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Full-Text Articles in Medicine and Health Sciences

How A Civil War Surgeon’S Population Health Initiatives Helped Save The Union, 2lt Tyler Walker Nov 2015

How A Civil War Surgeon’S Population Health Initiatives Helped Save The Union, 2lt Tyler Walker

CwiC Posters

Introduction

Dr. Jonathan Letterman was the medical director for the Army of the Potomac during the American Civil War. Dr. Letterman graduated from Jefferson Medical College in Philadelphia in 1849. With his appointment to the largest portion of the Union Army, Dr. Letterman was tasked with improving what would today be called a population health nightmare. Soldiers lived in filth, ate food devoid of nutrition, were forced to train beyond what was necessary no matter the conditions, and worst of all, were not provided with an organized medical department to treat them if they were wounded or became ill. He …


Developing Maternal And Child Health Curriculum In Rural Uganda, Rebecca Newbrander, Md Candidate Nov 2015

Developing Maternal And Child Health Curriculum In Rural Uganda, Rebecca Newbrander, Md Candidate

CwiC Posters

Maternal and Child Health in Iganga District Uganda

Maternal and child health outcomes in the East Central Region of Uganda are especially poor compared to the rest of Uganda [1]:

  • Only 32% of women (50.7% nationally) informed about signs of pregnancy or delivery complications
  • Only 12% of women (62% nationally) received malaria prophylaxis during pregnancy

The “Three Delays Model” of barriers to care[3]:

  • Knowing when to seek care and making the decision to do so
  • Access to care once decision is reached to seek it
  • Receiving quality care at a health center or hospital

Maternal and Child Heath Care in …


Housing First: A Solution To Urban Homelessness, Kelsey L. Capron, Lara C. Weinstein, Md Nov 2015

Housing First: A Solution To Urban Homelessness, Kelsey L. Capron, Lara C. Weinstein, Md

CwiC Posters

Homelessness in the United States

  • 630,000 homeless in the US in 2012, thousands in Philadelphia
  • Over 3% of the US population has been homeless during the past 5 years
  • Homeless = no stable residence

Temporary shelters, unsheltered locations (the street, transit stations, parked cars), etc.

  • High rates of legal issues, substance abuse/dependency, & lack of stable employment

Severe mental illness = overrepresented & linked to severe health disparities

  • Higher risk for all-cause mortality (primarily due to injuries, overdose, CV disease)

Mortality rates 3-4x higher than the general population

Chronic & acute mental & physical health conditions

HIV, tuberculosis, hypertension, diabetes …