eMagazine September 2023

September 2023 Volume 57
NUVANCE HEALTH
Global Health Program
LARNER COLLEGE OF MEDICINE
NUVANCE HEALTH AND THE UNIVERSITY OF VERMONT LARNER COLLEGE OF MEDICINE
Global Health eMagazine
Announcements
Changes in Leadership
Highlights
Goodbyes are only for those who love with their
eyes. Because for those who love with heart and
soul there is no such thing as separation.
Rumi
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Editor; Majid Sadigh, MD
Contributing Editor; Mitra Sadigh
Creative Director; Amanda Wallace
Cover Photo; Majid Sadigh, MD

OUR PEOPLE,
OUR MISSION
Announcements
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
The first meeting with the member of the panel on “Shifting Power Paradigms:
Towards an Equitable Global Health Stewardship”
A meeting was held on August 07, 2023, with all the panel members who would
be talking at the UNGA Science Summit.
The panel session would be virtual. Each panel member will speak for 8-10
minutes after an introductory remark by Professor Sewankambo, the moderator
of the session; then at the end, there will be a dialogue between the members
of the panel to address some predesigned questions.
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
UNITED NATIONS UNGA 78 scientific summit session number 270902 on 27th
09, 2023 at 9 a.m. EST.
Title: “Shifting Power Paradigms Towards an Equitable Global Health
Stewardship”
The UNGA 78 scientific summit warmly invites the public from all around the
world to this thought-provoking virtual session. Ushered in by a compelling
global health video, the assembly will (a) endeavor to cast light upon the
multifaceted implementation challenges hampering achievement of healthrelated
Sustainable Development Goals (SDGs) in low- and middle-income
countries (LMICs), and (b) propose potential solutions to reverse this trend.
Delegates will have the opportunity to contribute ideas and suggestions
as they engage leading academicians and scholars from institutions such
as Makerere University College of Health Sciences, University of Zimbabwe,
University of Botswana, St George and Sutherland Clinical School at University
of New South Wales, Australia, and Nuvance Health/University of Vermont
Learner MD College of Medicine, USA. Dr. Majid Sadigh, Christian J. Trefz Family
Endowed Chair in Global Health at Nuvance Health, will be the convenor,
and Professor Nelson Sewankambo will moderate the session that promises
to deliver a comprehensive and enlightening experience for all attendees. It
will set a new stage and give hope in Shifting Power Paradigms Towards an
Equitable Global Health Stewardship. For further details and to register, click
here.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
UNITED NATIONS UNGA 78 scientific summit, session number 271201 on 27th 09,
2023, from 12:00 pm to 2:00 pm EST.
Title: “Optimizing Global Health Exchange Programs between Low- or -Middle-Income
Countries (LMICs) and High-Income Countries (HICs”
UNGA 78 proudly presents this pivotal session which takes a deep dive into
the critical yet often undiscussed challenges faced by LMIC (a) participants as
observers during their tenure in HICs, and (b) institutions hosting trainees from
HICs.
By sharing their experiences, LMIC and HIC participants will address administrative,
structural, personal, and cultural barriers while striving to pave the way
for more inclusive and balanced global health partnerships. With the thoughtful
insights of panelists from esteemed institutions such as Makerere University,
University of Medicine and Pharmacy at Ho Chi Minh City, Nuvance Health/University
of Vermont Larner MD College of Medicine, Mitra Sadigh skillfully leading
the conversation as moderator, and direction provided by Dr. Majid Sadigh,
Christian J. Trefz Family Endowed Chair in Global Health at Nuvance Health,
as convener, attendees are in for an enlightening and thought-provoking discourse.
For additional details and to register, please click here.
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
3

OUR PEOPLE,
OUR MISSION
Changes in
Leadership
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Written by Dilyara Nurkhametova, MD
Director of Nuvance Health Global Health Electives Program for AUC/RUSM
Starting in September 2023, the Nuvance Health Global Health Program will
undergo several leadership changes.
Bulat A. Ziganshin, MD, PhD
The New Director of the Global Health Program at
Nuvance Health/UVMLCOM
Effective September 2023, Dr. Bulat Ziganshin will
step into the role of Director for the Nuvance Health
Global Health Program. An Associate Research
Scientist in the Department of Surgery, Section
of Cardiac Surgery at Yale University School of
Medicine, and Research Director of the Aortic
Institute of Yale-New Haven Hospital, Dr. Ziganshin
brings rich experience to his new role. Since 2016, he has directed the GH
Elective Program for the American University of the Caribbean and Ross
University School of Medicine, furthering curriculum development, research
projects, and program growth. We warmly welcome Dr. Bulat Ziganshin and
look forward to the continued progress and achievements he will bring to the
program.
Deborah Hewitt, MS, MBA, NEBC
AVP Professional Development Nursing Education
Deborah Hewitt is The newly appointed Director of
Nuvance Health Global Health Program, Nursing
Division. With a current role as Assistant Vice
President of Nursing Professional Development
at Nuvance Health, Deborah brings a wealth of
experience to her new position. Her educational
background includes a Bachelor’s of Science
degree in Nursing from the University of Phoenix,
a Master’s in Business Administration from the University of Phoenix, and a
Master’s degree in Nursing from Yale University.
We extend our heartfelt congratulations to Deborah Hewitt on her new role
and wish her the very best in her endeavors.
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Leadership Changes continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Swapnil Parve, MD, PhD
Manager of the global health academy
Dr. Parve’s dedication to global health and
extensive field experience have positioned him as
a global health leader and innovator. With a solid
educational background and a passion for making
a difference, he has consistently contributed to
medical education and improved healthcare
outcomes. Dr. Parve manages the Nuvance Health
Majid Sadigh, MD Global Health Academy.
However, he has been instrumental in shaping and implementing impactful
initiatives at the Nuvance Health Global Health Program (formerly Western
Connecticut Health Network) since its inception.
His journey began with obtaining his “Medical Doctor (MD)” Degree with
Honors from Kazan State Medical University in Kazan, Russia 2010. Following
that, he immersed himself in General Medicine, gaining valuable training in
communicable and non-communicable diseases during his internship in India.
Dr. Parve’s commitment to continuous learning and growth became evident
as he completed his Internal Medicine residency in 2014. Recognizing his
exceptional potential, he was invited to be a Fellow of the Western Connecticut
Health Network Global Health Program later that same year. This opportunity
allowed him to collaborate with experts from diverse backgrounds and
broaden his understanding of global health challenges.
In 2019, Dr. Parve established a new partnership between Nuvance Health,
and Datta Meghe Institute of Medical Sciences (Deemed University) in India.
This partnership aimed to foster the exchange of knowledge and resources,
ultimately enhancing healthcare delivery in the region. Dr. Parve’s expertise in
cardiology became evident in 2020 when he achieved board certification in
the field, followed by the prestigious award of a Ph.D. in Cardiology in 2023.
Outside of his clinical responsibilities, Dr. Parve has played a pivotal role in
shaping medical and global health education. From 2012 to 2015, he cofounded
a global health electives program between Kazan State Medical
University (Russia) and Ruby Hall Clinic (India), forging valuable connections
and facilitating knowledge exchange. Additionally, from 2019 to 2021, Dr. Parve
served as an Associate Director of Global Health, where he co-founded a
global health partnership between Kazan State Medical University and the
Datta Meghe Institute of Medical Sciences (Deemed University). His efforts also
included developing a longitudinal multidisciplinary global health education
pathway for medical students, equipping them with the necessary skills to
navigate the complexities of global health. Dr. Parve is also an adjunct faculty
at the Datta Meghe Institute of Medical Sciences (Deemed University) as well
as at the University of Vermont Robert Larner, MD College of Medicine and has
been designated as a Fellow of the American College of Cardiology, American
College of Physicians, and the European Federation of Internal Medicine.
Recognized for his outstanding contributions, Dr. Parve has received national
and international awards that highlight his significant impact on the field.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
With approximately 100 publications, including abstracts, manuscripts, and
book chapters, his work has greatly influenced medical education, research,
and knowledge dissemination. Dr. Parve’s diverse experiences, expertise in
cardiometabolic medicine, medical education, research, and commitment
to global health have positioned him as an influential figure in the field. His
leadership, partnership-building skills, and dedication to education continue
to drive positive change, making him an invaluable asset in pursuing global
health equity.
Vo Ngoc Anh Tho, MD, PhD
The new Head of External Relations Unit, Cho Ray
Hospital, Ho Chi Minh City, Vietnam
Starting from August 2023, Dr. Vo Ngoc Anh Tho will
step into the role of the Head of External Relations
Unit at Cho Ray Hospital in Vietnam. Dr. Vo Ngoc
Anh Tho is an accomplished member of the
Nuvance Health Global Health Program Scholars,
specializing in infectious diseases and recognized
for her exceptional capabilities as an educator and leader. In 2021, Dr. Vo Ngoc
Anh Tho was recognized for her contributions to the fight against COVID-19 in
Ho Chi Minh, Vietnam, earning her a prominent spot on the front page of Forbes
Vietnam. We extend our best wishes to Dr. Vo Ngoc Anh Tho for continued
success and look forward to further developing our collaboration.
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Catherine Winkler, PhD, APRN-BC
Director of the Nuvance Health Global Health Nursing
Division
Effective Date of Retirement: October 1st, 2023
Dr. Catherine Winkler, Director of the Nuvance
Health Global Health Nursing Division, is set to retire
soon. Dr. Winkler has made substantial contributions
to the Global Health Program through collaboration
with university and hospital-based colleagues on
global health initiatives. She has played a pivotal role in developing course
content and educational modules as per the requests of international
partners. Additionally, her involvement includes mentoring, serving as a writer
and editor for the nursing section of the GH eMagazine. Under her guidance,
the Nursing division has seen significant growth, highlighted by this year’s
groundbreaking nurse delegation to Uganda, fostering elevated collaboration
and new partnerships.
We extend our heartfelt gratitude to Dr. Winkler for her remarkable contributions
to the advancement of the Global Health Program.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Hoang Lan Phuong MD, PhD
Head of External Relations Unit
Effective Date of Retirement: 01/08/2023
Dr. Hoang Lan Phuong, formerly the Head of
External Relations Unit at Cho Ray Hospital, retired
on 01/08/2023. Under Dr. Hoang Lan Phuong’s
leadership, our collaboration with Cho Ray Hospital
and the Nuvance Health Global Health Program
thrived, offering valuable global health experiences to our medical students
and residents. We express our sincere gratitude for Dr. Hoang Lan Phuong’s
years of partnership and wish her the best in her future endeavors.
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Majid Sadigh, MD
The Nuvance Health/ University of Vermont Larner
College of Medicine Global Health Program Director
Effective retirement date: October 1st, 2023
Dr. Majid Sadigh, the Director of the Nuvance
Health Global Health Program, is retiring after 12
years of holding this position at Nuvance Health
and UVMLCOM.
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Mitra Sadigh
Editor, writer, researcher at Nuvance Health/ UVMLCOM
Global Health Program
Mitra Sadigh’s departure from her role as the
chief editor of the Nuvance Health Global Health
Program (NH GHP) marks the end of an era filled
with remarkable achievements. Her dedication and
expertise have undoubtedly left an indelible mark
on our program and the global health community
as a whole.
During her tenure, Mitra’s unwavering commitment to effective communication
has elevated the NH GHP’s outreach efforts to unprecedented heights. Her
ability to craft compelling narratives that resonate with diverse audiences
has been instrumental in conveying our programs’ philosophy and showcasing
their noteworthy accomplishments. Mitra’s talent for forging connections
through words has proven invaluable in today’s interconnected world, where
engagement with stakeholders is paramount.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
One of Mitra’s greatest strengths lies in her profound understanding of the
importance of decolonization and inclusive language. By amplifying diverse
voices within the global health community, our publications have become a
true reflection of the rich tapestry of perspectives. Through her guidance, we
have fostered a sense of belonging and inclusivity that has resonated deeply
with our readers.
Mitra’s departure leaves us with a deep sense of gratitude for her decade of
service. Her dedication, skillful use of language, and artistic touch have not
only garnered heartfelt emails from our audience but also earned numerous
prestigious awards for the NH GHP on national and international stages. Mitra’s
exceptional leadership has set the bar high for future endeavors, inspiring us
to continue pushing boundaries and making a lasting impact on global health.
As we bid farewell to Mitra Sadigh, we express our sincerest appreciation for
her unwavering commitment to advancing global health. Her contributions
have been nothing short of exceptional, and her remarkable individuality will
be greatly missed. Mitra’s legacy will continue to inspire us as we strive to build
upon the foundation she has laid, ensuring that the NH GHP remains at the
forefront of global health initiatives.
In conclusion, Mitra Sadigh’s decade of service has left an indelible mark on
the Nuvance Health Global Health Program. We extend our heartfelt thanks to
Mitra for her invaluable contributions and wish her the very best in her future
endeavors. The impact she has made will continue to shape our organization,
as we carry forward her vision of a more inclusive, connected, and impactful
global health community.
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Tangled Web (Rose Schwartz)
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Highlights
The Second Nuvance Health/UVMLCOM
Global Health Conference
Written by Rebecca Nagle, DNP, APRN, PNP
Clinical Assistant Professor of Nursing at the University of
Vermont College of Nursing and Health Sciences
As I reflect on my time at the global health conference
this summer, I am grateful for the learning and inspiration
the event provided personally and professionally. As
in Paulo Freire’s critical awakening pedagogy, to walk
alongside our students in the classroom, in clinic, in our
local communities and global settings around the world with the intention of
deconstructing the power imbalances and improving the equity in each of our
interactions as humans, as students, as teachers and healthcare providers.
Our work in healthcare is based on the principles of compassion, but this can
quickly be overshadowed by the unconscious biases and microaggressions
inherent in our cultures. To challenge ourselves with each human interaction to
act with cultural humility is imperative as we provide global health experiences
for the students we serve and the global communities we collaborate with.
At the conference, I was grateful for the opportunity to have interprofessional
collaborations, discussions, and debates on the challenges around caring
for our clients’ mental and physical health in the context of planetary health,
politics, and poverty. The resounding themes of decolonization and the bidirectionality
of our work both locally and internationally was inspiring and
reaffirmed the importance of careful assessment of the needs of our global
partners and of the curriculum developed as I aspire to incorporate global
health experiences into our DNP coursework at the University of Vermont. I
want to thank Nuvance Health for the opportunity to be a part of this important
work and invitation to participate in the conference. I look forward to the hard
work ahead.
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Link to the homepage of the Second Global Health Conference
Home | The Second Global Health Conference (globalhealthday2023.com)
Evaluation of the Second Global Health Conference
Global Health Family
Resources
Previous Issues of
the eMagazine
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Highlights continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Youth Academy for Latinx Leaders (Y.A.L.L.) or Academia
Juvenil De Lideres Latinos
Part II: Implementation phase
Written by Javier D Rincon, UVMLCOM 2025
Despite initial challenges, months of dedicated work
yielded successful student recruitment and program
commencement. The first week focused on instilling
leadership skills and financial literacy, empowering
students through engaging workshops, team-building
activities, and practical exercises. This approach aimed
to mold students into influential leaders within their
communities while providing them with essential skills
they might not have been exposed to otherwise. During
the first day, the students heard from Wilson Hernandez,
a local business owner, community leader, and native of Ecuador, about the
importance of fostering leadership skills. The second half of the day, Elsabel
Rincon M.Ed., originally from the Dominican Republic, taught the students
about financial literacy. Elsabel works as a business development lending
officer with a community financial institution and is the founder/director of
the non-profit the Welcome Immigrant Network. The day concluded with a trip
to the Savings Bank of Danbury, where the students continued to learn about
financial literacy from Farley Santos, the bank Vice President and Connecticut
State Representative, whose family hails from Brazil. As the day passed, the
shy teenagers that had just met started opening up, actively engaging with
the material and using words that many of them had just heard for the first
time. And as administrators, we immediately began to see that the time and
effort spent on creating Y.A.L.L. was more than worth it.
In the second week, the program’s curriculum delved into broader aspects of
personal well-being and community engagement. With the help of Denisse
Rodas RN BSN, a nurse at Danbury Hospital with roots in Ecuador, students
explored general health and lifestyle choices, inspiring them to adopt healthier
habits. We believe community service and engagement play a crucial role in
fostering empathy and social responsibility, encouraging students to actively
address community needs. Beyond academics, the program delved into
Danbury’s history, forging a stronger sense of belonging and identity among
participants. We hope that understanding their community’s past will foster
deeper connections and a sense of purpose among the students. The students
were introduced to these complex topics by Councilwoman Diana Merchan
and Brigid Guertin, Executive Director of the Danbury Museum and Historical
Society. Councilwoman Merchan is a Colombian native, a teacher, and the
first Latina elected to the Danbury City Council. Brigid Guertin shared insights
into the city’s rich history and its significance in shaping the community they
call home.
With the second week behind us, what started out as moments of awkwardness
with lots of room for growth for both educators and students, has transitioned
into enjoyable moments that we all look forward to. Witnessing the students’
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Highlights continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
engagement and enthusiasm as they embrace new knowledge and skills has
been incredibly rewarding. As we progress, we hope to continue developing
the curriculum, fostering an inclusive environment, and providing opportunities
for personal growth. One of the upcoming highlights is a student-led research
project that will be presented at the Nuvance Global Health Conference. We
aim to showcase the incredible potential and capabilities of these Latinx
students, inspiring others within and beyond the community.
Throughout the implementation of Y.A.L.L., the organizers from the NGHA and
DCC remain steadfast in empowering Latinx high school students as future
community leaders. Imparting essential life skills, fostering leadership qualities,
and cultivating community involvement are at the core of our mission, seeking
to leave a lasting impact on students and the wider community. As Y.A.L.L takes
strides towards bridging trust and empowerment, the curriculum will continue
to evolve, catering to the community’s specific needs. Nurturing trust, inspiring
student participation, and collaborating with stakeholders will help create a
transformative program that empowers Latinx high school students, bridges
gaps within the community, and paves the way for a brighter future for all.
We firmly believe that education is a powerful tool for uplifting individuals and
entire communities. By empowering these young leaders with the skills and
knowledge they need to succeed, we hope to build a stronger, more united,
and equitable society for generations to come. As we forge ahead, we are
humbled and grateful for the opportunity to be part of this journey with the
students, families, and the entire Danbury community. Together, we will continue
to break barriers, shatter stereotypes, and build a future where every voice is
heard, valued, and celebrated. Y.A.L.L is more than just a summer academy; it
is a symbol of hope, resilience, and collective progress, embodying the spirit of
unity that binds us together as a community.
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Praying Mantis (Rose Schwartz)
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Highlights continued on next page >>

OUR PEOPLE,
OUR MISSION
Celebration for the First Class of the Youth Academy for
Latino Leaders
There was a small celebration for the first class of the Youth Academy for Latino
Leaders which was held at the DCC in Danbury on Sunday, August 20 at 3 PM.
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Elvis Novas, Advisor for the
Dominican Community Center
and member of the Board
of Directors of Housatonic
Habitat for Humanity, Danbury,
is presenting the certificate
and scholarship to student
Hermin Fernandez, one of the
graduates of YALL program
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
12
Highlights continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Spotlight
Javier Rincon
I’m Javier Rincon, a medical enthusiast
currently pursuing my Doctor of Medicine
degree at the Larner College of Medicine,
University of Vermont. With a Bachelor
of Science in Biomedical Engineering
from Tufts University, I’ve dived into
the intricate world of healthcare and
healing.
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
My journey has taken me to esteemed institutions like Tufts Medical Center and
VA San Diego Health Care System, where I’ve honed my skills as an Emergency
Medicine Technician. From assisting during medical procedures to offering vital
patient support, I’ve embraced the hands-on aspect of healthcare.
As a Biomedical Engineer at Tufts University, I dove into laboratory research,
dissecting rodent models and working with cell cultures. My experiences in
data analysis and experimentation have deepened my appreciation for
scientific exploration.
Beyond medicine, my path has been marked by diverse experiences, from
leadership roles as an Engineer in the Marine Corps to community service
initiatives. As a founding member of the Welcome Immigrant Network, I’m
dedicated to empowering newcomers. I’ve also contributed to projects
addressing health disparities among migrant farmworkers with Bridges to
Health and the Open-Door Clinic in Vermont.
Fluent in Spanish and French and skilled in programming languages like Java
and C+, I believe in the power of multidisciplinary skills to drive innovation.
Outside of academia, I’m a marathon maven, passionate pilot, explorer
extraordinaire, fencing fanatic, Canvas Connoisseur and Literary Luminaire.
Currently, I serve as a faculty member, project coordinator, and community
liaison at Nuvance Global Health Academy. In every facet of my journey, from
medicine to community service and personal pursuits, I’m driven by the belief
that compassion and knowledge hold the key to transformative change. As I
forge ahead, I’m excited to contribute to a brighter, healthier future for all.
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
13
Spotlight continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Darshani Parekh, MD
Senior House Officer in Pediatrics;
Volunteer doctor at Adult Rape Clinic, and
assistant doctor in functional medicine;
Health talk advisor on local radio channel,
Zimbabwe
Dr. Darshani Parekh graduated from
University of Zimbabwe in 2018 with a
MBChB degree (medical degree). She
has been involved in multiple medical
outreaches since her first year in
medical school which has assisted her in
providing medical care to large communities in a short time and thus providing
a baseline in Public Health. Her experience in the Sexual and Gender Based
Violence clinic and functional medicine clinic has been pivotal in her passion
to prevent SGBV issues and also assisting people in the best way possible
naturally and with medicine. She is also currently in her pediatrics oncology
rotation as a Senior officer where she is in charge of the daily management
of oncology patients and also teaching intern doctors in the ward about
chemotherapy, baseline management, and palliative care. She also mentors
medical students in the ward about “basics of medicine,” including history
taking, physical examination of patients, procedures, and interpretation of
laboratory results.
Dr. Darshani Parekh is the current Treasurer of the Zimbabwe Women Doctors’
Association where she is in charge of organizing events and also assisting in
sponsorships for people in need. She has been in the executive committee of
the Zimbabwe Medical Students’ Association (ZIMSA), Rotaract, and IMUNZI
(partnership with Netherlands medical school) during medical school.
Dr. Darshani Parekh has a special interest in Gender Based Violence, Mental
Health, and Functional Medicine. Her experience in the Adult Rape Clinic has
been a pivotal moment for her passion in raising awareness in issues regarding
Gender Based Violence and Mental Health. The time spent examining and
assessing survivors of sexual abuse has shown her that the topic is still ignored
and this has given rise to many cases still happening as most offenders do not
get reported. She is also interested in alternative health care in the provision
of non-pharmacological alternatives for daily living and longevity. She is also
interested in Mental Health during childhood and adolescence and its impact
later on in life.
Cho Ray Hospital
Among the Letters
Calendar of the Month
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OUR PEOPLE,
OUR MISSION
Rebecca
Nagle, DNP, APRN, PNP
Clinical Assistant Professor of Nursing
at the University of Vermont College of
Nursing and Health Sciences
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Rebecca Nagle is a pediatric nurse
practitioner and a Clinical Assistant
Professor in the Department of Nursing
& Health Sciences. Rebecca completed
her M.S. at UCSF in 1999 and her DNP
at the University of Vermont in 2021.
Rebecca has worked in pediatrics first as an RN and then as a PNP since
graduating from UVM in 1991. She became certified by the International Board
of Lactation Consultant Examiners in 2012 and works with breastfeeding
mothers in her pediatric practice. Rebecca completed a faculty fellowship at
the University of Arizona in Integrative Nursing in 2015. She utilizes integrative
health approaches with her patients and incorporates integrative health into
her teaching. Rebecca also enjoys nature and adventuring outdoors with her
family and friends.
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
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(Majid Sadigh)
15
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
New Global Health Academy
Faculty from NIH, Armenia
Samson G. Khachatryan, MD PhD
Dr. Samson G. Khachatryan is the Deputy
Director for Science at National Institute of
Health, Armenia; Chairman of the Department
of Neurology and Neurosurgery at National
Institute of Health, Armenia; Founder and
Director of “Somnus” Neurology Clinic with
Sleep and Movement Disorders Centers.
Dr. Samson G. Khachatryan obtained a MD from the faculty of General Medicine
in Heratsi Yerevan State Medical University (YSMU) in 2002, completed his
residency in the Department of Neurology of the YSMU, including the Republic
Epilepsy Center of “Erebouni” Medical Center in 2005 and obtained a PhD
from the Department of Neurology of the YSMU and ARECE in 2008 on the
topic of “Quantitative assessment of health-related quality of life in patients
with epilepsy”. Dr. Khachatryan has served as an expert in neurology and
sleep medicine for the Ministry of Health of Armenia, and on various other
occasions, and worked as an assistant professor at the Department of
Neurology of the YSMU. He is currently conducting doctoral (DMSc) research
study on interaction of sleep disorders and epilepsy, also being involved in
other research collaborations while chairing the Department of Neurology
and Neurosurgery at the National Institute of Health.
Dr. Khachatryan is involved in the Executive Committee of the Assembly of
National Sleep Societies (ANSS) and its representative to the European Sleep
Research Society’s Executive Board. He is a member-at-large of the Executive
Committee of the European Restless Legs Syndrome Study Group has a
professional membership in the European Academy of Neurology, American
Academy of Neurology, International REM Behavior Disorder Study Group,
International Restless Legs Syndrome Study Group, he is the founding president
of the Armenian Sleep Disorders Association, as well as holding memberships
in several other professional associations. Dr. Khachatryan does editorial,
and review works for the Sleep Medicine, Journal of Clinical Sleep Medicine,
Neurology, Nature and Science of Sleep, Journal of Personalized Medicine,
and is a co-editor in-chief of the Armenian Journal of Health and Medical
Sciences, as well as other editorial and reviewing works.
Most recently Dr. Khachatryan has been concerned with the magnitude
of sleep disorders in the Armenian population, as well as the role of sleep
disorders and health-related quality of life of patients with epilepsy, and
sudden unexpected death in epilepsy.
Resources
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Eduard Hambartsoumian, MD
Founding Director of the “Fertility Center,”
Chairman of the Department of OB/GYN and
Human Reproduction at the National Institute
of Health, Armenia, and President of the
Armenian Society for Reproductive Medicine.
Dr. Eduard Hambartsoumian earned an
MD from the Faculty of General Medicine
at Yerevan State Medical University (YSMU)
in 1979. He completed his residency in the Department of Obstetrics and
Gynecology at YSMU in 1981. Additionally, he holds diplomas in Fetal Medicine
and Gynecological Laparoscopy. He obtained his PhD in 1984, focusing on the
topic of “Effect of maternal liver dysfunction during obesity on pregnancy and
neonates’ liver.” In 2005, he received the Doctor of Medical Sciences degree,
with a focus on “The role of Cytokine LIF in human infertility for unknown
reasons.” Dr. Eduard Hambartsoumian has conducted numerous research
projects in Obstetrics, Gynecology, and reproductive health. He is also the
author of two books of aphorisms, namely “America, God, Love” (2005) and
“Time Warp” (2011), both of which were translated and published in the United
States. Furthermore, he composed the music for the ballet fantasy “ERAZ”
(DREAM), which is part of the official repertoire of the National Academic
Opera and Ballet Theater in Yerevan, Armenia. He also created the dance
performance “ANIMA,” which was staged in Moscow, Saint Petersburg (Russia),
and Padua (Italy).
Dr. Hambartsoumian serves as an ad hoc reviewer for the “Human Fertility”
journal. He is the author of numerous scientific papers (over 70), published in
international journals with notable impact factors such as Human Reproduction,
American Journal of Reproductive Immunology, Fertility Sterility, Gynecological
Endocrinology, Journal of Clinical Endocrinology and Metabolism, and Journal
of Gynecology Obstetrics and Human Reproduction. He has presented at more
than 20 international scientific seminars, congresses, and conferences held in
Canada, USA, Japan, European countries, and CIS countries. His outstanding
contributions have been recognized through titles such as “Best Medical
Center of the Year,” “Best Association of the Year,” and “Best Doctor of the
Year,” bestowed upon him by the esteemed “National Trust Council”
Dr. Hambartsoumian’s recent focus revolves around infertility, and reproductive
health within the Armenian population.
.
Among the Letters
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
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Voices from Zimbabwe
Cancer Diagnosis in a Child - An Outsiders
View
Written by Darshani Parekh, MD
Senior House Officer in Pediatrics; Volunteer doctor at Adult
Rape Clinic, and assistant doctor in functional medicine;
Health talk advisor on local radio channel, Zimbabwe
Coming to the hospital, two distressed parents with their 2-year-old
daughter concerned about her irritability, lack of appetite, and occasional
high temperatures over the past two weeks on a Friday afternoon. Their only
concern is to get her treated so the child can be better and they can go
back home to their normal lives. They get admitted because the admitting
doctor is concerned about the high temperatures and thinking it’s “just” an
infection which can be treated with antibiotics once the blood results come.
The blood results are delivered the next morning and an unusually elevated
White blood cell count is noted. It’s a Saturday, no consultation can be made
and hopefully it is just the infection which should lower the count by Monday
morning. Antibiotics are given to the child, the repeat blood count done on
Monday still has an elevated white cell count. The doctors are concerned; they
consult the oncologist in the hospital to assess the child. The oncologists do
an urgent Bone marrow aspirate and get the results the next day. A diagnosis
of Acute lymphoblastic leukemia is made.
The parents who have been with their child this whole time in the hospital
and were moved from different wards notice their child is thankfully less
irritable after pain medications were given and hope the move to the “special
ward” is just temporary. Wednesday morning, the doctors come in with the
results and then their whole lives take a standstill. A diagnosis of leukemia is
made; the doctors say that the child needs to be started on chemotherapy
medication as soon as possible. However, even on the medication her chance
of survival is given 80 percent initially and she will have to be in the hospital
for about 2 months before they can even go home. The child needs to stay
in the hospital so the doctors can carefully monitor her and treat her for any
other illnesses she can succumb to during the chemotherapy treatment. The
mother, a dental assistant, and father, a police officer, weigh their options and
outcomes. They were just at home 2 weeks ago playing with their daughter
and the only concern then was to ensure she sleeps on time so they can have
a good time too, now they are in a hospital with doctors and nurses coming in
every hour and giving the child medication. The rooms are small and there’s no
guarantee she will be alive in the following months. They call the grandparents
and discuss the issue, this is now a serious family issue and the elders need to
be told and their opinion is essential.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
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Changes in Leadership
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Voices from Zimbabwe
Reflections
A grandmother in the village says there’s a traditional healer she knows who
can offer some medication and they can use that at home and it should work
as it worked for this other cousin of theirs. The parents are weighing their
options, staying in the hospital with their child who seems to be getting worse
on steroids and her veins being difficult to find and then the blood transfusion
she needs or being at home in their comfort and ensuring she can be seen by
her family any time. They did their research, the chance of survival was low
when the child was sick and then the child will still be sick if they manage to
survive for a year on the treatment. The child was getting pricked and put in
pain every day in the hospital and then the chance of survival was not as great
as what the grandmother assured. The parents would rather be together with
their child in the comfort of their home and at least she wouldn’t be getting
pricked every day. They make the choice of not giving her chemotherapy
as they would rather have her be at home and loved till she gets worse, the
doctors had to counsel them multiple times but they know they would rather
have her with them and not pricked every day and hope the other medication
which doesn’t need to be given intravenously works.
This choice was hard and there are many outcomes we would have wanted.
However, the effect on the family, parents and child needs to be taken into
consideration and any decision made by the family will need to be respected.
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
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Welcome
Cho Ray Hospital
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Reflections
A Journey of Hope: Rhenitah’s Resilience
Shines Through Meet Rhenitah
Written by Alla Jusufi, MD
Global Health Scholar, CIFC Health Primary Care Internal
Medicine Residency Program graduate
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Welcome
Cho Ray Hospital
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I first crossed paths with Rhenitah in
March 2023 during my Global Health
elective at St. Francis Hospital in
Uganda. She was brought to the
hospital due to a suicide attempt, and
her story left an indelible mark on my
heart.
Rhenitah’s mother is a single mother
of seven children, who struggled to
provide for them after their father
left, leaving them without financial
support. Amidst the darkness, Rhenitah
held a dream close to her heart—to
become a medical doctor and her spirit
remained unbroken despite the odds
stacked against her. But dreams often
encounter roadblocks, and Rhenitah’s
dream was no exception. Discovering that her family couldn’t afford to fund
her education, Rhenitah found herself at a crossroads. The weight of her
circumstances pushed her to a desperate decision—she attempted to end her
life by ingesting multiple medications. Fortunately, fate had other plans for her.
She was admitted to St. Francis Hospital, where she received not only medical
care but also the support she needed to heal emotionally. During our rounds,
I had the privilege of engaging with her, a very shy and sad girl, who seemed
to have lost hope in life. Her story resonated deeply within me. With a shared
conviction, my husband and I made a life-changing decision—to sponsor
Rhenitah’s education and pave the way for her to achieve her dream of
attending medical school.
Since then, Rhenitah’s journey has been one of triumph and perseverance. Her
school performance has shown remarkable improvement, a testament to her
unwavering determination. Her dream of excelling in her studies and securing
a spot at Makerere University burns brighter than ever.
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OUR PEOPLE,
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Global Health
eMagazine
September 2023
Among the messages we’ve exchanged, one stands out: “Heyyy doctor, I hope
you’re doing great. I’m also studying diligently and performing well at school. I
just wanted to check in on you, doctor, and I assure you my next school report
will impress you. Take care, doctor, and may God bless you. Yours sincerely,
Rhenie.”
Rhenitah’s journey serves as a poignant reminder that hope can be found even
in the darkest of times. As Rhenitah forges ahead on her path to becoming
a medical doctor, we are honored to stand by her side as witnesses to her
remarkable journey of hope, healing, and triumph.
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Congratulations
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Cho Ray Hospital
Among the Letters
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
For now, I will try to be as open minded as
possible
Written by Ryan Trus
MD Class of 2026
The Larner College of Medicine at The University of Vermont
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
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Resources
Joining the Outreach Palliative Care team was my first experience with palliative
care. On our ride out to visit the patients, the attending we were traveling with
answered our questions, allowing for us to explore a side of medicine we had
not engaged with before. As we moved from patient to patient, the theme of
suffering and the goal of trying to reduce it continued to resurface. Suffering
is a universal experience and impossible to determine a value or magnitude
for it. Throughout the day, it was difficult to not see how this suffering was
magnified by so many easily accessible aids that were unavailable for so many
patients in Uganda. While poverty, barriers to medicine, financial hardship,
and access to food and water are present globally, the pervasiveness and
severity of the absence for these determinants of health with each of our
patients forced a recognition of the relativity of suffering. I was not able to
move my mind away from how commonplace items, like comfortable chairs,
appropriate clothing, would have such a dramatic impact on the quality of life
for someone in their last days. And this is only looking at this disparity from an
end-of-life perspective, not even addressing the countless factors that make
these progressive and fatal diseases go untreated.
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
I felt a feeling of frustration arise as I looked around me. Everyday items that
are taken for granted by so many have minimal barriers for people from one
country yet require monumental efforts to install the infrastructure just to access
in another country. What are the factors on a local, national, and global level
that lead to such a divide? What are the local, national, and global steps that
must happen to provide equitable access and quality of life? How to make
these changes not just stable, but self-sustainable? I won’t pretend to have
any idea of what the answers to these questions are. These issues that are
found globally are far beyond the scope of any singular individual involved,
yet paradoxically, rely entirely on the cumulative impact of individual action.
I hope that with time, and intentionality, I will gain a greater understanding
of how to navigate these disparities and the pathways towards minimizing
them. For now, I will try to be as open minded as possible, holding myself
accountable for preconceived ideas and biases, as I learn and participate
with what is around me.
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
(Rose Schwartz)
Among the Letters
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Reflections continued on next page >>

OUR PEOPLE,
OUR MISSION
War Remnants Museum
Written by Sarah Kohl
MD Class of 2026
The Larner College of Medicine at The University of Vermont
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Earlier this week, we went to the War Remnants Museum in Ho Chi Minh City.
Walking into the museum, I slightly jokingly asked the others how guilty we’re
going to feel as Americans after this. For me, the “Vietnam” war has always felt
super distant: a war of our grandparents’ generation. I knew about some of
the horrors of the war, like the carpet bombing and use of Agent Orange but
it was hard to imagine the extent of it. Embarrassingly, I had never heard of
the My Lai Massacre. I feel like that war was such an awful part of our history
and it’s not acknowledged as much as it could be. After learning more about
the atrocities that happened to the Vietnamese people, I was sickened and
shocked that I hadn’t heard the U.S. take more responsibility.
The War Remnants Museum mostly included photographs taken during and
after the war. I was surprised how graphic the photos were. There were pictures
of bodies being dragged behind tanks, children screaming, beheadings,
phosphorus gas victims, congenital abnormalities, and so much more. I don’t
get squeamish easily, but there were times when I was feeling quite sick to
my stomach. Seeing how some human beings can treat other humans and
dehumanize them completely.
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
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There is one picture that has stuck with me especially that I am still thinking
about. It is not particularly graphic, but the emotion was so palpable. In the
photo, there are about 10 children running down a road away from phosphorus
gas. The main subject of the photo is a girl who is probably about 8 years old,
completely nude, sobbing and screaming as she runs. The pain she is feeling,
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
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Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
both emotional and physical, just comes off the wall and it hits me like a wave.
I can’t imagine ever feeling that level of fear and anguish and I hope I never
have to.
One of the exhibits focused on the effects of Agent Orange. I found that exhibit
really interesting for several reasons. First, I learned that the long-term and
congenital effects of dioxin poisoning are seen through several generations.
There were deformities seen in the fourth-generation after exposure to Agent
Orange. There were so many different types of congenital abnormalities that I
had never seen or heard of which was fascinating from a medical perspective.
While in that exhibit, there were a few children running around, commenting
on how “weird” the people in the pictures looked. I was really conflicted about
having kids in that museum. On the one hand, it is important to expose kids
to history at a young age and not hide away the horrible things that have
happened in the past. But also, I think they need to have the emotional
capacity and enough maturity to be able to see those pictures and understand
their meaning.
Going to the museum was very eye-opening for me. I learned a lot, more than
I thought I would to be honest. I am embarrassed that I was so ignorant about
so many things around the war but I am glad that I was able to learn more and
really see how awful the war was for everyone. I feel like I have greater context
for Vietnamese-American relations and I want to keep learning more because
it is so important to have a strong understanding of history. It all felt much
more real and I was surprised by the visceral emotions I experienced.
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
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Sitting from left to right: Dr Mariah McNamara,
Sarah Kohl (MS1 UVMLCOM), Kristyne Drozdz
(MS4 RUSM), Kevin Ito (MS1 UVMLCOM)
25
Sarah Kohlin the OR is after a live donor kidney
transplant during her GH electives in Cho Ray
hospital, Vietnam

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Hispanic/Latinx
Voices; Stories from
our Community
Section Editor; Elvis Novas
Written by Elvis Novas
Advisor for the Dominican Community Center and member
of the Board of Directors of Housatonic Habitat for
Humanity, Danbury, CT
“I am very grateful for the privilege of being selected
as editor for the column “Hispanic/Latinx Voices:
Stories from our Community ‘’ of the Global Health
eMagazine.”
“I am very grateful for the privilege of being selected as editor for the column
“Hispanic/Latinx Voices: Stories from our Community ‘’ of the Global Health
eMagazine.
My desire for a better community has been the guide to introduce me to
community work, specifically in the Hispanic/Latinx community. This experience
has allowed me to see and treat people in our community with great human
and professional values; men and women who just need a platform to share
their stories and amplify the voices of others.
Our vision for the column “Hispanic/Latinx Voices: Stories From Our Community”
is based on the interest of making our people, culture, values, and points of
view known and at the same time motivate our audience to be more interested
in our community.
With this, we seek greater visibility for our community, the opportunity for our
people to expose their talents and abilities to communicate and for others to
know our true stories. I encourage you to follow us each month as we feature
inspiring stories from our Hispanic/Latinx community in the city of Danbury,
Connecticut.
Please feel free to send me your ideas or thoughts at enovas@gmail.com.
This time we have Nathalie Feliz who is an entertainer working with kids trying
to bring awareness about Bullying.
Global Health Family
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
No Bullying Be Nice
Nathalie Feliz Dipre - a.k.a. Tia Candy
Step into a world of inspiration and positivity as
we present Gala Kids Awards night. Nathalie Feliz
Dipre, the creative force behind Tiaa Candy. Born
on August 30, 1992, in Santo Domingo, Dominican
Republic, Nathalie, also known as Tiaa Candy, has
embarked on an incredible journey to spread love,
confidence, and awareness among children and
families in our community.
Nathalie’s multilingual abilities, including fluency in Spanish, English, and Sign
Language, have allowed her to connect deeply with diverse audiences. Her
parents’ deafness motivated her to learn Sign Language, a skill she uses to
bridge gaps and promote inclusivity. Since 2016, Nathalie has called Danbury,
Connecticut, home, and from there, she’s been transforming lives.
Tiaa Candy isn’t just an artist and child entertainer; she’s a visionary on a mission
to combat bullying in all its forms. With a heartfelt motto of “NO BULLYING BE
NICE,” Tiaa Candy’s performances are more than just entertainment—they’re a
platform for change. She uses the power of music, dance, and games to instill
confidence, self-worth, and the ability to stand against bullying.
The upcoming Gala Kids Award on Sunday, September 17, 2023, marks a
monumental event in this journey. It’s a celebration of young hearts and minds,
a call to action against bullying, and a reminder to embrace kindness. With
an array of programs that teach kids to stand up against bullying, work as a
team, and lead with compassion, this event is a must-attend.
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Nathalie’s collaboration with local and international organizations showcases
her commitment to fostering change. From schools to community centers, her
impact resonates far and wide. Through events like the Easter Talent Show,
Heroes and Princess, Mother’s Day Celebration, and Christmas Shows, she has
consistently spread her message of positivity.
27
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The Tiaa Candy Squad, a group of talented youngsters, adds another layer to
this movement. Their performances encompass singing, dancing, acting, and
poetry, showcasing their dedication to making the world a better place.
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Let’s support Nathalie’s mission to empower the next generation, eradicate
bullying, and build a world where kindness prevails. Witness the impact of
her work in the stories of families who’ve emerged from depression and found
newfound confidence.
In the words of young poet Liamel Valdez: “Let’s end the bullying now!”
Join us on this remarkable journey towards a brighter, kinder future.
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Global Local
Section Editor; Ritesh Vidhun
Healthcare in American Prisons: A Brief
Overview
Written by Ritesh Vidhun
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Introduction
The United States has several communities that are often overlooked in
the healthcare system. Past editions have explored health disparities for
immigrants, rural Americans, racial demographics, and more. One group that
many individuals do not immediately consider are those who are incarcerated.
Prisons and jails are found in all 50 states while the U.S. is the second leading
nation of detainees with nearly 2 million, only behind China. Despite their
actions, these individuals still have human rights and should be able to receive
sufficient healthcare. The state of healthcare within the prison system has
long been a topic of concern and debate, both within the country and on the
global stage. The U.S., with its expansive correctional system, faces unique
challenges in providing adequate healthcare to incarcerated individuals. While
there have been efforts to improve prison healthcare, significant obstacles
remain. This piece will delve into the complexities of prison healthcare in the
U.S., highlighting the challenges faced and exploring potential reforms.
The Challenge of Providing Adequate Care
The United States incarcerates a larger proportion of its population than any
other country, resulting in an immense strain on prison systems. One of the most
pressing challenges is providing access to adequate healthcare services for
inmates. Many incarcerated individuals suffer from chronic health conditions,
mental illnesses, and substance use disorders, making it essential to ensure
that they receive proper medical attention. Overcrowding, limited resources,
and a lack of qualified medical staff further exacerbate the problem. In many
cases, prisons are ill-equipped to manage the healthcare needs of their
inmates, leading to inadequate treatment, delayed diagnoses, and neglect
of serious medical conditions.
Mental Health Crisis Behind Bars
Mental health is a particularly troubling aspect of prison healthcare in the
USA. The prison environment can exacerbate existing mental health issues
or even lead to the development of new ones due to isolation, violence,
and lack of meaningful activities. According to the National Alliance on
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Mental Illness, two in five people who are incarcerated have a past history
of mental illness. Additionally, 66% of women in prison reported mental health
struggles. Incarcerated individuals with mental health issues often receive
minimal psychiatric care, and many end up in solitary confinement, worsening
their conditions. The use of solitary confinement has been criticized for its
detrimental effects on mental health and for violating human rights.
Legal and Ethical Considerations
The Eighth Amendment to the U.S. Constitution prohibits cruel and unusual
punishment, which includes denying adequate medical care to prisoners.
Courts have repeatedly ruled that prisoners are entitled to healthcare that
meets the community’s standard of care. Failing to provide appropriate
medical attention to inmates can result in legal action against correctional
facilities.
Furthermore, the ethical considerations surrounding prison healthcare are
complex. Critics argue that withholding proper medical treatment from inmates
reflects a disregard for their basic human rights and dignity. Advocates stress
that improving prison healthcare not only benefits inmates’ well-being but
also contributes to public health by preventing the spread of diseases within
and beyond prison walls.
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Reforms and Progress
Efforts to reform prison healthcare have gained traction in recent years. Many
states have initiated measures to improve medical services within correctional
facilities. Some reforms focus on increasing the availability of mental health
services, training staff to recognize and address mental health issues, and
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diverting individuals with mental illnesses away from the criminal justice system
and into treatment programs.
Telemedicine is another avenue being explored to provide remote medical
consultations for inmates, especially in rural areas where access to medical
professionals is limited. Additionally, partnerships between correctional facilities
and community healthcare providers have shown promise in enhancing the
overall quality of prison healthcare.
Conclusion
The state of prison healthcare in the USA remains a complex and multifaceted
challenge. While efforts are being made to address the shortcomings in
the system, there is still a long way to go. Providing adequate healthcare
for incarcerated individuals not only upholds their human rights but also
contributes to safer and healthier communities. As the dialogue around
criminal justice reform continues, it is essential to include prison healthcare as
a fundamental aspect of the conversation. By prioritizing the well-being of all
individuals, regardless of their incarceration status, society can move towards
a more just and humane approach to correctional facilities and the healthcare
they provide.
Sources
https://bjs.ojp.gov/library/publications/correctional-populations-unitedstates-2021-statistical-tables
https://nami.org/mhstats
https://www.aafp.org/about/policies/all/incarceration.html
https://www.ncbi.nlm.nih.gov/books/NBK201972/
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The Voice of
Ugandan Students
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Section Editor; Joshua Matsiko
The Looming Crisis: The Status of Unsafe
Abortion in Uganda
Written by Joshua Matsiko
Medical student at MaKCHS
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Case
A 21 year old female is brought into Gynaecology emergency unit of Kawempe
National Referral Hospital with sharp severe lower abdominal pains, that
she subjectively graded at 10/10 and referred to as the worst pain she had
ever experienced, she also experienced dizziness, and vaginal bleeding.
She disclosed that she had taken misoprostol in an attempt to terminate
an unintended pregnancy. Unfortunately, the abortion was incomplete, and
the girl’s symptoms worsened over the next few days, prompting her to seek
medical help. Upon arrival at the hospital, the girl’s vital signs were unstable,
and a physical examination revealed tenderness in her lower abdomen and
pallor. An ultrasound confirmed the presence of an ectopic pregnancy in her
left fallopian tube. It was evident that the ectopic pregnancy had ruptured,
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causing internal bleeding and leading to her deteriorating condition.
Immediate medical intervention was necessary to save the girl’s life. She
underwent emergency surgery to remove the ruptured fallopian tube and
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control the internal bleeding. The procedure was successful, but the patient
required blood transfusions and a prolonged hospital stay for monitoring and
recovery. The medical team also provided counseling and support to address
the underlying emotional and psychological distress she was experiencing.
This case highlights the dangers of unsafe abortion practices and the lack
of access to proper reproductive healthcare, especially for adolescents.
The inappropriate use of misoprostol without medical supervision can lead
to incomplete abortions, severe complications, and even death. Ectopic
pregnancies are particularly perilous, as they require swift diagnosis and
intervention to prevent life-threatening consequences.
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Comments
Uganda, a country renowned for its natural beauty and vibrant culture, also
grapples with a less visible but deeply concerning issue: unsafe abortions. The
consequences of unsafe abortions are far-reaching, affecting not only the
health and well-being of women but also placing a significant strain on the
country’s healthcare system. Despite some progress in recent years, Uganda
continues to face challenges in curbing unsafe abortions and ensuring women’s
reproductive rights and healthcare.
Unsafe abortions are procedures performed by untrained individuals or in
environments lacking medical standards. These often include methods like
ingesting harmful substances, using sharp objects, or receiving blunt force to
the abdomen. The outcomes of such procedures can be devastating, leading
to severe health complications, infertility, and even death. According to the
World Health Organization (WHO), nearly 7 million unsafe abortions occur in
Africa each year, contributing to about 29,000 deaths annually.
In Uganda, where traditional norms, limited access to healthcare, and stigma
around sexual and reproductive health persist, the problem of unsafe abortions
remains a significant concern. Many women resort to these risky methods
due to restricted access to safe and legal abortion services, particularly in
rural areas. Additionally, the lack of comprehensive sex education and family
planning resources contributes to a lack of awareness about contraception
and reproductive health, exacerbating the problem.
Ugandan laws on abortion are among the strictest in the world, allowing
termination only under limited circumstances such as saving a woman’s life.
Even then, the procedures are fraught with barriers. Consequently, many
women, especially those from low-income backgrounds, find themselves in dire
situations where they feel compelled to seek out unsafe abortion methods.
A complex interplay of cultural beliefs, religious norms, and political factors
also shapes the abortion landscape in Uganda. Conservative viewpoints and
opposition to reproductive rights have hindered efforts to reform restrictive
laws and provide safe abortion services. As a result, women’s health is
compromised, and the cycle of unsafe abortions continues.
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Uganda’s healthcare system faces a shortage of trained medical professionals,
particularly in rural areas. This scarcity directly impacts access to safe abortion
services and post-abortion care. Many women who experience complications
from unsafe abortions are left with few options for receiving proper medical
treatment, leading to unnecessary suffering and, in the worst cases, death.
Furthermore, the stigma associated with both abortion and seeking medical
care for abortion-related complications prevents many women from seeking
help. This contributes to a vicious cycle where women’s health deteriorates
due to a lack of access to appropriate care.
Efforts to address the issue of unsafe abortions in Uganda have gained
momentum, albeit gradually. Organizations such as the Reproductive Health
Uganda (RHU) and Marie Stopes International have worked to provide
comprehensive sexual and reproductive health services, including safe
abortion care and post-abortion treatment. These initiatives have helped
improve access to medical care for women in need.
However, a comprehensive approach is necessary to create lasting change.
This includes:
Education and Awareness:
Implementing comprehensive sex education programs that emphasize
contraception, family planning, and reproductive health can help women
make informed decisions and reduce the incidence of unwanted pregnancies.
Access to Healthcare:
Investing in healthcare infrastructure and training more medical professionals,
especially in underserved areas, is vital to ensuring that women have access
to quality reproductive healthcare services.
Reducing Stigma:
Efforts to destigmatize discussions around abortion and post-abortion care
are essential. This can help encourage women to seek medical help without
fear of judgment or shame.
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September 2023
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Section Editor:
Dilyara F. Nurkhametova, MD, PhD
Director of Nuvance Health Global Health Electives Program
for AUC/RUSM
This new column exhibits the beauties of our planet
earth and our everyday destructive actions against
it. We are witnessing Earth undergoing a profound
transformation. In this recently launched section,
we appreciate the gems of our planet while raising
awareness of climate change. We invite our global health community to share
photos, videos, inspirational resources, and stories. We want to hear from you
how climate change affects people and health in your part of the world.
New narratives for a healthy planet: creative writing and art
projects reveal We Still Have a Chance
COMMENT| VOLUME 7, ISSUE 8, E646-E647, August 2023; The Lancet Planetary Health;
DOI: https://doi.org/10.1016/S2542-5196(23)00144-4
The climate emergency encompasses not only environmental challenges but
also issues of language, communication, and translation.
“We Still Have a Chance” emerged from “One Chance Left,” a collection
of 12 poems authored by climate scientists and health professionals. These
verses transformed the Science Pavilion at COP26 in Glasgow into a platform
where the potency of poetry could be shared. This collaboration marked a
groundbreaking moment at COP, forging an emotional bridge between the
scientific and diplomatic delegates. It introduced an unconventional method
of communication within that context.
This a plea from your resource, your host,
your ally if you choose. What will be your legacy?
Petrified promises and empty boasts?
I am listening. You still have a chance. 1
“Planetary health is also served by poetry and storytelling.”
Read the full text here
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Mural by local artist that was unveiled in Alexandria, Egypt, ahead of COP27
to raise awareness about climate change. Learn more about this project here
and here.
1
University of ExeterGreen Futures One chance left: poems created by climate
scientists and health professionals. https://greenfutures.exeter.ac.uk/onechance-left/
Education in Planetary Health
Yale School of Public Health • Climate Change and Health Certificate Program
Beginning September 25, 2023 | 21-week Program
Discover the fully online program now open for admission! With three new
region-specific courses, it’s a unique opportunity. Alongside the standard
6-week courses, explore Caribbean, South Asia, or Sub-Saharan Africa in a
3-week module. Tailored for professionals, including clinicians, policymakers,
and advocates, this program delivers the latest science and best practices in
climate change and health. Visit the website to learn more about the program.
Apply by September 11th.
Submit application
Upcoming Events
Lancet Comment Discussion: Advancing integrated governance for health
through national biodiversity strategies and action plans
Date: September 6, 2023 | ​9:00 AM EDT
Join the Harvard TH Chan School of Public Health’s expert webinar discussing
“Advancing integrated governance for health through national biodiversity
strategies.” Governments worldwide are updating biodiversity plans due to
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the 2022 Kunming-Montréal Global Biodiversity Framework. How will health be
linked to these strategies? Engage in this high-level discussion on ecosystemhealth
connections.
Register via this link
Austronomy Photographer of the Year shortlist
Explore a collection of extraordinary space images that have been shortlisted
for Astronomy Photographer of the Year 2023.
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RCW58: Wolf Rayet Bubble. Image credit: Mark
Hanson and Mike Selby, El Sauce Observatory, Río
Hurtado, Chile
Pandora’s Box. Image credit: Derek Horlock Alyko
Beach, Naxos, Greece
37
3521: Marquise in the Sky. Image credit:
Mark Hanson and Mike Selb El Sauce
Observatory, Río Hurtado, Chile
Radio Polaris. Image credit: João Yordanov
Serralheiro, Mullard Radio Astronomy
Observatory, Cambridge, United Kingdom
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Celestial Equator Above First World War Trench Memorial. Image credit: Louis Leroux-Gere Vimy,
Pas-de-Calais, France
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Clinical Case of the Month
Written by
My Chau Nguyen (MS4, AUC),
Sarah Kohl (MS1, UVMLCOM),
Kristyne Drozdz (MS4, RUSM),
Kevin Ito (MS1, UVMLCOM)
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A 31-year-old Vietnamese man with an unremarkable medical history was
transferred from a local hospital due to a snake bite. Per the patient’s wife,
the patient came across the snake while collecting honey from a beehive. In
an attempt to catch the snake, he was bitten on his left hand. Believing the
snake to be non-venomous, he proceeded to take a shower without seeking
medical attention. However, approximately thirty minutes post-bite, he began
experiencing dizziness, accompanied by swelling in his lower left arm and
blurred vision. Given limited resources, the patient initially sought evaluation
at an urgent care facility instead of directly going to the emergency room. He
was quickly transferred to the local hospital. During the transfer, he complained
of chest pain and difficulty breathing. Upon reaching the local hospital, the
patient received intravenous fluids, but his level of consciousness gradually
deteriorated. Intubation was performed at the local hospital, after which he
was transferred to Cho Ray Hospital, the sole medical facility in the southern
region of Vietnam equipped with access to the necessary anti-venom antidote.
The patient denied experiencing nausea, vomiting, headache, or diarrhea.
Social History:
The patient worked in construction in South Vietnam. He has smoked one pack
of cigarettes per day for 12 years. He consumes alcohol occasionally and does
not use non-prescribed drugs. He has no reported medical history, surgical
history, or previous hospitalizations.
Hospital Course:
Upon admission to Cho Ray Hospital, the patient’s vital signs exhibited a
temperature ranging from 38-39°C, blood pressure of 100/60 mmHg, and
an intubated respiratory rate of 24 breaths per minute, along with a notably
elevated heart rate of 130 beats per minute. During physical examination, the
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patient was found to be unconscious, and significant edema was observed
in the patient’s left arm. The bite wound was localized to the left lateral hand
and displayed three puncture wounds, as illustrated in Figure 1. Neurological
assessment indicated the absence of reflexes and muscle weakness (0
reflexes). The patient was initially treated with 5 vials of antivenom, resulting in
partial improvement and a subsequent neurological examination showing +1
reflexes. However, fatigue persisted. An additional five vials of antivenom were
administered, leading to further improvement in the neurological examination,
though some degree of tachycardia was still observed. Laboratory findings
indicated significantly elevated creatine kinase (CK). Due to a serum CK level
greater than 1500 units/L, concerns regarding rhabdomyolysis persisted,
prompting continued intubation and monitoring within the intensive care unit.
Corticosteroids were administered to address the edema in the left extremity.
Additionally, the patient received empiric antibiotics to prevent infection. The
Figure 1: Three small punch wounds were
located on the left lateral hand.
following day showed improvement in
lab results, and the patient’s condition
stabilized. Successful extubating was
performed, and despite a slightly
tachycardic heart rate, a regular
rhythm was observed. During patient
rounds, communication via cell phone
revealed that the patient recounted
his experiences of paralysis and an
unusual twisting sensation in his
shoulders during his stay at the local
hospital. He described this sensation
as if his “entire body was lifeless and
only [his] brain functions.”
Consequently, the patient’s condition was downgraded to a general ward,
ensuring the ongoing monitoring of heart rate and edema. The patient was
discharged on the following day, as his condition had improved, with plans for
outpatient follow-up in his province.
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Innovation and Technology
in Global Health
Abstract
Section Editor;Swapnil Parve, MD, PhD
The manager of the Nuvance Global Health Academy
AI in Medicine
Creation and Adoption of Large Language
Models in Medicine
Nigam H. Shah, MBBS, PhD; David Entwistle, BS,
MHSA; Michael A. Pfeffer, MD
JAMA. Published online August 7, 2023.
doi:10.1001/jama.2023.14217
Importance There is increased interest in and potential benefits from using
large language models (LLMs) in medicine. However, by simply wondering how
the LLMs and the applications powered by them will reshape medicine instead
of getting actively involved, the agency in shaping how these tools can be
used in medicine is lost.
Observations Applications powered by LLMs are increasingly used to perform
medical tasks without the underlying language model being trained on
medical records and without verifying their purported benefit in performing
those tasks.
Conclusions and Relevance The creation and use of LLMs in medicine need
to be actively shaped by provisioning relevant training data, specifying
the desired benefits, and evaluating the benefits via testing in real-world
deployments.
Introduction
Large language models (LLMs) and the applications built using them, such
as ChatGPT, have become popular. Within 2 months of the November 2022
release, ChatGPT surpassed 100 million users. The medical community has
been pursuing off-the-shelf LLMs provided by technology companies. New
users have been asking how the LLMs and the chatbots powered by them will
reshape medicine.1 Perhaps the reverse question should be asked: How can
the intended medical use shape the training of the LLMs and the chatbots or
the other applications they power?
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Language models learn the probabilities of occurrence for sequences of words
from the corpus of text. For example, if the corpus had the 2 questions of
“where are we going” and “where are we at,” the probability is 0.5 for seeing
the word going after seeing the 3 words where are we. An LLM is essentially
learning such probabilities on a massive scale, such that the resulting model
has billions of parameters (a glossary appears in the Box). In 2017, Vaswani
et al2 demonstrated that a certain kind of deep neural network, called a
transformer, could learn LLMs that later performed amazingly well at language
translation tasks. Their insight led to the creation of hundreds of language
models that were reviewed by Zhao et al.3
Read the Article JAMA
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(Amanda Wallace)
42

OUR PEOPLE,
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Art To Remind Us
of Who We Can Be
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Co-Editors;
Mitra Sadigh and Majid Sadigh
Taylor Swift; Forever Winter
During times of confusion, tribulation,
grief, uncertainty, and despair, the
arts enliven us by reintegrating the
disjointed pieces of ourselves and
replenishing them with clarity and
hope. The arts remind us of our
individual and collective potential
to grow, evolve, and transform. They
remind us of what and who we can
be and what we can create. In this
new section, we bring you works of
art that have moved and inspired
us. We encourage you to also share
works that have inspired you.
Global Local
Voices from Uganda
Our Beautiful Planet
The title of this song is a metaphor, and “Forever Winter” stands as a rare
Taylor Swift outing in that it isn’t about romance. Instead, it has reasonably
been ascertained that this piece is likely dedicated to the late Jeff Lang.
Clinical Case of the Month
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Read more at:
https://www.songmeaningsandfacts.com/taylor-swifts-forever-winter-lyrics-meaning/
Lyric Meaning
43

OUR PEOPLE,
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Global Health
eMagazine
September 2023
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Changes in Leadership
Highlights
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Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Forever Winter (Taylor’s Version)
Lyrics
He says he doesn’t believe anything much he hears these days
He says, “Why fall in love, just so you can watch it go away?”
He spends most of his nights wishing it was how it used to be
He spends most of his flights getting pulled down by gravity
I call just checkin’ up on him
He’s up, 3 AM pacin’
He says, “It’s not just a phase I’m in”
My voice comes out beggin’
All this time I didn’t know
You were breakin’ down
I’d fall to pieces on the floor
If you weren’t around
Too young to know it gets better
I’ll be summer sun for you forever
Forever winter if you go
He seems fine most of the time, forcing smiles and neverminds
His laugh is a symphony, when the lights go out, it’s hard to breathe
I pull at every thread, tryna solve the puzzles in his head
Live my life scared to death he’ll decide to leave instead
I call just checkin’ up on him
He’s up, 5 AM wasted
Long gone, not even listening
My voice comes out screamin’
All this time I didn’t know
You were breakin’ down
I’d fall to pieces on the floor
If you weren’t around
Too young to know it gets better
I’ll be summer sun for you forever
Forever winter if you go
If I was standin’ there in your apartment
I’d take that bomb in your head and disarm it
I’d say I love you even at your darkest
And please don’t go
I didn’t know
You were breakin’ down
I’d fall to pieces on the floor
If you weren’t around
Too young to know it gets better
I’ll be summer sun for you forever
Forever winter if you go
I’ll be your summer sun forever
At 3 AM pacin’
All this time I didn’t know
At 5 AM wasted
I’d be in pieces on the floor
Forever winter if you go
He says he doesn’t believe anything much he hears these days
I say, “Believe in one thing, I won’t go away”
Source: LyricFind
44

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
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Changes in Leadership
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Reflections
Hispanic and Latinx Voices
Article of the Month
For a Girl I Know About
Written by Hossein Akbarialiabad, MD, MSc
Ann Intern Med. 2023;176:1133–1134. doi:10.7326/M23-1272
Growing up in East Africa, I was a curious child, always trying to learn and
explore—my mother often punished me because I would touch almost
everything. I had stunning eyes and curly black hair, which were attractive to
others. However, during this time in my life, my father succumbed to tuberculosis
and my older brother died of lockjaw. Consequently, once I grew somewhat
older, I helped my mother with many of her tasks and responsibilities. My
mother, younger sister, and I worked hard on our farm growing cassava and
matoke to survive.
When the time came to start elementary school, …
Link to the Article and Audio Reading: For a Girl I Know About
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Among the Letters
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Response to “For a Girl I Know About”
Reverend Professor Samuel Luboga
Like you I, many times, despair. The real power to make the necessary changes
belong to people, organizations and governments who are too rich to care
about the plight of young people like the one in the article. If you stop for a
second to imagine how much money is siphoned from poor country economies
simply to service huge unpayable loans owed to rich countries, you wonder
what incentive they can ever have to make the necessary changes. With all
the best intentions in the world, poor country governments have no fiscal
space left for them to invest in improvements in quality and access to health
care. Very many studies have been done and numerous papers published on
the pathetic health facilities/systems and outcomes but I don’t see any sign to
show that those papers are being read by those with the power to make the
necessary changes. I also despair because it is possible that their wealth and
lifestyle are dependent on the income they draw from the poor. The title of the
book “Banking on the poor ‘’ starts to make sense. I worry this may not be the
last story of its kind that we will read and shade another silent tear. What else
can we do?
Global Health Family
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OUR PEOPLE,
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Global Health
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September 2023
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Comments from the readers:
What a powerful and gripping story of all that is lost when we fail to give
opportunity to our world’s children and are paralyzed to tackle extreme
poverty. I wanted to believe that she would recover and grow up to be a
doctor so badly.
I am grateful for all of you who spend your days working to make a difference in
the lives of others through teaching, researching, providing medical care and
community outreach. Thank you for being beacons of hope that things could
change. We can use our privilege to influence those in political and economic
power to make that change. Although it may be a “drop in the ocean”, you are
creating ripples. Together we can make a wave that with time will push back
the sands of inertia slowly.
In appreciation for your compassion and tireless work,
Andrea Green
Absolutely well written. Thank you very much Hoosein, Majid and Katrin.
Nelson Sewankambo
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
This is our reality in many LMICs. It is painful.
Vincent Setlhare
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
It is so real, thank you so much Prof. For sharing.
Estherloy Katali
Cho Ray Hospital
Among the Letters
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Global Health Family
Thanks for sharing! Sad indeed!
Chiratidzo E Ndhlovu
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OUR PEOPLE,
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Wow! Such a powerful and poignant essay.
Thanks for sharing it.
John Murphy
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
It is beautifully written. Quite poignant and, unfortunately, a reality to patients
who do not have the privilege of having the kind of healthcare in affluent
countries.
Jasper Erwin Tolarba
My God,
How do we carry on the voices of those who can’t?
I have not stopped thinking about this piece and have re-read it multiple
times.
It is uncomfortable to read this and then walk out of my automobile into an
air-conditioned state of the art hospital.
How do we move on and not remain in a state of paralysis?
How do we serve in a way that benefits all?
How do we breathe without feeling utterly overwhelmed?
Mahseed Khajavi
Article of the Month
Nursing Division
Women’s Health
Congratulations
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Cho Ray Hospital
Thank you for sharing the reflection. Sadly, it’s an event I’ve seen take place
several times. I’ve shared it with my classmates, as I know they will appreciate
its message.
Javier Rincon
Among the Letters
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
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Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Section Editor:
Nursing Division
Catherine G Winkler, PhD, MPH, APRN-BC
Director of the Nuvance Health Global Health Program Nursing Division
From Novice to Expert – Nursing Pathway
in Global Health
Written by
Deborah Hewith, MS, MBA, NEBC
AVP Professional Development Nursing Education
The International Nursing Executive Committee would like to invite and welcome
everyone to the first Nursing and Global Health Symposium to be held on
September 14th, 2023, at Danbury Hospital Creasy Auditorium. The symposium
will feature speakers, Dr. Sadigh Majid, Jasper Tolarba, Cynthia O’Sullivan,
Heather Ferrillo, and members of the nursing professional development team
who recently traveled to Uganda. The presentations will focus on how nursing
is instrumental in Global Health through experience, education, academics,
and interdisciplinary partnerships. We look forward to seeing you there!
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
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Among the Letters
Calendar of the Month
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Women’s Health Education
Section Editor: Sarah Cordisco, RN
Staff Nurse at the University of Vermont
Healthcare for Women during States
of Emergencies
Written by Sarah Cordisco, RN
Across the globe, hundreds of thousands of people are living in areas that
are suffering from natural disasters, armed conflict and political unrest. With
climate change, natural disasters are becoming more and more common,
destroying homes, lives and entire cities. While the numbers of wars that occur
globally has decreased, violence and conflict waged by political militias,
criminal and international terrorist groups has risen. Much of the unresolved
regional tensions, the breakdown of the current laws and scarcity of resources
has been further exacerbated by climate change making it the dominant
factor of conflict (United Nations, n.d.). Climate change also is causing an
increase in natural disasters, further destroying homes, lives and entire cities.
During periods of war and armed conflict, women’s choices and access to
maternal and reproductive care is extremely limited, if even available. Women
experience reproductive insecurities at a higher rate during times of war,
which further contributes to mortality during both war and postwar periods.
These insecurities further poverty and harm development in a conflict affected
areas (Hedström & Herder, 2023).
Typically, global health research cites health infrastructure as the main factor
affecting women’s health in war and postwar settings. However, many studies
have shown that organized violence increased the risk of maternal death due
to the breakdown of health infrastructure further limiting access to services.
This type of violence also creates structural issues and creates secondary
factors that greatly affect women; such as, malnutrition, poverty, lack of
clean water, gender based violence and human rights violations (Hedström &
Herder, 2023). When access to family planning and health services is restricted,
it causes an increase of unwanted pregnancies and unsafe abortions during
already dangerous times. Many of these negative effects can be addressed
through targeted interventions that are focused on availability to healthcare,
contraceptives and essential nutrients.
When natural disasters hit, there is a sudden and drastic decrease in access
to care due to infrastructure loss and displacement (Adkoli et al., 2022).
Climate change typically first affects the most vulnerable and marginalized
populations, including women, children, youth, people with disabilities,
minorities, the elderly and the poor.
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September 2023
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Global Local
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Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
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During these periods of extreme weather changes and fires, violence against
women and children is exacerbated due to the lack of normal social protection
(UNFPA, 2021). Furthermore, infrastructure and supply chain disruptions leave
family planning services at a disadvantage for access to regular contraceptive
methods or emergency contraceptives, creating unplanned pregnancies.
Climate change also contributes to food insecurities, air pollution, vectorborne
diseases, and general health complications.
Improving reproductive health has long term societal benefits, by improving
women’s overall health, reducing poverty and reducing inequalities in decision
making.
To further these types of developments, adding feminist perspectives on war
to global health research may allow us to further understand the complexity
that the gendered effects of war have on women’s access to healthcare and
overall health (Hedström & Herder, 2023). Evaluating the national climate
policies is also extremely important in improving reproductive care. This can
provide information on the areas of improvement to ensure healthy and resilient
communities (UNFPA, 2021). While the issues of natural disasters, and conflict
ridden areas are not acutely fixable, ensuring there is access to healthcare
and reproductive care should be a priority when planning for if these types
of events occur. This increases the overall health of women and improves the
resilience of the society as a whole.
References
Hedström, J., & Herder, T. (2023). Women’s sexual and reproductive health in
war and conflict: Are we seeing the full picture? Global Health Action, 16(1),
2188689. https://doi.org/10.1080/16549716.2023.2188689
Nations, U. (n.d.). A New Era of Conflict and Violence. United Nations; United
Nations. Retrieved August 28, 2023, from https://www.un.org/en/un75/newera-conflict-and-violence
Adkoli, A., Kumar, S., Futterman, I. D., & Clare, C. A. (2022). Access to Family
Planning Services Following Natural Disasters and Pandemics: A Review
of the English Literature. Cureus, 14(7), e26926. https://doi.org/10.7759/
cureus.26926
How are Sexual and Reproductive Health and Rights Represented in
National Climate Policy? (2021, July 12). UNFPA ESARO. https://esaro.unfpa.
org/en/publications/how-are-sexual-and-reproductive health-and-rightsrepresented-national-climate-policy
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Congratulations!!
Global Health
eMagazine
September 2023
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Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Robert Kalysebula MD, FISN (USA), PhD (UK), the president, Uganda Kidney
Foundation, the president and founder of ACCESS has been elected as the
president of the Uganda Society for Health Scientists (UGSHS).
UGSHS is a great organization that brings together Ugandan scientists.
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
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To Robert Kalyesubula, Mitra Sadigh, Bernard Okong, Ricahrd Munana, Ivan
Weswa, Estherloy Abaliwano Katali, James Sewanyana, Janice Levine and
Majid Sadigh, for publication of their manuscript “ACCESS Model: A Step
Toward an Empowerment Model in Global Health Education”, in “Frontiers in
Education-Higher Education”.
51

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Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Welcome
On August 8, 2023, Dr. Tran Duong
Thong, junior faculty in cardiology from
Cho Ray Hospital, Ho Chi Minh City,
Vietnam, arrived at Danbury hospital
for 8-week training in the Cardiology
department under the supervision of
Dr. Robert Jarrett, the President and
the Founder of the Hearts Around
the World. We welcome Dr Thong to
Danbury Hospital!
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
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Nursing Division
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OUR PEOPLE,
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Cho Ray Hospital
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
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Among the Letters
Dear Valued Partners,
The External Relations Unit of Cho Ray Hospital would like to send greetings
to our hospital partners and agencies.
We would like to update all you with some information as follows:
1. Dr. Hoang Lan Phuong - Head of External Relations Unit retired from
01/08/2023. Through this email, she would like to thank the agencies and
partners who have worked with her during the past time. She wishes
all you good health and look forward to continuing to maintain a longterm
cooperative relationship between the hospital and the partners.
2. The successor of Dr. Phuong is Dr. Vo Ngoc Anh Tho
(anhthobsy@gmail.com).
3. Currently, the email of the External Relations Unit is:
Choray-ExternalRelations@choray.vn has been deprecated since July 31,
2023.
4. he new email to replace the above email is: ext.relations@choray.vn
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Sincerely informed,
External Relations Unit,
Cho Ray Hospital
Ho Chi Minh City, Vietnam
53

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Global Health
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September 2023
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Changes in Leadership
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Among the Letters
The community health talk on “Asthma” by Ella and Shrey was very well received.
I think this should become a permanent feature of the Global Health electives
at St. Stephen’s Hospital. They were also taken to:
1. Mwanamuugimu Nutrition Rehabilitation Unit at Mulago
2. The Uganda Cancer Institute
3. Mildmay Hospital
4. Kampala City Tour
5. St. Stephen’s Hospital outreach
Sam Luboga
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
I wish to express my continued interest in contributing to the eMagazine,
leveraging the improved writing skills I have gained. Though I have transitioned
from ACCESS, I am enthusiastic about the opportunity to continue sharing
insights through the eMagazine. Collaborating on this platform holds great
value to me, and I look forward to engaging in meaningful discussions and
further enriching our collaborative efforts.
Justus Ibrahim Twinomujuni
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
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Among the Letters
We were so happy that you and Dr. Parve were able to make it last Sunday
to the event. You could see and feel first hand the emotions of these kids and
families thanks to your initiative and the hard work of our team... It was a great
afternoon!
Thank you so much and kind regards!!
Elvis
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September 2023
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Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
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Nursing Division
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Calendar of Events
Nuvance Health
August 01-04: Finalized and reviewed the eMagazine, August issue, for
circulation with Amanda Walace
August 01: Zoom meeting with Professor Sewankambo in preparation of the
first introductory meeting with the selected panel members
August 01: Zoom meeting with Dr. Hossein Akbari in preparation of the first
introductory meeting with the selected panel members
August 05: Zoom meeting with the director of the compliance office to address
her concerns and questions
August 05: Information sessions with Dr. Dilyara Nurkhametova and Dr. Swapnil
Parve to address the compliance office concerns
August 05: Formally responding to the compliance office concerns and
questions
August 05-06: Return of 17 medical students from international sites to the USA
August 06: Finalizing the global health diaries with Mitra Sadigh and Amanda
Wallace
August 07: First formal meeting with the members of the panel to discuss the
content and format of the panel at UNGA78
August 08: Discussion around eMagazine and global health diaries with Dr.
Bulat Ziganshin and Dr. Dilyara Nurkhametova
August 08: Discussion around changing the international site from Uganda to
Thailand for psychiatry residents interested in global health with Dr. Dilyara
Nurkhametova
August 08: Discussion around changing the international site from Uganda to
Thailand for psychiatry residents interested in global health with Dr. Stephen
Scholand
August 08: Exploring the possibility to send psychiatry residents interested in
global health to Zimbabwe with the leadership of University of Zimbabwe
August 08: The first formal introductory meeting with members of the accepted
panel at UNGfA78
August 09: The last day of Y.A.L.L. project at the Global Health Academy
August 09: The zoom meeting with convenors and co convenors of UNGA78
August 09: Orientation session with Dr. Swapnil Parve, the manager of the
Global Health Academy
55
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OUR PEOPLE,
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Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
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August 10: Zoom meeting with Dr. Bulat Ziganshin, the director of research and
innovation at NVH/UVMLCOM Global Health Program, to discuss his future
responsibilities as the director of the program and answering his questions
August 10: Discussion of the content and format of the News Release # 1 with
UNGA 78 leadership and Dr. Swapnil Parve
August 10: Drafting the News Release # 1 with Hossein Akbari and Mitra Sadigh
August 11: Discussion on News Release # 1 with Mitra Sadigh, Dr. Hossein
Akabari, Grace Linhard and Professor Nelson Sewnakambo
August 11: Reviewing and selecting reflections with Dr. Dilyara Nurkhametova
to post on eMagazine and the global health diaries
August 11: Contacting the leadership at MakCHS to clarify financial
responsibilities of NVH toward Rudy Ruggles Global Mental Health Scholars
August 11: Finalizing the News Release # 1 and submitting it to the UNGA78
August 12: Discussion on marketing the panels at UNGA78 with Amanda
Wallace
August 13: Discussion on UNGA78 with Sarah Cordisco, Joshua Matsiko, and Dr.
Swapnil Parve
August 13: Debriefing on Y.A.L.L., first cohort with Elvis Novas
August 13: Telephone call with Joshua Matsiko and Joseph Kalanzi on how to
publicize the accepted panels at UNGA78
August 13: Finalized the global health diaries with Mitra Sadigh and Amanda
Wallace
August 14: In person meeting with Dr. Stephen Winter, the senior consultant,
NVH Global Health Program
August 15: Orientation meeting with Dr. Swapnil Parve and Dr. Bulat Ziganshin
August 15: Meeting with Jasper Erwin L. Tolarba, DNP, RN, CGNC, CNE,
FACHE, FAAN, Beatrice Hofstadter White Endowed Chair for Nursing Practice,
Education, Research, and Innovation
August 15: Global Health Leadership Meeting
August 15: UNGA78 Team Meeting
August 16: FY24 Endowed Chairs Budget Discussion
August 16: UNGA78 Conveners Orientation Session
August 16: UNGA78 members of the panel brainstorming session
August 16: Dr Swapnil Parve and Dr Dilyara Nurkhametova met with two NH
residents interested in Global health elective
56
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
August 20: Phone conversation with Professor Sam Luboga to discuss future
direction of homestay model in Kampala and supplementary sociopolitical
curriculum
August 20: Attending the graduation ceremony of the first cohort of Y.A.L.L. at
Dominican Republic Community Center in Danbury
August 19-20: Finalized submission of a letter to the Lancet with Dr. Hossein
Akbari and Professor Sewankambo
August 20-21: Finalizing the global health diaries with Mitra Sadigh and
Amanda Wallace
August 21: Global Health Monthly Meeting with Dr. Dereck DeLeon
August 22: Zoom meeting with the panelists in preparation for the UNGA78
August 22: Debriefing session with Dr. Swapnil Parve, the manager of the global
health academy
August 24: Zoom meeting with Dr. Bulat Ziganshin, the new director of the
global health program
August 24: Zoom meeting with Dr. Asghar Rastegar on how to improve the
discussion at UNGA78
August 24: Zoom orientation session for Convenors of UNGA78
August 24: Zoom meeting with panelists in preparation for UNGA78
August 24: Discussion with Dr. Stephen Scholand on his new role in the global
health academy and possibility to establish a partnership with the psychiatry
department at Walailak University
August 25: Telephone call with Susan Byekwaso in preparation for a zoom
meeting with the leadership of Rudy Ruggles Global Health Scholars
August 26-27: Finalized the global health diaries with Mitra Sadigh and
Amanda Wallace
August 28: Two Nuvance Health Psychiatry residents start their Global Health
elective in Uganda
August 28: Service Line Monthly Meeting
August 28: Meeting with the global health leadership, UVMLCOM
August 28: Meeting with Dr. Hossein Akbari, in preparation for UNGA78
August 29: Meeting with the members of the panel in preparation for the
UNGA78
August 29: Meeting with the NVH global health program leadership
August 29: Meeting with Dr. Swapnil Parve, the manager of the Global Health
Academy
57
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
August 29-31: Finalized the September issue of eMagazine and the
supplementary issue with Mitra Sadigh and Amanda Wallace
UVMLCOM
August 4: Twelve UVM students completed their GHEs in Vietnam, DR, and
Thailand
August 9: Debrief sessions with UVMLCOM students - Vietnam, DR
August 14: Global Health Leadership Team meeting
August 18: Debrief sessions with UVMLCOM students - Uganda, Thailand
August 28: Global Health Leadership Team meeting
AUC/RUSM
August 1: Touch base meeting with Dr Elina Mukhametshina
August 4: Five AUC/RUSM students completed their GHEs in Vietnam, DR, and
Thailand
August 7: Five AUC/RUSM students started their GHEs in Uganda and India
August 8: Touch base meeting with Dr Elina Mukhametshina
August 16: Touch base meeting with Dr Elina Mukhametshina
August 28: 2024 GH Elective Interviews for AUC/RUSM Students
August 29: 2024 GH Elective Interviews for AUC/RUSM Students
August 30: 2024 GH Elective Interviews for AUC/RUSM Students
August 31: 2024 GH Elective Interviews for AUC/RUSM Students
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
58

OUR PEOPLE,
OUR MISSION
Photo News
The Global Health Academy Building
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
59
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OUR PEOPLE,
OUR MISSION
Y.A.L.L. Graduation Ceremony
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
60
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OUR PEOPLE,
OUR MISSION
Thailand
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Dr. Scholand with Friends in Thailand
Uganda
Devin Hebert, Rebecca Chavez, and Ian
Minearo in Thailand
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Dr. Edith Nakku Joloba (UMA President and Public Health Specialist),next to Dr.Sabrina B Kitaka
(Paediatrician) with some members of the Zadok and Joyce Memorial Foundation giving trees for
planting to students of the Ivukula Community in Eastern Uganda
61
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Dr Sabrina Kitaka participating
at a Health Camp in Eastern
Uganda which was held from 1st
to 3rd July as part of the activities
for the Annual Zadok and Joyce
Wabulembo Memorial Foundation
Medical staff and volunteers who supported
the 2023 Health Camp
Spotlight
Voices from Zimbabwe
Medical Students in Uganda
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Dr Bemen Habashi and UVMLCOM medical students Ella Ansell and Shrey Patel with St Stephen’s
hospital staff, Uganda
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
UVMLCOM MS1 medical students in Uganda
62
UVMLCOM MS1 students Shrey Patel and Ella
Ansell with Dr Bemen Habashi and St Stepehn’s
hospital staff
News continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Dr Bemen Habashi, Shrey Patel, and Ella Ansell
at the Source of the Nile, Uganda
UVMLCOM students at the Reverend Samuel
Luboga’s house, Uganda
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Dr Bemen Habashi with Sr Jane Frances, Naggalama, Uganda
Medical student during GH
elective
Global Health Family
Resources
Previous Issues of
the eMagazine
UVMLCOM Medical students From left to right: Ella Ansell, Shrey Patel, Ryan Trus, Dr Bemen
Habashi, Rachel Miles, Reverend Samuel Luboga, Kyle Gorman, Surya Radhakrishnan,
Kampala, Uganda
63
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
UVMLCOM MS1 students Ryan Trus, Kyle Gorman,
Surya Radhakrishnan, and Rachel Miles with children
in Uganda
UVMLCOM students at Murchison Falls
Article of the Month
Nursing Division
UVMLCOM students Ryan Trus, Kyle Gorman, Surya Radhakrishnan, Rachel Miles, in Uganda
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
UVMLCOM students with Dr Bemen Habashi departing to Uganda
64
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
UVMLCOM students Ryan Trus, Rachel Miles, Surya
Radhakrishnan, Kyle Gorman in St Stephen’s
hospital, Uganda
Vietnam
Tour in Ho Chi Minh city
65
UVMLCOM students Kyle Gorman and
Ryan Trus in Uganda
News continued on next page >>

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
UVMLCOM student Sarah Kohl with Members of Cho Ray Urology Department
66
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OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
UVMLCOM student Sarah Kohl with Members of Cho Ray Urology Department
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
(Majid Sadigh)
67

OUR PEOPLE,
OUR MISSION
Global Health Family
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Saida Agliullina, MD,
Global Health Scholar
Dr. Stephen Scholand with Family
Albert Trondin, MD, The Global Health Scholar
with his daughter, Aida
Photo News
Henry Scholand
Global Health Family
Resources
Previous Issues of
the eMagazine
68

OUR PEOPLE,
OUR MISSION
Global Health
eMagazine
September 2023
Announcements
Changes in Leadership
Highlights
Spotlight
Voices from Zimbabwe
Reflections
Hispanic and Latinx Voices
Global Local
Voices from Uganda
Our Beautiful Planet
Clinical Case of the Month
Innovation and Technology
Art to Remind Us of
Who We Can Be
Article of the Month
Nursing Division
Women’s Health
Congratulations
Welcome
Cho Ray Hospital
Among the Letters
Calendar of the Month
Photo News
Global Health Family
Resources
Previous Issues of
the eMagazine
Yale Medicine 2008
Photos and Reflections 2021
Global Health & the Arts
Nuvance Health and UVMLCOM Global
Health Website
COVID-19 Resource Center
Nuvance Health and UVMLCOM Annual
Report 2020
AUC/RUSM Annual Report 2018
Cases and Reflections from Mulago
Climb for a Cause 2018
Climb for a Cause 2019
Ebola: Sequences on Light and Dark
Ebola: Two Doctors Respond to the 2014
Ebola Epidemic in Liberia: A Personal
Account
Global Health Annual Reports
Global Health Conference 2019 Photos
Global Health Conference 2019 Videos
Global Health Conference 2019 Book
Global Health Diaries and Newsletters
2015-2016
Global Health Diaries and Newsletters
2016-2017
Global Health Diaries and Newsletters
2017-2018
Global Health Diaries and eMagazines
2018-2019
Global Health eMagazines 2020-2021
Global Health Diaries 2020-2021
Global Health Program Website
Global Health at WCHN Facebook
Ho Chi Minh City and Cho Ray Hospital
The Homestay Model of Global Health
Program video
Kasensero Uganda
Resources
Global Health Reflections and Photos 2017
and 2018
Global Health Reflections and Photos 2019
Ethical Dilemmas book
69
Nuvance/MakCHS Global Health
Information Center Booklet
Paraiso and the PAP Hospital
Photographs from Uganda, by
photojournalist Tyler Sizemore
Presentations By Global Health Scholars
Previous issues of the Global Health
eMagazine
Program Partners
Publications
Site Specific Information
Tropical Medicine Booklets (101, and
202)
Tropical Medicine Spanish 101
Tropical Medicine Courses
The World of Global Health book
The World of Global Health Video
Words of Encouragement
UVM Larner College of Medicine Blog
Participant Guide in Global Health,
Thailand
Cho Ray International Student Handbook
DRC Facing a New Normal
Photos and Reflections 2019
Coronavirus 2019 Important clinical
considerations for Patients & Health
care Providers
Interviews
A Connecticut Doctor in Africa, by
journalist Mackenzie Riggs
Majid Sadigh, MD Interview Regarding
Ebola in Liberia (Video)
My Heart Burns: Three Words Form a
Memoir (Video)
Two UVM Docs Combat Ebola in Liberia
(Article)