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. Sat, 30 Jan 2010 14:41:39 +0100 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 http://www.medworm.com/index.php?rid=3101551&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%3D19998700%26dopt%3DAbstract Authors: Kuwada SK PMID: 19998700 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=3101551 Sun, 01 Nov 2009 00:00:00 +0100 3101551 http://www.medworm.com/index.php?rid=2913405&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%3D19842361%26dopt%3DAbstract Authors: Chen M PMID: 19842361 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913405 Wed, 30 Sep 2009 23:00:00 +0100 2913405 http://www.medworm.com/index.php?rid=2913404&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%3D19842362%26dopt%3DAbstract Authors: Chen M PMID: 19842362 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913404 Wed, 30 Sep 2009 23:00:00 +0100 2913404 http://www.medworm.com/index.php?rid=2913403&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%3D19842363%26dopt%3DAbstract Authors: Aitaoto N, Tsark JU, Tomiyasu DW, Yamashita BA, Braun KL The Hawai'i Breast and Cervical Cancer Control Program (BCCCP) offers free mammograms and Pap smears to women who are uninsured or underinsured through a statewide provider network. Native Hawaiians, Pacific Islanders and Filipinas are priority populations for this program, and BCCCP providers are required through contract with the Hawai'i Department of Health to utilize half of their allotted mammograms and Pap smears for eligible women from these groups. To identify strategies for increasing use by these groups of mammographyand Pap smear screening services through BCCCP, we held focus groups with women who could potentially use BCCCP services, and we conducted key informant interviews with 9 of Hawai'i's 11 BCCCP prov... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913403 Wed, 30 Sep 2009 23:00:00 +0100 2913403 http://www.medworm.com/index.php?rid=2913402&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%3D19842364%26dopt%3DAbstract This report describes two bilingual patients who presented with early symptoms of dementia after regression to their primary language. The results of this study may help clinicians identify aging bilingual patients who are beginning to develop cognitive impairment or dementia and suggest that further studies on the long term cognitive effects of bilingualism and interactions with the aging process are indicated. PMID: 19842364 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913402 Wed, 30 Sep 2009 23:00:00 +0100 2913402 http://www.medworm.com/index.php?rid=2913401&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%3D19842365%26dopt%3DAbstract Authors: Kaneko JJ, Medina LB Public health concerns have been raised over the risk of parasitic helminth (roundworm, tapeworm and fluke) infections from eating raw fish, an increasing US consumer trend. Hawai'i consumers eat seafood at nearly 3 times the US national average rate, with a long tradition and high level of raw fish consumption. The local fish species commonly eaten raw in Hawai'i include tuna (bigeye, yellowfin, albacore and skipjack), marlin (blue and striped) and deepwater snappers (long-tailedred, pink and blue green). Forty-eight Hawai'i-based physicians (gastroenterologists, internists, general and family practitioners) were surveyed to count known cases of parasitic worm infection linked to raw fish consumption and to explore physicians' perceptions of risk associat... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913401 Wed, 30 Sep 2009 23:00:00 +0100 2913401 http://www.medworm.com/index.php?rid=2913400&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%3D19842366%26dopt%3DAbstract Authors: Coontz KM, Maddock J PMID: 19842366 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2913400 Wed, 30 Sep 2009 23:00:00 +0100 2913400 http://www.medworm.com/index.php?rid=2825466&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%3D19772120%26dopt%3DAbstract Authors: Okumura C, Kramer K, Kasuya R PMID: 19772120 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2825466 Mon, 31 Aug 2009 23:00:00 +0100 2825466 http://www.medworm.com/index.php?rid=2679202&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%3D19653416%26dopt%3DAbstract CONCLUSIONS: Diabetes prevalence in Native Hawaiians is high. The high proportion with IFG and the increase in CVD risk factors with diabetes suggest that community-based programs are needed to focus on diabetes and diabetes-related CVD. PMID: 19653416 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679202 Fri, 31 Jul 2009 23:00:00 +0100 2679202 http://www.medworm.com/index.php?rid=2679201&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%3D19653417%26dopt%3DAbstract In conclusion, the preliminary evaluation of the CPP suggests additional studies with a larger sample size and comparison groups are warranted to further evaluate critical components of the treatment regimen, clinical outcome, and cost-effectiveness. PMID: 19653417 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679201 Fri, 31 Jul 2009 23:00:00 +0100 2679201 http://www.medworm.com/index.php?rid=2679200&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%3D19653418%26dopt%3DAbstract CONCLUSIONS: Outrigger canoe paddlers report a high prevalence of musculoskeletal injuries and illnesses related to their sport. The shoulder and back were the most common sites of injury. The rib was the most commonly fractured bone. Paddling may also predispose to such environmentally related conditions as heat illness, injury from sea creatures, and perhaps skin cancers. SIGNIFICANCE OF FINDINGS: To the authors' knowledge, this is the first study to identify the medical conditions that affect adult competitive outrigger canoe paddlers on O'ahu. The findings will help paddlers, coaches, and medical practitioners to better identify and understand paddling-related injuries and illnesses. PMID: 19653418 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679200 Fri, 31 Jul 2009 23:00:00 +0100 2679200 http://www.medworm.com/index.php?rid=2679199&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%3D19653419%26dopt%3DAbstract Authors: Nishita CM, Johnson J, Silverman M, Ozaki R, Koller L The Going Home Plus project facilitates the transition of individuals from hospitals, nursing facilities, and intermediate care facilities for the mentally retarded (ICF-MRs) into community settings. The project is a collaborative effort between the State of Hawai'i Department of Human Services (DHS), the University of Hawai'i Center on Disability Studies and their community partners to help elderly and younger persons with disabilities who have been living in an institution for at least six months and express a choice for community living. The project, which provides services such as transition coordination and telemedicine, strives to become a valuable resource for institutionalized patients, their families, and medical p... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679199 Fri, 31 Jul 2009 23:00:00 +0100 2679199 http://www.medworm.com/index.php?rid=2679198&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%3D19653420%26dopt%3DAbstract Authors: Middleton AL PMID: 19653420 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679198 Fri, 31 Jul 2009 23:00:00 +0100 2679198 http://www.medworm.com/index.php?rid=2679197&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%3D19653421%26dopt%3DAbstract Authors: Goodman MT PMID: 19653421 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679197 Fri, 31 Jul 2009 23:00:00 +0100 2679197 http://www.medworm.com/index.php?rid=2679196&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%3D19653422%26dopt%3DAbstract Authors: Hedges JR, Handel DA We have previously reviewed the challenges facing Hawai'i and the nation in terms of healthcare. Successfully addressing these challenges will require major changes in the delivery of healthcare and societal/legal perspectives. In this issue, we outline the key factors needed collectively and simultaneously to address these challenges. These factors are: (1) a capitated care model focused on health and chronic disease management; (2) universal access to a basic healthcare delivery system, and acceptance of the service limitations associated with such a model of care delivery; (3) a universal electronic shared health information system as a mechanism by which care in such a system can be coordinated; (4) an approach to developing state sanctioned, legal app... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679196 Tue, 30 Jun 2009 23:00:00 +0100 2679196 http://www.medworm.com/index.php?rid=2679195&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%3D19653423%26dopt%3DAbstract Authors: Sullivan KM This paper describes the HIV/AIDS epidemic in Hawai'i over the last decade and identifies characteristics of those infected, including race/ethnicity, age, and risk behaviors related to HIV acquisition. State-based HIV/AIDS surveillance and counseling and testing data were reviewed, along with a comprehensive review of HIV/AIDS-related literature and reports emerging from agencies in Hawai'i. Recent legislative measures concerning HIV testing, counseling and HIV reporting were reviewed and summarized. Hawai'i continues to have low HIV/AIDS prevalence compared to other US states. There have been continuing changes in the face of HIV/AIDS in Hawai'i over the last decade, including increased number of AIDS cases among Hispanics and African Americans and a decreased pe... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679195 Tue, 30 Jun 2009 23:00:00 +0100 2679195 http://www.medworm.com/index.php?rid=2679194&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%3D19653424%26dopt%3DAbstract CONCLUSION: Relevant structured workshops with simulators for ASI repair could help improve residents' background knowledge and skills in repairing such injuries. PMID: 19653424 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679194 Tue, 30 Jun 2009 23:00:00 +0100 2679194 http://www.medworm.com/index.php?rid=2679193&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%3D19653425%26dopt%3DAbstract We report a case of a primary carcinoid tumor arising in the mesentery of the small bowel of a 52-year-old man. The mesenteric mass in this patient was first identified as an incidental finding on CT imaging for bilateral nephrolithiasis. As a result of the abnormal findings, follow-up evaluation identified a partially calcified lobulated mesenteric lymph node. Diagnostic laparoscopy with lymph node sampling showed no evidence of hepatic or other metastatic disease. Pathologic analysis and immunohistochemistry of the mesenteric tissue revealed a malignant neuroendocrine tumor. Since all radiographic studies and subsequent workup revealed no evidence of other primary masses, this was determined to be a primary carcinoid tumor arising in the mesentery of the small bowel. Primary mesenteric c... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679193 Tue, 30 Jun 2009 23:00:00 +0100 2679193 http://www.medworm.com/index.php?rid=2679192&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%3D19653426%26dopt%3DAbstract Authors: Bantum EO, Albright C, Gabriela L, Berenberg J PMID: 19653426 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2679192 Tue, 30 Jun 2009 23:00:00 +0100 2679192 http://www.medworm.com/index.php?rid=2589172&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%3D19583102%26dopt%3DAbstract Authors: Brady SK PMID: 19583102 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589172 Sun, 31 May 2009 23:00:00 +0100 2589172 http://www.medworm.com/index.php?rid=2589171&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%3D19583103%26dopt%3DAbstract This article emphasizes how these factors impact healthcare nationally and in Hawai'i. The second part of this series outlines approaches that can enhance health in the United States without creating economic collapse. PMID: 19583103 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589171 Sun, 31 May 2009 23:00:00 +0100 2589171 http://www.medworm.com/index.php?rid=2589170&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%3D19583104%26dopt%3DAbstract Authors: Park CW, Limm WM, Wong LL Living-renal transplant (LRT) is the most effective treatment for endstage renal disease (ESRD), and innovative strategies to increase donation are needed. We reviewed our ethnically/culturally diverse program to identify factors that contribute to donors' decision to participate. Records of 110 LRT (related:unrelated = 66:44) and respective donors (1999-2005) were reviewed for demographics, outcome, education, employment, language, religion, and motivation. One and 5-year graft survival were 98.2% and 92% respectively. Mean donor age was 41.1 yrs with Men:Women = 62:48 and similar ethnicity to recipients. Donors tended to be married (65.5%), educated (31.8% -- high school, 58.1% -- additional education/degree), employed (84.4%), religious (55.9%) and... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589170 Sun, 31 May 2009 23:00:00 +0100 2589170 http://www.medworm.com/index.php?rid=2589169&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%3D19583105%26dopt%3DAbstract Authors: Jinno S, Pulido S, Pien BC Legionellosis has been reported to be an extremely rare disease in Hawai'i. The authors report a case of a 67-year-old woman with a history of rheumatoid arthritis treated with long-term adalimumab who developed severe right-sided community-acquired pneumonia and a parapneumonic effusion. Legionella pneumophila serogroup 1 was confirmed as the microbiologic cause based on a positive urine Legionella antigen as well as direct fluorescent antibody and Legionella culture of bronchoalveolar lavage. This is the first reported case of Legionella pneumonia associated with anti-tumor necrosis factor (TNF)-alpha therapy in the United States. There have been several reports of an increased association between legionellosis and treatment with a TNF-alpha antago... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589169 Sun, 31 May 2009 23:00:00 +0100 2589169 http://www.medworm.com/index.php?rid=2589168&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%3D19583106%26dopt%3DAbstract Authors: Boyce DE, Tice AD, Ona FV, Akinaka KT, Lusk H It is estimated that as many as 21,000 people in the state of Hawai'i may be infected with HCV Most of those infected with viral hepatitis are unaware they are infected. Complications from viral hepatitis include liver cirrhosis and hepatocellular carcinoma. Hawai'i has the highest incidence of hepatocellular carcinoma in the United States. In 2003 there were over 6000 homeless and over 155,000 people at-risk of becoming homeless living in the state of Hawai'i. Risk factors for hepatitis, such as drug use, tattoos, sexual contact, and sharing of personal hygiene equipment are more prevalent in the homeless population. To determine the incidence of hepatitis B and C among a population of homeless individuals, a health fair was held ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589168 Sun, 31 May 2009 23:00:00 +0100 2589168 http://www.medworm.com/index.php?rid=2589167&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%3D19583107%26dopt%3DAbstract Authors: Chun MB, Huh J, Hew C, Chun B PMID: 19583107 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589167 Sun, 31 May 2009 23:00:00 +0100 2589167 http://www.medworm.com/index.php?rid=2589166&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%3D19583108%26dopt%3DAbstract Authors: Marten LR, Chow DC, Valcour NA, Shikuma CM To assess HIV medical care needs in Hawai'i, data was collected through surveys of both providers and consumers, from insurance companies, from the Department of Health, and from key programs who serve the HIV-infected population. HIV care in Hawai'i is provided through a mix of private, public and charitable sources, with most ancillary services provided separately by AIDS Service Organizations. Private providers with a specialty in HIV care are not being replaced at the rate which they retire or depart. Heavy reliance on public assistance to pay for care and patient characteristics such as substance abuse, limit choice of providers for some patients. Institutions are playing a greater role in filling patient care needs. It was found... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589166 Thu, 30 Apr 2009 23:00:00 +0100 2589166 http://www.medworm.com/index.php?rid=2589165&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%3D19583109%26dopt%3DAbstract CONCLUSION: Although the weight loss in the study group was moderate, it was significant over the control group whose members actually had an increase in average weight over the study period. Further research into pre-treatment correlates of attrition in this population is needed in order to eliminate health disparities among Native Hawaiians. PMID: 19583109 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589165 Thu, 30 Apr 2009 23:00:00 +0100 2589165 http://www.medworm.com/index.php?rid=2589164&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%3D19583110%26dopt%3DAbstract Authors: Erdem G, Brewer S, Harrington J, Melish M Group C streptococci rarely cause severe disease in humans. The authors report a 15-year-old girl with group C streptococcal pneumonia. No immune deficiencies were detected in our patient and investigation of virulence factors including emmL, sag A, spegg and smeZ genes failed to reveal insight into why the isolated group C streptococcal strain was so virulent. Fourteen other reports of primary group C streptococcal pneumonia were reviewed. PMID: 19583110 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589164 Thu, 30 Apr 2009 23:00:00 +0100 2589164 http://www.medworm.com/index.php?rid=2589163&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%3D19583111%26dopt%3DAbstract Authors: Antonelli MA PMID: 19583111 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589163 Thu, 30 Apr 2009 23:00:00 +0100 2589163 http://www.medworm.com/index.php?rid=2589162&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%3D19583112%26dopt%3DAbstract Authors: Woodruff K PMID: 19583112 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2589162 Thu, 30 Apr 2009 23:00:00 +0100 2589162 http://www.medworm.com/index.php?rid=2534372&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%3D19441613%26dopt%3DAbstract This article describes a study to understand variations in influenza vaccination rates for a population ages 50 and older using data from a large insurer in Hawai'i. Vaccination rates were lower in adults without than with a chronic disease, and especially low in those without chronic disease of ages 50-64. People who had been vaccinated in the past year were likely to become vaccinated again, and people with a history of regular physician visits were more likely than others to become vaccinated. Having vaccine available at the worksite led to improved vaccination rates. By ethnicity Japanese, Koreans, and Chinese were most likely to obtain influenza vaccinations; the greatest ethnic differences occurred among adults ages 50 to 64 without a chronic disease. People seeing a physician during... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534372 Tue, 31 Mar 2009 23:00:00 +0100 2534372 http://www.medworm.com/index.php?rid=2534370&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%3D19441614%26dopt%3DAbstract Authors: Guerrero AP, Musgrave JE, Lee EK A 9-year-old boy in Hawai'i presented with bleeding and thrombocytopenia and was subsequently found to have post-streptococcal glomerulonephritis. He recovered completely with intravenous immune globulin, antibiotics, short-term antihypertensive therapy, and supportive management. This case was similar to the 5 cases previously reported in the literature, with the exception that steroids were not used as the primary immune-modulating therapy. PMID: 19441614 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534370 Tue, 31 Mar 2009 23:00:00 +0100 2534370 http://www.medworm.com/index.php?rid=2534368&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%3D19441615%26dopt%3DAbstract CONCLUSION: CDH, especially L-pCDH occurs with increased frequency in the USAPIs. The Web-based-store-and-forward telemedicine PIHCP allows for remote diagnosis. Patients so identified are transported to TAMC for definitive treatment. These patients provide excellent GME to our residents-in-training. Following surgical correction these patients are restored to health to return to their homes to mature and become contributing members of society. PMID: 19441615 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534368 Tue, 31 Mar 2009 23:00:00 +0100 2534368 http://www.medworm.com/index.php?rid=2534366&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%3D19441616%26dopt%3DAbstract Authors: Chung SM, Masaki KH, Somogyi-Zalud E, Sumida KN, Wen A, Blanchette PL This cross-sectional study focused on pain assessment in a group of older Asian Americans with cancer. Thirty-six participants and their primary nurses were interviewed, and pain intensity was measured using 3 different scales: the Numeric pain intensity 0-10 scale, the Faces expression scale, and Visual analog scale (VAS). Overall, 56% of participants reported pain. Younger age (65-75 years old) was significantly associated with higher pain intensity (p < 0.05). High correlation was found between the participants' and their nurses' pain intensity ratings (r = 0.69, p < 0.0001). High correlation was also found among different pain intensity scales, with a Spearman correlation coefficient ranging from 0... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534366 Tue, 31 Mar 2009 23:00:00 +0100 2534366 http://www.medworm.com/index.php?rid=2534364&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%3D19441617%26dopt%3DAbstract CONCLUSIONS: A history of chest wall radiation should not itself exclude patients from receiving expander/implant reconstruction. Patients who develop neither severe skin changes nor induration may still be considered for prostheses. PMID: 19441617 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534364 Tue, 31 Mar 2009 23:00:00 +0100 2534364 http://www.medworm.com/index.php?rid=2534362&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%3D19441618%26dopt%3DAbstract Authors: Lozanoff S PMID: 19441618 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534362 Tue, 31 Mar 2009 23:00:00 +0100 2534362 http://www.medworm.com/index.php?rid=2534382&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%3D19385373%26dopt%3DAbstract We report an unique case of IRIS in a patient co-infected with HIV and M. leprae presenting as an exacerbation of his Hansen's Disease where the patient's skin lesions progressed from borderline tuberculoid to lepromatous leprosy following ART administration. PMID: 19385373 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534382 Sun, 01 Mar 2009 00:00:00 +0100 2534382 http://www.medworm.com/index.php?rid=2534380&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%3D19385374%26dopt%3DAbstract Authors: Wong LL, Kindle K, Limm B Pacific Islanders currently comprise 35% of all end-stage renal disease patients in Hawai'i but a much smaller proportion of those who undergo renal transplant. The purpose of this study to determine the reasons for such a disparity. In this retrospective review of 207 patients who were referred for renal transplant evaluation, 18.8% were Pacific Islanders. Patients attended a kidney transplant class, were offered evaluation and were placed on the waiting list if deemed appropriate. Of patients that were eventually placed on the list, 18.6% were Pacific Islander. There was no difference in age, gender body mass index, presence of diabetes, number with potential living donors, dialysis status, time from the referral to attending class and the time from... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534380 Sun, 01 Mar 2009 00:00:00 +0100 2534380 http://www.medworm.com/index.php?rid=2534378&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%3D19385375%26dopt%3DAbstract CONCLUSION: In a community in which newborn circumcision rates are high, the frequency of circumcision is declining, while the number of circumcisions performed in children aged 1-18 is increasing. The number of circumcisions performed in non-US born children is disproportionately higher than what would be expected suggesting that the post-infant circumcision rates for this age group is higher in immigrants. PMID: 19385375 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534378 Sun, 01 Mar 2009 00:00:00 +0100 2534378 http://www.medworm.com/index.php?rid=2534376&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%3D19385376%26dopt%3DAbstract Authors: Fong SF, Sakai D PMID: 19385376 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534376 Sun, 01 Mar 2009 00:00:00 +0100 2534376 http://www.medworm.com/index.php?rid=2534374&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%3D19385377%26dopt%3DAbstract Authors: Sueblinvong T, Carney ME PMID: 19385377 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534374 Sun, 01 Mar 2009 00:00:00 +0100 2534374 http://www.medworm.com/index.php?rid=2534393&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%3D19365921%26dopt%3DAbstract Authors: Chun MB, Takanishi DM Cultural competence education is relatively new in the United States, particularly in the area of graduate and post-graduate medical education. There is, however, wide acceptance that an understanding of the role culture plays in the treatment and care of patients is critical. Numerous studies and a variety of commentaries document this importance, but valid, uniform evaluation methods for assessing the efficacy of these efforts is lacking. This review discusses existing evaluation efforts and makes suggestions regarding future development of such tools. PMID: 19365921 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534393 Thu, 01 Jan 2009 00:00:00 +0100 2534393 http://www.medworm.com/index.php?rid=2534391&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%3D19365922%26dopt%3DAbstract Authors: Bush LA, Ruess L, Jack T, Person DA A young Marshallese woman presented with the insidious development of fever, cough, fatigue, profound weakness, massive weight loss, cachexia, alopecia, amenorrhea, and periumbilical hyperpigmentation. Limited laboratory studies revealed anemia, leukocytosis, and hyponatremia. Imaging studies, as well as digital photographs, transmitted over the Internet, using the secure Pacific Island Health Care Project (PIHCP), store-and-forward telemedicine system, suggested the diagnosis of disseminated tuberculosis, and antimycobacterial antibiotics were begun. Sputum cultures eventually grew Mycobacterium tuberculosis. Based on the constellation of clinical signs and symptoms, the transmitted images, and limited laboratory data, adrenal tuberculosis ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534391 Thu, 01 Jan 2009 00:00:00 +0100 2534391 http://www.medworm.com/index.php?rid=2534388&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%3D19365923%26dopt%3DAbstract We describe a case of recurrence in a patient previously treated with a transhiatal diverticulectomy myotomy and fundoplication. Anatomic factors that may have contributed to this recurrence are discussed. PMID: 19365923 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534388 Thu, 01 Jan 2009 00:00:00 +0100 2534388 http://www.medworm.com/index.php?rid=2534386&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%3D19365924%26dopt%3DAbstract Authors: Tan SY PMID: 19365924 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534386 Thu, 01 Jan 2009 00:00:00 +0100 2534386 http://www.medworm.com/index.php?rid=2534384&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%3D19365925%26dopt%3DAbstract Authors: Yang H, Nasu M, Strianese O, Rivera Z, Luecke L, Carbone M PMID: 19365925 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2534384 Thu, 01 Jan 2009 00:00:00 +0100 2534384 http://www.medworm.com/index.php?rid=2224496&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%3D19244702%26dopt%3DAbstract Authors: Fernandes R, Hashimoto S, Masaki K Internal medicine residents at the University of Hawai'i were surveyed in 2005 to identify their attitudes regarding ethics consultation based on exposure to ethics education as part of residency training. Our hypotheses were that senior residents are more likely than interns to request an ethics consultation; and providing or forgoing life-sustaining treatment would outrank other situations for requesting a consult. After two mailings, 46 out of 65 residents completed the survey (71% response rate). Statistical methods included Fisher's exact test for categorical variables, and general linear models to compare means between groups. A majority of residents stated that instruction on ethics was received through lectures and rounds. They were m... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224496 Mon, 01 Dec 2008 05:00:00 +0100 2224496 http://www.medworm.com/index.php?rid=2224494&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%3D19244703%26dopt%3DAbstract Authors: Winters-Moorhead C, Kooker BM The purpose of this article is to describe four performance indicators to use as a scorecard to monitor progress in meeting the shortage of registered nurses in Hawai'i. In addition, the RN shortage in the state is described and progress in addressing the situation to date is reviewed. In 2005, a survey was mailed to a stratified, random sample of registered nurses (RNs) residing in the state. The mean age of RNs was 49.3 years, and 69.9% plan to retire by 2020. The current nursing workforce is aging and the profession is not attracting younger more diverse individuals. A scorecard is proposed to monitor progress into the future to assure continuing health care for the people of Hawai'i. PMID: 19244703 [PubMed - in process] (Source: Hawaii Med... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224494 Mon, 01 Dec 2008 05:00:00 +0100 2224494 http://www.medworm.com/index.php?rid=2224492&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%3D19244704%26dopt%3DAbstract Authors: Abbas MI, Person DA Rheumatic heart disease (RHD) continues to be a major health problem in developing countries. The burden of disease in many countries, especially those of Oceania, is very high and is still the leading cause of heart-related deaths. Several factors contribute to the prevalence of RHD in the Pacific Basin including poverty, poor access to care, distance for travel, and limited resources. The Pacific Island Health Care Project (PIHCP) at Tripler Army Medical Center (TAMC) is a unique program which provides indigenous, medically under-served peoples in the United States Associated Pacific Islands (USAPIs) with definitive medical and surgical care. The program has been an important source of patients to enhance Graduate Medical Education (GME) at TAMC. Beginnin... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224492 Mon, 01 Dec 2008 05:00:00 +0100 2224492 http://www.medworm.com/index.php?rid=2224490&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%3D19244705%26dopt%3DAbstract Authors: Omori JS PMID: 19244705 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224490 Mon, 01 Dec 2008 05:00:00 +0100 2224490 http://www.medworm.com/index.php?rid=2224488&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%3D19244706%26dopt%3DAbstract Authors: Tan SY PMID: 19244706 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224488 Mon, 01 Dec 2008 05:00:00 +0100 2224488 http://www.medworm.com/index.php?rid=2224486&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%3D19244707%26dopt%3DAbstract Authors: Delmas A, Hawley J, Berenberg J PMID: 19244707 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2224486 Mon, 01 Dec 2008 05:00:00 +0100 2224486 http://www.medworm.com/index.php?rid=2206005&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%3D19226908%26dopt%3DAbstract This article summarizes the authors' experiences with cardiac transplantation over this 21-year period. The cumulative 1-, 3- and 5-year survival rates after transplantation have been 73.8%, 70.0%, and 63.2%, respectively. The corresponding survival rates have improved over the last eight years and are now 90.0%, 87.5%, and 83.3%, respectively. Despite clinical improvements, low patient volumes make the maintenance of a state-based program in Hawai'i difficult. Problems with financing and referral biases will need to be addressed if a local program is to continue. PMID: 19226908 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206005 Sat, 01 Nov 2008 04:00:00 +0100 2206005 http://www.medworm.com/index.php?rid=2206004&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%3D19226909%26dopt%3DAbstract Authors: Doneza J, Hirota S, Tokeshi J Idiopathic thrombocytopenic purpura is an autoimmune disorder causing thrombocytopenia. The authors present the case of a patient who presented with spontaneous bruising. A complete blood cell count revealed the patient was severely thrombocytopenic with a platelet count of 4000. Further evaluation failed to reveal a cause for thrombocytopenia and the patient was subsequently diagnosed with idiopathic thrombocytopenic purpura. PMID: 19226909 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206004 Sat, 01 Nov 2008 04:00:00 +0100 2206004 http://www.medworm.com/index.php?rid=2206003&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%3D19226910%26dopt%3DAbstract Authors: Kim RJ, Jackson DS Methamphetamine use continues to be a significant problem for adolescents in Hawai'i, especially among Native Hawaiians and other Asian and Pacific Islanders. However, no research has compared the unique characteristics of these methamphetamine (MA) users to other substance users, which could contribute to enhanced treatment approaches. Utilizing a sample of adolescent treatment clients, this study compared those who have ever used and those who have never used methamphetamines on various domains. Results showed that girls were significantly more likely to use methamphetamines than other substances. Native Hawaiians and other Pacific Islanders were more likely to use methamphetamines as well, although the difference was not statistically significant. MA user... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206003 Sat, 01 Nov 2008 04:00:00 +0100 2206003 http://www.medworm.com/index.php?rid=2206002&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%3D19226911%26dopt%3DAbstract Authors: Sakai DH, Kasuya RT JABSOM has defined its graduation objectives and shared it with students and faculty. They serve as an organizing principle for both curricular content, student evaluations, and program assessment. The school's Curriculum Committee monitors student achievement as a measure of program quality. Outcome data to date suggest that JABSOM students meet the objectives of the medical school and are prepared as life-long learners to undertake the challenges of their chosen profession as physicians. PMID: 19226911 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206002 Sat, 01 Nov 2008 04:00:00 +0100 2206002 http://www.medworm.com/index.php?rid=2206001&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%3D19226912%26dopt%3DAbstract Authors: Tan SY PMID: 19226912 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206001 Sat, 01 Nov 2008 04:00:00 +0100 2206001 http://www.medworm.com/index.php?rid=2206000&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%3D19226913%26dopt%3DAbstract Authors: Acoba JD PMID: 19226913 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2206000 Sat, 01 Nov 2008 04:00:00 +0100 2206000 http://www.medworm.com/index.php?rid=2063157&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%3D19097550%26dopt%3DAbstract CONCLUSION: The findings suggest that API immigrant families share similar attitudes about reading as English-speaking families in Hawai'i but have significantly fewer books in their household and read significantly less frequently Physicians working with API populations should be aware that immigrant children may have fewer reading interactions and should counsel parents on the importance of reading daily. PMID: 19097550 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2063157 Wed, 01 Oct 2008 04:00:00 +0100 2063157 http://www.medworm.com/index.php?rid=2063156&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%3D19097551%26dopt%3DAbstract CONCLUSIONS: Mortality of patients with hematological malignancies requiring mechanical ventilation remains high. No single independent risk factor for ICU mortality was identified with multivariate logistic regression analysis. Prognostic scoring systems do not yield adequately reliable information to be used exclusively for end-of-life decision making in individual patients. PMID: 19097551 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2063156 Wed, 01 Oct 2008 04:00:00 +0100 2063156 http://www.medworm.com/index.php?rid=2063155&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%3D19097552%26dopt%3DAbstract Authors: Jim RT Factor XIII deficiency (fibrin stabilizing Factor or FSF) is a rare coagulation defect. The only patient believed to have this disorder in Hawai'i is presented in this report. PMID: 19097552 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2063155 Wed, 01 Oct 2008 04:00:00 +0100 2063155 http://www.medworm.com/index.php?rid=2063154&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%3D19097553%26dopt%3DAbstract Authors: Nigg C, Sterkenburg C, Rudoy R PMID: 19097553 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2063154 Wed, 01 Oct 2008 04:00:00 +0100 2063154 http://www.medworm.com/index.php?rid=2063153&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%3D19097554%26dopt%3DAbstract Authors: Steffen AD, Wilkens LR PMID: 19097554 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=2063153 Wed, 01 Oct 2008 04:00:00 +0100 2063153 http://www.medworm.com/index.php?rid=1881421&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%3D18853897%26dopt%3DAbstract DISCUSSION: Results confirm the increased frequency of obesogenic environmental factors and their correlation with obesity trends across 3 distinct NH communities. These results suggest that environmental factors may offer another means for reducing obesity disparities in minority communities. PMID: 18853897 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881421 Mon, 01 Sep 2008 04:00:00 +0100 1881421 http://www.medworm.com/index.php?rid=1881420&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%3D18853898%26dopt%3DAbstract Authors: Nacapoy AH, Kaholokula JK, West MR, Dillard AY, Leake A, Kekauoha BP, Palakiko DM, Siu A, Mosier SW, Marjorie KM, Community-based participatory research (CBPR) is an approach to scientific research that is gaining broader application to address persistent problems in health care disparities and other hypothesis-driven research. However, information on how to form CBPR community-academic partnerships and how to best involve community partners in scientific research is not well-defined. The purpose of this paper is to share the experience of the Partnership for Improving Lifestyle Interventions (PILl) 'Ohana Project in forming a co-equal CBPR community-academic partnership that involved 5 different community partners in a scientific research study to address obesity disparities... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881420 Mon, 01 Sep 2008 04:00:00 +0100 1881420 http://www.medworm.com/index.php?rid=1881419&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%3D18853899%26dopt%3DAbstract Authors: Goh YS An explanation is proposed for the conjunctival pain at the conclusion of cataract surgery. Pain associated with injection of antibiotics under the conjunctiva is sometimes observed at the end of cataract surgery performed under retrobulbar block. Partial block of the sensory nerves of the eye has been proposed as a reason for this. Failure to block orbital-ciliary nerves, branches of the maxillary branch of the fifth cranial nerve is put forward as an additional explanation for the pain. PMID: 18853899 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881419 Mon, 01 Sep 2008 04:00:00 +0100 1881419 http://www.medworm.com/index.php?rid=1881418&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%3D18853900%26dopt%3DAbstract Authors: Shiramizu B, Maeshiro M PMID: 18853900 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881418 Mon, 01 Sep 2008 04:00:00 +0100 1881418 http://www.medworm.com/index.php?rid=1881417&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%3D18853901%26dopt%3DAbstract Authors: Bachmann AS The 26S proteasome regulates the degradation of many proteins involved in cell cycle control, apoptosis, and tumor growth. The inhibition of the proteasome by specific inhibitors is a viable target for anti-tumor therapy Most prominently, the proteasome inhibitor bortezomib (Velcade) was approved by the U.S. Food and Drug Administration (FDA) for the treatment of relapsed or refractory multiple myeloma in adults, and is presently considered for several other types of cancer including pediatric malignancies. The first clinical trials by the Children's Oncology Group (COG) were conducted with bortezomib for the treatment of refractory solid tumors and refractory leukemia. Proteasome inhibitors are a promising new class of therapeutics that should be further explored ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881417 Mon, 01 Sep 2008 04:00:00 +0100 1881417 http://www.medworm.com/index.php?rid=1881416&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%3D18853902%26dopt%3DAbstract Authors: Tan SY PMID: 18853902 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881416 Mon, 01 Sep 2008 04:00:00 +0100 1881416 http://www.medworm.com/index.php?rid=1881427&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%3D18853891%26dopt%3DAbstract Authors: Mittal A, Ona FV, Randolph ML, Yamamoto J This is a retrospective study comparing esophageal cancer incidence among Asian/Pacific Islanders and Caucasians between Hawai'i and nationally, identifying patterns specific to Hawai'i. SEER*SAT was used for statistical analysis. In Hawai'i, esophageal cancer incidence between the two study groups were similar, but nationally higher in Caucasians. These findings are unique to Hawai'i. More detailed and consistent registries are needed. PMID: 18853891 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881427 Fri, 01 Aug 2008 04:00:00 +0100 1881427 http://www.medworm.com/index.php?rid=1881426&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%3D18853892%26dopt%3DAbstract Authors: Gellert KS, Choi D, Coel M, Braun KL Native Hawaiians have higher lung cancer incidence and mortality than other ethnic groups, even after controlling for smoking. Could reduced mucociliary clearance, suspected in Polynesians, play a role? In this pilot study of 9 Hawaiian and 8 Caucasian men, mean velocities were faster although not statistically significant in Caucasians. This pilot also generated recommendations on subject recruitment, measures, and data analysis for future studies. PMID: 18853892 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881426 Fri, 01 Aug 2008 04:00:00 +0100 1881426 http://www.medworm.com/index.php?rid=1881425&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%3D18853893%26dopt%3DAbstract Authors: Withy KM, Amoa F, Andaya JM, Inada M, Berry SP An interview study of 162 homeless individuals on O'ahu demonstrated that the homeless studied were 3 times more likely than the general population of O'ahu to rate their health as fair to poor, despite the fact that 77% of interviewees had medical insurance and 66% a regular health care provider Better self ratings of health were only associated with younger age and self report of having dental insurance when demographic variables were controlled for. Qualitatively the homeless population interviewed described 'good health' as avoiding illness and being able to make healthy lifestyle choices, finding emotional balance and caring for others. Commonly reported barriers to accessing care included financial factors such as being unab... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881425 Fri, 01 Aug 2008 04:00:00 +0100 1881425 http://www.medworm.com/index.php?rid=1881424&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%3D18853894%26dopt%3DAbstract Authors: Kaholokula JK, Saito E, Shikuma C, Look M, Spencer-Tolentino K, Mau MK PMID: 18853894 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881424 Fri, 01 Aug 2008 04:00:00 +0100 1881424 http://www.medworm.com/index.php?rid=1881423&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%3D18853895%26dopt%3DAbstract Authors: Cho J PMID: 18853895 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881423 Fri, 01 Aug 2008 04:00:00 +0100 1881423 http://www.medworm.com/index.php?rid=1881422&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%3D18853896%26dopt%3DAbstract Authors: Tan SY PMID: 18853896 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1881422 Fri, 01 Aug 2008 04:00:00 +0100 1881422 http://www.medworm.com/index.php?rid=1765880&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%3D18686558%26dopt%3DAbstract Authors: Smerz RW PMID: 18686558 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765880 Tue, 01 Jul 2008 04:00:00 +0100 1765880 http://www.medworm.com/index.php?rid=1765879&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%3D18686559%26dopt%3DAbstract Authors: Comeaux T, Lucidi S PMID: 18686559 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765879 Tue, 01 Jul 2008 04:00:00 +0100 1765879 http://www.medworm.com/index.php?rid=1765878&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%3D18686560%26dopt%3DAbstract Authors: Tan SY PMID: 18686560 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765878 Tue, 01 Jul 2008 04:00:00 +0100 1765878 http://www.medworm.com/index.php?rid=1765885&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%3D18678206%26dopt%3DAbstract Authors: Pobutsky A, Krupitsky D, Kanja ML, Lipsher J In November 2006, the Smoke-Free Work and Public Places Law passed to protect people from secondhand smoke in Hawai'i. An air-quality monitoring assessment to determine the difference this law made in air quality was conducted at 15 bars/restaurants. Levels of particulate matter (PM2.5) at enclosed (indoor) venues fell 90% after implementation of the law while partially enclosed restaurants/bars were all below the EPA 24 hour average limit both before and after the law. PMID: 18678206 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765885 Sun, 01 Jun 2008 04:00:00 +0100 1765885 http://www.medworm.com/index.php?rid=1765884&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%3D18678207%26dopt%3DAbstract Substantial systolic improvement and reverse cardiac remodeling in elderly-onset idiopathic dilated cardiomyopathy > or = 65 years of age. Hawaii Med J. 2008 Jun;67(6):156-9 Authors: Nishida K, Ito H, Fukuyama O Significant systolic improvement and reverse remodeling in dilated cardiomyopathy (DCM) are well known, however they have been rarely described among elderly subjects. The authors retrospectively reviewed 86 patients with a diagnosis of DCM seen at a clinic during April-November 2005. The authors found 18 patients with elderly-onset idiopathic DCM (age of onset > or = 65 years, mean age 71.8 +/- 6.2 years), who had substantial improvement in left ventricular ejection fraction (LVEF) > or = 20 units (%). During a mean follow-up of 8.6 +/- 5.5 years, mean LVEF an... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765884 Sun, 01 Jun 2008 04:00:00 +0100 1765884 http://www.medworm.com/index.php?rid=1765883&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%3D18678208%26dopt%3DAbstract Authors: Antonelli MA PMID: 18678208 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765883 Sun, 01 Jun 2008 04:00:00 +0100 1765883 http://www.medworm.com/index.php?rid=1765882&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%3D18678209%26dopt%3DAbstract Authors: Fukumoto JS PMID: 18678209 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765882 Sun, 01 Jun 2008 04:00:00 +0100 1765882 http://www.medworm.com/index.php?rid=1765881&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%3D18678210%26dopt%3DAbstract Authors: Tan SY PMID: 18678210 [PubMed - in process] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765881 Sun, 01 Jun 2008 04:00:00 +0100 1765881 http://www.medworm.com/index.php?rid=1765891&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%3D18605277%26dopt%3DAbstract Authors: Deborah TJ, Osheroff W As the United States population ages, a majority of patients are seeing multiple providers to treat their conditions, including alternative care providers. The purpose of this study was to compare patient ratings of inter-provider coordination of care. The study examined patient ratings of care between their doctor and (1) other doctors (n=36,230), (2) pharmacists (n=37,604), and (3) alternative care providers (n=8,698). It also attempted to identify member and provider characteristics with low ratings of coordination. Average rating scores were 8.4 (out of 10) for coordination with other doctors, 8.1 for coordination with pharmacists, and 6.4 for coordination with alternative care providers. Among alternative care providers, coordination was highest for... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765891 Thu, 01 May 2008 04:00:00 +0100 1765891 http://www.medworm.com/index.php?rid=1765890&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%3D18605278%26dopt%3DAbstract CONCLUSION: The association of higher physician age with both nursing home experience and neighbor island practice has important implications for the training of physicians to provide nursing home care in Hawai'i. PMID: 18605278 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765890 Thu, 01 May 2008 04:00:00 +0100 1765890 http://www.medworm.com/index.php?rid=1765889&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%3D18605279%26dopt%3DAbstract Authors: Kaneshiro B, Jensen J, Edelman A PMID: 18605279 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765889 Thu, 01 May 2008 04:00:00 +0100 1765889 http://www.medworm.com/index.php?rid=1765888&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%3D18605280%26dopt%3DAbstract Authors: Curb JD PMID: 18605280 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765888 Thu, 01 May 2008 04:00:00 +0100 1765888 http://www.medworm.com/index.php?rid=1765887&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%3D18605281%26dopt%3DAbstract Authors: Pagano I PMID: 18605281 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765887 Thu, 01 May 2008 04:00:00 +0100 1765887 http://www.medworm.com/index.php?rid=1765886&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%3D18605282%26dopt%3DAbstract Authors: Tan SY PMID: 18605282 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765886 Thu, 01 May 2008 04:00:00 +0100 1765886 http://www.medworm.com/index.php?rid=1765897&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%3D18524142%26dopt%3DAbstract DISCUSSION: The similarity in ImPACT test performance of Hawai'i high school athletes as compared to the mainland normative data provides support for the applicability of this computerized neuropsychological battery in Hawai'i. However in view of a trend reflecting slightly lower ImPACT scores among Hawai'i participants, the use of the normative data produced by this study may be desirable in assessing Hawai'i high school athletes. PMID: 18524142 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765897 Tue, 01 Apr 2008 04:00:00 +0100 1765897 http://www.medworm.com/index.php?rid=1765896&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%3D18524143%26dopt%3DAbstract CONCLUSIONS: Inconsistency exists between guidelines and practice as older, cheaper drugs were used less and more expensive drugs were used more often with better adherence. PMID: 18524143 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765896 Tue, 01 Apr 2008 04:00:00 +0100 1765896 http://www.medworm.com/index.php?rid=1765895&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%3D18524144%26dopt%3DAbstract We present a 78-year-old woman patient with a 1-year history of progressive headache and MRI of the brain compatible with diffuse pachymeningitis. Without strong evidence to support a diagnosis, she subsequently underwent dural biopsy which revealed caseous granulomatous inflammation and was positive for Mycobacterium tuberculosis complex by PCR. The dura tissue culture subsequently confirmed the diagnosis of TBM. Successful treatment with antituberculous drugs and corticosteroid was observed without complications. Literature review on characteristics, diagnoses and treatment of central nervous system tuberculosis was also performed. PMID: 18524144 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765895 Tue, 01 Apr 2008 04:00:00 +0100 1765895 http://www.medworm.com/index.php?rid=1765894&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%3D18524145%26dopt%3DAbstract Authors: Jacobs J, Omori J, Oda Y, Kasuya R, Tam L PMID: 18524145 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765894 Tue, 01 Apr 2008 04:00:00 +0100 1765894 http://www.medworm.com/index.php?rid=1765893&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%3D18524146%26dopt%3DAbstract Authors: Le Marchand L PMID: 18524146 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765893 Tue, 01 Apr 2008 04:00:00 +0100 1765893 http://www.medworm.com/index.php?rid=1765892&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%3D18524147%26dopt%3DAbstract Authors: Tan SY PMID: 18524147 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765892 Tue, 01 Apr 2008 04:00:00 +0100 1765892 http://www.medworm.com/index.php?rid=1765903&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%3D18512663%26dopt%3DAbstract Authors: Ling C, Henderson S, Henderson R, Henderson M, Pedro T, Pang L The community of Hana, Hawai'i began a program of home modifications to help their elderly prevent falls. We estimated the cost benefit of these modifications from construction costs and published reports of effectiveness and cost of treating falls. We interviewed clients to determine risk of falling. The average cost of home modifications was $800. The average annual averted medical cost of falling was $1728. PMID: 18512663 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765903 Sat, 01 Mar 2008 05:00:00 +0100 1765903 http://www.medworm.com/index.php?rid=1765902&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%3D18512664%26dopt%3DAbstract Authors: Magat RC, Guerrero AP In this retrospective 2-year study the clinical and demographic characteristics of pediatric patients in Hawai'i evaluated for suicide attempts (or possible suicide attempts) at a local children's hospital were examined. Our intentions were to uncover any trends in this unique, culturally diverse population that has not been studied extensively. Sixty-five patients were identified, of which 86% were girls with the highest age demographic at 15-16 years of age (34%) and medication overdose the most common mechanism. Ethnicity trends could not reliably be ascertained. The circumstances surrounding the suicidal behavior; adjustment disorder being a common diagnosis; and approximately half of the population not intending to complete suicide suggests possible ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765902 Sat, 01 Mar 2008 05:00:00 +0100 1765902 http://www.medworm.com/index.php?rid=1765901&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%3D18512665%26dopt%3DAbstract CONCLUSION: School educators, health professionals, and parents must recognize that prime-time television frequently exposes viewers to issues that are of critical importance to the health and social development of school-aged children and adolescents. PMID: 18512665 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765901 Sat, 01 Mar 2008 05:00:00 +0100 1765901 http://www.medworm.com/index.php?rid=1765900&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%3D18512666%26dopt%3DAbstract Authors: Cruz MR, Mitsuda B, Monlux A, Agnos K, Ahedo A, Au L, Erondu N, Harmon A, Haro-Arvizu P, Kualii B, Loprinzi C, Olson K, Salamanca L, Samifua M, Suzuki-Ung D, Wang JH, Wilson T, Partika N, Braun K PMID: 18512666 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765900 Sat, 01 Mar 2008 05:00:00 +0100 1765900 http://www.medworm.com/index.php?rid=1765899&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%3D18512667%26dopt%3DAbstract Authors: Foster J, Conde F PMID: 18512667 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765899 Sat, 01 Mar 2008 05:00:00 +0100 1765899 http://www.medworm.com/index.php?rid=1765898&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%3D18512668%26dopt%3DAbstract Authors: Tan SY PMID: 18512668 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765898 Sat, 01 Mar 2008 05:00:00 +0100 1765898 http://www.medworm.com/index.php?rid=1765909&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%3D18438087%26dopt%3DAbstract Authors: Parsa AA, Higashigawa K, Parsa FD PMID: 18438087 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765909 Fri, 01 Feb 2008 05:00:00 +0100 1765909 http://www.medworm.com/index.php?rid=1765908&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%3D18438088%26dopt%3DAbstract Authors: Ito H The Brugada syndrome is an inherited arrhythmogenic and nonstructural heart disease that may cause syncope and sudden cardiac death (SCD). It is characterized by ST segment elevation in the right precordial leads (V1-V3) and male predominance. Mutation on SCN5A encoding the alpha-subunit of the sodium channel is seen in 20%-30% of patients with the syndrome. Because of low penetrance of gene mutation, clinical manifestations and prognosis can be variable in individuals. Therefore, asymptomatic population with Brugada-type electrocardiogram (ECG) exists in community and SCD risk stratification of the individual can be problematic. Although understanding of the cellular mechanism of the syndrome has advanced, there are conflicting data about its prevalence and prognosis. P... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765908 Fri, 01 Feb 2008 05:00:00 +0100 1765908 http://www.medworm.com/index.php?rid=1765907&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%3D18438089%26dopt%3DAbstract Authors: Eaglin VH The purpose of this survey is to examine the attitudes and perceptions of University of Hawai'i pediatric and psychiatry residents and nurses-in-training toward animal-assisted interventions (AAI). Respondents demonstrated a positive view of AAI, citing their belief that it was beneficial for most populations of patients. PMID: 18438089 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765907 Fri, 01 Feb 2008 05:00:00 +0100 1765907 http://www.medworm.com/index.php?rid=1765906&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%3D18438090%26dopt%3DAbstract Authors: Motonaga H PMID: 18438090 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765906 Fri, 01 Feb 2008 05:00:00 +0100 1765906 http://www.medworm.com/index.php?rid=1765905&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%3D18438091%26dopt%3DAbstract Authors: Kotsubo CZ PMID: 18438091 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765905 Fri, 01 Feb 2008 05:00:00 +0100 1765905 http://www.medworm.com/index.php?rid=1765904&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%3D18438092%26dopt%3DAbstract Authors: Tan SY PMID: 18438092 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765904 Fri, 01 Feb 2008 05:00:00 +0100 1765904 http://www.medworm.com/index.php?rid=1765915&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%3D18309832%26dopt%3DAbstract Authors: Mau MK, Yee D, PMID: 18309832 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765915 Tue, 01 Jan 2008 05:00:00 +0100 1765915 http://www.medworm.com/index.php?rid=1765914&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%3D18309833%26dopt%3DAbstract CONCLUSIONS: Circulating blood volume measurements may be useful in critically ill surgical patients when clinical appraisal of intravascular volume is uncertain. This remains to be validated in a larger, prospective randomized trial. PMID: 18309833 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765914 Tue, 01 Jan 2008 05:00:00 +0100 1765914 http://www.medworm.com/index.php?rid=1765913&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%3D18309834%26dopt%3DAbstract Authors: Lee L, Saunders J, Zhou XJ, Maalouf NM Establishing the underlying diagnosis in acute renal failure is essential in guiding patient management. To our knowledge, this is the first reported case with concurrent diagnoses of Wegener's granulomatosis and non-steroidal anti-inflammatory drug (NSAID)-induced interstitial nephritis. Renal biopsy should be performed in renal insufficiency patients where several concurrent conditions are suspected to obtain the correct diagnosis and institute appropriate treatment. PMID: 18309834 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765913 Tue, 01 Jan 2008 05:00:00 +0100 1765913 http://www.medworm.com/index.php?rid=1765912&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%3D18309835%26dopt%3DAbstract Authors: Patel SJ, Bergert L, Klaus S, Klaus G, Shea W, Winkes A, Mavoori H, Yamamoto L A retrospective chart review compared data on neonates with physiologic jaundice admitted for phototherapy at a children's hospital. Those infants who received intravenous fluids (IVF) had significantly longer lengths of stay, higher initial bilirubin levels, and were more dehydrated than those babies who did not receive IVF. PMID: 18309835 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765912 Tue, 01 Jan 2008 05:00:00 +0100 1765912 http://www.medworm.com/index.php?rid=1765911&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%3D18309836%26dopt%3DAbstract Authors: Pastorino S, Ramos JW PMID: 18309836 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765911 Tue, 01 Jan 2008 05:00:00 +0100 1765911 http://www.medworm.com/index.php?rid=1765910&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%3D18309837%26dopt%3DAbstract Authors: Tan SY PMID: 18309837 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765910 Tue, 01 Jan 2008 05:00:00 +0100 1765910 http://www.medworm.com/index.php?rid=1765920&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%3D18269088%26dopt%3DAbstract Authors: Tabrah FL PMID: 18269088 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765920 Sat, 01 Dec 2007 05:00:00 +0100 1765920 http://www.medworm.com/index.php?rid=1765919&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%3D18269089%26dopt%3DAbstract Authors: Chapital AD, Harrigan RC, Davis J, Easa D, Withy K, Yu M, Takanishi DM The national death rates from rural trauma are disproportionately higher compared to urban areas. Traumatic brain injury is a major cause of hospital admissions in Hawai'i. This is the first in a two part series to explore this significant public health concern. Data on traumatic brain injuries from 2000-2004 was obtained from 2 sources. Male gender, alcohol use, and lack of protective devices resulted in higher rates of injury. Rates of severe injury were higher in young adults, the elderly, and in rural locations, but rural mortality rates here did not differ compared to urban settings. The greatest potential to reduce morbidity and mortality resides in the formulation and implementation of preventive str... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765919 Sat, 01 Dec 2007 05:00:00 +0100 1765919 http://www.medworm.com/index.php?rid=1765918&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%3D18269090%26dopt%3DAbstract Authors: Crawford NS The American College of Chest Physicians continues to update recommendations on venous thromboembolism prophylaxis based on recent published studies. A survey of Hawai'i's orthopedic surgeons was conducted to see if prophylaxis against venous thromboembolism was in compliance with the latest (2004) recommendations and to see if practices in Hawai'i differed from prophylaxis rates obtained by studies of similar design. PMID: 18269090 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765918 Sat, 01 Dec 2007 05:00:00 +0100 1765918 http://www.medworm.com/index.php?rid=1765917&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%3D18269091%26dopt%3DAbstract Authors: Hoffman T Ginger has been used safely for thousands of years in cooking, and medicinally in folk and home remedies. Advanced technology enables the validation of these traditional experiences. The National Center for Complementary and Alternative Medicine (NCCAM) has evaluated the results of the available studies, rating the reports from "suggestive" (for short-term use of Ginger for safe relief from pregnancy related nausea and vomiting), to "mixed" (when used for nausea caused by motion sickness, chemotherapy, or surgery), and to "unclear" for treating rheumatoid arthritis, osteoarthritis, or joint and muscle pain). NCCAM has funded investigators to study interactions of ginger with drugs (immunosuppressants), its effect of reducing nausea in patients receiving chemotherapy,... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765917 Sat, 01 Dec 2007 05:00:00 +0100 1765917 http://www.medworm.com/index.php?rid=1765916&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%3D18269092%26dopt%3DAbstract Authors: Huynh TV, Gotay C, Layi G, Garrard S This paper focuses on a promising health care intervention--mindfulness meditation--that is the subject of considerable and increasing interest. The authors describe what mindfulness means, how it has been applied in patient and non-patient populations, and current activities in Hawai'i. PMID: 18269092 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765916 Sat, 01 Dec 2007 05:00:00 +0100 1765916 http://www.medworm.com/index.php?rid=1765929&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%3D18065118%26dopt%3DAbstract Authors: Igawa-Silva W, Wu S, Harrigan R PROBLEM: When coupled with the often debilitating side-effects of pharmacological interventions, chronic cancer pain may elicit feelings of anxiety and depression and therefore adversely affect patient well-being and quality of life. PURPOSE: This review article is a systematic assessment of the published literature related to music and cancer pain management. METHOD: A comprehensive systematic evaluation of the data based literature was undertaken and analyzed using matrix analysis. RESULTS: As an adjunctive form of pain management, music therapy has been shown to address some of these hardships by providing patients with an alternative effective means by which to reduce their subjective experiences of pain. Studies investigating the efficacy o... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765929 Thu, 01 Nov 2007 04:00:00 +0100 1765929 http://www.medworm.com/index.php?rid=1765928&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%3D18065119%26dopt%3DAbstract Authors: Patel SJ, Bergert LJ PMID: 18065119 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765928 Thu, 01 Nov 2007 04:00:00 +0100 1765928 http://www.medworm.com/index.php?rid=1765927&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%3D18065120%26dopt%3DAbstract Authors: Forrester MB, Merz RD Using birth defects registry data, this investigation compared cleft lip only (CLO) and cleft lip and palate (CLP). CLP cases were more likely than CLO cases to expire after birth (3.2% versus 1.0%), be boys (68.0% versus 56.5%), Pacific Islander (26.5% versus 16.4%), have lower birth weight (20.4% versus 11.1%), and lower gestational age (22.6% versus 20.4%). PMID: 18065120 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765927 Thu, 01 Nov 2007 04:00:00 +0100 1765927 http://www.medworm.com/index.php?rid=1765926&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%3D18065121%26dopt%3DAbstract Authors: Tan SY PMID: 18065121 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765926 Thu, 01 Nov 2007 04:00:00 +0100 1765926 http://www.medworm.com/index.php?rid=1765925&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%3D18065122%26dopt%3DAbstract This article presents a format for parent-to-parent and parent-to-professional guidance on psychiatric medications for children and youth. It reviews progress in Hawai'i's system of care for child mental health. Between 1999 and 2006, Hawai'i had nationally and internationally renowned experts in psychiatric medication conduct CME for Hawai'i's primary care and specialist care physicians. These conferences have included consumers and non-physician mental health colleagues. The importance of involvement of consumers in the process of rational decision-making for the individual child or youth is an emphasis in the system of care in Hawai'i. The approach featured in Susan Cooper's "Meditation on Medication" presentation in the 2005 symposium breakout for parents demonstrates the genuine colla... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765925 Mon, 01 Oct 2007 04:00:00 +0100 1765925 http://www.medworm.com/index.php?rid=1765924&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%3D18065123%26dopt%3DAbstract Authors: Chun SG, Harada GL, Kuriyama DK, Nywening TM, Shohet RV Transient left ventricular apical ballooning (TLVAB) is a recently proposed clinical entity that mimics an acute coronary syndrome in its clinical presentation. Retrospective studies suggest that it may account for 1% of myocardial infarction diagnoses. We provide a review of TLVAB including its clinical presentation, diagnostic studies, etiology, pathogenesis, criticism, complications, and management. PMID: 18065123 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765924 Mon, 01 Oct 2007 04:00:00 +0100 1765924 http://www.medworm.com/index.php?rid=1765923&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%3D18065124%26dopt%3DAbstract Authors: Shoultz J, Magnussen L, Hansen K, Selifis SM, Ifenuk M PURPOSE: This qualitative study examined Chuukese women's views about Intimate Partner Violence (IPV). METHODS: Focus groups were conducted in Chuukese. Themes emerged from content analysis. RESULTS: Migration may disrupt protective cultural practices. Cultural norms place the responsibility for family peace on the women who perceive that IPV is closely linked with marital infidelity. IMPLICATIONS: Understanding cultural practices is important in addressing IPV. PMID: 18065124 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765923 Mon, 01 Oct 2007 04:00:00 +0100 1765923 http://www.medworm.com/index.php?rid=1765922&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%3D18065125%26dopt%3DAbstract Authors: DeMare PA PMID: 18065125 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765922 Mon, 01 Oct 2007 04:00:00 +0100 1765922 http://www.medworm.com/index.php?rid=1765921&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%3D18065126%26dopt%3DAbstract Authors: Tan SY PMID: 18065126 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765921 Mon, 01 Oct 2007 04:00:00 +0100 1765921 http://www.medworm.com/index.php?rid=1765933&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%3D17941372%26dopt%3DAbstract CONCLUSION: The incidence of other primary tumors in the setting of HCC is relatively common with a strong clustering of genitourinary and gastrointestinal malignancies. There was no statistically significant difference in overall survival compared to patients with HCC only, suggesting that the association of other primary tumors with HCC does not confer a worse prognosis. PMID: 17941372 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765933 Wed, 01 Aug 2007 04:00:00 +0100 1765933 http://www.medworm.com/index.php?rid=1765932&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%3D17941373%26dopt%3DAbstract CONCLUSION: The CLIP score may provide a more precise, quantitative method for improved prognostication of patients with HCC. PMID: 17941373 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765932 Wed, 01 Aug 2007 04:00:00 +0100 1765932 http://www.medworm.com/index.php?rid=1765931&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%3D17941374%26dopt%3DAbstract Authors: Morita JE, Fujioka RS, Tice AD, Berestecky J, Sato D, Seifried SE, Katz AR Currently, the carriage rate for Community-Acquired Methicillin Resistant Staphylococcus aureus (CA-MRSA) is unknown in Hawai'i. This survey focuses on a healthy population of 95 college students and 5 faculty who completed a survey related to possible risk factors for colonization of Staphylococcus aureus and were sampled for S. aureus from their anterior nares. Thirty-three (33%) subjects were carrying Staphylococcus aureus and of those, 3 (3%) carried MRSA. There was no significant association between Staphylococcus aureus carriage and ethnicity, gender exposure to seawater, prior Staphylococcus aureus infections, recent antibiotic use, or pets. Additional testing of a larger group of healthy individ... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765931 Wed, 01 Aug 2007 04:00:00 +0100 1765931 http://www.medworm.com/index.php?rid=1765930&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%3D17941375%26dopt%3DAbstract Authors: Lee HR, Hubbard AS, Kim MS PMID: 17941375 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765930 Wed, 01 Aug 2007 04:00:00 +0100 1765930 http://www.medworm.com/index.php?rid=1765939&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%3D17879854%26dopt%3DAbstract Lă'au lapa'au and Western medicine in Hawai'i: experiences and perspectives of patients who use both. Hawaii Med J. 2007 Jul;66(7):176, 178-80 Authors: Young NN, Braun KL Using qualitative methods, we examined 12 patients' experiences with combining lă'au lapa'au (Hawaiian herbal healing) and Western medicine. Participants felt a higher degree of connectedness and understanding in their relationship with their healer than with their physician, and they felt that healers took more time to listen and clearly explain diagnoses. Lă'au lapa'au was more likely than Western medicine to incorporate a spiritual and prayer component, lead to improvements in cultural and personal identity, and foster feelings of connectedness to the land and Hawaiian values. PMID: 17... Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765939 Sun, 01 Jul 2007 04:00:00 +0100 1765939 http://www.medworm.com/index.php?rid=1765938&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%3D17879855%26dopt%3DAbstract Authors: Albright CL, Wong LL, Dela Cruz MR, Abe L, Sagayadoro T Results from mailed surveys (n = 424) showed that 28% of adult Filipinos were a designated organ donor on their driver's license. In logistic regression analyses respondents who were born in the United States were 3.5 times more likely to be a designated donor compared with foreign-born Filipinos. Future programs should emphasize the need for Filipinos, especially immigrants, to become organ donors. PMID: 17879855 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765938 Sun, 01 Jul 2007 04:00:00 +0100 1765938 http://www.medworm.com/index.php?rid=1765937&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%3D17879856%26dopt%3DAbstract CONCLUSION: Despite availability of clinical tools and therapeutic options of the treatment of low bone density, osteoporosis remains underdiagnosed and under-treated. PMID: 17879856 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765937 Sun, 01 Jul 2007 04:00:00 +0100 1765937 http://www.medworm.com/index.php?rid=1765936&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%3D17879857%26dopt%3DAbstract Authors: Bergert L, Patel S PMID: 17879857 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765936 Sun, 01 Jul 2007 04:00:00 +0100 1765936 http://www.medworm.com/index.php?rid=1765935&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%3D17879858%26dopt%3DAbstract Authors: Hernandez BY PMID: 17879858 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765935 Sun, 01 Jul 2007 04:00:00 +0100 1765935 http://www.medworm.com/index.php?rid=1765934&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%3D17879859%26dopt%3DAbstract Authors: Tan SY PMID: 17879859 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765934 Sun, 01 Jul 2007 04:00:00 +0100 1765934 http://www.medworm.com/index.php?rid=1765945&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%3D17621861%26dopt%3DAbstract In conclusion, HSA levels are significantly associated with several traditional cardiovascular risk factors, particularly serum lipid levels. PMID: 17621861 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal) Hawaii Medical Journal journals http://www.medworm.com/rss/comments.php?id=1765945 Fri, 01 Jun 2007 04:00:00 +0100 1765945