Medical school hotline: A History of the University of Hawai'i Postgraduate Medical Education Program at Okinawa Chubu Hospital, 1966-2012.

The University of Hawai'i (UH) has been collaborating with Okinawa Prefectural Chubu Hospital for over 46 years. This collaboration started as a post-World War II effort to increase the physician workforce. At the initiation of the US Army and State Department, the University of Hawai'i was recruited, in cooperation with the government of the Ryukyus and USCAR, to initiate a US style postgraduate clinical training program.

Electrocardiographic changes in patients with type A acute aortic dissection. Incidence, patterns and underlying mechanisms in 159 cases.

Background: Not only symptoms but electrocardiographic (ECG) changes mimicking acute coronary syndrome as well have been known to develop in acute aortic dissection (AAD). However, detailed information is lacking.

Objective: We sought to evaluate incidence, patterns, and underlying mechanisms for acute ECG changes in type A AAD.

Effectiveness of diagnostic paracentesis and ascites analysis for suspected strangulation obstruction.

Strangulation obstruction is a surgical emergency, but its accurate diagnosis and timely surgical treatment are still matters of debate. We conducted a prospective observational study. We performed diagnostic paracentesis preoperatively for patients with suspected strangulation obstruction or, if that was impossible, we obtained ascites at the time of laparotomy.