Duke Global Health Institute

Kenyan students
Weekly News and Notes
From the Duke Global Health Institute
 
Greetings!  
 
Campus is starting to come back to life, as freshman and graduate school orientations begin and students start returning.  Next week we'll introduce you to the incoming Master of Science in Global Health class.
 
Today, we bring you a profile of DGHI member Svati Shah, a couple stories from the Center for Health Policy, and much more.   
 
Students: Don't forget Monday, Aug 30 is the deadline to submit photos for the DGHI Photo Contest.  Enter your best summer fieldwork pic and you could win a cash prize!  See below for details.
 
Look for big changes coming to DGHI News and Notes also next week.  Thanks for reading! 
 
Until next week,

Geelea Seaford and Everyone at DGHI

 
 
Faces of Global Health: Svati Shah, MD
 
The exploding burden of cardiovascular disease among low- and middle-income countries was the motivation for Duke cardiologist Svati Shah to consider research initiatives in her parents' home country of India. She is among several highly-trained experts recruited by the Duke Global Health Institute to study the causes of this shift toward chronic diseases within an international context.
 
Svati Shah, MDShah, also trained in epidemiology and genomics, has established an adult cardiovascular disease genetics clinic at Duke University Medical Center. She said with the support of DGHI, her interest in genomics research abroad became possible.

"DGHI gave me the infrastructure and support I needed to be able to do global health research in India. So when DGHI came along, I leaped at the opportunity," said Shah, assistant professor of medicine, whose research in India focuses on genomics and novel biomarkers in patients with cardiovascular disease (CVD) and diabetes. Today, she leads DGHI's signature research initiative on cardiovascular diseases.

Worldwide, there are more deaths associated with CVD than from tuberculosis, HIV and malaria combined. "In fact, India has the largest number of diabetes cases in the world," said Shah, who visited the country last year to explore possibilities for her research projects and build local partnerships. She saw patients who had not been diagnosed with diabetes until they suffered from an endstage complication, typically kidney failure, blindness or a heart attack.

It is Shah's hope that her research will lead to earlier diagnosis of chronic diseases and fewer deaths among high-risk populations in India.

 
Read more about the growing disease burden of chronic diseases in developing nations, and Shah's research partners in India. 
 
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See other Duke faculty members and researchers DGHI has featured in "Faces of Global Health."

 
Noteworthy Publications

Study Finds Less Reported HIV-related Stigma Against Orphans and Abandoned Children in Institutional Care
 
A group of researchers at the Center for Health Policy have found greater acceptance of orphans and abandoned children (OAC) in institution-based care as opposed to community-based care, according to a study of 2,000 caregivers of OAC in five less wealthy nations.
 
The study found that 84% of institution-based caregivers compared to 66% of community-based caregivers said they would be willing to care for a relative with HIV. A similar disparity was evident for the proportion of caregivers who said they would be willing to let their child play with an HIV-infected child (81% vs. 64%). 
 
The study challenges recent policy statements that have recommended deemphasizing institution-based care in favor of community-based care settings on the basis that better child care will result. Further research on the prevalence of HIV-related acceptance and stigma among caregivers and implications of such stigma for child development will be critical as the policy community responds to the global HIV/AIDS orphan crisis.
 
Authors of the paper published this month in BMC Public Health include Lynne Messer, Brian Pence, Kathryn Whetten, Rachel Whetten, Nathan Thielman, Karen O'Donnell, and Jan Ostermann.
New and Noteworthy
 
Bringing Global Health Home: Student-created Cookbook to be Used in NC Obesity Study
 
Spinach Pasta and a No-Fuss Veggie Quesadilla are two of the low-cholesterol recipes found in a new cookbook that will be used by a DGHI-affiliated obesity intervention currently under way in North Carolina. The cookbook, "Cooking Healthy, Easy Foods While Saving (CHEFS)," developed by interns at DGHI's Center for Health Policy, aims to help low-income families and people with chronic health issues to eat healthy.
 
CHP interns left to right: Darren Webber, Yue Jiang, Ogechi Nzewi, Nandini Kumar, John Min, Ji Won Yeom.
Center for Health Policy Summer Interns
"We are excited to incorporate some of the recipes into materials that we send to SHAPE Program participants," said DGHI member and researcher Gary Bennett, whose 18-month obesity prevention trial targets overweight female primary care patients aged 25-44. "We try to incorporate fun, new recipes into all of the educational materials used in our studies because they can help participants with behavior change, and having the CHEFS cookbook as an additional resource is one of the many great benefits of having summer internship programs at CHP."

The 91-page cookbook is an informative and practical guide to eating healthy and inexpensively. It contains nearly 50 recipes, healthy eating and cooking tips, and special dietary labels for low-sodium, low-cholesterol, and low-fat meals and snacks. 

"Many of the recipes use local, widely-available ingredients in new and fresh ways," said Bennett, associate professor of psychology and neuroscience. "They dovetail nicely with many of the evidence-based recommendations we make to participants, such as eat more fruits and vegetables, eat less red meat, have more whole grains, and watch sodium levels."
 
Read more to find out other ways the CHEFS cookbook is being used, and hear from the students about their experience.
 
 
Engineering World Health Expands Biomedical Equipment Training Program to Three More Countries
 
Engineering World Health (EWH) began its biomedical equipment technician (BMET) training program in late 2009 to provide training for 45 technicians in Rwanda. The program was funded by the GE Foundation with the goal of providing enough trained technicians to
Jenna Maloka and Melanie Bloom reparing equipment. Maloka helped develop BMET Training curriclum being used in Rwanda.
Maloka heled develop BMET Training curriculum
service every hospital in Rwanda within three years. Thanks to further funding from the GE Foundation, EWH is now expanding its training program to Cambodia, Honduras and Ghana.
 
The EWH BMET training programs feature needs-based curricula tailored to each country in partnership with Duke University. The curriculum being used in Rwanda was developed by undergraduates at Duke's Pratt School of Engineering, including Allison Keane, Jenna Maloka, Kathleen Murphy and Marian Dickinson.
 
The introductory BMET training course teaches students about healthcare technology management, computer skills, principles of medical device operation, and professional development. Students build their equipment repair abilities through a broad base of specific skills that apply to the maintenance and repair of numerous types of biomedical equipment. In these countries, technicians attend a two-month intensive course twice per year. With this method, the student technicians reinforce their classroom learning with alternating time periods of hands-on practice at their hospital, and the hospitals begin reaping the benefits immediately after the first session of classes finish. After three years and six training sessions, the students receive a certification in BMET.
 
Read more from EWH's Blog.
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Scientific American Highlights Global Health in New  Publication: "Lives: New Answers for Global Health"
  
A new partner publication of Scientific American,"Lives: New Answers for Global Health," highlights the vast global health challenges of our day through the lives of people.
 
As the publication's editor wrote, "the topic of global health is, in one sense, the additive health, ill-health, wellness and unwellness of every person on the planet. Global health is about our lives."
 
Click the image to read the publication.
Lives by Scientific American
Lives examines global health through the eyes of the world's most vulnerable inhabitants as well as individuals who have made contributions to the field. One of the profiles features Duke alumnus Sandeep Kishore, a student in the midst of a rigorous physician-scientist training program, but whose work has already made a difference in global health. Kishore has expanded the curricula at his medical school to include neglected tropical diseases (NTDs); he's spearheaded the addition of cholesterol-lowering drugs on the WHO's essential medicines list; and now he's launched a new organization for young professionals to battle chronic disease in developing countries at the grassroots level.
 
The publication also highlights new solutions and innovations in global health, the path to a malaria vaccine, and viewpoints on a variety of topics such as africa's hunger, the global water crisis, the value of nurses for health promotion, curbing chronic disease and the need for continued cross-sector collaborations to improve health in underserved and marginalized communities around the globe.
 
Download a PDF version of the Lives publication.
Faculty News and Funding
   
Student News and Opportunities
 
DGHI Photo Contest: Submit Your Best Fieldwork Photos Today!  DUE NEXT MONDAY, AUGUST 30TH 
 
The Duke Global Health Institute is proud to holdthe first annual university-wide student global health fieldwork photo contest.
 
Duke students and trainees may enter up to three photos, with each photo corresponding to one of the following three global health themes: partnership, education or change. Winning photos will be selected from each category, and the overall winning photographer will receive a cash prize. Winners will be announced at the GHTRIPS event on September 13.
 
Photo submission is open to all Duke students doing fieldwork in Spring/Summer 2010, and the deadline to enter the contest is AUGUST 30 by 5pm. For questions, email az34@duke.edu.
 
 
Education Opportunities
 
Undergraduate students are invited to apply for GSA, which explores health and development issues in India and China. Deadline Sept. 20 
 
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Careers in Global Health
Recently graduated? Interesed in working in global health? The Duke Global Health Institute keeps a list of career resources. See current opportunities.
 
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See additional student funding and educational opportunities.
August 24, 2010
Adrian Hadriono Fieldwork
In This Issue
Faces of Global Health: Svati Shah, MD
New & Noteworthy
Faculty News & Opportunities
Student News & Opportunities
Upcoming Events
 
 
Aug. 26 » 7:30-9 am
 

TGHC Monthly Breakfast Discussion: Private Sector Participation in Achieving Public Health Goals

NC Biotechnology Center 
 
 
 
 
Aug. 30 » 12-1:30 pm 
 

Health Forum: Emerging Challenges in Keeping the Public Healthy

School of Nursing,  Auditorium 1014
 
 
 
 
Sept. 8 » 1:45-2:45 pm
 

Global Health Policy Updates

UNC Gillings School of Public Health
   
 
 
 
Sept. 13 » 5:30-9 pm
 

GH TRIPS - Global Health Transitions, Research, Insights, Presentations, Service

TBA
 
 
 
 
Sept. 15 » 12-1 pm
 
Global Health Exchange Brown Bag Series: Mike Hansen, Exco InTouch Inc
 
Trent Hall, Room 124
 
 
 
 
Sept. 15
 
DGHI In The News 
 
11 colleges that give students iPads
 
The article links back to an earlier one on Mac Stories.net bout DGHI's pilot iPad project beginning this semester.
 
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Duke Global Health Institute is one of seven university-wide interdisciplinary institutes at Duke.  Learn more at www.interdisciplinary.duke.edu