Murphysauer3826

Increasing evidence indicates that youth leadership programs that hold youth as key stakeholders are successful for suicide prevention. This project served to evaluate a train-the-trainer program for youth and their supportive adults. Hawaii's Caring Communities Initiative for Youth Suicide Prevention developed and practiced a youth leadership model to promote individual and community well-being and to decrease suicide risks. In collaboration with multiple community partners and the Hawai'i State Department of Health, Hawaii's Caring Communities Initiative brought together 57 youth and 17 supportive adults from around the state for the 2019 Prevent Suicide Hawai'i Conference Hope, Help, and Healing, a 2-day, train-the-trainer workshop, consisting of games and activities centered towards education of suicide prevention methods, in early April 2019. Of the participants attending the workshop, 44 youth and 12 supportive adults completed surveys measuring knowledge about suicide prevention and local resources, and comfort level in delivering the programs. Open-ended questions were also used to assess whether key messages were conveyed. Quantitative analyses indicated the lessons helped the participants retain the information better and increased their comfort with the material. The power of youth voice was a common theme in the qualitative data, exemplified by the statement "We can actually make a difference in our school and community." Findings suggest that youth engagement is an important factor in preventing suicide. Interventions centered on strength-based models of youth leadership may promote healing and enhance prevention strategies to address persistent suicide disparities in minority communities by promoting their voices in the community.Cat scratch disease is known to be a generally benign, self-resolving illness associated with non-specific symptoms, including lymphadenopathy, fever, fatigue, anorexia, and headaches. However, it can also cause disseminated disease with a wide range of manifestations, including liver and spleen microabscesses, osteomyelitis, encephalitis, and uveitis. Eighteen pediatric cases of disseminated cat scratch disease at a single center in Hawai'i are described. This case series emphasizes the importance of disease recognition and use of appropriate diagnostic tools and disease management. The disease burden of pediatric patients with disseminated cat scratch disease in the state of Hawai'i has a high incidence and should be considered in pediatric patients with prolonged febrile illnesses.The current state of pediatric research in Hawai'i was analyzed using bibliometric methods. The Web of Science bibliometric database was used to retrieve 989 Hawai'i records, which were compared with 264 064 records from the United States (US). Hawai'i was compared to the country as a whole in terms of total output of research, article types, top journals, co-authorship, and subject areas. The research was also analyzed in 2 time periods, 1980-1999 and 2000-2019. It was found that the total Hawai'i pediatric research output has not kept pace with the US output. However, it was found that Hawai'i had a greater share of Asia-Pacific co-authorship. Subspecialty areas of study also differed between Hawai'i and the US, and have changed over time from a predominance of infectious diseases and immunology research to a focus on emergency medicine and orthopedics. Neonatology research has increased locally as it has nationally. Hawai'i authors tend to publish a greater percentage of full-length original research articles in the top pediatric journals compared to US authors as a whole. The set of institutions publishing pediatric research in Hawai'i has diversified over time. This analysis of the pediatric research in Hawai'i can be used by researchers, funders, and policy makers to direct future research efforts to improve the health of children in Hawai'i.Psychological distress leading to burnout is an important issue during medical school. While studies have researched interventions in the pre-clerkship years, very few have targeted the clerkship years. To improve the wellness of third year medical students, the following interventions were implemented (1) prompted students to identify two wellness goals in the areas of personal and physical well-being and (2) encouraged students to participate in meditation and chair yoga sessions during their pediatrics clerkship. Students completed pre- and post-clerkship wellness surveys. The interventions led to a small but significant improvement in the wellness of students, particularly in mental, physical, emotional, social, and spiritual well-being.Further expansion of a wellness curriculum to all clerkships during the entire third and fourth years may result in reduced burnout and sustained improvements in wellness during post graduate training and practice.One in 6 US children experience food insecurity, signifying that at some time during the last year their household did not have sufficient food, money, or resources to feed their family. These children experience little intake of fresh fruits and vegetables (FV), a risk factor for chronic disease, including obesity. Produce prescription programs provide vouchers to purchase fresh FV at participating retailers. The Keiki Produce Prescription (KPRx) Program feasibility study was conducted through a partnership between the Waianae Coast Comprehensive Health Center's Pediatrics and Health Promotion Department's Farmers'Market and the University of Hawai'i nutrition faculty. PKC inhibitor Pediatricians provided patients with a prescription (Rx) to purchase FV from the Farmers' Market ($24 per month for three months). Of the 193 Rx distributed, 125 patients participated in part of the program, while 34 completed the full program. Parents, pediatricians, clinic staff, and community members expressed overwhelming support of the program. Parents of participating children completed an exit interview that identified themes surrounding motivation to participate, benefits to child and family, and future recommendations. It identified the need to improve program retention efforts. Participants reported lifestyle benefits for both the child and family and recommended educational resources. Aresearch protocol was developed to address the following objectives (1) streamline referrals, (2) enhance retention, (3) quantify program impact, and (4) identify barriers to participation. Subsidies have the potential to increase FV consumption, improve overall health, reduce chronic diseases in adulthood, and result in substantial healthcare cost savings.