Hawai''i journal of health & social welfare最新文献_第8页

Potential Errors in Health Disparities Research Resulting from Lack of Unique Patient Identifiers: Analysis of Diabetes-related Preventable Hospitalizations. 缺乏唯一的患者识别码导致健康差异研究的潜在错误：糖尿病相关可预防住院的分析。

Hawai''i journal of health & social welfare Pub Date : 2023-10-01

Hyeong Jun Ahn

{"title":"Potential Errors in Health Disparities Research Resulting from Lack of Unique Patient Identifiers: Analysis of Diabetes-related Preventable Hospitalizations.","authors":"Hyeong Jun Ahn","doi":"","DOIUrl":"","url":null,"abstract":"All-payer, population-level hospital discharge data have been used to identify health disparities across racial/ethnic and other demographic groups. However, researchers are often unable to identify unique patients in the data sets if a unique patient identifier is not provided. The lack of the unique patient identifier can result in biased estimates of research outcomes using discharge data. This could then mislead the researchers, public, or policy-makers who utilize such biased results. This study examined estimation bias of health disparities due to rehospitalizations considering diabetes-related preventable hospitalizations using 6 years of state-level data from Hawai'i Health Information Corporation. Different analyses methods showed different probabilities of having multiple visits by age, race/ethnicity and payer subgroups. Charge analysis results also showed that ignoring the multiple visits could result in significance error. For a patient with multiple hospitalizations, rehospitalizations are often dependent upon the discharge status of previous visits, and the independence assumption of the multiple visits may not be appropriate. Ignoring the multiple visits in population-level analyses could result in severe health disparities significance errors. In this hospitalization charge analysis, the Chinese group was not significantly different than the White group (relative risk ratio - RR: [95% CI]: 0.93 [0.80, 1.08]), while the difference was signficant (RR [95% CI]: 0.86 [0.77,0.96]) when the multiple visits were ignored.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 10 Suppl 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10612426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414442","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

Mediastinal Epithelioid Angiosarcoma, New Insights into an Uncommon Diagnosis: A Case Report and Literature Review. 纵隔上皮样血管肉瘤，罕见诊断的新见解:1例报告及文献复习。

Hawai''i journal of health & social welfare Pub Date : 2023-09-01

Janira M Navarro Sanchez, Tiffany Oommen, Christopher Lum, Zan Halford, Koah Vierkoetter

{"title":"Mediastinal Epithelioid Angiosarcoma, New Insights into an Uncommon Diagnosis: A Case Report and Literature Review.","authors":"Janira M Navarro Sanchez, Tiffany Oommen, Christopher Lum, Zan Halford, Koah Vierkoetter","doi":"","DOIUrl":"","url":null,"abstract":"Angiosarcoma is an uncommon malignant mesenchymal neoplasm, accounting for 1-2% of all sarcomas. More than half are cutaneous, with the remainder arising in the deep soft tissue, breast, bone or viscera, particularly the liver, spleen and heart. Mediastinal angiosarcomas are exceedingly uncommon. While epithelioid morphology is sometimes a minor component in conventional angiosarcoma, tumors with a predominance of epithelioid morphologic features are designated as epithelioid angiosarcoma (EAS). This is a report of a 58-year-old woman presenting with severe chest pain, accompanied by worsening dyspnea and dysphagia. Chest computed tomography (CT) revealed a large pericardial effusion and a bulky mediastinal mass. Biopsy revealed a malignant neoplasm with vascular differentiation consistent with high-grade EAS. By immunohistochemistry, epithelioid angiosarcomas express endothelial cell markers, such as CD31, CD34, ERG and FLI-1. A variable proportion express low molecular weight cytokeratin (CK), epithelial membrane antigen (EMA) and CD30. The use of molecular techniques has proven useful in the diagnosis of this rare neoplasm. Targeted next generation sequencing showed aberrations in multiple genes including NRAS, KRAS, MYC and TP53.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 9","pages":"208-212"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10485769/pdf/hjhsw8209_0208.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220080","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

Description of Otolaryngology (OTO) Disease in Houseless Patients on O'ahu, Hawai'i. 夏威夷奥胡岛无家可归患者耳鼻喉科(OTO)疾病描述

Hawai''i journal of health & social welfare Pub Date : 2023-09-01

Enze Ma, Rylie M Wada, Brendan K Seto, Dylan S Singh, Teresa L Schiff-Elfalan, Lawrence Burgess

引用次数: 0

Tackling the Threats of Antimicrobial Resistance (AMR) through Building Capacity in Laboratory Services in the Pacific Region. 通过太平洋区域实验室服务能力建设应对抗菌素耐药性威胁。

Hawai''i journal of health & social welfare Pub Date : 2023-08-01

Tebuka Toatu, Si Thu Win Tin

引用次数: 0

A Plan for Action: The Development of a Statewide Initiative to Improve Nurse Wellbeing in Hawai'i. 行动计划:发展一项全州范围内的倡议，以改善夏威夷护士的福利。

Hawai''i journal of health & social welfare Pub Date : 2023-08-01

Carrie M Oliveira, Brianne Kuwabara, Laura Reichhardt

引用次数: 0

An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i. 对夏威夷农村医生的实践和程序障碍的检查。

Hawai''i journal of health & social welfare Pub Date : 2023-08-01

Joseph W Turban, Eun Ah Cho, Weston McCue, Kelley Withy

{"title":"An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i.","authors":"Joseph W Turban, Eun Ah Cho, Weston McCue, Kelley Withy","doi":"","DOIUrl":"","url":null,"abstract":"There is an estimated shortage of 46 000 to 90 000 physicians in the US, especially in rural areas. Physicians working in rural areas often maintain a larger scope of practice compared to their urban counterparts. This scope may include performing procedures which may require additional training, and lack of that training may limit rural physicians' capability to perform procedures. Physicians practicing in rural areas of Hawai'i were surveyed about their scope of practice regarding procedures and the perceived hindrances in performing procedures. Physicians identified as rural practitioners and rural physicians attending local conferences were asked to participate. Forty-seven (out of 301) rural Hawai'i physicians participated in the survey, of which 89% reported performing procedures. The most common procedures performed included suture removal, incision and drainage, wound care, and suturing. Of the 47 respondents, a total of 28 physicians or 60% reported wishing to perform procedures but not doing so. The procedures physicians would like to perform included gynecological (36%), casting (21%) and wound care (14%). Barriers to performing procedures included lack of time (51%), inadequate training (37%), out of practice (22%), and poor reimbursement (17%). While most rural physicians in this study perform procedures, many would like to perform more. Lack of training and support are significant barriers to increasing scope of procedures performed. Medical schools, residencies, and continuing education programs should consider expanding training in these areas, especially for those planning to practice or currently practicing in rural areas.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 8","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407775/pdf/hjhsw8208_0183.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984351","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 Systematic Literature Review of Asian American, Native Hawaiian, and Pacific Islander Youth Electronic Nicotine Delivery Systems (ENDS) Use. 关于亚裔美国人、夏威夷原住民和太平洋岛民青少年使用电子尼古丁输送系统 (ENDS) 的系统性文献综述。

Hawai''i journal of health & social welfare Pub Date : 2023-07-01

Kelsey S Manglallan, Dixie L Johnson, Mistie Hokulani Rosario, Katlyn J An, Adabelle B Carson, Kristina T Phillips, Pallav Pokhrel, Scott K Okamoto

{"title":"A Systematic Literature Review of Asian American, Native Hawaiian, and Pacific Islander Youth Electronic Nicotine Delivery Systems (ENDS) Use.","authors":"Kelsey S Manglallan, Dixie L Johnson, Mistie Hokulani Rosario, Katlyn J An, Adabelle B Carson, Kristina T Phillips, Pallav Pokhrel, Scott K Okamoto","doi":"","DOIUrl":"","url":null,"abstract":"Rates of electronic nicotine delivery systems (ENDS) use are exponentially increasing in youth and young adults within the United States, including Asian American, Native Hawaiian, and Pacific Islander (AANHPI) youth in Hawai'i. Disproportionately high ENDS use rates for AANHPI youth point to the need to understand the empirical literature in this area. A systematic literature review is a prerequisite for programs effectively curbing AANHPI youths' elevated use of ENDS. This systematic literature review examines empirical studies published between 2010-2020 on ENDS and their use as it applies to AANHPI youth. A total of 11 articles were identified using specific inclusionary and exclusionary criteria in a literature search. Studies described individual and interpersonal correlates to ENDS use. Notably, there were no published ENDS intervention studies detailed to AANHPI youth. Implications of these studies for prevention and social welfare interventions are discussed.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 7","pages":"151-157"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10351245/pdf/hjhsw8207_0151.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9847049","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

Overview of the Oncology Landscape in Hawai'i and Introduction to the New University of Hawai'i Cancer Center Director. 夏威夷肿瘤学概况及新一任夏威夷大学癌症中心主任介绍。

Hawai''i journal of health & social welfare Pub Date : 2023-07-01

Shane Y Morita

引用次数: 0

The Effects of COVID-19 on Choosing to Have Children in the State of Hawai'i. COVID-19对夏威夷州选择生育孩子的影响。

Hawai''i journal of health & social welfare Pub Date : 2023-06-01

December Maxwell, Jin Young Seo, Rebecca L Stotzer

引用次数: 0

Preliminary Data on the Impacts of COVID-19 on Filipino Immigrants in Hawai'i. 关于 COVID-19 对夏威夷菲律宾移民影响的初步数据。

Hawai''i journal of health & social welfare Pub Date : 2023-06-01

Danny S Domingo, Angela G Phillips, Julienne Rose S Saladino

{"title":"Preliminary Data on the Impacts of COVID-19 on Filipino Immigrants in Hawai'i.","authors":"Danny S Domingo, Angela G Phillips, Julienne Rose S Saladino","doi":"","DOIUrl":"","url":null,"abstract":"Racial and ethnic minorities experience high rates of disease morbidity and mortality. Filipinos in Hawai'i have the second-highest coronavirus disease 2019 (COVID-19) cases and deaths. This exploratory study examined barriers to compliance with COVID-19 prevention practices for Filipino immigrants residing in O'ahu and Maui. Cross-sectional data were collected using mixed methods involving surveys and key informant interviews with Filipino community members. Survey responses (n=50) were collected identifying crucial factors to be addressed and preferences for receiving information related to COVID-19. Some Filipino customs and practices were a barrier to complying with COVID-19 prevention practices; nevertheless, cultural sensitivity was stressed for education messaging. In addition, family and community navigators should be equipped with the training and resources to disseminate COVID-19 information within their communities. Attitudinal, cultural, and linguistic barriers to promote health persist for Filipinos in Hawai'i. The COVID-19 pandemic has exacerbated these barriers due to the circulation of misinformation and lack of information among the Filipino communities of O'ahu and Maui regarding COVID-19 and local policies. Culturally appropriate support including providing tailored and linguistically appropriate COVID-19 information is recommended. Equipping or training a household member to help navigate COVID-19 policies as they change aligns with this community's emphasis on familial and social relationships.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"82 6","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248819/pdf/hjhsw8206_0127.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860785","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