Hawai''i journal of health & social welfare最新文献

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Survival Difference of Colorectal Adenocarcinoma Among Racial and Ethnic Minority Groups: A SEER Database Study. 少数种族和族裔群体结直肠腺癌的生存率差异:SEER 数据库研究。
Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/AEBM4307
Arvin Jeremy Tan, Chuong Tran, Nurlan Aliyev, Fedja Rochling, Tomoki Sempokuya
{"title":"Survival Difference of Colorectal Adenocarcinoma Among Racial and Ethnic Minority Groups: A SEER Database Study.","authors":"Arvin Jeremy Tan, Chuong Tran, Nurlan Aliyev, Fedja Rochling, Tomoki Sempokuya","doi":"10.62547/AEBM4307","DOIUrl":"10.62547/AEBM4307","url":null,"abstract":"<p><p>Despite advances in diagnosis and treatment, racial disparities continue to exist in colorectal cancer (CRC) survival. This study aims to characterize the CRC survival differences among racial and ethnic minority groups. The Surveillance, Epidemiology, and End Results (SEER) database was used to identify adults diagnosed with CRC from 2015 to 2019. Demographics, disease characteristics, surgical treatment, stages, and survival data for individuals who are Hispanic, Black, Southeast Asian, Chinese, American Indian and Alaskan Native (AIAN), Asian Indian and Pakistani (AIP), and Native Hawaiian and Other Pacific Islanders (NHOPI) were extracted. Survival analysis was done using the Kaplan-Meier survival curve. Multivariate analysis was done with the Cox proportional hazard model. There were 40 091 individuals with CRC. NHOPI had the youngest median age of 59 years, while Chinese individuals had the oldest median age of 65 years. From the total sample of their respective subgroups, 43.8% of Black patients and 36.7% of AIAN patients had a median household income of <$60 000, while 55.3% of Southeast Asian patients, 59.7% of Chinese patients, 55.8% of AIP patients, and 65.6% of NHOPI patient had a median household income >$70 000. The 1-year survival rate was lower for patients who were Hispanic (62.0%), Black (60.9%), and AIAN (63.1%). Even after multivariate analysis, Black patients had a significant hazard ratio (HR) of 1.21 (95% confidence interval [95% CI]: 1.05-1.38), while AIP had a HR of 0.68 (95% CI 0.55-0.84), compared to AIAN. Other significant variables that were linked with survival included older age, advanced stage of CRC, a median household income <$60 000, male sex, no surgery, subtotal colectomy/hemicolectomy, and total colectomy. Further studies are needed to elucidate the specific causes of these differences and create appropriate strategies to reduce this survival disparity.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"279-285"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383309","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
Erratum in: A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance. 勘误:农村社区救护车院前远程卒中服务准备情况评估》(A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance)。
{"title":"Erratum in: A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>[This corrects the article on p. 250 in vol. 83, PMID: 39290533.].</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"291"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381870","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
Relevance of ACE Scores in Teens with Depression and Anxiety: A Maui Pilot Study. 青少年抑郁和焦虑症患者 ACE 分数的相关性:毛伊岛试点研究
Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/TMQN6220
Sharon Wong, Felicitas Livaudais, Meliza Roman, Devashri Prabhudesai, John J Chen
{"title":"Relevance of ACE Scores in Teens with Depression and Anxiety: A Maui Pilot Study.","authors":"Sharon Wong, Felicitas Livaudais, Meliza Roman, Devashri Prabhudesai, John J Chen","doi":"10.62547/TMQN6220","DOIUrl":"10.62547/TMQN6220","url":null,"abstract":"<p><p>In the aftermath of the Covid pandemic and the notable rise of teen depression and anxiety (DA), there is an urgent need to focus on youth mental health. Another important variable to consider is the presence of adverse childhood experiences (ACE), which can be associated with chronic mental and physical health conditions. This pilot study explores how ACEs relate to DA for adolescents in Maui, Hawai'i. The cohort was 75 patients seen at a Kaiser Pediatric Clinic in the spring of 2022. Data was collected from standard questionnaires and the Pediatric ACEs and Life-Events Screener (PEARLS). There were significant associations between DA and a high ACE score (4+), as well as female sex. A high ACE score can alert providers to initiate a trauma informed dialogue with patients. The effects of trauma are not often discussed at routine visits. Mental health care needs and community support can also be addressed as needed. The PEARLS questionnaire is a standard tool to help clinicians be more trauma-informed. This study explores its relevance at routine adolescent visits.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"286-290"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381871","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 Child with COVID-19 Complicated by Rapidly Progressive Severe Organizing Pneumonia: A Case Report. 一名患有 COVID-19 并发快速进展性严重组织性肺炎的儿童:病例报告。
Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/XGJS9690
Tiffany Lau, Anirban Dutta, Prashant J Purohit, Karen Thompson, Kara Yamamoto, Andrew Feng, Timothy Beaty, Marian Melish, Bryscen Prothero, David Kurahara, Brian Wu, Edward Fong, Rodolfo E Bégué
{"title":"A Child with COVID-19 Complicated by Rapidly Progressive Severe Organizing Pneumonia: A Case Report.","authors":"Tiffany Lau, Anirban Dutta, Prashant J Purohit, Karen Thompson, Kara Yamamoto, Andrew Feng, Timothy Beaty, Marian Melish, Bryscen Prothero, David Kurahara, Brian Wu, Edward Fong, Rodolfo E Bégué","doi":"10.62547/XGJS9690","DOIUrl":"10.62547/XGJS9690","url":null,"abstract":"<p><p>A 2-year-old boy tested positive for SARS-CoV-2 and, after 30 days of mild-moderate respiratory symptoms, suddenly deteriorated and required extracorporeal membrane oxygenation. Lung biopsy was performed with findings consistent with organizing pneumonia. He received intensive therapy with high-dose methylprednisolone, intravenous immune globulin, rituximab, and plasmapheresis without improvement. He died after 85 days hospitalization. This case highlights unique presentations of COVID-19 and reaffirms the concept that, while rare in Hawai'i, pediatric COVID-19 is an ongoing problem and that severe, even fatal, disease can occur.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"274-278"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381869","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
Behind the Smile: Detecting Chronic Kidney Disease Through Oral Health Screenings. 微笑背后通过口腔健康筛查发现慢性肾病。
Hawai''i journal of health & social welfare Pub Date : 2024-09-01 DOI: 10.62547/VYCO2960
Patsy Fujimoto, Kamomilani Anduha Wong, Merle Kataoka-Yahiro
{"title":"Behind the Smile: Detecting Chronic Kidney Disease Through Oral Health Screenings.","authors":"Patsy Fujimoto, Kamomilani Anduha Wong, Merle Kataoka-Yahiro","doi":"10.62547/VYCO2960","DOIUrl":"10.62547/VYCO2960","url":null,"abstract":"","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 9","pages":"260-262"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297489","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
Shakuhachi and Haiku Reflection: Their Role in Enhancing Health for Older Adults. 尺八和俳句反思:它们在增进老年人健康方面的作用。
Hawai''i journal of health & social welfare Pub Date : 2024-09-01 DOI: 10.62547/WLEQ6493
E Katsumi Takemoto, Yeonjung Jane Lee
{"title":"Shakuhachi and Haiku Reflection: Their Role in Enhancing Health for Older Adults.","authors":"E Katsumi Takemoto, Yeonjung Jane Lee","doi":"10.62547/WLEQ6493","DOIUrl":"https://doi.org/10.62547/WLEQ6493","url":null,"abstract":"","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 9","pages":"257-259"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297490","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 Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance. 农村社区救护车院前远程卒中服务准备情况评估。
Hawai''i journal of health & social welfare Pub Date : 2024-09-01 DOI: 10.62547/VZQV6670
Angel Lynn E Talana, Kyrillos B Guirguis, J Aaron Matthews, Pola A Chojecka, Sherita Chapman, Matthew A Koenig
{"title":"A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance.","authors":"Angel Lynn E Talana, Kyrillos B Guirguis, J Aaron Matthews, Pola A Chojecka, Sherita Chapman, Matthew A Koenig","doi":"10.62547/VZQV6670","DOIUrl":"10.62547/VZQV6670","url":null,"abstract":"<p><p>The research team assessed community acceptability of prehospital stroke telemedicine services in rural O'ahu communities. Tools were developed to evaluate patient-centered goals about implementing ambulance-based telemedicine which aimed to retain appropriate patients in community hospitals and improve thrombolytic treatment times. Using a mixed methods approach, the team surveyed well-appearing adults (ie, able to complete survey and interview) at O'ahu community events. Participants were asked to complete a short Likert-scale questionnaire (n=263) followed by a semi-structured interview (n=29). Data were summarized by descriptive and inferential statistics. Comparisons between rural and urban groups were made by chi-square analysis and Wilcoxon rank-sum 2-tailed test. Interviews were transcribed, coded, and analyzed using inductive and deductive methods. The findings suggest that use of prehospital telemedicine for specialty care is viewed favorably by both rural and urban respondents. Additionally, most respondents felt comfortable staying at their local hospital if they had access to a specialist by telemedicine. However, mistrust in rural hospitals may be a potential barrier to implementation. Compared to urban respondents, rural respondents were less confident in their local hospital's resources and capabilities for stroke care. The findings identified a potential misalignment of the project's goal with some patients' goal to use emergency medical services (EMS) to bypass rural hospitals for stroke care. Future community outreach efforts are needed to encourage activation of EMS and highlight the advantages of utilizing prehospital telemedicine for accessing specialty care thereby improving treatment times.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 9","pages":"250-256"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297488","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 Case Study on the Dietary Shifts in an Older Tongan Migrant to the United States. 关于一位移居美国的汤加老人饮食习惯转变的个案研究。
Hawai''i journal of health & social welfare Pub Date : 2024-09-01 DOI: 10.62547/TKOU6982
Victor Kaufusi
{"title":"A Case Study on the Dietary Shifts in an Older Tongan Migrant to the United States.","authors":"Victor Kaufusi","doi":"10.62547/TKOU6982","DOIUrl":"https://doi.org/10.62547/TKOU6982","url":null,"abstract":"<p><p>This case study, anchored in the Social Ecological Model (SEM), delves into the dietary behaviors of a 67-year-old first-generation Tongan woman in Utah. It uncovers pivotal themes through narrative and thematic analysis: cultural identity, economic constraints, environmental adaptation, and health perceptions. The study underscores the importance of cultural preservation, economic stability, and the centrality of traditional Tongan foods, revealing a complex interplay between cultural adaptation and health awareness. Community support and engagement emerged as crucial in sustaining healthy dietary practices amid cultural changes. The study advocates for an SEM-based framework to guide future research and develop culturally sensitive interventions to improve dietary behaviors among first-generation Tongan immigrants and similar groups and offers valuable insights. The limited generalizability of this study due to its single-case design necessitates future investigations to incorporate broader and more diverse samples to validate the findings and tailor more precise interventions.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 9","pages":"244-249"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297487","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
Nā Kānaka Maoli ma nā 'Āina 'Ē: Exploring Place of Residency as a Native Hawaiian Health Predictor During the COVID-19 Pandemic. Nā Kānaka Maoli ma nā 'Āina 'Ē:探索夏威夷原住民在 COVID-19 大流行期间的健康预测因素。
Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/OLHY2267
Dayton K Seto-Myers, Reya H Mokiao, Santino G Camacho, David Huh, Sofie H Aaron, Max A Halvorson, Karina Walters, Michael Spencer
{"title":"<i>Nā Kānaka Maoli ma nā 'Āina 'Ē</i>: Exploring Place of Residency as a Native Hawaiian Health Predictor During the COVID-19 Pandemic.","authors":"Dayton K Seto-Myers, Reya H Mokiao, Santino G Camacho, David Huh, Sofie H Aaron, Max A Halvorson, Karina Walters, Michael Spencer","doi":"10.62547/OLHY2267","DOIUrl":"10.62547/OLHY2267","url":null,"abstract":"<p><p>Little is known about the impacts of living in diaspora from the Hawaiian Islands on Native Hawaiian health. To address this, the authors conducted an exploratory analysis using cross-sectional data from the 2021 Native American COVID-19 Alliance Needs Assessment. A total of 1418 participants identified as Native Hawaiian (alone or in any combination), of which 1222 reported residency in the continental US and 196 in Hawai'i. Residency status in the continental US vs Hawai'i was evaluated as a predictor of survey outcomes using likelihood ratio tests on linear and logistic regression models for linear and binary outcomes, respectively. Results showed that NH residency in the continental US was significantly associated with increased odds of reporting fair or poor self-rated health; increased odds for screening positive for anxiety, depression, and suicidality; and increased odds of health insurance loss (<i>P</i>'s < .05). Residency in the continent was also associated with lower odds of reporting a diagnosed chronic health condition (<i>P</i> < .05). Residency in the continental US had no observed effect on the odds that participants engaged cultural activities or cultural coping strategies. These results support the role of place of residency as an important Native Hawaiian health predictor during and beyond the COVID-19 pandemic.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"208-215"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917602","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
One Health in Medical Education: A Proposed Framework. 医学教育中的 "一体健康":建议的框架。
Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/JVNJ1761
Sameer Kejriwal, ZoeAnn A Kon, Erin T Annick, Carley C Kida, Joshua K Kepler, Jonathan R Carino, Jourdan P McMillan, Sandra P Chang
{"title":"One Health in Medical Education: A Proposed Framework.","authors":"Sameer Kejriwal, ZoeAnn A Kon, Erin T Annick, Carley C Kida, Joshua K Kepler, Jonathan R Carino, Jourdan P McMillan, Sandra P Chang","doi":"10.62547/JVNJ1761","DOIUrl":"10.62547/JVNJ1761","url":null,"abstract":"<p><p>The One Health concept focuses on the interconnections between human health, animal health, and the environment, stressing the need for interdisciplinary collaborations to address complex issues such as the health challenges posed by climate change and global pandemics. One Health is a central part of the curriculum of veterinary schools, however, it is rarely incorporated into medical school education. Nationally, there are limited examples of formal One Health education and training for medical students. To incorporate One Health into its curriculum, John A. Burns School of Medicine developed a Dean's Certificate of Distinction in One Health that consists of a One Health foundational course, a clinical One Health elective course, participation in the One Health Interest Group, engagement in One Health educational and outreach activities, and a One Health research or curriculum development project. To the authors' knowledge, this is the first One Health certificate program developed and implemented in any Association of American Medical Colleges accredited medical school. Although introducing similar programs into medical curricula will continue to be challenging, we hope it will serve as a framework for other academic institutions.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"234-238"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917606","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
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