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 


Highlights 

Spotlight 


Reflections 


Global Local 


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. 





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Welcome 




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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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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. 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



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Changes in 

Leadership 

Global Health 



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Who We Can Be 





Welcome 




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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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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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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. 




Who We Can Be 





Welcome 




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Resources 



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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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. 


Highlights 

Spotlight 


Reflections 


Global Local 




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. 



Who We Can Be 





Welcome 




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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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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. 




Who We Can Be 





Welcome 




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Tangled Web (Rose Schwartz) 

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Who We Can Be 





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 




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 


Resources 



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Welcome 




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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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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. 



Who We Can Be 





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Praying Mantis (Rose Schwartz) 

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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 



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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 




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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 

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Who We Can Be 





Welcome 




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. 

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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. 




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Rebecca 

Nagle, DNP, APRN, PNP 

Clinical Assistant Professor of Nursing 

at the University of Vermont College of 

Nursing and Health Sciences 

Global Health 



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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. 


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(Majid Sadigh) 

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Welcome 




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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. 

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Welcome 


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. 

. 



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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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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. 


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(Rose Schwartz) 

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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 

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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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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. 

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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 


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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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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. 

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OUR PEOPLE, 

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War Remnants Museum 

Written by Sarah Kohl 

MD Class of 2026 

The Larner College of Medicine at The University of Vermont 

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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. 



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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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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. 





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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

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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. 


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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. 

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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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Click here to visit the Nuvance Health Global Health Program 

COVID-19 Resource Center 

28

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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. 

33 

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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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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 

35 

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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 

36 


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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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Emerald Roots. Image credit: Lorenzo Ranieri 

Tenti Vestrahorn, Stokksnes, Iceland 

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The Milky Way. Image credit: Kush Chandaria 

Okavango Delta, Botswana 

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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 

39 

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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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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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Art To Remind Us 

of Who We Can Be 

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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 



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. 




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Read more at: 

https://www.songmeaningsandfacts.com/taylor-swifts-forever-winter-lyrics-meaning/ 

Lyric Meaning 

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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’ 








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 







I’ll be your summer sun forever 

At 3 AM pacin’ 


At 5 AM wasted 

I’d be in pieces on the floor 


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 

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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 

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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? 


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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 





Who We Can Be 

This is our reality in many LMICs. It is painful. 

Vincent Setlhare 





Welcome 

It is so real, thank you so much Prof. For sharing. 

Estherloy Katali 




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Thanks for sharing! Sad indeed! 

Chiratidzo E Ndhlovu 

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Wow! Such a powerful and poignant essay. 

Thanks for sharing it. 

John Murphy 

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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 





Welcome 


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 



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Section Editor: 


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! 




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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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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!! 

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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. 





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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”. 

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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! 

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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, 


Ho Chi Minh City, Vietnam 

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Highlights 

Spotlight 


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 


Reflections 


Global Local 





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 


Who We Can Be 





Welcome 



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 


Photo News 


Resources 



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Reflections 


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Welcome 




Photo News 


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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 

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Welcome 




Photo News 


Resources 



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 

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Reflections 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



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 

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Highlights 

Spotlight 


Reflections 


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Who We Can Be 





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 28: 2024 GH Elective Interviews for AUC/RUSM Students 







Photo News 


Resources 



58

OUR PEOPLE, 

OUR MISSION 

Photo News 

The Global Health Academy Building 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



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OUR PEOPLE, 

OUR MISSION 

Y.A.L.L. Graduation Ceremony 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



60 


OUR PEOPLE, 

OUR MISSION 

Thailand 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




Dr. Scholand with Friends in Thailand 

Uganda 

Devin Hebert, Rebecca Chavez, and Ian 

Minearo in Thailand 

Photo News 


Resources 



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 


OUR PEOPLE, 

OUR MISSION 

Global Health 



Announcements 


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 


Medical Students in Uganda 

Reflections 


Global Local 






Who We Can Be 




Dr Bemen Habashi and UVMLCOM medical students Ella Ansell and Shrey Patel with St Stephen’s 

hospital staff, Uganda 


Welcome 




Photo News 


Resources 



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 


OUR PEOPLE, 

OUR MISSION 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 





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 


Who We Can Be 





Welcome 




Photo News 

Dr Bemen Habashi with Sr Jane Frances, Naggalama, Uganda 

Medical student during GH 

elective 


Resources 



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 MISSION 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






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 



UVMLCOM students Ryan Trus, Kyle Gorman, Surya Radhakrishnan, Rachel Miles, in Uganda 



Welcome 




Photo News 


Resources 



UVMLCOM students with Dr Bemen Habashi departing to Uganda 

64 


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Announcements 


Highlights 

Spotlight 


Reflections 


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Who We Can Be 





Welcome 




Photo News 


Resources 



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 


OUR PEOPLE, 

OUR MISSION 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



UVMLCOM student Sarah Kohl with Members of Cho Ray Urology Department 

66 


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OUR MISSION 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


UVMLCOM student Sarah Kohl with Members of Cho Ray Urology Department 

Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 




67

OUR PEOPLE, 

OUR MISSION 


Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




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 


Resources 



68

OUR PEOPLE, 

OUR MISSION 

Global Health 



Announcements 


Highlights 

Spotlight 


Reflections 


Global Local 






Who We Can Be 





Welcome 




Photo News 


Resources 



Yale Medicine 2008 

Photos and Reflections 2021 

Global Health & the Arts 

Nuvance Health and UVMLCOM Global 

Health Website 


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 


2016-2017 


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 


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)

eMagazine September 2023

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