Hawai''i journal of health & social welfare最新文献_第4页

Impact of a Fast Pass on Emergency Department Wait Times for Oncology Patients with Febrile Neutropenia. 快速通道对肿瘤科发热性中性粒细胞减少症患者急诊科候诊时间的影响。

Hawai''i journal of health & social welfare Pub Date : 2024-06-01 DOI: 10.62547/BCON7342

Gisele Ige, Pamela Adena, So Yung Choi

{"title":"Impact of a Fast Pass on Emergency Department Wait Times for Oncology Patients with Febrile Neutropenia.","authors":"Gisele Ige, Pamela Adena, So Yung Choi","doi":"10.62547/BCON7342","DOIUrl":"10.62547/BCON7342","url":null,"abstract":"This pilot study examined differences in wait times for oncology patients who presented to the emergency department, with or without a Fast Pass, for febrile neutropenia (FN). Inadequate circulating neutrophils create a health risk for FN patients. An increased number of patients are receiving chemotherapy in an outpatient setting and may experience delays when seeking treatment in the emergency department. These delays in treatment may be due to overcrowding, patients who require life-saving medical interventions, and inconsistencies in recognizing febrile neutropenia, where fever may be the only presenting sign. The purpose of this study was to measure the impact on wait times, increasing possible risk of bacterial or viral exposure in the emergency department waiting room, for patients with a potential diagnosis of FN who presented their \"Fast Pass\" from the hospital cancer center's program upon arrival. Electronic medical records were reviewed over a period of 21 months, comparing wait times in the ED for oncology patients with potential FN before and after implementation of the Fast Pass program at an urban medical center in Hawai'i. Of the 1300 oncology patient chart reviews conducted, 6 patients met the study-defined inclusion criteria pre-Fast Pass and 10 met the study-defined inclusion criteria post-Fast Pass. Influence of the use of a Fast Pass on patient wait times was tested using a multivariate regression adjusted for ED patient volume. There were no differences in overall wait times pre- and post-Fast Pass.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 6","pages":"152-157"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11161209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296849","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 Inequities in Medical Education - Commitment to Opportunity, Diversity, and Equity at the University of Hawai'i School of Medicine. 医学教育历史上的不平等--夏威夷大学医学院对机会、多样性和平等的承诺。

Hawai''i journal of health & social welfare Pub Date : 2024-05-01 DOI: 10.62547/HLHV7741

Kathleen Kihmm Connolly, Winona Lee, Vanessa Freitas, Lee Ellen Buenconsejo-Lum

{"title":"Historical Inequities in Medical Education - Commitment to Opportunity, Diversity, and Equity at the University of Hawai'i School of Medicine.","authors":"Kathleen Kihmm Connolly, Winona Lee, Vanessa Freitas, Lee Ellen Buenconsejo-Lum","doi":"10.62547/HLHV7741","DOIUrl":"10.62547/HLHV7741","url":null,"abstract":"Medical education in the US has contributed to institutionalized racism through historically exclusionary practices, which has led to health disparities and inequities in health care today. The 1910 Flexner report, which favored schools with greater resources, led to the closure of nearly half of medical schools in the Us, which were mostly small schools located in rural communities that served economically disadvantaged, ethnic minority, and female populations. Closing these schools ultimately limited the availability of physicians willing to serve disadvantaged and minority populations in impoverished and underserved communities. In order to transform medical education to be more equitable, medical schools must be proactive in opportunity, diversity, and equity efforts. This not only includes efforts in admissions and faculty hiring, but also curricula related to social and health disparities, interracial interactions between students and faculty, and service learning activities that engage and work with marginalized communities. The University of Hawai'i John A. Burns School of Medicine has a longstanding commitment to diversity, which is integral to the school's mission. Providing opportunities to underserved populations has been a priority since establishment of the school. As one of the most diverse univeristies in the US, the school of medicine continues to focus on opportunity, diversity, and equity priorities in both its strategic planning and overall mission.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 5","pages":"138-143"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877592","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

'Tausi Feagaiga: A Project to Train Caregivers and Empower the American Samoan Community. Tausi Feagaiga：培训护理人员和增强美属萨摩亚社区能力的项目。

Hawai''i journal of health & social welfare Pub Date : 2024-05-01 DOI: 10.62547/CNOI4613

Ritabelle Fernandes, Nancy E Allen

{"title":"'Tausi Feagaiga: A Project to Train Caregivers and Empower the American Samoan Community.","authors":"Ritabelle Fernandes, Nancy E Allen","doi":"10.62547/CNOI4613","DOIUrl":"10.62547/CNOI4613","url":null,"abstract":"The 'Tausi Feagaiga (Covenant Keeper) project was a partnership to support the traditional values of tausi matua (caring for one's elders). The partners included a non-governmental organization (Pacific Youth and Community Development), a faith-based organization (Roman Catholic Diocese of Samoa-Pago Pago), and an institute of higher education (University of Hawai'i John A. Burns School of Medicine). The project was created to address the lack of community-based health care such as home health or hospice, and families needing to work outside the home. A culturally based caregiving curriculum was developed to educate caregivers and improve their knowledge and skills. Using a train-the-trainer model, 125 caregivers were trained in family caregiving from 2016-2020. Training was conducted through an intensive workshop followed by practicum at Hope House, the Catholic Diocese home for the aged. Participants who expressed a willingness and competency were mentored to be trainers to continue the 'Tausi Feagaiga project. The mean self-rated confidence in caregiving improved significantly from 3.17 ± 1.02 (mean SD) pre workshop to 3.53 ± 0.71 post workshop (P = .001). Competence in geriatric syndromes was improved from 18.04 ± 4.27 to 21.31 ± 4.30 after attending the workshop (P < .001) and the feedback was extremely positive. Technical assistance was provided to obtain funding through American Samoa Medicaid State Agency to improve the existing infrastructure of Hope House, obtain much needed supplies, and increase ability to hire the participants. 'Tausi Feagaiga positively impacted the lives of the residents of Hope House, the course participants, the elders in the community, and those who care for them.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 5","pages":"132-137"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11070779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877591","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

Native Hawaiian and Pacific Islander Youth Substance Use Prevention in Rural Hawai'i. 夏威夷农村地区夏威夷原住民和太平洋岛民青少年药物使用预防。

Hawai''i journal of health & social welfare Pub Date : 2024-05-01 DOI: 10.62547/DUAS8087

Sarah Momilani Marshall, Sophia Lau

引用次数: 0

Understanding Hawaiian Identity and Well-being to Improve Mental Health Outcomes for Hawaiian Young Adults. 了解夏威夷人的身份和福祉，改善夏威夷年轻成年人的心理健康结果。

Hawai''i journal of health & social welfare Pub Date : 2024-05-01 DOI: 10.62547/HHGI9020

Catherine Jara, Ngoc Phan

引用次数: 0

Leukocytoclastic Vasculitis Localized to the Uterine Cervix. 子宫颈局部白细胞胞浆细胞性血管炎

Hawai''i journal of health & social welfare Pub Date : 2024-03-01

Jose G Roble, Sarah E Ligon, Kelly L Langan

引用次数: 0

The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens. 毛伊岛野火对健康和社会的影响：从社会文化角度看灾后护理。

Hawai''i journal of health & social welfare Pub Date : 2024-03-01

Ryan Holliday, Lauren S Krishnamurti, Shiloh E Jordan, Marissa A Sia, Lisa A Brenner, Lindsey L Monteith

引用次数: 0

Unmet Reproductive Health Needs of Transgender and Gender Diverse People in Hawai'i: A Qualitative Needs Assessment. 夏威夷变性人和性别多元化人群未满足的生殖健康需求：定性需求评估。

Hawai''i journal of health & social welfare Pub Date : 2024-03-01

Ghazaleh Moayedi, Steph Lee, Reni Soon, Cathy Kapua, Maddalyn Sesepasara, Shandhini Raidoo

{"title":"Unmet Reproductive Health Needs of Transgender and Gender Diverse People in Hawai'i: A Qualitative Needs Assessment.","authors":"Ghazaleh Moayedi, Steph Lee, Reni Soon, Cathy Kapua, Maddalyn Sesepasara, Shandhini Raidoo","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to assess the reproductive health experiences of transgender and gender diverse people in Hawai'i, identify reproductive health needs that were unmet, and explore opportunities for addressing those needs. This was a qualitative, semi-structured individual interview study. Adults who identified as transgender or gender diverse were interviewed about their experiences accessing reproductive health services, their needs, and their ideas about clinical settings in which to receive reproductive health care services. Interviews were conducted until thematic saturation was reached. Six trans men, 6 trans women, and 4 people who identified as non-binary or genderqueer were interviewed. Negative experiences in health care settings, particularly when seeking reproductive health care services, were common. Participants often had multiple providers and gender-affirming care was often accessed separately from other health care services. Desires for fertility and pregnancy varied widely between participants but were often not addressed at the initiation of gender-affirming care. Finding trans-friendly providers was notably difficult and participants often relied on friends and other members of the transgender community for guidance. Obstetrics and gynecology clinics present a potential opportunity for access to reproductive health services although their gendered environment was concerning for some participants. Transgender and gender diverse people in Hawai'i have access to some reproductive health services but experience stigma in certain settings. There is a need for ongoing improvement in reproductive health care services in Hawai'i to improve access for transgender and gender nonconforming people in Hawai'i.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 3","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060688","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 Memory Assessment Scale: A Population-based Cognitive Impairment Screening Instrument. 记忆评估量表：基于人群的认知障碍筛查工具。

Hawai''i journal of health & social welfare Pub Date : 2024-03-01

William T Tsushima, Justin R Abe, Andrea M Siu

引用次数: 0

Hepatitis B Prevalence and Risk Factors in Foreign-Born Asians and Pacific Islanders at a Federally Qualified Health Center in Hawai'i, 2015-2020. 2015-2020 年夏威夷联邦合格医疗中心的外国出生的亚裔和太平洋岛民的乙型肝炎患病率和风险因素。

Hawai''i journal of health & social welfare Pub Date : 2024-02-01

Yash Vyas, Naoky C Tsai, Alan R Katz, Thaddeus Pham

{"title":"Hepatitis B Prevalence and Risk Factors in Foreign-Born Asians and Pacific Islanders at a Federally Qualified Health Center in Hawai'i, 2015-2020.","authors":"Yash Vyas, Naoky C Tsai, Alan R Katz, Thaddeus Pham","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study was to estimate the prevalence of chronic hepatitis B infection in foreign-born Asians and Pacific Islanders at Kalihi-Palama Health Center in Honolulu, Hawai'i, and to assess the association between both chronic and resolved hepatitis B infection and risk factors such as household exposure to hepatitis B virus and geographic location of birthplace. The study involved cross-sectional data from 997 participants who accessed medical services at Kalihi-Palama Health Center between September 2015 and July 2020. The prevalence of chronic hepatitis B was 10.7%. On multivariable logistic regression analysis, the adjusted prevalence odds ratio of chronic hepatitis B infection was 3.3 times greater (95% confidence interval: 1.1, 9.2) for those who reported household contact with a person with hepatitis B infection than those who reported no such contact. No association was found with place of birth in this study population. Age was a significant predictor of chronic hepatitis B, with participants between 35-44 years of age having the highest prevalence. Age was also a significant predictor of resolved hepatitis B infection, with participants 65 years of age or older having the highest prevalence. These findings emphasize the need for targeted screening and appropriate follow-up-including vaccination or treatment-in this at-risk population.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 2","pages":"48-53"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725678","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