MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Hawaii Medical Journal' source. Sun, 29 Jan 2012 18:56:28 +0100 http://www.medworm.com/index.php?rid=5539879&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187511%26dopt%3DAbstract Authors: PMID: 22187511 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539879 Thu, 01 Dec 2011 05:00:00 +0100 5539879 http://www.medworm.com/index.php?rid=5539878&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187512%26dopt%3DAbstract This article describes the activities performed by cancer patient navigators in community-based and hospital settings. The case study demonstrates the depth and breadth of navigation activities and illustrates how hospital-based and community-based navigators work together to help individuals access cancer care and complete cancer treatment. PMID: 22187512 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539878 Thu, 01 Dec 2011 05:00:00 +0100 5539878 http://www.medworm.com/index.php?rid=5539877&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187513%26dopt%3DAbstract CONCLUSIONS: Patients complaining of eye irritation due to vog have observable ocular signs and symptoms. PMID: 22187513 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539877 Thu, 01 Dec 2011 05:00:00 +0100 5539877 http://www.medworm.com/index.php?rid=5539876&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187514%26dopt%3DAbstract Authors: Magpantay G, Cardile AP, Madar CS, Hsue G, Belnap C Abstract Two adult cases, one of secondary syphilis and one of Listeria monocytogenes bacteremia, in which antibiotic desensitization therapy was utilized to assist treatment of active infection in the face of severe penicillin allergy. Clinical considerations are discussed that led to the decision to employ a formal desensitization procedure. Antibiotic desensitization protocols can facilitate optimal and safe antibiotic therapy in the appropriate clinical setting. PMID: 22187514 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539876 Thu, 01 Dec 2011 05:00:00 +0100 5539876 http://www.medworm.com/index.php?rid=5539875&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187515%26dopt%3DAbstract Authors: Izutsu S, Nishiki M PMID: 22187515 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539875 Thu, 01 Dec 2011 05:00:00 +0100 5539875 http://www.medworm.com/index.php?rid=5539874&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22187516%26dopt%3DAbstract Authors: PMID: 22187516 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5539874 Thu, 01 Dec 2011 05:00:00 +0100 5539874 http://www.medworm.com/index.php?rid=5517249&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162601%26dopt%3DAbstract We report on a 61 year-old woman with history of previous successful treatments of MRSA bacteremia with vancomycin. She was later hospitalized for catheter-related MRSA bacteremia that persisted despite vancomycin treatment. The vancomycin minimal inhibitory concentration (MIC) was initially 1-2 µg/ml, suggesting susceptibility, but changed to 4µg/ml. At this level, the organism was classified as a vancomycin-intermediate Staphylococcus aureus (VISA). Therapy was changed from vancomycin to daptomycin, and the patient's blood cultures were sterilized. High suspicion of VISA should be raised in MRSA-infected patients who fail or have a history of vancomycin therapy so that additional susceptibility testing and appropriate antibiotic therapy can be promptly commenced to reduce the morbidity... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517249 Tue, 01 Nov 2011 04:00:00 +0100 5517249 http://www.medworm.com/index.php?rid=5517248&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162602%26dopt%3DAbstract Authors: Plackett TP, Takamori R, Izawa M Abstract Malrotation is an intestinal gestational disorder which not only affects the positioning of the midgut, but also its vascular supply. While this is generally thought of as a pediatric surgical condition, it can have significant implications for adult surgeries as well. Herein we present a patient with asymptomatic nonrotation of the midgut with a concomitant pancreatic adenocarcinoma. The authors review the modifications necessary to perform a pancreaticoduodenectomy in a nonrotated patient. The review includes a caution and emphasis on an understanding of the vascular anatomic variants. PMID: 22162602 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517248 Tue, 01 Nov 2011 04:00:00 +0100 5517248 http://www.medworm.com/index.php?rid=5517247&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162603%26dopt%3DAbstract Authors: Lubimir KT, Wen AB Abstract To meet the needs of a more diverse population, a culturally sensitive approach to end-of-life communication is critical. This paper describes a unique communication workshop that introduces future physicians to the delivery of culturally responsive care for patients in palliative and end-of-life treatment. The workshop is embedded within the required fourth year medical student rotation in Geriatrics and Palliative Care. Using case-vignettes, role playing, and small group discussions, content areas include: breaking bad news, discussing advanced directives, and decisions regarding withdrawal or withholding of treatment. Post workshop student evaluations reveal an overwhelmingly favorable response to the curriculum, with high scores for overall ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517247 Tue, 01 Nov 2011 04:00:00 +0100 5517247 http://www.medworm.com/index.php?rid=5517246&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162604%26dopt%3DAbstract Authors: Mulder CJ, Cardile AP, Dickert J Abstract The authors describe a unique presentation of celiac disease as multiple non-traumatic fractures in a young male without gastrointestinal complaints. A 29-year-old man presented with back pain and was found to have a non-traumatic compression fracture of the lumbar and thoracic spine on plain X-ray. Dual-energy x-ray absorptiometry (DXA) confirmed osteoporosis at the L3/L4 vertebral bodies. Parathyroid hormone (PTH), calcium, and vitamin D levels were normal. He had no gastrointestinal complaints, but serologic studies were positive to include an elevated gliadin IgA Ab, gliadin IgG Ab, and an elevated tissue transglutaminase IgA Ab. He was treated with a gluten-free diet, calcium, and vitamin D supplementation as well as teriparat... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517246 Tue, 01 Nov 2011 04:00:00 +0100 5517246 http://www.medworm.com/index.php?rid=5517245&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162605%26dopt%3DAbstract Authors: Shelton TM, Hedges JR PMID: 22162605 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517245 Tue, 01 Nov 2011 04:00:00 +0100 5517245 http://www.medworm.com/index.php?rid=5517244&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162606%26dopt%3DAbstract Authors: PMID: 22162606 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517244 Tue, 01 Nov 2011 04:00:00 +0100 5517244 http://www.medworm.com/index.php?rid=5517255&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162595%26dopt%3DAbstract The objectives were to develop a methodology to understand the prevalence of medically complex patients, and to apply the methodology to examine patients with one or more of hypertension, hyperlipidemia, diabetes, and heart disease. METHODS: Prevalence was measured using insurance data by calculating the proportion of days patients in a health state of interest contributed to the total days of enrollment. Graphs summarized the prevalence patterns within age and morbidity categories. Results by age and gender were supplemented with cubic spline curves that closely fit the prevalence data. RESULTS: The study provides basic epidemiologic information on changes with aging in the prevalence of patients with one or more comorbid conditions. Patients such as those with hyperlipidemia alon... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517255 Sat, 01 Oct 2011 04:00:00 +0100 5517255 http://www.medworm.com/index.php?rid=5517254&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162596%26dopt%3DAbstract This study aimed to determine the risk factors associated with the domains of health care barriers amongst the study's sample of 128 subjects across three Honolulu homeless shelters. Univariate models revealed health care barriers; but only the lack of health insurance was a significant financial barrier to health care in multivariate analyses (Odds ratio: 2.12; 95% Confidence Interval: 1.09-4.16). The identification of barriers should guide how health care programs approach Honolulu's homeless population to better serve their health care needs. PMID: 22162596 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517254 Sat, 01 Oct 2011 04:00:00 +0100 5517254 http://www.medworm.com/index.php?rid=5517253&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162597%26dopt%3DAbstract This study suggests that there is a need for public health interventions tailored to tourists. Prevention and education of home treatment could decrease the cost of health care by decreasing ambulance transports and total number of ED visits for a non-urgent disease. PMID: 22162597 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517253 Sat, 01 Oct 2011 04:00:00 +0100 5517253 http://www.medworm.com/index.php?rid=5517252&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162598%26dopt%3DAbstract Authors: Omori JS, Kramer K PMID: 22162598 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517252 Sat, 01 Oct 2011 04:00:00 +0100 5517252 http://www.medworm.com/index.php?rid=5517251&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162599%26dopt%3DAbstract Authors: Layi G, Albright CA, Berenberg J, Plant K, Ritter P, Laurent D, Lorig K, Bantum EO PMID: 22162599 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517251 Sat, 01 Oct 2011 04:00:00 +0100 5517251 http://www.medworm.com/index.php?rid=5517250&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162600%26dopt%3DAbstract Authors: PMID: 22162600 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517250 Sat, 01 Oct 2011 04:00:00 +0100 5517250 http://www.medworm.com/index.php?rid=5517243&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162613%26dopt%3DAbstract CONCLUSION: Most physician-educators believe that medical students benefit from taking overnight call during their obstetrics and gynecology clerkship. Careful consideration should be given prior to elimination of overnight call in the obstetrics and gynecology clerkship. PMID: 22162613 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517243 Thu, 01 Sep 2011 04:00:00 +0100 5517243 http://www.medworm.com/index.php?rid=5517242&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162614%26dopt%3DAbstract Authors: Hoshide RR, Chung H, Tokeshi J Abstract Community-acquired extended-spectrum beta-lactamase E coli (ESBLEC) have not been previously described in Honolulu. Its emergence as a community-acquired pathogen is concerning. This case series describes three patients who were diagnosed with community-acquired ESBLEC bacteriuria in 2010. PMID: 22162614 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517242 Thu, 01 Sep 2011 04:00:00 +0100 5517242 http://www.medworm.com/index.php?rid=5517241&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162615%26dopt%3DAbstract This study identified social ecological influences on health behavior among Asians and Pacific Islanders. The findings suggest various efforts for physicians and other health care providers to assist API in taking care of their diabetes. PMID: 22162615 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517241 Thu, 01 Sep 2011 04:00:00 +0100 5517241 http://www.medworm.com/index.php?rid=5517240&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162616%26dopt%3DAbstract Authors: Inaba AS PMID: 22162616 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517240 Thu, 01 Sep 2011 04:00:00 +0100 5517240 http://www.medworm.com/index.php?rid=5517239&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22162617%26dopt%3DAbstract Authors: PMID: 22162617 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5517239 Thu, 01 Sep 2011 04:00:00 +0100 5517239 http://www.medworm.com/index.php?rid=5196456&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886306%26dopt%3DAbstract Authors: PMID: 21886306 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196456 Sun, 31 Jul 2011 23:00:00 +0100 5196456 http://www.medworm.com/index.php?rid=5196432&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886307%26dopt%3DAbstract CONCLUSION: The authors' cases demonstrate different medical therapies, which may be of benefit for MMD with and without revascularization surgery during pregnancy. PMID: 21886307 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196432 Sun, 31 Jul 2011 23:00:00 +0100 5196432 http://www.medworm.com/index.php?rid=5196431&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886308%26dopt%3DAbstract CONCLUSION: Interestingly, the rs3758539 retinol binding protein 4 single nucleotide polymorphism was not found to be associated with gestational diabetes. The absence of association suggests that gestational and type 2 diabetes may have more divergent molecular pathophysiology than previously suspected. PMID: 21886308 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196431 Sun, 31 Jul 2011 23:00:00 +0100 5196431 http://www.medworm.com/index.php?rid=5196430&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886309%26dopt%3DAbstract Authors: Kaneshiro B, Geling O, Gellert K, Millar L Abstract Race and ethnicity are commonly used predictor variables in medical and public health research. Including these variables has helped researchers to describe the etiology of certain disease states. Including race and ethnicity in research has been hypothesis generating in terms of the relationship between genetic and environmental factors in the development of disease. Eliminating health disparities among different racial and ethnic groups has become a national priority. However, incorporating race and ethnicity into health research is complex because these variables are difficult to define and individuals often identify with more than one race or ethnicity. As a "minority-majority", multiethnic, multiracial state, Hawai'i... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196430 Sun, 31 Jul 2011 23:00:00 +0100 5196430 http://www.medworm.com/index.php?rid=5196429&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886310%26dopt%3DAbstract CONCLUSION: SWSS is a promising assessment method for simulation based curricula. PMID: 21886310 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196429 Sun, 31 Jul 2011 23:00:00 +0100 5196429 http://www.medworm.com/index.php?rid=5196428&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886311%26dopt%3DAbstract Authors: Kirch DG PMID: 21886311 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196428 Sun, 31 Jul 2011 23:00:00 +0100 5196428 http://www.medworm.com/index.php?rid=5196427&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886312%26dopt%3DAbstract Authors: Tokeshi J PMID: 21886312 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196427 Sun, 31 Jul 2011 23:00:00 +0100 5196427 http://www.medworm.com/index.php?rid=5196425&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886313%26dopt%3DAbstract Authors: PMID: 21886313 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196425 Sun, 31 Jul 2011 23:00:00 +0100 5196425 http://www.medworm.com/index.php?rid=5196555&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886285%26dopt%3DAbstract Authors: Rudoy R PMID: 21886285 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196555 Thu, 30 Jun 2011 23:00:00 +0100 5196555 http://www.medworm.com/index.php?rid=5196554&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886286%26dopt%3DAbstract CONCLUSION: Adolescent gender and ethnic disparities exist such that a single intervention approach (one size fits all) may be counterproductive. More research is required on the determinants and mechanisms to guide weight management interventions. PMID: 21886286 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196554 Thu, 30 Jun 2011 23:00:00 +0100 5196554 http://www.medworm.com/index.php?rid=5196553&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886287%26dopt%3DAbstract CONCLUSIONS: In order to be effective at obesity prevention, school-based gardening programs in Hawai'i should be framed as improving diet, addressing hunger, and teaching local tradition. Explicit messages about obesity prevention are likely to alienate the population, as these are in conflict with local standards of beauty. Health researchers and advocates need to further inform educators regarding the potential connections between gardening and health. PMID: 21886287 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196553 Thu, 30 Jun 2011 23:00:00 +0100 5196553 http://www.medworm.com/index.php?rid=5196552&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886288%26dopt%3DAbstract Authors: Teranishi K, Hayes DK, Iwaishi LK, Fuddy LJ Abstract Obesity is a widespread national issue that affects the health and well-being of millions of people; particular attention has been focused on the burden among children. The National Survey of Children's Health data from 2007 was used to examine the relationship of child health status and unhealthy weight (overweight/obese defined as body mass index in ≥85th percentile) among 874 children aged 10 to 17 years of age in Hawai'i. In particular, the parentally reported child's general health status was assessed comparing those with a poorer health status (defined as "good/fair/poor") to those with a better one (defined as "excellent/very good"). Descriptive analysis and multiple logistic regression analysis examined risk fo... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196552 Thu, 30 Jun 2011 23:00:00 +0100 5196552 http://www.medworm.com/index.php?rid=5196551&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886289%26dopt%3DAbstract Authors: Heinrich KM, Dierenfield L, Alexander DA, Prose M, Peterson AC Abstract Increasing active transportation to and from school may reduce childhood obesity rates in Hawai'i. A community partnership was formed to address this issue in Hawai'i's Opportunity for Active Living Advancement (HO'ĀLA), a quasi-experimental study of active transportation in Hawai'i County. The purpose of this study was to determine baseline rates for active transportation rates to and from school and to track changes related to macro-level (statewide) policy, locally-based Safe Routes to School (SRTS) programs and bicycle and pedestrian planning initiatives expected to improve the safety, comfort and ease of walking and bicycling to and from school. Measures included parent surveys, student travel ta... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196551 Thu, 30 Jun 2011 23:00:00 +0100 5196551 http://www.medworm.com/index.php?rid=5196550&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886290%26dopt%3DAbstract Authors: Stark MJ, Niederhauser VP, Camacho JM, Shirai L Abstract In the past 20-30 years, the number of overweight children in the United States has doubled.1 Overweight children are acquiring conditions such as hypertension, type II diabetes, hypercholesterolemia, sleep apnea, and orthopedic problems. The purpose of this study was to explore the prevalence of and factors associated with at risk and overweight in children 2-10 years of age in a Health Maintenance Organization (HMO) in Hawai'i. This quantitative, retrospective cross-sectional study included a stratified random sample of 554 children ages 2-10 years who received a well child health care exam at a HMO in 2003. The prevalence of at risk and overweight were examined including the relationship between ethnicity, socioec... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196550 Thu, 30 Jun 2011 23:00:00 +0100 5196550 http://www.medworm.com/index.php?rid=5196549&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886291%26dopt%3DAbstract Authors: Schembre SM, Nigg CR, Albright CL Abstract In accordance with the sociocultural model, race/ethnicity is considered a major influence on factors associated with body image and body dissatisfaction, and eating disorders are often characterized as problems that are primarily limited to young White women from Western cultures. The purpose of this study was to determine whether there are differences that exist by race in desired body weight; the importance placed on those ideals; and dieting strategies among White, Asian American, Native Hawaiian/Pacific Islanders, and other mixed-race young women in Hawai'i. A total of 144 female college students 18-20 years of age were surveyed about body weight as well as eating and exercise habits. Results demonstrated that all the young w... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196549 Thu, 30 Jun 2011 23:00:00 +0100 5196549 http://www.medworm.com/index.php?rid=5196548&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886292%26dopt%3DAbstract CONCLUSION: The Fun 5 program had an impact on improving fruit and vegetable intake and physical activity on the at risk population. PMID: 21886292 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196548 Thu, 30 Jun 2011 23:00:00 +0100 5196548 http://www.medworm.com/index.php?rid=5196547&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886293%26dopt%3DAbstract Authors: Novotny R, Vijayadeva V, Ramirez V, Lee SK, Davison N, Gittelsohn J Abstract This paper presents details the Healthy Foods Hawai'i (HFH) intervention trial, aimed to improve children's dietary behavior to prevent child obesity, by modifying the food environment with community-selected foods. Four communities were selected by ethnic composition, income level, two on O'ahu and one neighbor island. On each island one community was randomly assigned to intervention and one to control. The intervention was implemented through food stores in the intervention communities. HFH was designed to strengthen the network between local food producers, food distributors, storeowners and consumers, to increase the availability of healthier less energy dense foods for children in underserve... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196547 Thu, 30 Jun 2011 23:00:00 +0100 5196547 http://www.medworm.com/index.php?rid=5196546&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886294%26dopt%3DAbstract Authors: Maddock JE, Aki NN, Irvin LH, Dang JF PMID: 21886294 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196546 Thu, 30 Jun 2011 23:00:00 +0100 5196546 http://www.medworm.com/index.php?rid=5196545&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886295%26dopt%3DAbstract Authors: Chock GY, Kerr NA PMID: 21886295 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196545 Thu, 30 Jun 2011 23:00:00 +0100 5196545 http://www.medworm.com/index.php?rid=5196544&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886296%26dopt%3DAbstract Authors: Shim WK PMID: 21886296 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196544 Thu, 30 Jun 2011 23:00:00 +0100 5196544 http://www.medworm.com/index.php?rid=5196543&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886297%26dopt%3DAbstract Authors: Okihiro M PMID: 21886297 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196543 Thu, 30 Jun 2011 23:00:00 +0100 5196543 http://www.medworm.com/index.php?rid=5196542&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886298%26dopt%3DAbstract Authors: Abstract [This corrects the article on p. 116 in vol. 70.]. PMID: 21886298 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196542 Thu, 30 Jun 2011 23:00:00 +0100 5196542 http://www.medworm.com/index.php?rid=5196541&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886299%26dopt%3DAbstract Authors: PMID: 21886299 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196541 Thu, 30 Jun 2011 23:00:00 +0100 5196541 http://www.medworm.com/index.php?rid=5196540&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886300%26dopt%3DAbstract Authors: Soon R, Aeby T, Kaneshiro B Abstract While surgical abortion is a safe procedure, the most common complication is excessive bleeding. Methods to conservatively manage hemorrhage are gaining popularity. The authors present a case of a Cesarean scar rupture that occurred after an intrauterine balloon tamponade was placed to treat postabortion bleeding. PMID: 21886300 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196540 Thu, 30 Jun 2011 23:00:00 +0100 5196540 http://www.medworm.com/index.php?rid=5196539&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886301%26dopt%3DAbstract Authors: Tantisattamo E, Ng RC Abstract Acquired isolated renal phosphate wasting associated with a tumor, known as oncogenic osteomalacia or tumor-induced osteomalacia, is a rare paraneoplastic syndrome caused by overproduction of fibroblast growth factor 23. Oncogenic osteomalacia is usually associated with benign mesenchymal tumors. Syndrome of inappropriate antidiuretic hormone secretion (SIADH), on the other hand, is a common paraneoplastic syndrome caused by small cell carcinoma (SCC). Concomitant oncogenic osteomalacia and SIADH associated with SCC is very rare with only 4 other cases reported in the literature. The authors report a case of small cell lung cancer (SCLC)-related renal wasting hypophosphatemia and concurrent SIADH, and review the literature reporting 9 other c... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196539 Thu, 30 Jun 2011 23:00:00 +0100 5196539 http://www.medworm.com/index.php?rid=5196538&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886302%26dopt%3DAbstract Authors: Tabrah FL Abstract With Koch's announcement in 1882 of his work with the tubercle bacillus, his famous postulates launched the rational world of infectious disease and an abrupt social change-strict patient isolation.The postulates, so successful at their inception, soon began to show some problems, particularly with cholera, which clearly violated some of Koch's requirements. Subsequent studies of other diseases and the discovery of entirely new ones have so altered and expanded the original postulates that they now are little but a precious touch of history. The present additions and replacements of the original concepts are skillful changes that several authors have devised to introduce new order into understanding complex viral and prion diseases. In 1988, this knowled... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196538 Thu, 30 Jun 2011 23:00:00 +0100 5196538 http://www.medworm.com/index.php?rid=5196526&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886303%26dopt%3DAbstract Authors: Steinemann SK, Chun MB, Huynh DH, Loui K Abstract The purpose of this study was to explore the prevalence of breast cancer anxiety and risk counseling in women undergoing mammography, and the association with known risk factors for cancer. Women awaiting mammography were surveyed regarding anxiety, prior breast cancer risk counseling, demographic and risk factors. Anxiety was assessed via 7-point Likert-type scale (LS). Risk was defined by Gail model or prior breast cancer. Data were analyzed by nonparametric methods; significance determined at alpha = 0.05. Of 227 women surveyed, 54 were classified "higher risk". Counseling prevalence was similar (52%) for all ethnic groups, but higher (72%, P<0.001) for "higher risk" women. On average, women awaiting screening/diagnos... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196526 Thu, 30 Jun 2011 23:00:00 +0100 5196526 http://www.medworm.com/index.php?rid=5196509&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886304%26dopt%3DAbstract Authors: Hui GS, Pusic KM PMID: 21886304 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196509 Thu, 30 Jun 2011 23:00:00 +0100 5196509 http://www.medworm.com/index.php?rid=5196471&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21886305%26dopt%3DAbstract Authors: PMID: 21886305 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5196471 Thu, 30 Jun 2011 23:00:00 +0100 5196471 http://www.medworm.com/index.php?rid=5161557&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21857738%26dopt%3DAbstract CONCLUSIONS: Future research should examine the contexts in which teen IPV occurs. It will also be important to engage community-based organizations in prevention efforts. Therefore, a train-the-trainer curriculum for IPV prevention and intervention is proposed. PMID: 21857738 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5161557 Sat, 30 Apr 2011 23:00:00 +0100 5161557 http://www.medworm.com/index.php?rid=5161556&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21857739%26dopt%3DAbstract CONCLUSION: This case adds to the limited information that there may be an association between women who develop severe ovarian hyperstimulation syndrome and an increased prevalence of underlying thrombophilia markers. If further research demonstrates a cost effective strategy, screening for those markers may identify women who are at a higher risk for development of severe ovarian hyperstimulation syndrome. PMID: 21857739 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5161556 Sat, 30 Apr 2011 23:00:00 +0100 5161556 http://www.medworm.com/index.php?rid=5161555&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21857740%26dopt%3DAbstract Authors: Stary CM, Lee YS, Balfour J Abstract Idiopathic granulomatous mastitis (IGM) is a rare inflammatory condition of the breast. The etiology and treatments options of IGM remain controversial. Previous case reports have suggested that Corynebacterium sp., a gram-positive bacillus endogenous to the skin, may be associated with IGM. In the present report, we describe the first case of IGM with a positive culture for Corynebacterium sp. reported in the United States. PMID: 21857740 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5161555 Sat, 30 Apr 2011 23:00:00 +0100 5161555 http://www.medworm.com/index.php?rid=5161554&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21857741%26dopt%3DAbstract Authors: Sauvage LM PMID: 21857741 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5161554 Sat, 30 Apr 2011 23:00:00 +0100 5161554 http://www.medworm.com/index.php?rid=5161553&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21857742%26dopt%3DAbstract Authors: PMID: 21857742 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5161553 Sat, 30 Apr 2011 23:00:00 +0100 5161553 http://www.medworm.com/index.php?rid=5119065&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785505%26dopt%3DAbstract Authors: McDermott H, Johnson JL In response to a study published by the Centers for Disease Control and Prevention (CDC) in 2009, which indicated that the prevalence of Down syndrome births was increasing in the 10 regions studied, this study examined whether a similar trend was occurring in Hawai'i. PMID: 21785505 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119065 Thu, 31 Mar 2011 23:00:00 +0100 5119065 http://www.medworm.com/index.php?rid=5119064&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785506%26dopt%3DAbstract Authors: Callender DM, Hsue G There are hundreds of millions of cases of malaria each year worldwide resulting in a million deaths. These deaths are mostly due to Plasmodium falciparum. The only Federal Drug Administration approved treatment for severe malaria is intravenous quinidine gluconate. Intravenous quinidine is increasingly unavailable in the United States. In 2007, the Center for Disease Control and Prevention implemented an investigational new drug protocol to allow the use of intravenous artesunate for cases of severe malaria in the United States. The authors present such a case treated under this protocol at Tripler Army Medical Center, Hawai'i. PMID: 21785506 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119064 Thu, 31 Mar 2011 23:00:00 +0100 5119064 http://www.medworm.com/index.php?rid=5119063&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785507%26dopt%3DAbstract Authors: Cardile AP, Heppner DS The authors describe a case of gastric volvulus, which is a rare cause of gastric outlet obstruction. An 85-year-old man presented with nausea, vomiting, and epigastric pain. Admission abdominal radiograph demonstrated a grossly distended stomach with air-fluid levels. Multiple attempts at nasogastric tube placement failed. Endoscopy revealed a fluid-filled, tortuous stomach with a paraesophageal hernia, and the operator was unable to locate or pass the scope through the pylorus. Traditionally Borchardt's triad is believed to be diagnostic for acute gastric volvulus and consists of unproductive retching, epigastric pain and distention, and the inability to pass a nasogastric tube. The authors propose that the following features on endoscopy are highly su... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119063 Thu, 31 Mar 2011 23:00:00 +0100 5119063 http://www.medworm.com/index.php?rid=5119062&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785508%26dopt%3DAbstract Authors: Turban JW PMID: 21785508 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119062 Thu, 31 Mar 2011 23:00:00 +0100 5119062 http://www.medworm.com/index.php?rid=5119061&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785509%26dopt%3DAbstract Authors: Conde FA, Wilburn A PMID: 21785509 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119061 Thu, 31 Mar 2011 23:00:00 +0100 5119061 http://www.medworm.com/index.php?rid=5119060&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21785510%26dopt%3DAbstract Authors: PMID: 21785510 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=5119060 Thu, 31 Mar 2011 23:00:00 +0100 5119060 http://www.medworm.com/index.php?rid=4550063&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21365541%26dopt%3DAbstract Conclusions: The majority of API smokers were interested in quitting and receptive to one-on-one counseling. Advice would be helpful from any healthcare professional. PMID: 21365541 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4550063 Tue, 01 Mar 2011 00:00:00 +0100 4550063 http://www.medworm.com/index.php?rid=4550062&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21365542%26dopt%3DAbstract Authors: Chun SG, Shaeffer DS, Bryant-Greenwood PK Werner's Syndrome (WS) or adult-onset progeria is an autosomal recessive disorder of accelerated aging caused by mutations of the DNA RecQ helicase/exonuclease (WRNrpar;. WRN is an ATP-dependent helicase with 3' to 5' DNA exonuclease activity that regulates the replicative potential of dividing cells, and WRN loss-of-function mutations promote cellular senescence and neoplastic transformation. These molecular findings translate clinically into adult-onset progeria manifested by premature hair graying, dermal atrophy, cardiovascular disease, and cancer predilection along with a markedly reduced life expectancy. Recently, a patient with WS who developed pancreatic adenocarcinoma was identified in Honolulu suggesting a significant prevale... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4550062 Tue, 01 Mar 2011 00:00:00 +0100 4550062 http://www.medworm.com/index.php?rid=4550061&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21365543%26dopt%3DAbstract Conclusion: The Postpartum Follow-Up Initiative improved postpartum follow-up rates, as well as breastfeeding, and contraceptive use. PMID: 21365543 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4550061 Tue, 01 Mar 2011 00:00:00 +0100 4550061 http://www.medworm.com/index.php?rid=4495089&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308643%26dopt%3DAbstract Conclusion: The findings of this study suggest that providing a topical anesthetic had a positive effect on the study participants' likelihood of donating blood. This improvement was greater amongst those who have never donated blood. PMID: 21308643 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4495089 Tue, 01 Feb 2011 00:00:00 +0100 4495089 http://www.medworm.com/index.php?rid=4495088&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308644%26dopt%3DAbstract We present a case report with a typical presentation of suspected acute appendicitis in a pregnant woman. The work up and diagnostic tools available are discussed at length, as well as the finer points in treatment of this population. PMID: 21308644 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4495088 Tue, 01 Feb 2011 00:00:00 +0100 4495088 http://www.medworm.com/index.php?rid=4495087&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308645%26dopt%3DAbstract Authors: Tice A, Ruckle JE, Sultan OS, Kemble S Private practice physicians in Hawaii were surveyed to better understand their impressions of different insurance plans and their willingness to care for patients with those plans. Physician experiences and perspectives were investigated in regard to reimbursement, formulary limitations, pre-authorizations, specialty referrals, responsiveness to problems, and patient knowledge of their plans. The willingness of physicians to accept new patients from specific insurance company programs clearly correlated with the difficulties and limitations physicians perceive in working with the companies (p 〈 0.0012). Survey results indicate that providers in private practice were much more likely to accept University Health Alliance (UHA) and Hawaii ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4495087 Tue, 01 Feb 2011 00:00:00 +0100 4495087 http://www.medworm.com/index.php?rid=4495086&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308646%26dopt%3DAbstract Authors: Aeby TC M&M Conferences, Yesterday and Today: While adverse and unexpected clinical outcomes have probably been discussed since the dawn of medicine, the formal morbidity and mortality conference can trace its beginnings to the 1930s and the Philadelphia County Medical Society's Anesthesia Mortality Committee. Later renamed the Anesthesia Study Committee, this multi-institutional group, composed of anesthesiologists, surgeons, and internists, met monthly to review fatalities related to anesthesia and "other interesting topics." The cases were collected through the systematic review of hospital records when it became clear to the organizers that practitioners involved in adverse outcomes rarely volunteered their case for discussion. The focus of the meeting was on education... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4495086 Tue, 01 Feb 2011 00:00:00 +0100 4495086 http://www.medworm.com/index.php?rid=4495085&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21308647%26dopt%3DAbstract Envision our state with "no more cancer". Hawaii Med J. 2011 Feb;70(2):41-2 Authors: Higuchi P The Need: Chances are either you or someone you know has been touched by cancer. Cancer is the second leading cause of death in the islands, accounting for nearly one of every five deaths statewide. Each year more than 6,000 men and women in Hawaii are diagnosed with cancer, and another 2,000 die from the disease. The Hawaii Comprehensive Cancer Control Coalition is committed to reducing the burden of cancer in our state. Our vision is "No More Cancer." Realizing that no one organization can accomplish this task alone, health care providers, elected officials, public health leaders, hospitals and clinics, community-based organizations, clinicians, and individuals (cancer survivors and... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4495085 Tue, 01 Feb 2011 00:00:00 +0100 4495085 http://www.medworm.com/index.php?rid=4361786&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225588%26dopt%3DAbstract This article presents one approach to developing effective methods to address the needs of ethnic minorities living with chronic illnesses. Described is the University of Hawaii Center for Ohana Self-Management of Chronic Illnesses (COSMCI) located in the School of Nursing & Dental Hygiene and funded by the National Institute of Nursing Research (Award Number P20NR010671). The interdisciplinary center focuses on family and community self-management interventions in ethnically diverse populations with chronic illnesses. Areas discussed are: 1) the operational structure for creating an environment conducive to interdisciplinary ohana self-management chronic illness research in ethnically diverse populations; and 2) the development of sustainable interdisciplinary, biobehavioral research ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361786 Sat, 01 Jan 2011 00:00:00 +0100 4361786 http://www.medworm.com/index.php?rid=4361785&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225589%26dopt%3DAbstract Authors: Magnussen L, Shoultz J, Richardson K, Oneha MF, Campbell JC, Matsunaga DS, Selifis SM, Sapolu M, Samifua M, Manzano H, Spencer C, Arias C This paper presents the findings from a community based participatory research (CBPR) study that investigated the interface between culture and intimate partner violence (IPV) for women in selected cultural groups in Hawaii: Native Hawaiian, Filipino, Samoan, and Chuukese. The research question was, "What are the cultural perceptions, responses, and needs regarding IPV of selected individuals and groups served through a variety of programs that are affiliated with the three participating Community Health Centers (CHCs)?" This cross sectional, descriptive study collected both qualitative and quantitative data. Individual interviews were condu... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361785 Sat, 01 Jan 2011 00:00:00 +0100 4361785 http://www.medworm.com/index.php?rid=4361784&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225590%26dopt%3DAbstract This report summarizes the presentation, workup, treatment, and clinical significance of this case when dealing with these presenting symptoms. PMID: 21225590 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361784 Sat, 01 Jan 2011 00:00:00 +0100 4361784 http://www.medworm.com/index.php?rid=4361783&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225591%26dopt%3DAbstract Authors: Hedges JR, Shiramizu B, Seto T The University of Hawaii (UH) at Manoa, John A. Burns School of Medicine received a research infrastructure award in November 2010 to advance clinical and translational research in health disparities reduction in Hawaii. Clinical and translational research refers to the translation of knowledge from the laboratory bench to the patient's bedside and then to the larger community. The grant was awarded by the National Institutes of Health's National Center for Research Resources (NIH, NCRR) on a competitive basis to provide resources to campuses to foster collaborative research. The Clinical & Translational Research Award is a Research Center in Minority Institutions (RCMI) program aimed at addressing health disparities (differences in health be... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361783 Sat, 01 Jan 2011 00:00:00 +0100 4361783 http://www.medworm.com/index.php?rid=4361792&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225582%26dopt%3DAbstract This article introduces a promising new health care financing proposal for physician payment called Balanced Choice. It summarizes the implications of health care economics and current well-publicized health care reform proposals, each of which is problematic for physicians and their patients. The Balanced Choice proposal is for an integrated two-tier national system, which has an economically efficient universal plan similar to single-payer, but with an option for enhanced services using market forces at the doctor-patient level to manage care. The two tiers are linked together and balanced so that each complements and enhances the other. Balanced Choice solves the problems of other proposals in a way that would work well for doctors and for patients, and represents a fresh and uniquely A... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361792 Wed, 01 Dec 2010 00:00:00 +0100 4361792 http://www.medworm.com/index.php?rid=4361791&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225583%26dopt%3DAbstract Authors: Stratton A, Plackett TP, Belnap CM, Lin-Hurtubise KM Mammary carcinoma with osteoclast-like giant cells is an uncommon variant. The following case examines a 36-year-old woman incidentally found to have a left breast mass on routine physical exam. Initial ultrasound-guided core biopsies revealed infiltrating mammary carcinoma with focal mucinous features, for which a left breast lumpectomy and sentinel lymph node biopsy were performed. The sentinel lymph nodes were positive for metastatic mammary carcinoma with osteoclast-like giant cells on permanent section corresponding to the lumpectomy breast specimen, thus a left completion axillary node dissection was subsequently performed. PMID: 21225583 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361791 Wed, 01 Dec 2010 00:00:00 +0100 4361791 http://www.medworm.com/index.php?rid=4361790&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225584%26dopt%3DAbstract We report a case of an elderly man with cirrhosis who developed bacterial endocarditis due to E.coli. We review the literature that summarizes a total of 41 cases, with a predominance of elderly women, diabetics, and patients with urinary tract infections and prosthetic heart valves. E.coli bacteremia may be mistakenly attributed to a more benign source such as urosepsis and overlooked as an indication of endocarditis. A delay in diagnosis may lead to higher mortality as the opportunity for early valve replacement in appropriate cases and more prolonged courses of antibiotics may not be considered. PMID: 21225584 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361790 Wed, 01 Dec 2010 00:00:00 +0100 4361790 http://www.medworm.com/index.php?rid=4361789&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225585%26dopt%3DAbstract Authors: Chun MB, Jackson DS, Lin SY, Park ER The need for physicians formally trained to deliver care to diverse patient populations has been widely advocated. Utilizing a validated tool, Weissman and Betancourt's Cross-Cultural Care Survey, the aim of this current study was to compare surgery and family medicine residents' perceptions of their preparedness and skillfulness to provide high quality cross-cultural care. Past research has documented differences between the two groups' reported impressions of importance and level of instruction received in cross-cultural care. Twenty surgery and 15 family medicine residents participated in the study. Significant differences were found between surgery and family medicine residents on most ratings of the amount of training they received in ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361789 Wed, 01 Dec 2010 00:00:00 +0100 4361789 http://www.medworm.com/index.php?rid=4361788&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225586%26dopt%3DAbstract Authors: Yoshizawa A, Yee J, Liu E, Villanueva N, Thielen Z H.O.M.E. (Homeless Outreach and Medical Education) Project is a health clinic operated by medical students from the John A. Burns School of Medicine. It was established in 2005 to provide free healthcare to homeless shelters on Oahu. H.O.M.E. Project is also geared toward increasing medical students' awareness and understanding of the homeless population and their healthcare needs. In 2009-10, a few first year medical students developed a sustainable exercise program for homeless children to enable them to increase their exercise levels while finding an interest and motivation to improve their physical and mental health. The Keiki Ola Pono "children's health and wellness" Sports Program was adapted from an existing one that wa... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361788 Wed, 01 Dec 2010 00:00:00 +0100 4361788 http://www.medworm.com/index.php?rid=4361787&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21225587%26dopt%3DAbstract Authors: Cuthrell KW, Yuen S, Murphy S, Novotny R, Au DL The mission of the Hawaii Foods website (www.hawaiifoods.hawaii.edu) is to improve the health of Hawaii's people by providing food and nutrient information to help them make healthier dietary choices. Over 500 foods are currently featured on the website, with the following information generally available for each: description, scientific and common names, photo, and amount of 25 macro and micronutrients. Because the foods eaten in Hawaii reflect the cultural range of its people, the website focuses on foods typically found in Western, Asian, Pacific Islander, and other "local" diets. It is an evolving resource, as nutrient data, recipes, publications, photos, and other information are continually being added to the databases. ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361787 Wed, 01 Dec 2010 00:00:00 +0100 4361787 http://www.medworm.com/index.php?rid=4361796&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21218376%26dopt%3DAbstract Authors: Alden DL, Tice AD, Berthiaume JT A field study with follow up investigations sought to: 1. determine whether cold packs (over-the-counter symptomtic treatments), coupled with in-office education, improve antibiotic-related knowledge, attitudes and behaviors more than in-office education alone in patient populations with high percentages of Asian Americans and Hawaiian/Pacific Islanders; 2. identify possible reasons for intervention outcomes as described by physicians who participated in the field study; and 3. explore potential future directions based on a large sample survey of physicians in the field study's highly ethnic county. The intervention resulted in a pre- to post-consultation decrease in perceived need for and an increase in knowledge about antibiotic risks but had... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361796 Mon, 01 Nov 2010 00:00:00 +0100 4361796 http://www.medworm.com/index.php?rid=4361795&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21218377%26dopt%3DAbstract Authors: Hato T, Ng R We are often left with the differential diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) versus hypovolemic hyponatremia. It is difficult to tell who will respond to isotonic saline infusion and who will not, if the urine sodium value is not completely suppressed (>10 mEq/L). Aim: To examine the diagnostic accuracy of the urine sodium value. PMID: 21218377 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361795 Mon, 01 Nov 2010 00:00:00 +0100 4361795 http://www.medworm.com/index.php?rid=4361794&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21218378%26dopt%3DAbstract Authors: Carney ME, Basiliere MS, Mates K, Sing CK To examine BRCA1 and BRCA2 gene sequence testing results, specifically variants of uncertain clinical significance in the BRCA1 and/or BRCA2 sequences of an ethnically diverse population within a particular time constraint. PMID: 21218378 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361794 Mon, 01 Nov 2010 00:00:00 +0100 4361794 http://www.medworm.com/index.php?rid=4361793&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21218379%26dopt%3DAbstract "Sun Safe Kids," implementing a low cost, school-based public policy to protect Hawaii's children from skin cancer risks. Hawaii Med J. 2010 Nov;69(11):274-7 Authors: Cassel KD The rates of melanomas and skin cancers are increasing in the United States. Children attending elementary schools are in the most danger of acquiring these diseases later in life, and elementary school children in Hawaii have the greatest risk of all children in the United States. The parents and educators of Hawaii's elementary school age children are unaware of the potential risks for cancer that young children experience every day at school. Effective sun protection policies have been implemented in other jurisdictions, including Australia, that have similar risks for over-exposure to solar ultraviol... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361793 Mon, 01 Nov 2010 00:00:00 +0100 4361793 http://www.medworm.com/index.php?rid=4361782&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229486%26dopt%3DAbstract Conclusions: The presence of abscesses and obesity were significantly associated with CA-MRSA cellulitis. Empiric therapy with antibiotics active against MRSA should be guided by these risk factors. PMID: 21229486 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361782 Fri, 01 Oct 2010 00:00:00 +0100 4361782 http://www.medworm.com/index.php?rid=4361781&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229487%26dopt%3DAbstract Authors: Leake AR, Oculto T, Ramones E, Caagbay CR This community-based participatory research, conducted in partnership between a European-American academic researcher and a professional group of Filipino nurses, aimed to determine the diabetes research priority for the Filipino community on the island of Oahu in Hawaii, and to evaluate the multi-voting technique to seek input from the community. The study design was a qualitative, cross-sectional interactive process consisting of an educational presentation followed by data collection from the audience. Ten community presentations about the impact of diabetes on the Filipino community were conducted by a Filipino nurse with participants (N=265). Following the educational session, the participants selected priorities for research usin... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361781 Fri, 01 Oct 2010 00:00:00 +0100 4361781 http://www.medworm.com/index.php?rid=4361780&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229488%26dopt%3DAbstract Conclusion: This observational study provides support for the use of the strategies described as a key for reduction in door-to-balloon time. PMID: 21229488 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361780 Fri, 01 Oct 2010 00:00:00 +0100 4361780 http://www.medworm.com/index.php?rid=4361779&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229489%26dopt%3DAbstract Authors: Kendal-Wright C, Kasuya R Team Based Learning (TBL) is a teaching strategy that is increasingly utilized in medical education. TBL is described as the "bringing together of theoretically based and empirically grounded strategies for incorporating the effectiveness of small-group learning into large-group lecture-oriented sessions." This method was first developed and described by Michaelsen et al., for large classes in business school. It has three repeating phases. PMID: 21229489 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361779 Fri, 01 Oct 2010 00:00:00 +0100 4361779 http://www.medworm.com/index.php?rid=4361778&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21229490%26dopt%3DAbstract Authors: Jorgenson E, Cheng I What is a Genome-Wide Association Study? Genetic association studies examine the effect of inherited genetic variants on disease traits. For cancer, such traits include differences in the risk of developing cancer, response to therapy, disease progression and mortality. The most common study design involves comparing the frequency of a particular genetic variant in a group of cancer patients (cases) and a group of healthy subjects (controls). What makes genome-wide association studies unique is that they attempt to comprehensively examine all genetic variants in the human genome in one study. PMID: 21229490 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4361778 Fri, 01 Oct 2010 00:00:00 +0100 4361778 http://www.medworm.com/index.php?rid=4018586&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20848383%26dopt%3DAbstract Authors: Halm BM, Eakin PJ, Franke AA Over the past decade Point/of/Care Ultrasound (POC US) is increasingly performed in adult emergency medicine for a variety of indications. Pediatric emergency medicine has been much slower to embrace POC US. The authors report a case of a 15/year/old boy that presented to the pediatric emergency department with abdominal pain. A diagnosis of appendicitis was made using real/time POC US by a pediatric emergency medicine attending. Knowledge of the sonographic characteristics of appendicitis can help the physician in the prompt diagnosis of this condition, thereby reducing morbidity and mortality that may result from a delay in diagnosis. PMID: 20848383 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4018586 Tue, 31 Aug 2010 23:00:00 +0100 4018586 http://www.medworm.com/index.php?rid=4018585&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20848384%26dopt%3DAbstract Conclusion: Illustrations appear to be a useful adjunct in explaining complex medication regimens to patients in the developing world where cultural and language barriers can be difficult to bridge. This better understanding could translate into improved medication compliance and outcomes. PMID: 20848384 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4018585 Tue, 31 Aug 2010 23:00:00 +0100 4018585 http://www.medworm.com/index.php?rid=4018584&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20848385%26dopt%3DAbstract Conclusion: Two of three proposed associated hypotheses adopted: namely, that the mean birth weight of single primiparous infants of one, primary Samoan maternal parentage, and two, of only Samoan maternal and paternal parentage, will be significantly larger than their comparative counterparts. Hypotheses 3 based on Samoan mothers and non-Samoan fathers is tenable, but questionable relative to Caucasian parental background. Research highlights importance of control for potentially confounding variables and assets inherent in independent racial-ethnic cohort investigations. PMID: 20848385 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4018584 Tue, 31 Aug 2010 23:00:00 +0100 4018584 http://www.medworm.com/index.php?rid=4018583&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20848386%26dopt%3DAbstract Authors: Hernandez BY, Green MD, Cassel KD, Pobutsky AM, Vu V, Wilkens LR Each year, nearly 6,700 Hawaii residents are diagnosed with cancer and more than 2,000 die from the disease. Detailed data on the burden of cancer in Hawaii, including cancer incidence and mortality rates, are available in Hawaii Cancer Facts & Figures 2010 (CF&F). A collaborative effort of the Cancer Research Center of Hawaii, the American Cancer Society and the Hawaii Department of Health, this update of the original version published in 2003 is intended as a tool for public health education, research, and planning. The following are highlights of years 2000-2006 (a 6-year period) data as featured in Hawaii Cancer Facts & Figures 2010. PMID: 20848386 [PubMed - in process] (Source: Hawaii Medical... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4018583 Tue, 31 Aug 2010 23:00:00 +0100 4018583 http://www.medworm.com/index.php?rid=4018582&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20857615%26dopt%3DAbstract Authors: Blanchette PL PMID: 20857615 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=4018582 Sat, 31 Jul 2010 23:00:00 +0100 4018582 http://www.medworm.com/index.php?rid=3977244&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20845283%26dopt%3DAbstract We present below the first reported case of hepatotoxicity from Hydroxycut® in Hawaii. PMID: 20845283 [PubMed - as supplied by publisher] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3977244 Sat, 31 Jul 2010 23:00:00 +0100 3977244 http://www.medworm.com/index.php?rid=3977243&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20845284%26dopt%3DAbstract Authors: Washington EN, Plackett TP, Gagliano RA, Kavolius J, Person DA Neurofibromatosis type 1 is an autosomal dominant disorder affecting the ras proto-oncogene. It is characterized by the overgrowth of nervous tissue and skin discoloration. While it is associated with a variety of phenotypic presentations, it is the plexiform variant that is particular concerning, as it can become extremely disfiguring and has a propensity for malignant degeneration. A case of a Pacific Islander with a large plexiform type 1 neurofibroma is presented. The patient was ultimately treated with surgical resection, negative pressure wound therapy, and split-thickness skin grafting with good results. A review of the literature concerning the diagnosis and treatment of neurofibromatosis is included. P... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3977243 Sat, 31 Jul 2010 23:00:00 +0100 3977243 http://www.medworm.com/index.php?rid=3977242&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20845285%26dopt%3DAbstract Conclusions: The high average annual KS incidence for children <5 years of age in Hawaii compared to the rest of the United States population reflects an increased KS incidence among Asian and Pacific Islander children, especially Japanese children. The incidence for white children was slightly higher than or similar to that gener ally reported nationwide. PMID: 20845285 [PubMed - as supplied by publisher] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3977242 Sat, 31 Jul 2010 23:00:00 +0100 3977242 http://www.medworm.com/index.php?rid=3977241&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20845286%26dopt%3DAbstract Authors: Elshamy WM Cells ability to evade cell death and to proliferate post geno-÷cell-toxic stresses, likely leads to formation of cancer. Activation of p38MAPK and p53 following these stresses help protect cells against cancer development by initiating apoptosis. The duration of p38MAPK and p53 activation is regulated by the WIP1 phosphatase. BRCA1-IRIS triggers WIP1 expression in p53-dependent and -independent manner. BRCA1-IRIS triggers the expression and cytoplasmic localization of the mRNA stabilization and translation inducer, HuR that binds p53 and PPM1D mRNA. Hence, BRCA1-IRIS overexpression inactivates p38MAPK and/or p53 by upregulating WIP1 expression. BRCA1-IRIS abrogation of the homeostatic balance maintained by p38MAPK-p53-WIP1 pathway suppressed cell death induced b... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3977241 Sat, 31 Jul 2010 23:00:00 +0100 3977241 http://www.medworm.com/index.php?rid=3828337&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680922%26dopt%3DAbstract Authors: Brown JD In this edition of the Hawaii Medical Journal, Lin et al. describe a patient with severe sepsis, jaundice, and diffuse pulmonary infiltrates. The authors had presented this case as an unknown at an Infectious Diseases Conference. Several Infectious Diseases faculty initially believed that the most likely diagnosis was leptospirosis. Severe leptospirosis often causes severe sepsis with diffuse pulmonary infiltrates with or without jaundice. Leptospirosis is a zoonosis involving an animal reservoir, commonly the rat or mongoose, which contaminates freshwater or other environments with infectious urine. Humans and animals may become infected after contact with contaminated fresh water or mud. PMID: 20680922 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828337 Wed, 30 Jun 2010 23:00:00 +0100 3828337 http://www.medworm.com/index.php?rid=3828336&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680923%26dopt%3DAbstract We present a case of sepsis mimicking initially severe leptospirosis (Weil's disease) due to acute febrile illness with multiorgan failure and hyperbilirubinemia. Finally, blood cultures revealed Fusobacterium necrophorum and computed tomography (CT) demonstrated bilateral pulmonary nodules and a thrombus in the right internal jugular vein. Early clinical suspicion is crucial so that appropriate diagnostic investigation and antibiotic therapy can be initiated to minimize the risk of life-threatening complications. PMID: 20680923 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828336 Wed, 30 Jun 2010 23:00:00 +0100 3828336 http://www.medworm.com/index.php?rid=3828335&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680924%26dopt%3DAbstract Authors: Ho R, Muraoka M, Cuaresma C, Guerrero R, Agbayani A Filipino women are more likely to die of breast cancer than their major Asian American counterparts even though they do not have the highest incidence of that cancer. Analysis showed that they have a more advanced stage at the time of diagnosis and they have low rates of compliance to mammography guidelines, both of which factors may contribute to their high mortality rate. A broad based but targeted breast cancer awareness effort was directed to Filipino women, which included involving the media, the training of key community leaders, and the development of partnerships with health organizations with a like mission. After four years of effort, it was possible to demonstrate improvement in mammography rates in Filipino women ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828335 Wed, 30 Jun 2010 23:00:00 +0100 3828335 http://www.medworm.com/index.php?rid=3828334&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680925%26dopt%3DAbstract This article reviews data on alcohol use behaviors from the Centers for Disease Control and Prevention's Youth Risk Behavior Survey in Hawaii from 1993 to 2007. Five alcohol use indicators were examined and stratified by grade level, from 9th grade through 12th grade. Significant drops in nearly all indicators are seen among 9th through 11th graders, but not among 12th graders. This suggests that Hawaii youth are responding well to anti-alcohol messaging as young teens, but a different approach may be needed to target older teens. PMID: 20680925 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828334 Wed, 30 Jun 2010 23:00:00 +0100 3828334 http://www.medworm.com/index.php?rid=3828333&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680926%26dopt%3DAbstract This article describes student research at John A. Burns School of Medicine (JABSOM) and the students' efforts to support it. PMID: 20680926 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828333 Wed, 30 Jun 2010 23:00:00 +0100 3828333 http://www.medworm.com/index.php?rid=3828330&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680927%26dopt%3DAbstract Authors: Herzog T Although cigarette smoking remains an enormous health problem, great progress has been made in tobacco control over the past 40 years. The clearest evidence of this progress is that the current US adult smoking prevalence is less than half the rate that it was in the 1960s. There are many reasons for the decline in smoking prevalence. One reason is a change in culture whereby smoking is seen by most people as an undesirable and unhealthy lifestyle choice. This change in how smoking is perceived is a significant public health achievement. Another contributor to declining smoking rates is the ongoing improvement in smoking cessation techniques and medications. More is now known about how to help smokers to quit, and the variety and quality of smoking cessation services ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828330 Wed, 30 Jun 2010 23:00:00 +0100 3828330 http://www.medworm.com/index.php?rid=3828328&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20680928%26dopt%3DAbstract Authors: Schinstine M Fine needle aspiration has become the most prominent, and the easiest way, to morphologically evaluate lesions of the thyroid. When done correctly, the sensitivity and specificity of thyroid aspirates for detecting malignancy is very high. Unfortunately, clinicians are sometimes confused by the terminology used in thyroid cytopathology reports. One way to mitigate confusion is for all pathologists to use the same diagnostic criteria and terminology. Standardized terminology for thyroid cytopathology reports has recently been proposed. The following article introduces the concept of the Bethesda System for reporting thyroid aspirates. Sample diagnoses are given to illustrate how thyroid cytopathology reports may appear using the Bethesda System. PMID: 20680928 ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3828328 Wed, 30 Jun 2010 23:00:00 +0100 3828328 http://www.medworm.com/index.php?rid=3656995&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20535686%26dopt%3DAbstract We present the only reported case of such a complication in the state of Hawaii and the 44th reported case in the English literature. Physicians need to be more aware of the possibility of splenic rupture following colonoscopy to avoid delay of diagnosis and treatment of this life-threatening complication. PMID: 20535686 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656995 Mon, 31 May 2010 23:00:00 +0100 3656995 http://www.medworm.com/index.php?rid=3656994&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20535687%26dopt%3DAbstract CONCLUSION: Clinicians should be aware of the reportedly frequent use of home remedies by this population, as it may potentially contribute to interactions when treatments are combined. If clinicians and public health professionals do not address perceptions and misperceptions of how MRSA is acquired, it will be very difficult to prevent infection, and may also delay individuals from seeking treatment. PMID: 20535687 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656994 Mon, 31 May 2010 23:00:00 +0100 3656994 http://www.medworm.com/index.php?rid=3656993&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20535688%26dopt%3DAbstract Authors: Williams RJ, Kittinger DS, Eller LN, Nigg CR The impact of parent influence on adolescent drinking behavior has been extensively researched, but remains unclear. This assessment used data from a survey administered in after school programs in Maui County to further examine parents' role in preventing underage drinking. Two factors were explored for their impacts on drinking behavior: parent-child discussions and perceived parent sanctioning of alcohol use. Separate analysis was conducted for all respondents and for those who are drinkers. Youth ages 12-17 (n=572; 46.7% female; 25.2% alcohol drinkers; 16.4% binge drinkers( participated in the study. No significant differences for the reported number of days of drinking (chi-square=1.38, p>0.05) and the number of days of bing... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656993 Mon, 31 May 2010 23:00:00 +0100 3656993 http://www.medworm.com/index.php?rid=3656992&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20535689%26dopt%3DAbstract Authors: Berry MJ BACKGROUND: The Cell and Molecular Biology Department at the John A. Burns School of Medicine (JABSOM), University of Hawaii, comprises a multidisciplinary faculty who conduct basic and translational research, classroom and laboratory-based teaching, and train graduate students, medical students, postdoctoral fellows, undergraduates and technicians. The Department is home to the Cell and Molecular Biology Graduate Program, an interdisciplinary approach to graduate education created to reorganize and consolidate previous graduate degree programs. The Department is also home to the recently reestablished Neurosciences concentration within the Cell and Molecular Biology Graduate Program. PMID: 20535689 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656992 Mon, 31 May 2010 23:00:00 +0100 3656992 http://www.medworm.com/index.php?rid=3656991&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20535690%26dopt%3DAbstract Authors: Barnes SS "Now is just not a good time to (blank)." This is a phrase I hear often from people in medicine. The blank can be filled with such things as "design that research project I've been thinking about" or "go on that medical mission I've been meaning to do" or any number of the ideas we once had about how we could make a real difference in the world. For some of us, these idealistic "outside the curriculum" ideas were the reason we got into medicine. However, I have noticed a disturbing pattern develop in people with the noblest of medical intentions. PMID: 20535690 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656991 Mon, 31 May 2010 23:00:00 +0100 3656991 http://www.medworm.com/index.php?rid=3656998&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20533755%26dopt%3DAbstract CONCLUSION: In this pilot study ERN was well-tolerated and resulted in reduction of TG. Although the results of this study are promising, the study is limited in the small number of subjects. Further investigation is warranted. PMID: 20533755 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656998 Fri, 30 Apr 2010 23:00:00 +0100 3656998 http://www.medworm.com/index.php?rid=3656997&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20533756%26dopt%3DAbstract The objective of this study was to describe MRSA epidemiology among residents in skilled nursing and intermediate care facilities (SNF/ICF) in Hawai'i, using a statewide, population-based antimicrobial resistance surveillance system. From 2000 to 2005, proportions of MRSA increased significantly during the 6-year study period, from 35.0% in 2000 to 58.6% in 2005 (p < 0.001). High levels of MRSA resistance to several commonly used antibiotics were observed, e.g., the level of MRSA resistance to clindamycin, ciprofloxacin, and erythromycin was at 77%, 90%, and 89% respectively. Nevertheless, there is a significant difference in the MRSA resistance pattern against certain antimicrobials in different geographic areas. For example, the level of MRSA resistance to trimethoprim-sulfamethoxazol... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656997 Fri, 30 Apr 2010 23:00:00 +0100 3656997 http://www.medworm.com/index.php?rid=3656996&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20533757%26dopt%3DAbstract Authors: Lee WK, Wong V, Judd N PMID: 20533757 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3656996 Fri, 30 Apr 2010 23:00:00 +0100 3656996 http://www.medworm.com/index.php?rid=3586602&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20481233%26dopt%3DAbstract CONCLUSION: The folklore relating improvement in asthma to geography was not supported. 2 of the 3 homes showed minimal seasonal variation in HDM density. Local mites heavily colonized furniture from high altitude Colorado in a surge within 10-15 weeks. PMID: 20481233 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3586602 Wed, 31 Mar 2010 23:00:00 +0100 3586602 http://www.medworm.com/index.php?rid=3586601&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20481234%26dopt%3DAbstract Authors: Tabrah FL Energy absorbtion from particles and photons moving at relativistic speeds has been a fundamental part of life on earth and wherever else life might exist. Heat and visible light have deeply influenced the course of human evolution, affecting habitat and nutrition. The photons of ionizing radiation that over time can possibly affect evolution, contribute to the more immediate problem of morbidity and mortality of cancer This review addresses our radiative energy absorbtion, from both natural and manmade sources, and its relationship with disease and death. Educational Public Health efforts to offset the dangers of solar ultraviolet overexposure are presented, together with data on the significant mortality of metastatic melanoma. PMID: 20481234 [PubMed - in proce... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3586601 Wed, 31 Mar 2010 23:00:00 +0100 3586601 http://www.medworm.com/index.php?rid=3586600&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20481235%26dopt%3DAbstract Authors: Li F, Miller FD, Effler PV It is estimated in this study the proportion and incidence of MRSA among the entire state of Hawai'i inmate population over a period of six years, using a statewide, population-based antimicrobial resistance surveillance system. Trend analyses were conducted on both MRSA proportion and MRSA incidence rates including MRSA patterns of antimicrobial resistance to other antibiotics. During the period from 2000 to 2005, 521 (69%) of 753 S. aureus isolates were MRSA. A significant increase in the proportion of MRSA were identified from both jail and prison inmates (p < 0.01). A significant increase in MRSA incidence was also observed among jail inmates (p = 0.005) but not among prison inmates (p = 0.18). A majority of non-beta-lactams, including clindam... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3586600 Wed, 31 Mar 2010 23:00:00 +0100 3586600 http://www.medworm.com/index.php?rid=3586599&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20481236%26dopt%3DAbstract Authors: Hammill CW, Au T, Wong LL With the advent of ventriculo-peritoneal shunting and improved medical therapies, patients with hydrocephalus are living Ionger and presenting with unrelated medical problems. It can be disconcerting to discover that the patient who needs a routine laparoscopic procedure also has a ventriculoperitoneal (VP) shunt. Although the literature is limited there is a small body of evidence indicating that it is safe to perform laparoscopic surgery on these patients with routine anesthetic monitoring. The authors report the case of a laparoscopic cholecystectomy in a patient with a VP shunt. PMID: 20481236 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3586599 Wed, 31 Mar 2010 23:00:00 +0100 3586599 http://www.medworm.com/index.php?rid=3586598&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20481237%26dopt%3DAbstract Authors: Magnusson R PMID: 20481237 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3586598 Wed, 31 Mar 2010 23:00:00 +0100 3586598 http://www.medworm.com/index.php?rid=3487606&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397504%26dopt%3DAbstract CONCLUSIONS: The unique dual role of medical students as future physicians and as students allowed them to retain their credibility as health educators while developing a strong rapport with the high school students. Through SHEP, medical students can gain valuable experience through researching and teaching health topics while high school students receive additional health knowledge through this teaching. PMID: 20397504 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487606 Mon, 01 Mar 2010 00:00:00 +0100 3487606 http://www.medworm.com/index.php?rid=3487605&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397505%26dopt%3DAbstract CONCLUSION: Diagnosis of infection from Streptobacillus moniliformis is difficult to make because of the fastidious nature of the organism's growth, as well as inhibitors present in standard blood culture bottles. The use of bacterial 16S rRNA sequencing may aid in an earlier diagnosis for this disease. More research is required to identify host and virulence risk factors for involvement of specific organ systems. PMID: 20397505 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487605 Mon, 01 Mar 2010 00:00:00 +0100 3487605 http://www.medworm.com/index.php?rid=3487604&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397506%26dopt%3DAbstract This article will discuss the B. quintana infection, its diagnosis and treatment, and reinforce the potential of B. quintana as a possible etiology in mycotic aneurysms that show no apparent indications of infection. It will also explore the potential use of polymerase chain reaction detected by electrospray ionization mass spectrometry (PCR/ESI-MS) to help identify B. quintana in a situation where other conventional methods prove non-informative. PMID: 20397506 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487604 Mon, 01 Mar 2010 00:00:00 +0100 3487604 http://www.medworm.com/index.php?rid=3487603&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397507%26dopt%3DAbstract Authors: Sprouse-Blum AS, Smith G, Sugai D, Parsa FD PMID: 20397507 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487603 Mon, 01 Mar 2010 00:00:00 +0100 3487603 http://www.medworm.com/index.php?rid=3487602&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397508%26dopt%3DAbstract Authors: Weirather RR Communication with individuals with dementia requires use of conversational strategies from health care providers. Strategies are provided for issues pertaining to poor comprehension. The strategies promote more successful comprehension and compliance, offset mood disorder, and create ease in the way that health information may be accepted by the patient. PMID: 20397508 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487602 Mon, 01 Mar 2010 00:00:00 +0100 3487602 http://www.medworm.com/index.php?rid=3487601&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397509%26dopt%3DAbstract Authors: Magnusson R PMID: 20397509 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487601 Mon, 01 Mar 2010 00:00:00 +0100 3487601 http://www.medworm.com/index.php?rid=3487600&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20397510%26dopt%3DAbstract Authors: Marvit RC PMID: 20397510 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3487600 Mon, 01 Mar 2010 00:00:00 +0100 3487600 http://www.medworm.com/index.php?rid=3435701&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358722%26dopt%3DAbstract We report the case of Mantle cell lymphoma identified in the inguinal hernia sac following hernia repair While the hernia sac appeared normal to the surgeon, evaluation by the pathologist showed subtle gross irregularities, with subsequent histologic and immunochemical diagnosis of Mantle cell lymphoma. Twelve previous cases of a lymphoma diagnosed during hernia repair have been described in the English literature. This is the first report of Mantle cell lymphoma found in the hernia sac. This case illustrates the value of routine microscopic evaluation of hernia sacs found from inguinal/femoral herniorrhaphies, as it may be the primary presentation of an asymptomatic metastatic lymphoma. Additionally it underscores the importance of the surgeon's role in screening hernia sacs if the practi... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435701 Mon, 01 Feb 2010 00:00:00 +0100 3435701 http://www.medworm.com/index.php?rid=3435700&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358723%26dopt%3DAbstract Authors: Walker C A 59-year-old woman presents with decreased appetite and abdominal pain. Her symptoms lead to lethargy and weakness. Abdominal pain is a common presentation in the primary care and emergency room setting. She was initially diagnosed with an abscess and treated with antibiotics and drainage. Upon further evaluation and cystoscopy she was discovered to have a urachal cyst. Urachal cysts are extremely rare and even more uncommon in adults, as it is usually diagnosed in children. It is an important diagnosis not to miss in the differential of adult abdominal pain as surgical intervention is often necessary for treatment. This case highlights urachal cyst as a rare and serious differential of adult abdominal pain. PMID: 20358723 [PubMed - in process] (Source: Hawaii Me... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435700 Mon, 01 Feb 2010 00:00:00 +0100 3435700 http://www.medworm.com/index.php?rid=3435699&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358724%26dopt%3DAbstract We describe a multiple, subspecialty psychiatry clinic model for 3rd year psychiatry residents. Evaluation findings based on its initial implementation indicated improved resident supervision, better therapeutic alliance and an overall increase in satisfaction. This model facilitates resident exposure to diverse patients and treatment modalities as well as faculty development of expertise. It also promotes academic training excellence. PMID: 20358724 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435699 Mon, 01 Feb 2010 00:00:00 +0100 3435699 http://www.medworm.com/index.php?rid=3435698&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358725%26dopt%3DAbstract Authors: Plackett TP, Coviello LC, Belnap CM, Phillips KJ, Gagliano RA, Sims CA Intestinal intussusception is a relatively uncommon occurrence in adults in comparison to pediatric patients. While the management of intussusception in children is frequently decompression of the involved segment, adults often require surgical resection secondary to frequent association with neoplastic lead points. A less common reason for surgical removal of an intussuscepted segment in adults is the development of ischemic colitis. The authors present an unusual case of adult intussusception with associated ischemic colitis in a patient with portal hypertension awaiting liver transplantation. Portal hypertension is associated with the development of a microvascular colopathy This condition may serve as t... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435698 Mon, 01 Feb 2010 00:00:00 +0100 3435698 http://www.medworm.com/index.php?rid=3435697&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358726%26dopt%3DAbstract CONCLUSION: Samoans had the highest rate of obesity, low health ratings, and a high number of days of poor health. Targeted interventions may be needed for this group. PMID: 20358726 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435697 Mon, 01 Feb 2010 00:00:00 +0100 3435697 http://www.medworm.com/index.php?rid=3435696&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358727%26dopt%3DAbstract CONCLUSION: Atriocaval shunting maybe a life-saving option for uncontrolled hemorrhage from injuries to the retrohepatic vena cava. PMID: 20358727 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435696 Mon, 01 Feb 2010 00:00:00 +0100 3435696 http://www.medworm.com/index.php?rid=3435695&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20358728%26dopt%3DAbstract Authors: Magnusson R PMID: 20358728 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3435695 Mon, 01 Feb 2010 00:00:00 +0100 3435695 http://www.medworm.com/index.php?rid=3363494&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20222489%26dopt%3DAbstract CONCLUSION: This study suggests that simulation exercises for second-year medical students may be a valuable tool to increase knowledge and student self-confidence at a key transition period prior to beginning clerkship experiences. Further research is needed to prove long-term educational benefits of simulation interventions in the preclinical setting. PMID: 20222489 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3363494 Fri, 01 Jan 2010 00:00:00 +0100 3363494 http://www.medworm.com/index.php?rid=3363493&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20222490%26dopt%3DAbstract Authors: Tice AD, Pombo D, Hui J, Kurano M, Bankowski MJ, Seifried SE A microbiological algorithm has been developed to analyze beach water samples for the determination of viable colony forming units (CFU) of Staphylococcus aureus (S. aureus). Membrane filtration enumeration of S. aureus from recreational beach waters using the chromogenic media CHROMagar SA alone yields a positive predictive value (PPV) of 70%. Presumptive CHROMagar SA colonies were confirmed as S. aureus by 24-hour tube coagulase test. Combined, these two tests yield a PPV of 100%. This algorithm enables accurate quantitation of S. aureus in seawater in 72 hours and could support risk-prediction processes for recreational waters. A more rapid protocol, utilizing a 4-hour tube coagulase confirmatory test, enables a 4... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3363493 Fri, 01 Jan 2010 00:00:00 +0100 3363493 http://www.medworm.com/index.php?rid=3363492&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20222491%26dopt%3DAbstract This study not only confirms traditional risk factors such as diabetes mellitus, obesity and hypertension but investigates ethnicity and socioeconomic status as risk factors. Also presented is a case of recurrent necrotizing fasciitis initially involving the vulva, then the back. In any patient for which there is suspicion of vulvar necrotizing fasciitis, surgical diagnosis remains the gold standard and facilitates rapid debridement of all necrotic tissues. Aggressive surgical debridement with broad spectrum antibiotic coverage is required to minimize mortality. PMID: 20222491 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3363492 Fri, 01 Jan 2010 00:00:00 +0100 3363492 http://www.medworm.com/index.php?rid=3363491&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20222492%26dopt%3DAbstract CONCLUSIONS: Changes in prescribing patterns of psychiatric medications for children and adolescents in Hawai'i were identified. Differing patterns have evolved since 2003 following the series of concerns raised regarding SSRIs and suicidality in children and adolescents. PMID: 20222492 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3363491 Fri, 01 Jan 2010 00:00:00 +0100 3363491 http://www.medworm.com/index.php?rid=3363490&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20222493%26dopt%3DAbstract Authors: Robinett HR PMID: 20222493 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3363490 Fri, 01 Jan 2010 00:00:00 +0100 3363490 http://www.medworm.com/index.php?rid=3123638&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034253%26dopt%3DAbstract DISCUSSION: The researchers compared the current supply of physicians with the national average of physicians to population and the number of visits to different specialists for the year 2006 and found specific regional shortages of providers. The focus groups concentrated on solutions to the workforce crisis that include the formation of a well-organized, broad collaboration to coordinate recruitment efforts, expand and strengthen retention and renewal activities, and reinvigorate the health profession pipeline and training opportunities. The researchers recommend collaboration between the community, government, business, health center care providers, hospitals and centers to develop a plan before the tenuous state of healthcare on the Big Island worsens. In addition, continued surveillan... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123638 Tue, 01 Dec 2009 00:00:00 +0100 3123638 http://www.medworm.com/index.php?rid=3123637&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034254%26dopt%3DAbstract Authors: Muramatsu RS, Takeshita J Psychiatric interventions in hospital patients have been shown effective in reducing length of stay and costs. Its effectiveness and benefits in regard to the growing problem of disposition of non-acute, long-term-care, waitlisted hospital patients have not been characterized or described in the literature. The authors present several cases of waitlisted patients that demonstrate direct and indirect psychiatric interventions can play a significant role overcoming barriers and contributing to timely and appropriate disposition of these patients. Future prospective studies should be done to expand upon these findings to prepare for the aging of the population in Hawai'i. PMID: 20034254 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123637 Tue, 01 Dec 2009 00:00:00 +0100 3123637 http://www.medworm.com/index.php?rid=3123636&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034255%26dopt%3DAbstract Authors: Izumi A Ninety percent of varicella infections are seen in children under the age of ten and usually follow a benign clinical course with complete resolution of symptoms in one to three weeks. Herpes zoster an acute vesicular eruption due to the varicella-zoster virus (VZV), occurs mostly in adults. Biologic agents include tumor necrosis factor alpha (TNF-alpha) inhibitors that have significantly impacted the treatment of autoimmune and inflammatory conditions. Therapy with TNF-alpha inhibitors poses a potential risk of serious infections secondary to their immunomodulating properties; however multiple studies have demonstrated acceptable safety and tolerability profiles. A case of documented VZV infection (varicella) in an adult receiving the TNF-alpha inhibitor etanercept is... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123636 Tue, 01 Dec 2009 00:00:00 +0100 3123636 http://www.medworm.com/index.php?rid=3123635&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034256%26dopt%3DAbstract CONCLUSIONS: As a general category, falls were responsible for the highest number of visitor trauma admissions. Of the recreational activities leading to high numbers of trauma admissions, water-related activities are the leading causes of serious injuries among visitors to Hawai'i. Water-related injury rates are significantly higher for Hawai'i's visitors than residents. Water safety education for visitors should be developed in multiple languages to educate and protect Hawai'i's visitors and visitor industry. PMID: 20034256 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123635 Tue, 01 Dec 2009 00:00:00 +0100 3123635 http://www.medworm.com/index.php?rid=3123634&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034257%26dopt%3DAbstract CONCLUSIONS: Patients in Hawai'i, according to this small study, differ in many respects from their mainland counterparts. More casual forms of dress are generally accepted, and the white medical coat is actually NOT preferred, by a small majority. More extremes in casual attire, such as shorts and slippers were not approved as appropriate physician attire by the majority of Hawai'i patients in this study. PMID: 20034257 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123634 Tue, 01 Dec 2009 00:00:00 +0100 3123634 http://www.medworm.com/index.php?rid=3123633&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20034258%26dopt%3DAbstract Authors: Turban JW PMID: 20034258 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3123633 Tue, 01 Dec 2009 00:00:00 +0100 3123633 http://www.medworm.com/index.php?rid=3101557&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998694%26dopt%3DAbstract CONCLUSION: Despite professional recommendations and an awareness of these recommendations, between 2003 and 2004, routine prenatal screening for domestic violence was markedly lacking for patients in this study population. PMID: 19998694 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101557 Sun, 01 Nov 2009 00:00:00 +0100 3101557 http://www.medworm.com/index.php?rid=3101556&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998695%26dopt%3DAbstract CONCLUSION: The authors report a case of "reversible" late porcine aortic valve stenosis with spontaneous resolution, likely due to thrombus formation on the valve leaflets. Spontaneous thrombosis of the Medtronic mosaic porcine aortic bioprosthetic valve may occur in the absence of any identifiable causes. PMID: 19998695 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101556 Sun, 01 Nov 2009 00:00:00 +0100 3101556 http://www.medworm.com/index.php?rid=3101555&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998696%26dopt%3DAbstract CONCLUSIONS: Although PBL students performed significantly better on the USMLE Step 2, the academic performance of obstetrics and gynecology residents who attended a PBL medical school and those who attended a traditional medical school was similar. PMID: 19998696 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101555 Sun, 01 Nov 2009 00:00:00 +0100 3101555 http://www.medworm.com/index.php?rid=3101554&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998697%26dopt%3DAbstract Authors: Phanthawimol W, Ito H, Fukuyama O Proposed to be a new variant form of the left ventricular apical ballooning syndrome or the so-called "Takotsubo cardiomyopathy" the presented case has several clinical characteristics resembling previous reported cases of this particular syndrome except for its unique anterolateral wall akinesis and sparing basal and apical wall motion with preserved left ventricular ejection fraction. PMID: 19998697 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101554 Sun, 01 Nov 2009 00:00:00 +0100 3101554 http://www.medworm.com/index.php?rid=3101553&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998698%26dopt%3DAbstract Authors: Berg BW, Sampaga A, Garshnek V, Hara KM, Phrampus PA PMID: 19998698 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101553 Sun, 01 Nov 2009 00:00:00 +0100 3101553 http://www.medworm.com/index.php?rid=3101552&cid=s_37925_22_f&fid=37925&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19998699%26dopt%3DAbstract Authors: Yamada S PMID: 19998699 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101552 Sun, 01 Nov 2009 00:00:00 +0100 3101552