Search Results (384)

Background: Cardiac arrest remains a significant public health challenge with variable mortality trends across different demographics and regions, affecting healthcare planning and intervention strategies. We conducted this study to analyze cardiac arrest-related mortality trends from 1999 to 2023 and predict future trends up to 2035. Methods: This study analyzed data from 1999 to 2023, focusing on cardiac arrest as the primary cause of death (ICD-10: I46). Age-adjusted mortality rates (AAMRs) were standardized according to the 2000 U.S. Census. Joinpoint regression was utilized to calculate annual percentage change (APC), and an ARIMA model with Python 3.10 was used for mortality predictions. Results: A total of 365,608 cardiac arrest-related deaths were recorded in the USA from 1999 to 2023. There was a sharp decline in mortality rate until 2001 (APC: −10.35, p < 0.05), followed by a slowed decline until 2013 (APC: −2.91, p < 0.05), and then a gradual uptrend. Males exhibited a higher AAMR (5.8, 95% CI: 5.8–5.9) compared to females (4.2, 95% CI: 4.1–4.2). African Americans had the highest AAMR (8.9, 95% CI: 8.9–9), followed by Caucasians (4.8, 95% CI: 4.8–4.9) and American Indians (3.5, 95% CI: 3.3–3.7). The South region of the US had the highest AAMR, followed by the Northeast, Midwest, and West. Alabama exhibited the highest AAMR, followed by Nevada and Hawaii. Predictive analysis suggests a potential stable slow downtrend in mortality rates by 2035 (AAMR: 4.28, 95% CI: −1.8–10.4). Conclusions: The observed trends and future predictions underscore the importance of targeted public health interventions and healthcare planning to address cardiac arrest mortality. Full article

The genus Xanthomonas (family Xanthomonadaceae) comprises 39 validly published species and is associated with a broad host range, infecting hundreds of monocot and dicot plants worldwide. While many Xanthomonas species are notorious for causing leaf spot and blight diseases in major agricultural crops, less attention has been given to their impact on ornamental plants. In Hawaii and other key production regions, xanthomonads have posed persistent threats to popular ornamentals in the Araceae and Araliaceae families. This review synthesizes the evolving phylogenetic and taxonomic framework of Xanthomonas strains isolated from Araceae and Araliaceae, highlighting recent advances enabled by multilocus sequence analysis and whole genome sequencing. We discuss the reclassification of key pathovars, unresolved phylogenetic placements, and the challenges of pathovar delineation within these plant families. Additionally, we examine current knowledge of molecular determinants of pathogenicity, including gene clusters involved in exopolysaccharide and lipopolysaccharide biosynthesis, flagellar assembly, cell-wall-degrading enzymes, and secretion systems (types II, III, and VI). Comparative genomics and functional studies reveal that significant gaps remain in our understanding of the genetic basis of host adaptation and virulence in these xanthomonads. Addressing these knowledge gaps will be crucial for developing effective diagnostics and management strategies for bacterial diseases in ornamental crops. Full article

Aprostocetus nitens Prinsloo & Kelly (Hymenoptera: Eulophidae) was identified as one of four hymenopteran ectoparasitoids utilizing three erythrina gall wasps, Quadrastichus bardus, Q. erythrinae, and Q. gallicola) (Hymenoptera: Eulophidae) in the native eastern Africa. In Hawaiʻi, the eurytomid wasp, Eurytoma erythrinae Gates & Delvare (Hymenoptera: Eurytomidae), was introduced and approved for statewide release in 2008 to control the erythrina gall wasp (EGW) Q. erythrinae Kim. EGW has devastated the wiliwili trees, Erythrina sandwicensis Degener (Fabaceae), an ecologically and culturally important native Hawaiian tree species. However, the parasitoid’s impact on the galled inflorescences and shoots was not adequate to ensure adequate seed set and maturation for successful tree recruitment. Aprostocetus nitens was thus evaluated as a prospective natural enemy to enhance the biological control of EGW to further protect the wiliwili trees in Hawaiʻi. Both choice and no-choice host specificity tests were conducted on seven non-target gall formers in the Hawaii Department of Agriculture, Insect Containment Facility, and showed that the parasitoid was extremely specific to EGW. The potential for competition between this parasitoid and the established E. erythrinae was also investigated, showing that the release of a second parasitoid will potentially complement the success of the eurytomid wasp for control of EGW. Unlike what was found in the native region, the Hawaiian laboratory colony is thelytokous, producing only female offspring. The life cycle took 20.1 ± 0.28 days under the laboratory conditions. Non-ovipositing female survived for 102.5 ± 2.9 days when fed honey and laid eggs for 25.1 ± 2.3 days with average fecundity of 156.7 ± 22.3 offspring/female. This value is 3.9-fold higher than offspring produced by E. erythrinae. Aprostocetus nitens, host specificity, competition with E. erythrinae, and its tri-trophic association with 15 Erythrina host plants and 5 gall wasp assemblages in the native African regions were defined. Implications to reduce frequent galls on the native Erythrina plants and likely domination over E. erythrinae, are discussed. Full article

Due to the ongoing global spread of the small hive beetle (SHB), Aethina tumida, there is a significant need for detection and practical management strategies against this pest. The standard inspection strategies for SHBs involve (1) detailed visual examination of the colony, which is challenging in areas with defensive bees, or (2) sampling beetles via traps, which requires repeated visits to the apiary and can be difficult for beekeepers with apiaries in rural areas. In this study, we modified the inspection sequence to examine the in-hive distribution of the beetle and assess whether a limited, yet targeted, inspection could provide valuable information on beetle infestation. We conducted our modified sampling in three different countries: Hawai’i (USA), Mexico, and Costa Rica. We found that targeted screening of the top areas of the hive (cover and top-side frames) provided reliable information about the relative prevalence of SHBs in a colony. The results also suggested that SHBs do not naturally congregate on a bare bottom board but migrate downward during inspection. Trap placement on the bottom floor of the hive may underestimate beetle presence in low to medium pest levels. The proposed inspection protocol is not influenced by the genetic origin of the bees (Africanized or European) and could be a practical alternative for assessing SHB infestation levels in honeybee colonies. Full article

The transition to 100% renewable energy systems is critical for achieving global sustainability and reducing dependence on fossil fuels. Island power systems, due to their geographical isolation, limited interconnectivity, and reliance on imported fuels, face unique challenges in this transition. These systems’ vulnerability to supply–demand imbalances, voltage instability, and frequency deviations necessitates tailored strategies for achieving grid stability. This study conducts a systematic review of the technical and operational challenges associated with transitioning island energy systems to fully renewable generation, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. Out of 991 identified studies, 81 high-quality articles were selected, focusing on key aspects such as grid stability, energy storage technologies, and advanced control strategies. The review highlights the importance of energy storage solutions like battery energy storage systems, hydrogen storage, pumped hydro storage, and flywheels in enhancing grid resilience and supporting frequency and voltage regulation. Advanced control strategies, including grid-forming and grid-following inverters, as well as digital twins and predictive analytics, emerged as effective in maintaining grid efficiency. Real-world case studies from islands such as El Hierro, Hawai’i, and Nusa Penida illustrate successful strategies and best practices, emphasizing the role of supportive policies and community engagement. While the findings demonstrate that fully renewable island systems are technically and economically feasible, challenges remain, including regulatory, financial, and policy barriers. Full article

We investigated the host status of harvest-ready green lemons, Citrus × limon (L.) Burm. F. cv. Lisbon (Rutaceae), to Oriental fruit fly (Bactrocera dorsalis), Mediterranean fruit fly (Ceratitis capitata), and melon fly (Zeugodacus cucurbitae) (Diptera: Tephritidae) in Hawaii using laboratory and field studies. In forced-infestation small-cage exposures (using 25 × 25 × 25 cm screened cages with 50 gravid females), punctured lemons were infested by Oriental fruit fly, Mediterranean fruit fly, and melon fly, whereas undamaged lemons were not infested. Field collection, packing, and incubation of approximately 58,420 mixed-grade fruit (commercial export quality and off grades) found no natural infestations and resulted in no fruit fly emergence. Field studies enclosing fruit on trees in sleeve cages that were stocked with 50 gravid females per cage resulted in no infestations. Commercial export-grade green Lisbon lemon fruit should, therefore, be considered a non-host for Oriental fruit fly, Mediterranean fruit fly, and melon fly. Full article

Bagrada hilaris is an invasive stink bug causing important yield losses in Brassica crops. It originates from India, Southeast Asia, the Middle East and South Africa and is reported as invasive in several southwestern US states, Hawaii, Mexico, Chile and in the Mediterranean islands of Malta and Pantelleria (Italy). In this study, we tested the effects of gamma rays on the longevity, fecundity and fertility of bagrada bugs. We irradiated them at two different stages of their life cycle (fifth-instar nymphs and two-week-old adults). Irradiation at the nymphal stage had a strong impact on female fecundity, with egg numbers approaching zero at a dose of 80 Gy. Similarly, a full suppression of female fertility was achieved at 80 Gy when they were mated with males irradiated as nymphs or as mature adults. For longevity, gamma rays had only a slight impact on adult male and female life span. Due to the evidence of a gregarious phase during the autumn, these results suggest that small-scale SIT-localized applications by massive collections of bagrada bugs at various stages of development during autumn, followed by irradiation and reintroduction to the field, might be a safe and economically sound approach of control. Research is currently underway to evaluate the fitness of sterile males and mating patterns. Further studies in confined-field conditions will be needed. Full article

Viewing high-redshift sources at near-opposite directions on the sky can ensure, using light-travel-time arguments, acausality between their emitted photons. One utility would be true random-number generation through sensing these via two independent telescopes that each flip a switch based on the latest-arrived colours; for example, to autonomously control a quantum-mechanical (QM) experiment. Although demonstrated with distant quasars, those were not fully acausal pairs, which are restricted when simultaneously viewed from the ground at any single observatory. In optical light, such faint sources also require a large telescope aperture to avoid sampling assumptions when imaged at fast camera framerates: unsensed intrinsic correlations between them or equivalently correlated noise may ruin the expectation of pure randomness. One such case that could spoil a QM test is considered. Based on that, the allowed geometries and instrumental limits are modelled for any two ground-based sites, and their data are simulated. For comparison, an analysis of photometry from the Gemini twin 8 m telescopes is presented using the archival data of well-separated bright stars obtained with the instruments ‘Alopeke (on Gemini North in Hawai’i) and Zorro (on Gemini-South in Chile) simultaneously in two bands (centred at $562\mathrm{nm}$ and $832\mathrm{nm}$) with 17 Hz framerate. No flux correlation is found; these results were used to calibrate an analytic model predicting where a search with a signal-to-noise over 50 at 50 Hz can be made using the same instrumentation. Finally, the software PDQ (Predict Different Quasars) is presented, which searches a large catalogue of known quasars, reporting those with a brightness and visibility suitable to verify acausal, uncorrelated photons at these limits. Full article

Bagrada hilaris (known as painted bug) is a pest native to India, Southeast Asia, and middle and central Africa and was reported as invasive in the southwestern USA, Hawaii, Mexico, South America, and two Mediterranean islands. The feeding activity results in extensive damage to economically important Brassicaceae crops. Among sustainable alternatives to synthetic pesticides, the Sterile Insect Technique (SIT) is considered a promising strategy because it relies on the release of competitive sterile males that can reduce the pest reproduction. In this study, the efficacy of different doses of gamma irradiation (60, 80, and 100 Gy) was evaluated to identify the treatment that would ensure high sterility without compromising the competitiveness of the treated males. Observational tests showed that the doses of 60 Gy and 80 Gy showed no difference in mating times compared to non-irradiated males, in contrast to 100 Gy. Thus, 80 Gy was identified as the most promising dose. For further investigation, tests were conducted under choice and no-choice conditions at 80 Gy for three days. The results showed that irradiated males had a comprehensive higher mating rate than non-irradiated males, and under choice conditions, they were often preferred by females, confirming that SIT has potential as an environment-friendly method for controlling B. hilaris. Full article

With the large-scale adoption of photovoltaic (PV) systems as a renewable energy source, accurate long-term forecasting benefits both utilities and customers. However, developing forecasting models is challenging due to the need for high-quality training data at fine time intervals, such as 15 and 30 min resolutions. While sensors can track necessary data, careful analysis is required, particularly for PV systems, due to weather-induced variability. Well-developed forecasting models could optimize resource scheduling, reduce costs, and support grid stability. This study demonstrates the feasibility of a day-ahead net load forecasting model for a mixed-use office building. The model was developed using multi-year campus load and PV data from the University of Hawaii at Manoa. Preprocessing techniques were applied to clean and separate the data, followed by developing two decoupled models to forecast gross load demand and PV production. A weighted-average function was then incorporated to refine the final prediction. The results show that the model effectively captures day-ahead net load trends across different load shapes and weather conditions. Full article

Mid-day maximum soil temperatures were measured at 10 study plots during different hot summer days in Haleakalā Crater, Maui, with thermocouple thermometers on five adjacent microsite types: bare surface soils, soils under black tephra, soils under reddish tephra, soils shaded by silverswords, and soils under plant litter. The main tephra morphologies and geomorphic environments, as well as their geoecological association with silversword rosettes (Argyroxiphium sandwicense), were also assessed; silversword density was substantially greater on reddish tephra-covered areas than under black tephra fragments. Silversword seeds are extremely sensitive to high temperatures and fail to germinate after a short exposure to soil temperatures ≥35 °C. Thermal data sets were statistically compared with parallel box plots; the ability of various microsites to provide safe sites for silversword growth was also assessed. Bare soils and black tephra reached the highest median temperatures, up to 48.7 °C and 40.3 °C, respectively; reddish tephra remained much cooler, with all median temperatures ≤30.8 °C. Rosette-shaded soils and soils under silversword litter were the coolest, with temperatures below 18.7 °C and 18.5 °C, respectively. Temperatures in all microsites, except those under black tephra, were significantly lower (p < 0.0001) than on contiguous bare ground. It was concluded that reddish tephra provides the ideal conditions for silversword regeneration. Full article

Indigenous women experience disproportionately higher rates of adverse health outcomes. Few studies have explored the root of these problems or defined health and wellness from the perspectives of Indigenous women. Our objective was to elicit views on Indigenous women’s health from women who are Indigenous and/or have experience working with Indigenous communities across Turtle Island and Hawai‘i (e.g., United States). Informed by intersectionality as a social critical theory, we convened a workshop to engage in a co-creative consensus-building and expert decision process using design thinking. The two-day workshop embraced Indigenous values of land, sacred spaces, genealogy, family, rituals, and culture. Participants included United States-based Native and Indigenous women (n = 16) and allies (n = 7). Participants focused on answering key questions such as “What are priority areas for Indigenous women’s health”? and “What are the key facilitators and barriers to improving Indigenous women’s health”? Co-created priority lists for each of these topics were generated. Participants overwhelmingly reported satisfaction with the workshop process and emphasis on a strength-based, culturally driven approach to share their stories, which contextualized the ideas, concerns, and priorities of Indigenous women who self-reflected on their own health and wellness. Creating culturally safe spaces for Indigenous people to reflect on their own hopes for the future relates to the theme by describing a process to bridge traditional healing with modern-day practices to build pilina. Full article

This paper explores the intersection of tourism and environmental theories, highlighting how sustainability serves as a critical bridge between the two disciplines. Tourism theories such as Butler’s Tourism Area Life Cycle (TALC) and the Theory of Planned Behavior (TPB) provide insights into destination development and tourist behavior but often lack an ecological perspective. The environmental framework, including Ecological Modernization Theory (EMT) and Common-Pool Resource (CPR) Theory, emphasizes sustainable resource management and the interconnectedness of human activities and natural systems. This paper examines common concepts such as carrying capacity, sustainable development, and behavioral insights while also identifying tensions between economic growth and environmental preservation. Case studies from Costa Rica, Hawaii, and Thailand illustrate practical applications of these theories in real-world settings, revealing how tourism can be both a threat and a tool for conservation. My paper concludes that integrating environmental impact assessment (EIA) and community-based tourism (CBT) models into tourism planning can lead to better long-term resource management. It recommends the adoption of stricter regulations on tourism development in fragile ecosystems, the implementation of eco-certifications, and the promotion of locally governed tourism initiatives. These strategies will ensure the sustainability of both tourism activities and the ecosystems on which they depend. Full article

The reliance on fossil fuels for electricity production in insular regions creates critical environmental, economic, and logistical challenges, particularly for ecologically fragile islands. Transitioning to renewable energy is essential to mitigate these impacts, enhance energy security, and preserve unique ecosystems. This systematic review addresses key research questions: what practical strategies have proven effective in reducing fossil fuel dependency in island contexts, and what barriers hinder their widespread adoption? By applying the PRISMA methodology, this study examines a decade (2014–2024) of research on renewable energy systems, highlighting successful initiatives such as the integration of solar and wind systems in Hawaii, energy storage advancements in La Graciosa, hybrid renewable grids in the Galápagos Islands, and others. Specific barriers include high upfront costs, regulatory challenges, and technical limitations, such as grid instability due to renewable energy intermittency. This review contributes by synthesizing lessons from diverse case studies and identifying innovative approaches like hydrogen storage, predictive control systems, and community-driven renewable projects. The findings offer actionable insights for policymakers and researchers to accelerate the transition towards sustainable energy systems in island environments. Full article