Medicine and Health Sciences Commons^™

Chronic Malnutrition In Guatemala, Nicholas Bishop, Susan Mcilvaine

CwiC-PH

Poster includes:

• What is chronic malnutrition and what causes it?
• Why address malnutrition?
• Addressing the problem

The State Of Healthcare For Bhutanese Refugees In South Philadelphia: Challenges & Progress, Sarah Wells

CwiC-PH

Who the Bhutanese Refugees Are ^[1]

• Mid-19^th Century: Nepalese farmers recruited to work farmlands of Southern Bhutan (called Lhotshampa, or “southerners”)
• Lhotshampa retained Nepali and Hindu customs, but lived in peace with the Drukpa (Buddhist elite) majority for many years
• 1989: “One Nation, One People” policy of ethnic cleansing: Drukpa culture imposed on all Bhutanese
• Torture, sexual assault and murder forced over 130,000 Lhotshampa to flee Bhutan
• These refugees spent decades of their lives in camps in Nepal (many still remain there)
• Over 68,000 have resettled to the USA, many coming to South Philadelphia ^[2]

Role Of Traditional Chinese Medicine In Modern Healthcare, Gealina Dun

CwiC-PH

Theories of Traditional Chinese Medicine (TCM)

Traditional Chinese Medicine (TCM), a form of complementary and alternative medicine (CAM), has been practiced for over 2500 years, and approaches health as an interrelated and holistic state of being. Using multiple methods, the theories of TCM aim to balance:

• Qi
• Yin and Yang (Fig. 1)
• The Five Elements
• ZangFu Organs

Successful Aging In Philadelphia: Examining The Needs Of The Geriatric Community, Mollie Woehling

CwiC-PH

INTRODUCTION

• As more adults continue to live until older ages they will have a greater reliance on the formal aging care system and continue to use a large proportion of healthcare resources
• From 2000 to 2010, the US 65+ population grew 15.1% compared to the total population that grew 9.7%¹
• CDC estimates that adults who make it to 65 can expect to live for 19 more years, 14 of those in relatively good health²
• Adults 65 years and older comprise over 12% of the population of Philadelphia¹
• In 2002, 19% of Philadelphia’s seniors 65+ lived in poverty, …

Decision-Making In Accessing The Emergency Department Versus Primary Care, Lev Malevanchik, Rickie Brawer, Mph, Phd, Priya Mammen, Md, Mph, Bernard Lopez, Md, Ms

CwiC-PH

• 95% of emergency department (ED) visits from patients living in Jefferson’s (TJUH) community benefit area (CBA) were for conditions with lower priority

Emergency Severity Index (ESI) numbers of 3, 4, or 5 in FY 2011 & 2012.

– Many of these visits were non-emergent.

• The aim of this study was to document how community members chose between going to the ED or their primary care physician (PCP).

A Place For Mindfulness In Successful Addiction Recovery, Susannah Eckman

CwiC-PH

The difficulties that women face during substance abuse recovery and re-integration into society after incarceration are staggering in number and combined severity. Over the last several decades, a substantial body of research has investigated the psychological, neurobiological, and public health aspects of the actual experience – as well as the sustained perception of – resource depletion that everyday life in low-income communities creates. The tide of research is now headed towards evaluating new treatment strategies that respond to the understanding gained from this research. Mindfulness Training (MT) is one strategy that promises particular efficacy in addressing the root of these …

An Overview Of The Healthcare System In Argentina, Derya Arkonac

CwiC-PH

Poster outlines:

1. The Health Care System
2. The Population
3. The Politics
4. Conclusion

Social And Structural Barriers Faced By Gender And Sexual Minorities In Obtaining Female Reproductive, Montida Fleming

CwiC-PH

The Problem

• Lesbian women are less likely to have health insurance and less likely to receive routine Pap tests compared their heterosexual counterparts.¹
• Transgendered males were found to be less likely to receive preventative health services such as pap tests due to both lack of insurance and discrimination by healthcare providers.²
• Barriers may include:

Stigma and discrimination

Lack of compassion, sensitivity, and gender literacy by healthcare workers

Lack of health insurance

Misconceptions about risk in female bodied people who do not have sex with males

Language used by public health advocates regarding preventative care for female reproductive organs

An Assessment Of Food Insecurity In A Lower North Philadelphia Community Health Center, Carly Sedlock, James D. Plumb, Md, Mph, Rickie Brawer, Mph, Phd

CwiC-PH

Food insecurity describes the inability to access enough food at all times to lead an active, healthy life. While food insecurity is associated with several negative health outcomes, screening for food insecurity in the clinical setting is not consistently performed. The goals of this pilot study were to: explore the prevalence of food insecurity among patients attending St. Elizabeth's Wellness Center in Lower North Philadelphia, explore the impact of food insecurity on health and disease management, and assess how to better address food insecurity in the primary care setting.

Women’S Perspective: The Underlying Factors Leading To Malnutrition In Poor Women In India, Tanuja Devaraj

CwiC-PH

AIM

A qualitative pilot study aimed to understand the socioeconomic aspects leading to malnutrition in urban poor women in Bangalore, India.

Care In Columbia: What We Can Glean From South American Medicine, Neil Flannery Haidorfer, Robert Simmons, Drph, Mph, Mches, Cph

CwiC-PH

The information presented is the product of a two month international rotation at Medellin General Hospital and the non-profit pediatric clinic, Santa Ana through an academic affiliation with La Universidad CES in Medellin, Antioquia. The goal of the rotation was to obtain an understanding of healthcare in Columbia and identify potential practices that could be utilized in the U.S.

Health Care Delivery And Community Development In Rural Nepal, Abdul-Razaq Adeniyi

CwiC-PH

The barriers to health delivery and access to care in the developing world have numerous origins. From poverty and education, to environmental and cultural factors, the immense complexity of the problem demands innovative, dynamic, and comprehensive treatment models. Through a 5 week research and observational internship at Dhulikhel Hospital, in Dhulikhel Nepal, I was able to observe how the public health and community outreach arm or the hospital engaged in an effective model of delivery incorporating community participation, economic development, an innovative collaboration.

Mural Painting In South Philadelphia: A Means Of Addressing Racism Directed Against Bhutanese And Burmese Refugees, And Improving Health Outcomes, Meera Bhardwaj

CwiC-PH

INTRODUCTION

• Acculturation is the process of adjusting personal behavior patterns in response to prolonged interaction with another culture [1, 2].
• Discrimination in the host country significantly affects the acculturation process. Refugees have an extremely high risk for discrimination [3]. Discrimination exacerbates existing mental health conditions and activates the HPA [4].
• In the South Philadelphia refugees from Bhutan and Myanmar have been resettled into the neighborhood of East Passyunk/Moymensing. This demographic change has unfortunately resulted in acts of discrimination by the local community against the refugees.
• Mural Arts is painting a mural in the heart of this neighborhood. This mural will …

Patient-Centered Cardiac Risk Communication, Roma Amin, Mark Berguson, Marianna Lanoue, Phd, Geoffrey Mills, Md, Phd, Manisha Verma, Md, Mph

CwiC-PH

More than a third of cardiovascular disease (CVD) in America is primarily due to modifiable risk factors. This reflects the significant impact that patient behavior could have on health outcomes. Our solution is to develop a tool that would convert Framingham Risk Score (FRS) – the gold standard of cardiac risk assessment – into a personalized mode that best incorporates patient’s desires and abilities, and that ultimately elicits behavior change. The first phase in this project was to understand how physicians are currently assessing cardiac risk.

Integrated Medical Pluralism To Sustain Health Care In The Indian Trans-Himalayas, Jane Babiarz

CwiC-PH

Inadequate health care delivery in the Indian trans-Himalayas arises from the harsh landscape and climate, poverty, the inaccessibility of health care centers, and a burden of chronic diseases and preventable acute illnesses that exceeds the number of traditional healers in the region. Systematizing a pluralistic healer network that integrates NGOs, international health organizations, mobile camps, district clinics, and traditional healers could address the issue of sustaining health care in this region. The backbone of this strategy would be a pre-existing resource relied upon by public and private health organizations: community health workers.