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Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health

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https://www.readbyqxmd.com/read/30324005/the-daniel-k-inouye-college-of-pharmacy-scripts-the-effects-of-vancomycin-use-and-de-escalation-in-patients-hospitalized-with-pneumonia
#1
Aryn S You, Bryce T Fukunaga, Alexandra L Hanlon, Alicia J Lozano, Roy A Goo
Methicillin-resistant Staphylococcus aureus (MRSA) causes about 80,000 severe infections each year. Compared to Methicillin-susceptible Staphylococcus aureus (MSSA), MRSA is associated with higher mortality and increased hospital length of stay (LOS). Vancomycin hydrochloride, an antibiotic with activity against MRSA is often used as empiric therapy for pneumonia. However, current pneumonia treatment guidelines recommend against the routine use of MRSA coverage since MRSA prevalence rates are low. In this retrospective, observational study, 38...
October 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30324004/medical-school-hotline-the-department-of-medical-technology-at-the-john-a-burns-school-of-medicine-university-of-hawai-i-at-manoa
#2
Dick Y Teshima, Ray Yamaguchi, Satoru Izutsu
No abstract text is available yet for this article.
October 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30324003/physical-activity-nutrition-and-obesity-among-pacific-islander-youth-and-young-adults-in-southern-california-an-exploratory-study
#3
Sora P Tanjasiri, Lenny D Wiersma, Karen L Moy, Archana McEligot
This exploratory study aimed to assess obesity, physical activity, and nutrition among Pacific Islander youth and young adults in Southern California. A total of 129 Tongan, Samoan, and Marshallese participated in the study, including relatively similar proportions of males and females and age groups. We calculated Body Mass Index (BMI), dietary intake by a food frequency questionnaire (FFQ), and 7-day physical activity levels with accelerometers. Overall, 84% of Tongan, 76% of Samoan, and 24% of Marshallese participants were overweight or obese, with mean BMI of 31...
October 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30324002/assessing-the-accuracy-of-physician-self-disclosed-pid-reporting-a-comparison-of-data-from-a-physician-survey-and-actual-pid-case-reports-from-a-state-surveillance-system
#4
Misty Y Pacheco, Alan R Katz
Pelvic inflammatory disease is a state-mandated notifiable disease in Hawai'i. A survey assessing pelvic inflammatory disease (PID) reporting to the Hawai'i Department of Health (HDOH) PID surveillance system, was administered to physicians in Hawai'i in April 2012. To measure the accuracy of self-disclosed PID reporting, data from the survey were compared to HDOH PID surveillance system case reports. Concordance between the two data sources was assessed using Cohen's kappa statistic. We first linked data by physician name...
October 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30324001/adult-onset-henoch-schonlein-purpura-associated-with-a-metastatic-malignancy-of-unknown-primary-origin
#5
Therese Posas-Mendoza, Dayna Lucuab-Fegurgur, Jefferson Roberts
The cause of Henoch-Schonlein purpura, or IgA vasculitis, is largely unknown. It has been associated with infections, other rheumatologic triggers, and adverse drug reactions. Rarely, adult Henoch-Schonlein purpura is also associated with solid-tumor malignancies. We present the case of a 66 year-old woman who presented with Henoch-Schonlein purpura associated with a metastatic malignancy of unknown primary origin. We recommend that adult patients presenting with Henoch-Schonlein purpura, especially those with no identifiable trigger, receive age-appropriate work-up for potential malignancy...
October 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30221079/insights-in-public-health-an-island-wide-community-food-assessment-in-lana-i-hawai-i-a-high-school-student-centered-project
#6
Karen de Brum
Lana'i is a geographically isolated Hawaiian island of approximately 3,100 residents. During the 2017-2018 school year, 22 Lana'i High and Elementary School juniors and seniors engaged with community members, kupuna (elders, those who stand at the source), stakeholders, and expert consultants to conduct an island-wide Community Food Assessment (CFA). A CFA can provide a community comprehensive information about their food systems. Particular attention was given to indigenous, Native Hawaiian food culture and needs...
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30221078/medical-school-hotline-the-many-ways-physicians-care-for-patients
#7
Karen Thompson, Satoru Izutsu
No abstract text is available yet for this article.
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30221077/are-rapid-influenza-antigen-tests-still-clinically-useful-in-today-s-molecular-diagnostics-world
#8
Valentina K Trombetta, Yvonne L Chan, Matthew J Bankowski
Influenza virus infection and disease historically contribute to widespread cases of seasonal morbidity and in some cases mortality. Prompt and accurate diagnosis is crucial for optimal patient management. Rapid influenza direct antigen testing (RIDT) offers a faster turn-around-time for results but test performance (ie, sensitivity and specificity) varies widely. Nucleic acid amplification testing (NAAT) can offer a viable alternative. The objective of this retrospective study was to compare the test performance of RIDT with NAAT...
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30221076/assessment-education-and-access-kona-hawai-i-wic-oral-health-pilot-project
#9
Deborah Mattheus, Maureen Shannon
The Kona WIC oral health pilot project was developed to assess the oral health beliefs and behaviors of parents of children and pregnant women at the Kona WIC site and to demonstrate the ease of providing oral health education to families in order to improve oral health behaviors. Data were collected from 50 families about the oral health behaviors and dental care of a total of 73 children, including 5 pregnant women, four of whom had a child enrolled in WIC and one pregnant woman without any previous children...
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30221075/the-epidemiology-of-slipped-capital-femoral-epiphysis-in-american-samoa
#10
Graham T Fedorak, Amy K Brough, Robin H Miyamoto, Ellen M Raney
The Maori of New Zealand have been identified as a high-risk population for slipped capital femoral epiphysis (SCFE). This study assessed whether the burden of disease from SCFE in the American Territory of American Samoa is similar to that identified in the Maori. This was a retrospective review of children from American Samoa treated for SCFE at a tertiary care pediatric hospital between 2005-2014. Demographic, clinical, and radiographic information was collected. All patients were followed for at least one year after surgery and prophylactically pinned hips were not included...
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30083433/insights-in-public-health-the-help-your-keiki-website-increasing-youth-and-caregiver-awareness-of-youth-psychosocial-mental-health-treatment
#11
Kelsie H Okamura, Trina E Orimoto, Albert C Mah, Lesley A Slavin, Susan Rocco, Scott K Shimabukuro, M Stanton Michels, Brad J Nakamura
Increasing evidence-based practice (EBP) use in community mental health is a national priority, especially given that one in five youth will suffer from mental health concerns before adulthood. Implementation science offers a unique lens for understanding EBP use that identifies barriers and facilitators of successful adoption. Consumer engagement is often overlooked as an EBP implementation strategy. In this article, we describe the State of Hawai'i Child and Adolescent Mental Health Division's innovative effort to target consumer EBP demand via the Help Your Keiki Website...
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30083432/medical-school-hotline-annual-report-for-the-john-a-burns-school-of-medicine-fiscal-year-2018
#12
Jerris R Hedges, Satoru Izutsu
No abstract text is available yet for this article.
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30083431/comparing-birth-outcomes-in-hawai-i-between-us-and-foreign-born-women
#13
Sunja Kim, Seemoon Choi, Jane J Chung-Do, Victoria Y Fan
The objective of this study is to examine the relationship between maternal nativity status and preterm birth (PTB) or low birth weight (LBW) for Hawai'i resident mothers, to compare these relationships across different maternal race/ethnicity groups, and to identify other potential risk and protective factors related to PTB and LBW. Using the 2004 Natality Birth Data from the National Vital Statistic System of the National Center for Health Statistics, crude and adjusted odds ratios were calculated using logistic regression to determine maternal racial/ethnic-specific nativity effects on PTB and LBW...
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30083430/risk-and-protective-factors-of-alcohol-use-identified-by-community-providers-and-stakeholders-in-hawai-i-qualitative-data-analysis
#14
Codie M Garza, Claudio R Nigg, Minami Konishi, Ji-Young An, Allison F Wagner, Danilyn K Goya
The purpose of this study was to identify community providers' perspectives on risk and protective factors for youth alcohol use in Hawai'i to inform future trainings of providers. A total of 104 providers within communities and prevention organizations in Hawai'i were asked to list risk and protective factors for underage drinking in each of the socioecological levels (individual, family, community, and society). The majority of participants were female (66.3%). Overall, 507 risk and protective factors were listed...
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30083429/shingles-in-pregnancy-an-elusive-case-of-left-upper-quadrant-abdominal-pain
#15
Jennifer Wh Wong, Jennifer My Chin, Ryan J Schlueter
Pregnancy can complicate the presentation and workup of abdominal pain. A healthy 21-year-old gravida-3 para-1 woman at 34 weeks of gestation presented for severe pain localized to her abdominal left upper quadrant (LUQ. Physical exam was unremarkable except for localized pain on palpation, and she was discharged with acetaminophen and cyclobenzaprine for presumed musculoskeletal pain. The next day, she returned for worsening pain. An extensive workup including labs, electrocardiogram, chest x-ray, and abdominal computed tomography was unremarkable, and she was discharged with hydrocodone/acetaminophen...
August 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30009096/insights-in-public-health-equitable-access-to-abortion-care-in-hawai-i-identifying-gaps-and-solutions
#16
Ghazaleh Moayedi, Chevelle Davis
Despite a progressive legislative landscape, some women in Hawai'i lack access to abortion care. Those in the military, undocumented immigrants, and people living in rural areas and on neighbor islands face significant barriers to timely and affordable abortion care. Evaluating these gaps in access can help identify key areas for policy improvement to ensure health equity in Hawai'i.
July 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30009095/medical-school-hotline-continuing-medical-education-at-the-john-a-burns-school-of-medicine
#17
Brenda Wong, Kathleen Kihmm Connolly, Satoru Izutsu
No abstract text is available yet for this article.
July 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30009094/the-effect-of-a-targeted-educational-activity-on-obstetrics-and-gynecology-resident-in-training-examination-scores
#18
Ingrid Chern, Clyner Antalan, Tod Aeby, Mark Hiraoka
The objective of this study was to compare the examination scores before and after implementation of a study program based on high yield topics on the Council of Resident Education in Obstetrics and Gynecology (CREOG) In-Training Examination. This prospective cohort study compared scores from academic years 2012 to 2014 of University of Hawai'i obstetrics and gynecology residents who participated in a directed study program based on selected high yield topics from the CREOG Test Item Summary Booklet. Topics were considered high yield if more than 75% of the program residents answered the topic questions incorrectly during the immediately preceding CREOG In-Training Examination administration...
July 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30009093/2017-writing-contest-undergraduate-winner-pathways-to-preventable-hospitalizations-for-filipino-patients-with-diabetes-and-heart-disease-in-hawai-i
#19
Jhon Michael Malabed, Deborah A Taira, Todd B Seto, Kathryn L Braun, Tetine Sentell
Filipinos are one of the fastest growing Asian ethnic groups in the United States, yet little is known about how to specifically address the varying health needs of the Filipino community with diabetes and heart disease. This is a problem because rates of potentially preventable hospitalizations (PPH) are high for Filipinos with these conditions. A PPH is a hospitalization that could potentially have been avoided with better access to quality primary care. Patients over 21 years of age with heart disease or diabetes and who were hospitalized at the Queen's Medical Center with a PPH were recruited to complete a face-to-face interview eliciting the patients' perspectives on key factors leading to this hospitalization (n=102)...
July 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/29888118/insights-in-public-health-the-built-environment-and-health-how-the-places-we-live-work-and-play-shape-our-wellbeing
#20
Danielle Schaeffner, Lola H Irvin, Heidi Hansen Smith
No abstract text is available yet for this article.
June 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
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