Introduction: While the prevalence of HIV/AIDS is shown to be decreasing in the last few decades, it still remains a serious public health issue in Pacific countries. This study is aimed to review the common barriers ...Introduction: While the prevalence of HIV/AIDS is shown to be decreasing in the last few decades, it still remains a serious public health issue in Pacific countries. This study is aimed to review the common barriers and also preventive strategies for HIV/AIDS among Pacific Islanders. Methodology: This systematic review study on HIV/AIDS was developed based on the Cochrane Library Guideline. Seven online databases which were more frequently used in finding relevant studies were used to search literatures. Using relevant key words, all studies found in the search were reviewed by two independent reviewers and their quality and relevance were assessed. All previous qualitative and quantitative published articles included in the study were published from 2000 to 2016 and in the English language. A data extraction sheet was developed and a descriptive statistic was used to analyze the data. Results: Twenty-two studies met the study inclusion and exclusion criteria. Many of the studies were conducted in American Pacific countries (50%). Community-based studies were the most common type of studies (72.7%). In quantitative studies, the most common barriers were lack of accessibility to health services and lack of knowledge, while in the qualitative studies they were cultural barriers and access to health services. Educational trainings on sexual health topics were identified as the main preventive strategy. Conclusion: This study highlights the main barriers of HIV/AIDS among Pacific Islanders. It also provides a guide for decision makers to develop and implement new strategies which are sensitive and based on Pacific cultures and beliefs.展开更多
作为新西兰第三大少数族裔,太平洋岛民的经济地位较低,受教育程度较低,犯罪率较高,社会经济地位较为弱势。用劳务移民导致的种族主义为理论框架来分析新西兰太平洋岛民移民的历史,可发现太平洋岛民社会地位之低与其早期被新西兰政府粗...作为新西兰第三大少数族裔,太平洋岛民的经济地位较低,受教育程度较低,犯罪率较高,社会经济地位较为弱势。用劳务移民导致的种族主义为理论框架来分析新西兰太平洋岛民移民的历史,可发现太平洋岛民社会地位之低与其早期被新西兰政府粗暴对待关系密切。新西兰太平洋岛民移民史中重要却又鲜被研究的"拂晓攻击"(The Dawn Raids)案例,与新西兰善待移民的国际形象有所出入。事实证明,因排斥移民而带来的种族歧视是新西兰历史上无法抹去的一部分。展开更多
全面评价渔业资源开发利用状况能够为资源的合理利用提供依据,营养指标作为以生态系统为基础的渔业管理方法与模式在近年来广泛运用于渔业管理中,用于评估捕捞活动的影响。根据联合国粮农组织FAO提供的1950—2010年太平洋岛国的渔获生...全面评价渔业资源开发利用状况能够为资源的合理利用提供依据,营养指标作为以生态系统为基础的渔业管理方法与模式在近年来广泛运用于渔业管理中,用于评估捕捞活动的影响。根据联合国粮农组织FAO提供的1950—2010年太平洋岛国的渔获生产统计数据,结合Fishbase提供的相关鱼种营养级(Trophic level,TL)以及Sea Around Us Project数据库提供的无脊椎动物营养级,探讨了1950—2010年澳大利亚、新西兰、基里巴斯和斐济等四国的渔获物平均营养级(Mean trophic level,MTL)的变化情况,以此判定各国海洋渔业资源可持续利用情况。结果表明:澳大利亚资源状况较好,尽管其MTL在1950—1984年以0.09/10a的速度下降,但通过剔除TL低于3.25的物种,从而排除生物量受环境影响而波动较大的植食动物、腐生生物和食浮游生物动物对MTL造成的影响,观察TL大于3.25渔获物平均营养级(^(3.25)Mean trophic level,^(3.25)MTL)的变化情况,其^(3.25)MTL在1950—2010年呈波动上升趋势,说明MTL的下降是由低营养级鱼种产量的增加所引起的。新西兰海洋渔业资源遭到了一定程度的破坏,尽管其MTL自20世纪70年代中期开始大幅上升,并在1990—2010年处于高水平上稳定波动,未出现明显的下降趋势;但在不统计TL低于3.25的物种情况下,其^(3.25)MTL经过1977—1980年的加速上升以及1981—1998年的缓慢上升,在1999—2010年稳定下降并趋于平衡。从基里巴斯和斐济整个海域的营养指标变化情况来看,两国渔业资源状况较好,但将基里巴斯和斐济渔业分为外海渔业和沿岸渔业两类时,伴随产量的持续上升,两国的外海渔业MTL均未出现明显的降低,资源处于加速开发状态;而两国的沿岸渔业MTL在近年来均出现下降,资源被过度捕捞。为促使渔业的可持续发展,各国需加强对资源的动态监测与评估,以掌握捕捞活动下资源的变化情况。展开更多
Youth obesity has increased dramatically in the United States, disproportionally affecting Hawaiian populations. The primary research objective was to describe the influence of parent and friends on the dietary, physi...Youth obesity has increased dramatically in the United States, disproportionally affecting Hawaiian populations. The primary research objective was to describe the influence of parent and friends on the dietary, physical activity, and sedentary behaviors of Pacific Islander high school students. Data were collected from classrooms within a private high school on the Hawaiian island Oahu. Participants were Pacific Islander adolescents attending a high school in Hawaii. Participating adolescents completed a questionnaire, followed by a corresponding focus group;specifically reporting the social-level influences on their dietary and activity behaviors. Adolescents then interviewed their parent/guardian, asking questions relative to their perceived health-related influence. Participating adolescents (N = 60) were 53% female with a mean age of 16.93 (SD = 0.63), and their parents/guardians (N = 47) were 75% female with a mean age of 46.72 (SD = 5.11). Outcomes revealed parents/ guardians as the dominant influence on adolescents’ dietary behaviors, and time spent with parents was almost exclusively sedentary. In comparison, adolescents were more active with friends, but shared less healthy dietary habits. Results provide groundwork for similar examinations and culturally tailored interventions among similar adolescent populations.展开更多
AIM：To describe the demographic features and visual outcomes of patients presenting to photo-screening services, and treated for sight threatening retinopathy（STR） in a low resource setting, Fiji.METHODS：A retrosp...AIM：To describe the demographic features and visual outcomes of patients presenting to photo-screening services, and treated for sight threatening retinopathy（STR） in a low resource setting, Fiji.METHODS：A retrospective review of all new patients who presented for diabetic photo-screening at the Diabetic Eye Clinic, Suva in 2010. Fundus images were graded using standardised guidelines. Patient demographics, retinopathy grading and visual acuity data were extracted from the database and analyzed. Patients that received laser therapy and still attending follow up in 2012 were examined for disease progressionRESULTS：Totally 2236 patients were photo-screened, 87%（3870/4472） of images were gradable. STR was observed in 26%（988/3870） with advanced STR（proliferative retinopathy/severe maculopathy） in 10%（385/3870）. Of those with STR, 59% had BCVA ≥6/18, 31% with advanced STR were 〈6/60. Male gender [odds ratio（OR） 1.59; 1.20-2.12], history of hypertension（OR 1.36; 1.03-1.80） and peripheral neuropathy（OR 1.41; 1.01-1.95） were predictive of advanced STR. In 2012, 32%（315/988） attended follow up with 69% exhibiting advanced STR compared with 53% of the same cohort in 2010. Laser photocoagulation was administered to 212 eyes（212/3870, 5%） with retinopathy and maculopathy progression observed in 52% and 33% respectively. BCVA ≥6/18 was noted in 67%（143/212） of treated eyes. Improved glycaemic control（OR 46.52; 1.50-1441.90） amongst those with advanced STR was predictive of eyes that maintained good vision.CONCLUSION：In Fiji, a quarter of new patients presenting to photo-screening have STR with a third of those with advanced STR having already loss vision. Improved glycaemic control and timely treatment of patients with sight threatening complications is important in halting disease progression.展开更多
文摘Introduction: While the prevalence of HIV/AIDS is shown to be decreasing in the last few decades, it still remains a serious public health issue in Pacific countries. This study is aimed to review the common barriers and also preventive strategies for HIV/AIDS among Pacific Islanders. Methodology: This systematic review study on HIV/AIDS was developed based on the Cochrane Library Guideline. Seven online databases which were more frequently used in finding relevant studies were used to search literatures. Using relevant key words, all studies found in the search were reviewed by two independent reviewers and their quality and relevance were assessed. All previous qualitative and quantitative published articles included in the study were published from 2000 to 2016 and in the English language. A data extraction sheet was developed and a descriptive statistic was used to analyze the data. Results: Twenty-two studies met the study inclusion and exclusion criteria. Many of the studies were conducted in American Pacific countries (50%). Community-based studies were the most common type of studies (72.7%). In quantitative studies, the most common barriers were lack of accessibility to health services and lack of knowledge, while in the qualitative studies they were cultural barriers and access to health services. Educational trainings on sexual health topics were identified as the main preventive strategy. Conclusion: This study highlights the main barriers of HIV/AIDS among Pacific Islanders. It also provides a guide for decision makers to develop and implement new strategies which are sensitive and based on Pacific cultures and beliefs.
文摘作为新西兰第三大少数族裔,太平洋岛民的经济地位较低,受教育程度较低,犯罪率较高,社会经济地位较为弱势。用劳务移民导致的种族主义为理论框架来分析新西兰太平洋岛民移民的历史,可发现太平洋岛民社会地位之低与其早期被新西兰政府粗暴对待关系密切。新西兰太平洋岛民移民史中重要却又鲜被研究的"拂晓攻击"(The Dawn Raids)案例,与新西兰善待移民的国际形象有所出入。事实证明,因排斥移民而带来的种族歧视是新西兰历史上无法抹去的一部分。
文摘全面评价渔业资源开发利用状况能够为资源的合理利用提供依据,营养指标作为以生态系统为基础的渔业管理方法与模式在近年来广泛运用于渔业管理中,用于评估捕捞活动的影响。根据联合国粮农组织FAO提供的1950—2010年太平洋岛国的渔获生产统计数据,结合Fishbase提供的相关鱼种营养级(Trophic level,TL)以及Sea Around Us Project数据库提供的无脊椎动物营养级,探讨了1950—2010年澳大利亚、新西兰、基里巴斯和斐济等四国的渔获物平均营养级(Mean trophic level,MTL)的变化情况,以此判定各国海洋渔业资源可持续利用情况。结果表明:澳大利亚资源状况较好,尽管其MTL在1950—1984年以0.09/10a的速度下降,但通过剔除TL低于3.25的物种,从而排除生物量受环境影响而波动较大的植食动物、腐生生物和食浮游生物动物对MTL造成的影响,观察TL大于3.25渔获物平均营养级(^(3.25)Mean trophic level,^(3.25)MTL)的变化情况,其^(3.25)MTL在1950—2010年呈波动上升趋势,说明MTL的下降是由低营养级鱼种产量的增加所引起的。新西兰海洋渔业资源遭到了一定程度的破坏,尽管其MTL自20世纪70年代中期开始大幅上升,并在1990—2010年处于高水平上稳定波动,未出现明显的下降趋势;但在不统计TL低于3.25的物种情况下,其^(3.25)MTL经过1977—1980年的加速上升以及1981—1998年的缓慢上升,在1999—2010年稳定下降并趋于平衡。从基里巴斯和斐济整个海域的营养指标变化情况来看,两国渔业资源状况较好,但将基里巴斯和斐济渔业分为外海渔业和沿岸渔业两类时,伴随产量的持续上升,两国的外海渔业MTL均未出现明显的降低,资源处于加速开发状态;而两国的沿岸渔业MTL在近年来均出现下降,资源被过度捕捞。为促使渔业的可持续发展,各国需加强对资源的动态监测与评估,以掌握捕捞活动下资源的变化情况。
文摘Youth obesity has increased dramatically in the United States, disproportionally affecting Hawaiian populations. The primary research objective was to describe the influence of parent and friends on the dietary, physical activity, and sedentary behaviors of Pacific Islander high school students. Data were collected from classrooms within a private high school on the Hawaiian island Oahu. Participants were Pacific Islander adolescents attending a high school in Hawaii. Participating adolescents completed a questionnaire, followed by a corresponding focus group;specifically reporting the social-level influences on their dietary and activity behaviors. Adolescents then interviewed their parent/guardian, asking questions relative to their perceived health-related influence. Participating adolescents (N = 60) were 53% female with a mean age of 16.93 (SD = 0.63), and their parents/guardians (N = 47) were 75% female with a mean age of 46.72 (SD = 5.11). Outcomes revealed parents/ guardians as the dominant influence on adolescents’ dietary behaviors, and time spent with parents was almost exclusively sedentary. In comparison, adolescents were more active with friends, but shared less healthy dietary habits. Results provide groundwork for similar examinations and culturally tailored interventions among similar adolescent populations.
文摘AIM：To describe the demographic features and visual outcomes of patients presenting to photo-screening services, and treated for sight threatening retinopathy（STR） in a low resource setting, Fiji.METHODS：A retrospective review of all new patients who presented for diabetic photo-screening at the Diabetic Eye Clinic, Suva in 2010. Fundus images were graded using standardised guidelines. Patient demographics, retinopathy grading and visual acuity data were extracted from the database and analyzed. Patients that received laser therapy and still attending follow up in 2012 were examined for disease progressionRESULTS：Totally 2236 patients were photo-screened, 87%（3870/4472） of images were gradable. STR was observed in 26%（988/3870） with advanced STR（proliferative retinopathy/severe maculopathy） in 10%（385/3870）. Of those with STR, 59% had BCVA ≥6/18, 31% with advanced STR were 〈6/60. Male gender [odds ratio（OR） 1.59; 1.20-2.12], history of hypertension（OR 1.36; 1.03-1.80） and peripheral neuropathy（OR 1.41; 1.01-1.95） were predictive of advanced STR. In 2012, 32%（315/988） attended follow up with 69% exhibiting advanced STR compared with 53% of the same cohort in 2010. Laser photocoagulation was administered to 212 eyes（212/3870, 5%） with retinopathy and maculopathy progression observed in 52% and 33% respectively. BCVA ≥6/18 was noted in 67%（143/212） of treated eyes. Improved glycaemic control（OR 46.52; 1.50-1441.90） amongst those with advanced STR was predictive of eyes that maintained good vision.CONCLUSION：In Fiji, a quarter of new patients presenting to photo-screening have STR with a third of those with advanced STR having already loss vision. Improved glycaemic control and timely treatment of patients with sight threatening complications is important in halting disease progression.
