a gradual reduction in BCS in younger women across the nation. Using a nationwide dataset, higher BCS percentages were seen in Hawai'i compared to the rest of the US with differences seen according to stage, race/ethnicity, and age.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 11","pages":"243-250"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019962","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