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}
{"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":"https://doi.org/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}
{"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}
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}
{"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}
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}
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}
{"title":"Kaua'i Rural and Public Health Selective: A Family Medicine Residency First.","authors":"Janet Berreman, Thomas Quattlebaum, Adriann Bruce","doi":"10.62547/DLPS7224","DOIUrl":"10.62547/DLPS7224","url":null,"abstract":"<p><p>Governmental public health professionals and community physicians often have limited understanding of each other's roles and responsibilities. To increase the connection between public health and primary care as well as to incorporate rural health care in graduate medical education training, a new \"Kaua'i Rural and Public Health Selective\" brings Family Medicine resident physicians (Residents) into the local health department on Kaua'i. This first-time collaboration between the Kaua'i District Health Office (KDHO) and University of Hawai'i John A. Burns School of Medicine (JABSOM) Family Medicine Residency Program advances Residents' understanding of public health and has been well-received by Residents and by department of health staff. Future plans include evaluation and continued incorporation of public health experiences into the core curriculum of a rural Family Medicine residency training program based on Kaua'i.</p>","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 8","pages":"230-233"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11307321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917604","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}
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":"<p><p>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 <i>kūpuna</i> (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 <i>kūpuna</i> seeking treatment, such as stigma towards drug use should be addressed.</p>","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}
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":"<p><p>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.</p>","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}