Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health最新文献_第4页

Hawai'i Journal Watch: Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health. 《夏威夷杂志观察》:夏威夷大学和夏威夷州卫生部最近的研究亮点。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-05-01

Karen Rowan

引用次数: 0

Insights in Public Health: The University of Hawai'i West O'ahu Undergraduate Health Science Program: Training the Workforce of the Future. 公共卫生透视：夏威夷大学西奥阿胡岛健康科学本科课程：培养未来的劳动力。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-05-01

Ricardo Custodio

{"title":"Insights in Public Health: The University of Hawai'i West O'ahu Undergraduate Health Science Program: Training the Workforce of the Future.","authors":"Ricardo Custodio","doi":"","DOIUrl":"","url":null,"abstract":"Hawai'i faces a significant healthcare workforce shortage, not only with physicians, but also with health science workers. \"Health science\" is a hands-on field that combines biomedical and psychosocial aspects of health, disease, and health care. Many of the fastest-growing jobs are in the health sciences, including home health aides, physical therapists, school counselors, and social workers. In Hawai'i, an aging population and the retirement of current health professionals increases the demand for health science workers. Innovative approaches and new care models are essential to meet Hawaii's needs. One promising solution involves creating four-year undergraduate degree concentrations that train students in marketable skills that are projected to be in demand in Hawai'i, such as in long-term care, community health, and health information management. These bachelor-level graduates could serve critical roles in relieving nurses and physicians of administrative, managerial, care coordination, and clinical data analysis duties that hamper their abilities to practice at the top of their licenses and training. The undergraduate health sciences program at the University of Hawai'i West O'ahu supports students who want to enter these career paths. The program's primary goal is to establish multiple pathways that provide opportunities for underserved youth in West O'ahu communities to choose marketable healthcare careers that pay a sustainable and living wage. Support for this innovative initiative will create a stronger, more well-rounded and sustainable health care workforce that meets Hawaii's increasing demand for affordable, accessible and high-quality care. The final measure of success will be the quality and number of our graduates from our communities, serving our communities.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 5","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6495023/pdf/hjmph7805_0175.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37206823","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

Primary Care Physician Perceptions of Female Pelvic Floor Disorders. 初级保健医生对女性盆底疾病的看法。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

Jennifer Wh Wong, Bliss E Kaneshiro, Ian A Oyama

{"title":"Primary Care Physician Perceptions of Female Pelvic Floor Disorders.","authors":"Jennifer Wh Wong, Bliss E Kaneshiro, Ian A Oyama","doi":"","DOIUrl":"","url":null,"abstract":"Primary care physicians (PCPs) play a major role in patient access to appropriate health care. This study examines PCPs' perceptions and management of female pelvic floor disorders. Surveys were mailed to family medicine and internal medicine physicians associated with the Hawai'i Medical Service Association. A total of 150 respondents were included. Only 34%, 38%, and 9% of respondents correctly identified the prevalence of urinary incontinence (UI), overactive bladder (OAB), and pelvic organ prolapse (POP), respectively. For disease-specific screening, the highest response was that PCPs \"sometimes\" screen for UI (36%) and OAB (45%) but \"hardly ever\" screen for POP (43%). With regards to management of UI and OAB, respondents would either treat (30% UI, 39% OAB) or start treatment then refer (53% UI, 49% OAB). For POP, nearly all of respondents (81%) would immediately refer. When consultation is necessary, there was a similar rate of referral to urology and urogynecology for UI (38% urology, 42% urogynecology), and a similar rate of referral to gynecology and urogynecology for POP (47% gynecology, 48% urogynecology). For OAB, PCPs would refer to urology (54.0%), then urogynecology (31%), and lastly gynecology (13%). A majority of respondents were \"somewhat familiar\" (56%) with urogynecology as a subspecialty, while 27% were \"very familiar\", 13% were \"slightly unfamiliar\", and 3% were \"very unfamiliar\". This study shows that most PCPs are not comfortable managing common urogynecologic problems and would likely benefit from education on how to diagnose, treat, and refer for these conditions in order to optimize patient care.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":" ","pages":"132-136"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452021/pdf/hjmph7804_0132.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37140730","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 Report of Congenitally Absent Pericardium Masquerading as Recurrent Pericarditis. 先天性心包膜缺失伪装为复发性心包炎1例。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

Tomoki Sempokuya, Corey J Lum, Mahdi Veillet-Chowdhury, Kahealani Rivera

{"title":"A Case Report of Congenitally Absent Pericardium Masquerading as Recurrent Pericarditis.","authors":"Tomoki Sempokuya, Corey J Lum, Mahdi Veillet-Chowdhury, Kahealani Rivera","doi":"","DOIUrl":"","url":null,"abstract":"A 24-year-old female with a history of Swyer-James-MacLeod syndrome presented with acute onset of pleuritic chest pain and was initially diagnosed with acute pericarditis. The 12-lead electrocardiogram demonstrated typical diffuse ST-segment elevation and PR-segment depression. Symptoms resolved rapidly with anti-inflammatory therapy consisting of ibuprofen and colchicine. After completing a 3-month course of the latter, her symptoms rapidly recurred. Workup, including labs and cardiac imaging consisting of a transthoracic echocardiogram and cardiac magnetic resonance imaging, was initially interpreted as normal. Re-review of her cardiac imaging revealed the patient had signs of a congenitally absent pericardium, including a \"Snoopy Sign\" on her posterior-anterior chest X-ray, which is characterized by levoposition of the cardiac silhouette, a lucent area between the pulmonary artery and aorta because of the presence of lung tissue, a lucent area between the base of the heart and the left hemidiaphragm, loss of the right heart border, a prominent pulmonary artery, and a flattened and elongated left ventricular contour. The patient had a cardiac computed tomography scan, which confirmed the diagnosis. In conclusion, a congenitally absent pericardium is a rare disorder, often undetected or misdiagnosed. There are characteristic findings on imaging such as a \"Snoopy Sign\" on a posterior-anterior chest X-ray, which can be easily missed because of its rarity. Our goal of this report is to educate health care providers about this rare disorder.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":" ","pages":"137-140"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452018/pdf/hjmph7804_0137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37140731","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

Medical School Hotline: Girl Power: Providing Young Women with a Safe Space to Tackle the Tough Topics. 医学院热线:女孩的力量:为年轻女性提供一个安全的空间来解决棘手的问题。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

Kameko M Karasaki, Julie Crocker, Satoru Izutsu

引用次数: 0

Hawai'i Journal Watch: Highlights of recent research from the University of Hawai'i and the Hawai'i State Department of Health. 《夏威夷杂志观察》:夏威夷大学和夏威夷州卫生部最近的研究亮点。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

Karen Rowan

引用次数: 0

Management of Symptomatic Hepatic "Mega" Hemangioma. 症状性肝“特大”血管瘤的治疗。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

William A Ketchum, Kevin M Lin-Hurtubise, Emily Ochmanek, Kelli Ishihara, Robert D Rice

引用次数: 0

Zika Virus: Relevance to the State of Hawai'i. 寨卡病毒:与夏威夷州的关系。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-04-01

William J Lew, Wen-Yang Tsai, Venkataraman Balaraman, Kore Kai Liow, Jasmine Tyson, Wei-Kung Wang

{"title":"Zika Virus: Relevance to the State of Hawai'i.","authors":"William J Lew, Wen-Yang Tsai, Venkataraman Balaraman, Kore Kai Liow, Jasmine Tyson, Wei-Kung Wang","doi":"","DOIUrl":"","url":null,"abstract":"Zika virus (ZIKV) is spread among human populations primarily through the bite of Aedes mosquitoes. While most ZIKV infections are asymptomatic or cause self-limited symptoms, the major concerns are its association with Guillain-Barré Syndrome and fetal microcephaly together with other birth defects, known as congenital Zika syndrome (CZS). This article reviews the confirmed Zika cases in the continental United States (U.S.) and Hawai'i thus far, as well as literature of Zika research relevant to Hawai'i. The first case of CZS within the U.S. was reported in Hawai'i, highlighting the unique position of Hawai'i for emerging and re-emerging infectious diseases. Recent studies of the Zika outbreak in Florida demonstrate the key role of Ae. aegypti mosquito in transmission; continuous and proactive vector surveillance in Hawai'i is warranted. Additionally, an updated interim pregnancy guidance for pregnant women with possible ZIKV exposure was summarized. Due to recent decline of ZIKV transmission in the Americas, the risk of ZIKV importation to Hawai'i has been greatly reduced. However, given the presence of Aedes mosquitoes, climate condition, and status of Hawai'i as a travel destination and foreign import market, public health officials and healthcare providers should remain vigilant for a potential outbreak of mosquito-borne diseases in the future.","PeriodicalId":73197,"journal":{"name":"Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health","volume":"78 4","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452016/pdf/hjmph7804_0123.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9629567","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

Medical School Hotline: Dying of AIDS in 2018: Urgent Interventions to Curb the Fastest-Growing HIV Epidemic in the Western Pacific. 医学院热线:2018年死于艾滋病:紧急干预措施遏制西太平洋地区增长最快的艾滋病毒流行。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-03-01

Louie Mar A Gangcuangco, Satoru Izutsu

引用次数: 0

Tricuspid Valve Infective Endocarditis Due to Klebsiella pneumoniae in Intravenous Drug User. 静脉吸毒者肺炎克雷伯菌致三尖瓣感染性心内膜炎。

Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health Pub Date : 2019-03-01

Tanawan Riangwiwat, Jonathan Dworkin

引用次数: 0