The health and wellbeing of the Pacific indigenous peoples
Hawaii Med J. 2011 Nov;70(11 Suppl 2):3.NO ABSTRACTPMID:22235149 | PMC:PMC3254228 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Neal Palafox Source Type: research
Health care for Micronesians and constitutional rights
Hawaii Med J. 2011 Nov;70(11 Suppl 2):4-8.ABSTRACTUnder the Compacts of Free Association (COFA), people from the Freely Associated States--the Republic of Palau (ROP), the Republic of the Marshall Islands (RMI), and the Federated States of Micronesia (FSM)--have been migrating to the United States in increasing numbers. In 1996, Congress passed broad welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act) which limited certain federal benefits previously available to COFA migrants, including Medicaid benefits. Prior to July 2010, the State of Hawai'i had continued to include COFA migrants under its...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Dina Shek Seiji Yamada Source Type: research
Social determinants of health for Native Hawaiian children and adolescents
CONCLUSIONS: The significant barriers facing Native Hawaiian children and adolescents achieving their full potential constitute a challenge to the fulfillment of the human right to health. Future research needs to more fully articulate the linkage between the health status of Native Hawaiian children and adolescents, the determinants of that status, and the requirements of the human right to health. Needed particularly are longitudinal studies which provide data that may link multigenerational trauma and discrimination to poverty and other factors, ultimately producing healthy inequity for Native Hawaiian children and adol...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: David M K I Liu Christian K Alameda Source Type: research
An innovative approach to developing a cultural competency curriculum; efforts at the John A. Burns School of Medicine, Department of Native Hawaiian Health
DISCUSSION: As cultural competency training is a relatively new, rapidly developing field, there is no consensus on how to teach it. The department decided early on to focus on a variety of methodologies using Native Hawaiian health as the curriculum's foundation. Many different paths were taken toward the development of the present curriculum which utilized different components within the medical school's curriculum. This paper describes the process and development of a cultural competency training curriculum at the University of Hawai'i medical school. Recent literature recommendations by experts in the field reinforce t...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Dee-Ann L Carpenter Martina L Kamaka C Malina Kaulukukui Source Type: research
Recommendations for medical training: a Native Hawaiian patient perspective
DISCUSSION: The emphasis participants placed on the need for cultural competency training of physicians supports the need to address the role of culture in medical education. Although most of the issues raised are not unique to Hawai'i, participants' recommendations to teach students about the host culture and traditional healing practices identify important themes not usually found in medical school curricula.PMID:22235153 | PMC:PMC3254220 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Martina L Kamaka Diane S L Paloma Gregory G Maskarinec Source Type: research
Imi Ho'ola program: producing primary care physicians for Hawai'i and the Pacific
CONCLUSIONS: The majority of IHP alumni are currently serving as primary care physicians. Selection criteria, educational curriculum, and experiential nature of the program may contribute to Imi Ho'ala's success in producing primary care physicians.PMID:22235154 | PMC:PMC3254222 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Chessa C DeCambra Winona K Lee Source Type: research
Palliative care and traditional practices of death and dying in Wa'ab (Yap Proper) and in the Outer Islands of Yap
DISCUSSION: Although caution must be exercised not to undermine the existing system, six recommendations on how the health system can intervene can be identified. These involve identifying a key resource person on each island; supplying small, practical "comfort care" kits; making more pain medication available; conducting regular home visits; improving patient-physician and physician-family communication; designing a suicide intervention strategy; and documenting existing variations of how the dying are cared for on the other Outer Islands of Yap.PMID:22235155 | PMC:PMC3254221 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Gregory G Maskarinec Kelly Yalmadau Maryann R Maluchmai Petra Tun Cyril Yinnifel W Thane Hancock Source Type: research
Local food policies can help promote local foods and improve health: a case study from the Federated States of Micronesia
Hawaii Med J. 2011 Nov;70(11 Suppl 2):31-4.ABSTRACTThe Federated States of Micronesia (FSM) and other countries throughout the Pacific are facing an epidemic of non-communicable disease health problems. These are directly related to the increased consumption of unhealthy imported processed foods, the neglect of traditional food systems, and lifestyle changes, including decreased physical activity. The FSM faces the double burden of malnutrition with both non-communicable diseases and micronutrient deficiencies, including vitamin A deficiency and anemia. To help increase the use of traditional island foods and improve healt...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Lois Englberger Adelino Lorens Moses Pretrick Mona J Tara Emihner Johnson Source Type: research
Needs and experiences of Samoan breast cancer survivors in Southern California
CONCLUSIONS: Our findings underscore the need for culturally-specific social support services for Samoans, as well as the necessity of community-based participatory research to define and explore social support and other survivorship needs in this understudied population. Recommendations from the community report-back, stressed the importance of expanding community Samoan cancer social support groups through collaborations with Samoan leaders and churches.PMID:22235157 | PMC:PMC3254226 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Sora Park Tanjasiri Sala Mata'alii Marion Hanneman Melanie D Sabado Source Type: research
Cancer mortality following polychlorinated biphenyl (PCB) contamination of a Guam village
CONCLUSION: While it is not possible to conclude with certainty that PCB contamination of the Cocos Lagoon was responsible for the observed increase in the proportion of cancer deaths in Merizo village beginning during the 10-year period 1978-1987, that increase and the subsequent decrease as PCB levels also decreased presents the possibility that these trends may be related.PMID:22235158 | PMC:PMC3254225 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Robert L Haddock Grazyna Badowski Renata Bordallo Source Type: research
Higher percent body fat in young women with lower physical activity level and greater proportion Pacific Islander ancestry
Hawaii Med J. 2011 Nov;70(11 Suppl 2):43-6.ABSTRACTSamoan women exhibit high rates of obesity, which can possibly be attenuated through diet and physical activity. Obesity, and body fatness in particular, is associated with increased risk for chronic diseases. Ancestry, physical activity, and dietary patterns have been associated with body composition. Using a cross-sectional design, the relative importance of proportion of Pacific Islander (PI) ancestry, level of physical activity, and macronutrients among healthy women in Honolulu, Hawai'i, ages 18 to 28 years was examined. All data were collected between January 2003 an...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Nate Black Vanessa Nabokov Vinutha Vijayadeva Rachel Novotny Source Type: research
An assessment of the Pacific Regional Cancer Coalition: outcomes and implications of a regional coalition internal and external assessment
CONCLUSIONS: PRCC members and external partners are satisfied with their partnerships. All groups should continue to focus on building collaboration with partners to reflect a truly regional approach to sustain the commitment, the coalitions and the programming to reduce cancer in the USAPI. PRCC and partners should also work together to integrate all chronic disease prevention and control efforts in the Pacific.PMID:22235160 | PMC:PMC3254227 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Angela U Sy Karen A Heckert Lee Buenconsejo-Lum Johnny Hedson Suresh Tamang Neal Palafox Source Type: research
UH Cancer Center Hotline: the training and education program of the University of Guam/University of Hawai'i Cancer Center Partnership
Hawaii Med J. 2011 Nov;70(11 Suppl 2):54-5.NO ABSTRACTPMID:22235161 | PMC:PMC3254219 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Hali R Robinett Todd Ames John A Peterson Helen Jd Whippy Carl-Wilhelm Vogel Source Type: research
The health and wellbeing of the Pacific indigenous peoples
Hawaii Med J. 2011 Nov;70(11 Suppl 2):3.NO ABSTRACTPMID:22235149 | PMC:PMC3254228 (Source: Hawaii Medical Journal)
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Neal Palafox Source Type: research
Health care for Micronesians and constitutional rights
Hawaii Med J. 2011 Nov;70(11 Suppl 2):4-8.ABSTRACTUnder the Compacts of Free Association (COFA), people from the Freely Associated States--the Republic of Palau (ROP), the Republic of the Marshall Islands (RMI), and the Federated States of Micronesia (FSM)--have been migrating to the United States in increasing numbers. In 1996, Congress passed broad welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act) which limited certain federal benefits previously available to COFA migrants, including Medicaid benefits. Prior to July 2010, the State of Hawai'i had continued to include COFA migrants under its...
Source: Hawaii Medical Journal - January 12, 2012 Category: General Medicine Authors: Dina Shek Seiji Yamada Source Type: research
