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PubMedDate not supplied

Incidence of transient cerebral ischemic attack in Hawaii Japanese men. The Honolulu Heart Study.

At the Honolulu Heart Study 7,895 men of Japanese ancestry, 45--68 year-old, who were free of previous stroke at the baseline examination (1965--1968) were followed 6 years for the development of transient cerebral ischemic attacks (TIA). Fifty-one men developed probable or possible episodes. In multivariate analysis TIA was associated with preceding hypertension, cigarette smoking and coronary heart disease. It was less common in men who were facile with written Japanese language, in those who consumed alcohol, and in those who were physically active. During an average follow up of 3 years after these TIA events 2 strokes occurred, vs 0.7 expected. This prognosis is more favorable than that reported by other studies.

Aged↗
PubMed1975

Consultation with the filipino boarding home: an after-care facility in Hawaii.

This report describes a unique Hawaiian after-care facility the Filipino operated boarding home, and the approaches useful in consultation with the operators. The majority of the boarding homes for psychiatric patients are operated by recent Filipino immigrants. This fact is explained by their current social position and also by cultural values--such as aiding others and an extended family system--which are present in the Philippines. In consultation with seventeen such boarding home operators, cultural beliefs and values played a great part in their approach to patients. These approaches created special problems and assets in their management of patients from other ethnic groups such as Japanese, Caucasian and Hawaiian. A problem-oriented approach to consultation proved useful initially and set the stage for other forms of intervention. This included allowing the operator to ventilate her feelings about the patient; bridging the communication gap between operators and patients; dissipating the operators' stereotypic perception of patients; and educating the operators about mental illness. Our impressions and indirect evidence indicated that Filipino boarding home operators perform a useful service and, with consultation sensitive to their values, can become even more effective.

Aftercare↗
PubMed1977

Dental plaque and dietary intakes in schoolchildren in Hawaii.

Plaque formation on the teeth as measured by the number of teeth with a heavy plaque accumulation was found to be influenced by diet. Accumulation of plaque was enhanced by the frequent consumption of food items such as sweet rolls, sweet breads, manapua, and poi. All of these are characterized by their sucrose content and stickiness. However, fruit drinks were shown to have a retarding effect on plaque growth. The information on the amount of plaque had little relationship with the dental caries status of the subjects, whereas it was significantly associated with periodontal health.

Adhesiveness↗