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Introduction: The purpose of this study was to obtain baseline data on bone mass density for Native Hawaiian women and to better understand the socio-cultural context for assessing bone health and risk of osteoporosis for this underserved population. Method: A sequential mixed-method design guided by Leininger's Culture Care Theory of Diversity and Universality consisted of two phases: (a) an initial exploratory focus group and (b) dual-energy X-ray absorptiometry (DEXA) scans and individual interviews. Data were analyzed using descriptive statistics and thematic analysis. Results: Phase a (n = 12) suggested that Native Hawaiian women have limited knowledge of bone health, but recognize traditional and cultural ways of health. Phase b (n = 50) showed that Native Hawaiian women have healthy bones, according to the T -score results. The interviews suggested that perspectives of bone health are culturally anchored. Discussion: Understanding cultural values and practices are vital for care. Preliminary recommendations for health professionals are included. [ABSTRACT FROM AUTHOR]

An introduction to the issue and its special theme of book history in Newfoundland and Labrador is presented, with reference to articles by William Barker, Kristina Fagan, J. T. H. Connor, and others.

The article discusses the writing, publication, and reception of the 1972 book "Death on the Ice: The Great Newfoundland Sealing Disaster of 1914" by Cassie Brown with Harold Horwood, an account of the deaths from exposure of dozens of sealers seen as stemming from corporate indifference to their welfare. The book, an international bestseller written by and about Newfoundlanders, is seen as a landmark in Newfoundland print culture and cultural identity. Topics discussed include sealing in Newfoundland literature, Brown's early career and development as an author, and the life cycle of her book.