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

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":"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.","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

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":"Nā Kānaka Maoli ma nā 'Āina 'Ē: 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":"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 (P's < .05). Residency in the continent was also associated with lower odds of reporting a diagnosed chronic health condition (P < .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.","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":"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.","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

Kaua'i Rural and Public Health Selective: A Family Medicine Residency First. 考艾岛农村和公共卫生选修课：家庭医学住院医师培训第一课。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/DLPS7224

Janet Berreman, Thomas Quattlebaum, Adriann Bruce

引用次数: 0

Midlife and Older Age Methamphetamine Poisoning Deaths in Hawai'i. 夏威夷中老年甲基苯丙胺中毒死亡案例。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/WWZL3153

Gursimran K Sidhu, Tiana M Fontanilla, Treena S Becker

{"title":"Midlife and Older Age Methamphetamine Poisoning Deaths in Hawai'i.","authors":"Gursimran K Sidhu, Tiana M Fontanilla, Treena S Becker","doi":"10.62547/WWZL3153","DOIUrl":"10.62547/WWZL3153","url":null,"abstract":"Unintentional and undetermined intent drug overdose fatality records from the State Unintentional Drug Overdose Reporting System (SUDORS) for Hawai'i from July 1, 2020, to December 31, 2021 revealed that 58.2% of decedents were aged 50-75. The main substance associated with cause of death for those aged 50-75 years was methamphetamine, followed by a combination of mixed drugs. Of those aged 50 and older, 25.5% died from cardiovascular or neurological complications which were likely to be associated with chronic, long-term methamphetamine use. Based on death investigator narrative reports, 76.5% of the older decedents had a history of substance abuse, suggesting possible long-term substance use starting at a young age. The trajectory of substance use over the life course is often influenced by life events and transitions, which can be stressors. Hawai'i kūpuna (older adults) should be screened for substance use and dependence to ensure that there is treatment if needed, for the entirety of this use trajectory.Also, barriers to kūpuna seeking treatment, such as stigma towards drug use should be addressed.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"225-229"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917605","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

Examining Diabetes Status by the Social Determinants of Health Among Adults in Hawai'i. 根据夏威夷成年人健康的社会决定因素检查糖尿病状况。

Hawai''i journal of health & social welfare Pub Date : 2024-08-01 DOI: 10.62547/GDHV1853

Chance Aguiar, Eric L Hurwitz, Yan Yan Wu, Ashley B Yamanaka

{"title":"Examining Diabetes Status by the Social Determinants of Health Among Adults in Hawai'i.","authors":"Chance Aguiar, Eric L Hurwitz, Yan Yan Wu, Ashley B Yamanaka","doi":"10.62547/GDHV1853","DOIUrl":"10.62547/GDHV1853","url":null,"abstract":"The social determinants of health (SDoH) influence health outcomes based on conditions from birth, growth, living, and age factors. Diabetes is a chronic condition, impacted by race, education, and income, which may lead to serious health consequences. In Hawai'i, approximately 11.2% of adults have been diagnosed with diabetes. The objective of this secondary cross-sectional study is to assess the relationship between the prevalence of diabetes and the social determinants of health among Hawai'i adults who participated in the Behavioral Risk Factor Surveillance System between 2018-2020. The prevalence of diabetes among adults was 11.0% (CI: 10.4-11.5%). Filipino, Japanese and Native Hawaiian adults had the highest prevalence of diabetes at 14.4% (CI: 12.7-16.2%), 14.2% (CI: 12.7-15.7%), and 13.2% (CI: 12.0-14.4%), respectively. Poverty level and education were significantly associated with diabetes status. Within employment categories, the adjusted odds ratio (AOR) for retired and unable to work adults were large at AOR: 1.51 (CI: 1.26-1.81) and AOR: 2.91 (CI: 2.28-3.72), respectively. SDoH can impact the development and management of diabetes. Understanding the role SDoH plays on diabetes status is crucial for promoting health equity, building community capacity, and improving diabetes management.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"216-224"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917603","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

The Impact of the COVID-19 Pandemic on Older Adults Who Participate in Group Physical Exercise Program. COVID-19 大流行对参加集体体育锻炼计划的老年人的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/MQXM6470

Michiyo Tomioka, Sarah Yuan, Johnny Yago, Claudette Medeiros

{"title":"The Impact of the COVID-19 Pandemic on Older Adults Who Participate in Group Physical Exercise Program.","authors":"Michiyo Tomioka, Sarah Yuan, Johnny Yago, Claudette Medeiros","doi":"10.62547/MQXM6470","DOIUrl":"10.62547/MQXM6470","url":null,"abstract":"The COVID pandemic exposed the vulnerability of older adults in myriad ways and social service organizations faced unprecedented challenges in safely providing support for older adults. Since 2007, Hawai'i Healthy Aging Partnership (HHAP) has offered Enhance®Fitness, an evidence-based program to reduce the risk of falls and promote health among older adults. Due to the pandemic, all the Enhance®Fitness sites had to close and stop offering the program. The HHAP started to provide alternative activities remotely in May 2020. To explore the pandemic's impact, the feasibility of online exercise programs, and the support needed among older adults to stay physically active, HHAP surveyed existing Enhance®Fitness participants and received 291 responses (59% response rate). The study used frequency distributions, comparison of means, and chi-square to analyze the survey data. Findings showed that the shutdown of the group exercise program during the pandemic led to a health status decline, a reduction in physical activities, and a shift from group to individual physical activities among older adult participants. Most respondents tried the remote exercise opportunities during the pandemic and would consider joining the remote programs in the future. However, about one-fourth of the respondents did not participate in remote exercise activities due to the lack of electronic devices, internet access, or interest in remote activity formats. To ensure equitable access to physical exercise programs for older adults in the post-pandemic era, it is critical to address the access challenges and resources needed for providing multiple programming options.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"180-186"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555558","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

Kū Like Kākou: Utilizing a Community-led Model of Collaboration to Respond to the COVID-19 Pandemic. Kū Like Kākou：利用社区主导的合作模式应对 COVID-19 大流行。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/RXSL5225

Sarah Momilani Marshall, N Ku'uleimomi Tolentino, J Ke'alohilani Worthington, Chantelle Eseta Matagi, Sharde K M Freitas, Kim Ku'ulei Birnie, Mary-Frances Oneha

{"title":"Kū Like Kākou: Utilizing a Community-led Model of Collaboration to Respond to the COVID-19 Pandemic.","authors":"Sarah Momilani Marshall, N Ku'uleimomi Tolentino, J Ke'alohilani Worthington, Chantelle Eseta Matagi, Sharde K M Freitas, Kim Ku'ulei Birnie, Mary-Frances Oneha","doi":"10.62547/RXSL5225","DOIUrl":"10.62547/RXSL5225","url":null,"abstract":"The outbreak of COVID-19 in 2020 brought significant challenges for Native Hawaiians (NH), Pacific Islanders (PI), and other communities of color worldwide. Rapidly increasing rates of infection and transmission of the virus in Native Hawaiian and Pacific Islander (NHPI) communities and incomplete or unavailable data signaled to Hawai'i's leaders that advocacy and action needed to take place to minimize the impact of COVID-19. The Native Hawaiian and Pacific Islander Response, Recovery, and Resilience team (NHPI 3R Team) emerged from an effort to lead and fill gaps in response to COVID-19. Through the swift, intentional, and collaborative work of the team and its partners, NHPI communities and the entities that serve them were better equipped to navigate the pandemic, improve health outcomes, and contribute to a reduction in the number of infections, a rise in vaccination uptake, and an increase in NH and PI representation on various levels of government agencies. As the world shifts its focus from COVID-19 to broader health topics, the NHPI 3R Team will continue to serve as a hub for the exchange of resources and a model of community-led work that can be used to tackle issues like COVID-19 and beyond.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"187-191"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555555","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

Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i. COVID-19 大流行对夏威夷儿科住院医学生教育的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-07-01 DOI: 10.62547/FIMM9629

Alyssa S Fujiwara, Jennifer R Di Rocco, Travis K F Hong, Chieko Kimata, Kyra A Len

{"title":"Impact of the COVID-19 Pandemic on Inpatient Pediatric Medical Student Education in Hawai'i.","authors":"Alyssa S Fujiwara, Jennifer R Di Rocco, Travis K F Hong, Chieko Kimata, Kyra A Len","doi":"10.62547/FIMM9629","DOIUrl":"10.62547/FIMM9629","url":null,"abstract":"The COVID-19 pandemic has had many effects on medical student education, ranging from safety measures limiting patient exposure to changes in patient diagnoses encountered by medical students in their clerkship experience. This study aimed to identify the impact of the pandemic on the inpatient experiences of third- and fourth-year medical students by assessing patient volumes and diagnoses seen by students. Frequency and types of notes written by medical students on hospital-based pediatric rotations at Kapi'olani Medical Center for Women and Children as well as patient diagnoses and ages were compared between 2 time periods: pre-pandemic (July 2018-February 2020) and pandemic (May 2020-September 2021). On average, the number of patients seen by medical students was significantly reduced in the pandemic period from 112 patients/month to 88 patients/month (P=.041). The proportion of patients with bronchiolitis or pneumonia were also significantly reduced in the pandemic period (P<.001). Bronchiolitis was diagnosed in 1.3% of patients seen by medical students during the pandemic period, compared with 5.9% of patients pre-pandemic. Pneumonia was diagnosed in 1.0% of patients seen by medical students in the pandemic period compared with 4.6% pre-pandemic. There was no significant difference in patient age between the 2 groups (P=.092). During the first 18 months of the COVID-19 pandemic, medical students in this institution had a remarkably different inpatient experience from that of their predecessors. They saw fewer patients, and those patients had fewer common pediatric respiratory diseases. These decreases suggest these students may require supplemental education to compensate for these gaps in direct pediatric clinical experience.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 7","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11224957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555557","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