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The review of the changes of Britain's National Health Service for the impending change of the United States.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842361 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: Chen M Tags: Hawaii Med J Source Type: journals

A critique of the changes in Hawai'i's Medicaid system.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842362 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: Chen M Tags: Hawaii Med J Source Type: journals

Strategies to increase breast and cervical cancer screening among Hawaiian, Pacific Islander, and Filipina women in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pot...
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: Aitaoto N, Tsark JU, Tomiyasu DW, Yamashita BA, Braun KL Tags: Hawaii Med J Source Type: journals

Language preference and development of dementia among bilingual individuals.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: McMurtray A, Saito E, Nakamoto B Tags: Hawaii Med J Source Type: journals

Risk of parasitic worm infection from eating raw fish in Hawai'i: a physician's survey.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 surv...
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: Kaneko JJ, Medina LB Tags: Hawaii Med J Source Type: journals

The role of global health in medical education at JABSOM.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19842366 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - September 30, 2009 Category: Journals (General) Authors: Coontz KM, Maddock J Tags: Hawaii Med J Source Type: journals

Integrating educational technology into the basic sciences.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19772120 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - August 31, 2009 Category: Journals (General) Authors: Okumura C, Kramer K, Kasuya R Tags: Hawaii Med J Source Type: journals

Diabetes and cardiovascular risk factors in Native Hawaiians.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Aluli NE, Jones KL, Reyes PW, Brady SK, Tsark JU, Howard BV Tags: Hawaii Med J Source Type: journals

Comprehensive Pain Program outcomes evaluation: a preliminary study in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Zunin ID, Orenstein S, Chang M, Cho S Tags: Hawaii Med J Source Type: journals

A survey of injuries and medical conditions affecting competitive adult outrigger canoe paddlers on O'ahu.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 bette...
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Haley A, Nichols A Tags: Hawaii Med J Source Type: journals

Hawai'i's "Going Home Plus" project: a new option to support community living.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 teleme...
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Nishita CM, Johnson J, Silverman M, Ozaki R, Koller L Tags: Hawaii Med J Source Type: journals

LCME accreditation: role of students.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19653420 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Middleton AL Tags: Hawaii Med J Source Type: journals

Establishing a population-based cancer registry DNA biorepository: the Hawai'i Tumor Registry's Sharing Ohana project.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19653421 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - July 31, 2009 Category: Journals (General) Authors: Goodman MT Tags: Hawaii Med J Source Type: journals

A practical approach to the healthcare crisis: solutions for Hawai'i and the nation (Part 2 of 2).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 in...
Source: Hawaii Medical Journal - June 30, 2009 Category: Journals (General) Authors: Hedges JR, Handel DA Tags: Hawaii Med J Source Type: journals

HIV/AIDS in Hawai'i: state of the state.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 th...
Source: Hawaii Medical Journal - June 30, 2009 Category: Journals (General) Authors: Sullivan KM Tags: Hawaii Med J Source Type: journals

Obstetric anal sphincter injury repair workshop for residents.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - June 30, 2009 Category: Journals (General) Authors: Oyama IA, Aaronoff MC, Burlingame JM Tags: Hawaii Med J Source Type: journals

Carcinoid tumor presenting as a primary mesenteric mass: a case report and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Hawaii Medical Journal - June 30, 2009 Category: Journals (General) Authors: Yamanuha J, Ballinger R, Coon D, Navin J Tags: Hawaii Med J Source Type: journals

Surviving cancer and thriving: impacting health behaviors for people who have survived cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19653426 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - June 30, 2009 Category: Journals (General) Authors: Bantum EO, Albright C, Gabriela L, Berenberg J Tags: Hawaii Med J Source Type: journals

He mana'o: June 2009.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19583102 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Brady SK Tags: Hawaii Med J Source Type: journals

A practical approach to the healthcare crisis: the current challenges facing Hawai'i and the nation (part 1 of 2).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Hedges JR, Handel DA Tags: Hawaii Med J Source Type: journals

Improving living renal transplant: lessons from a multi-ethnic transplant program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 tende...
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Park CW, Limm WM, Wong LL Tags: Hawaii Med J Source Type: journals

First reported United States case of Legionella pneumophila serogroup 1 pneumonia in a patient receiving anti-tumor necrosis factor-alpha therapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Jinno S, Pulido S, Pien BC Tags: Hawaii Med J Source Type: journals

Viral hepatitis in a homeless shelter in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. ...
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Boyce DE, Tice AD, Ona FV, Akinaka KT, Lusk H Tags: Hawaii Med J Source Type: journals

An evaluation tool to measure cultural competency in graduate medical education.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19583107 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - May 31, 2009 Category: Journals (General) Authors: Chun MB, Huh J, Hew C, Chun B Tags: Hawaii Med J Source Type: journals

Assessing the needs for HIV medical care in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 choi...
Source: Hawaii Medical Journal - April 30, 2009 Category: Journals (General) Authors: Marten LR, Chow DC, Valcour NA, Shikuma CM Tags: Hawaii Med J Source Type: journals

The Hawai'i Community Resource Obesity Project: results from the Lifestyle Enhancement Program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - April 30, 2009 Category: Journals (General) Authors: Bradley S, Beckham S, Washburn A Tags: Hawaii Med J Source Type: journals

A case report and literature review of group C streptococcal pneumonia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - April 30, 2009 Category: Journals (General) Authors: Erdem G, Brewer S, Harrington J, Melish M Tags: Hawaii Med J Source Type: journals

Professionalism in the teacher-learner relationship in medical schools: mistreatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19583111 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - April 30, 2009 Category: Journals (General) Authors: Antonelli MA Tags: Hawaii Med J Source Type: journals

Adolescent and young adult cancer care: a national and local problem.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19583112 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - April 30, 2009 Category: Journals (General) Authors: Woodruff K Tags: Hawaii Med J Source Type: journals

Factors affecting the influenza vaccination of high risk adults in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 mos...
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Davis JW, Fujimoto RY, Chan H, Juarez DT Tags: Hawaii Med J Source Type: journals

Immune globulin-responsive thrombocytopenia in acute post-streptococcal glomerulonephritis: report of a case in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Guerrero AP, Musgrave JE, Lee EK Tags: Hawaii Med J Source Type: journals

Late presentation of diaphragmatic hernia in a Pacific Island pediatric population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Batts S, Thompson MW, Person DA Tags: Hawaii Med J Source Type: journals

Assessment of pain in older Asian Americans with cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 am...
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Chung SM, Masaki KH, Somogyi-Zalud E, Sumida KN, Wen A, Blanchette PL Tags: Hawaii Med J Source Type: journals

Selection criteria for expander/implant breast reconstruction following radiation therapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Parsa AA, Jackowe DJ, Johnson EW, Lye KD, Iwahira Y, Huynh TV, Pedro P, Pang J, Parsa FD Tags: Hawaii Med J Source Type: journals

The use of nontransplantable human tissues.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19441618 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - March 31, 2009 Category: Journals (General) Authors: Lozanoff S Tags: Hawaii Med J Source Type: journals

Hansen's disease with HIV: a case of immune reconstitution disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - March 1, 2009 Category: Journals (General) Authors: Chow D, Okinaka L, Souza S, Shikuma C, Tice A Tags: Hawaii Med J Source Type: journals

Racial disparities in Pacific Islanders undergoing renal transplant evaluation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, ...
Source: Hawaii Medical Journal - March 1, 2009 Category: Journals (General) Authors: Wong LL, Kindle K, Limm B Tags: Hawaii Med J Source Type: journals

Post-infant circumcision amongst children in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - March 1, 2009 Category: Journals (General) Authors: Nakamura LY, Yamamoto LG Tags: Hawaii Med J Source Type: journals

Medical student research at John A. Burns School of Medicine (JABSOM), University of Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19385376 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - March 1, 2009 Category: Journals (General) Authors: Fong SF, Sakai D Tags: Hawaii Med J Source Type: journals

Ovarian cancer: risks.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19385377 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - March 1, 2009 Category: Journals (General) Authors: Sueblinvong T, Carney ME Tags: Hawaii Med J Source Type: journals

The need for a standardized evaluation method to assess efficacy of cultural competence initiatives in medical education and residency programs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - January 1, 2009 Category: Journals (General) Authors: Chun MB, Takanishi DM Tags: Hawaii Med J Source Type: journals

Adrenal insufficiency secondary to tuberculosis: the value of telemedicine in the remote diagnosis of Addison's disease in Ebeye, Republic of the Marshall Islands.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Hawaii Medical Journal - January 1, 2009 Category: Journals (General) Authors: Bush LA, Ruess L, Jack T, Person DA Tags: Hawaii Med J Source Type: journals

Recurrent epiphrenic diverticulum after transabdominal diverticulectomy: report of a case and review of the literature.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Hawaii Medical Journal - January 1, 2009 Category: Journals (General) Authors: Plackett TP, Meghoo CA, Febinger DL Tags: Hawaii Med J Source Type: journals

Issues in medical malpractice XXXI. Signing out to a colleague prior to going on vacation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19365924 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 1, 2009 Category: Journals (General) Authors: Tan SY Tags: Hawaii Med J Source Type: journals

The legacy of "miracle mineral": asbestos and cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19365925 [PubMed - indexed for MEDLINE] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 1, 2009 Category: Journals (General) Authors: Yang H, Nasu M, Strianese O, Rivera Z, Luecke L, Carbone M Tags: Hawaii Med J Source Type: journals

Enhancing residents' training in medical ethics: an exploratory study assessing attitudes of internal medicine residents.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 b...
Source: Hawaii Medical Journal - December 1, 2008 Category: Journals (General) Authors: Fernandes R, Hashimoto S, Masaki K Tags: Hawaii Med J Source Type: journals

Four indicators for monitoring progress in addressing the registered nurse workforce shortage in Hawai'i.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Hawaii Medical Journal - December 1, 2008 Category: Journals (General) Authors: Winters-Moorhead C, Kooker BM Tags: Hawaii Med J Source Type: journals

The Pacific Island Health Care Project (PIHCP): experience with rheumatic heart disease (RHD) from 1998 to 2006.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Hawaii Medical Journal - December 1, 2008 Category: Journals (General) Authors: Abbas MI, Person DA Tags: Hawaii Med J Source Type: journals

The heart of medicine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19244705 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - December 1, 2008 Category: Journals (General) Authors: Omori JS Tags: Hawaii Med J Source Type: journals

Issues in medical malpractice XXX. Try to persuade the parents that surgery is in the best interests of the child, but operate if they insist on withholding consent.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19244706 [PubMed - in process] (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - December 1, 2008 Category: Journals (General) Authors: Tan SY Tags: Hawaii Med J Source Type: journals