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Monday, February 4

  1. page Community Academic Partnerships edited ... Welcome to the 168th Street Greenmarket What are Community Academic Partnerships? ... our …
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    Welcome to the 168th Street Greenmarket
    What are Community Academic Partnerships?
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    our patients (21, 32).(22, 33).
    One way
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    and partner" (20, 21, 32)(21, 22, 33)
    Here at CUMC there are several active community academic partnerships that have led to a significant improvement in our communities health and reciprocal community oriented teaching for students, residents and faculty. Here we look at just a small sample of these innovative and effective partnerships.
    Choosing Healthy and Active Lifestyles for Kids (CHALK)
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    CHALK was one of the driving forces for this incredible addition to our neighborhood and is only the tip of the iceberg when it comes to their initiatives throughout northern Manhattan. To learn more about CHALK and ways to get involved visit them here.
    Washington Heights and Inwood Network (WIN) for Asthma
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    national average (26).(27). Community, hospital,
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    child's asthma (30).(31).
    {win_family_grad_2.jpg} Annual Graduation Ceremony of WIN for Asthma Program
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    heart failure (30).(31).
    School Based Health Clinics (SBHCs)
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    health concerns (19, 28).(20, 29).
    All of these organizations are a testament to the power of community academic partnerships. Through this type of program, the efficacy of interventions are compounded to help elevate our patient populations health overall. For a list of other community based organizations visit here
    .
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    6:28 am
  2. page WaHI Health Indicators edited ... Chronic Illness {CHRONIC ILLNESS REVISED.jpg} Overall, chronic illness in WaHI is higher than…
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    Chronic Illness
    {CHRONIC ILLNESS REVISED.jpg} Overall, chronic illness in WaHI is higher than in New York City. Both high cholesterol and depression are significantly higher in our community. Hypertension and BMI are comparable across WaHI and NYC, with WaHI being only slightly higher.(24)
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    from this disease.(24,disease.(25, 2)
    Taken together, our patients are more likely to have chronic illness than if we practice in another part of the country, let alone another area of NYC. As medical students who will be caring for this population, it is important to not only know these statistics but to discuss reasons why these numbers are so high and how we as health care providers can intervene.
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    were now uninsured.(29)uninsured.(30)
    What do
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    or needed advice.(29)advice.(30)
    These statistics help to explain why our patient population has such a high burden of chronic disease. What we can do as medical students is be aware of these statistics and advocate for our patients and our community. Helping to seek social services for our patients when we see them in the hospital through case managers and social workers is a great way to improve the overall health of our patients. Also, volunteering at organizations that help to provide care to the uninsured is another way to bridge this gap our community. You can read more about these opportunities at the P&S Club stop.
    Exercise and Nutrition
    {EXERCISE THIS ONE REVISED.jpg} Olson et. al, 2010
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    chronic disease burden.(24,burden.(25, 7)
    These diet characteristics are helpful to know as providers because it can serve as a framework for nutritional counseling that is a common part of primary care visits. Knowing the prevalence of sugary drink consumption in our community can guide a question regarding our individual patient's soda or juice consumption. Being familiar with close by farmers markets and other accessible low cost fruits and vegetables can come in handy when a patient needs help accessing the food you are recommending they eat more of. To learn more about our local farmer's markets visit our next stop. Also, in order to make reasonable recommendations to our patients about what to change in their diet, it is important to know what that diet is. For instance, if you have a Dominican patient who is diabetic, perhaps instead of recommending they cut rice out of their diet (a main staple of Dominican cuisine), you may instead recommend they switch from white rice to a healthier brown rice. To learn more about typical Dominican food visit Margot Restaurant.
    Another consideration to keep in mind is the socioeconomic situation our patients are in. We learned at the NYC Public Library that 31% of our community lives at or below the federal poverty level. Taking the example above, recommending brown rice instead of white is a great idea but depending on your patient's income, it may be out of their financial reach. Brown rice is 10-20% more expensive than white rice and harder to find in bulk. A more appropriate recommendation may be to prepare the food they already have in a healthier way (boil or steam vs. fry) and to moderate their portions.
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    Preventative Measures
    {PREVENTION THIS ONE REVISED.jpg} Olson et al, 2010
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    actually better (24).(25). What is
    These numbers are likely attributable to many positive forces of change in this community in the last two decades. The AVON Foundation for Breast Imaging Center has been providing uninsured women in our community free mammograms and pap smears since 2006. Knowing that many members of the WaHI community are uninsured, this resource helps to take away this barrier to accessing appropriate care. Free HIV testing is provided by several different agencies in the area including the Department of Health Chest Center located on the corner of 168th and Broadway and the Washington Heights Corner Project in collaboration with Alianza Dominicana, a community based organization, and CUHRON .
    These collaborations between national foundations, state-wide and local institutions, and community based organizations and clinics can lead to positive health outcomes and community growth. When these collaborations are between academic institutions like CUMC and community based organizations they are known as community academic partnerships. Through this type of symbiotic relationship, both community and academic centers stand to benefit and reach common goals, like improved health of our overall community. A great example just such a collaboration is the CHALK initiative!
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    6:27 am
  3. page WaHI demographics edited ... WaHI has it's own branch of the NYC public library system located at 160th street and St. Nich…
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    WaHI has it's own branch of the NYC public library system located at 160th street and St. Nicholas Avenue. Here we will learn about WaHI demographics unrelated to health. It's helpful moving forward to know what the borders of WaHi are. Washington Heights stretches from 155th street north to 200 St (Dyckman St.). North of 200th street (also known as Dyckman) to the tip of Manhattan is considered Inwood. Both neighborhoods are boarded on the east by the Harlem river and the Hudson river on the West.
    I. Age and Sex
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    the population. (23)(24)
    II. Race and Ethnicity Data
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    WaHi Latinos (23,(24, 4)
    {Slide1.png}
    {Slide 2.png}
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    our medical center.(13)center.(14)
    The 2010
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    be seen.(4, 23)24)
    III. Household Income/Poverty rate
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    reciprocal increase.(4, 35)36)
    While the
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    Sierra Leon. (35, 31)(36, 32)
    IV. Crime
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    69 neighborhoods). (11, 34)(12, 35)
    Next Stop: WaHI health indicators
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    6:25 am
  4. page WaHI HIstory edited ... Welcome to Bennett Park! {Bennett_Park_New_York_highest_natural_point_in_Manhattan.jpg} Benne…
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    Welcome to Bennett Park!
    {Bennett_Park_New_York_highest_natural_point_in_Manhattan.jpg} Bennett Park is home to the higest natural point in Manhattan, pictured above
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    19th century. (16)(17)
    {Bennett_Park_New_York_Manhattan_Fort_Washington_Memorial_Mark.jpg} Plaque at Bennett Park commemorating where Fort Washington once stood
    After this purchase, the Native American people who called WaHI home were pushed out of their settlements. WaHI was then converted into farmland by early colonists. Manhattan was renamed
    New Amsterdam by the Dutch West India Company and remained so until 1664 when the British sent their navy and demanded that the Dutch surrender. This surrender, to the Duke of York, led to the settlement being renamed “New York City”. Because of its hilly terrain, WaHI became the destination for summer homes and estates. Essentially, WaHI was one of the wealthiest parts of the city of New York.
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    former contours. (16, 15)(17, 16)
    Northern Manhattan
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    his honor. (16, 14)(17, 15)
    In the
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    we see today.(16)today.(17)
    WaHI is a crossroad to many entrance and exit points on the island of Manhattan. To the north is the Bronx and Yonkers, to the west is New Jersey via the George Washington Bridge, to the east is the south Bronx and Queens and to the south is the rest of
    View VIDA in a larger map
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    6:24 am
  5. page VIDA edited Bienvenidos a VIDA! ... and building (18). (19). By focusing Click here to start your tour…

    Bienvenidos a VIDA!
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    and building (18).(19). By focusing
    Click here to start your tour!
    (view changes)
    6:22 am
  6. page References edited ... 9. Duany, J. (2008). Quisqueya on the Hudson: The Transnational Identity of Dominicans in Wash…
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    9. Duany, J. (2008). Quisqueya on the Hudson: The Transnational Identity of Dominicans in Washington Heights (2nd ed.). New York: CUNY Dominican Studies Institute Research Monograph.
    10. Feiden, D. (2012, October 5). Who was the first non-Native American settler in Manhattan? Dominican immigrant Juan Rodriguez in 1613. NY Daily News. Retrieved December 14, 2012, from http://www.nydailynews.com/new-york/uptown/dominican-immigrant-non-indian-manhattan-settler-article-1.1175017
    11. Gray, M. (2012) The Bodega: A Brief History of an Urban Institution. TIME Newsfeed. Retrieved November 20th, 2012, from
    http://newsfeed.time.com/2012/05/25/the-bodega-a-brief-history-of-an-urban-institution/
    12.
    Halbfinger, D.M.
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    2013. <http://www.wellesley.edu/Chemistry/Chem101/war/html%20pages/ny-heights-crime.html>.
    12.

    13.
    Itzigsohn, J.
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    74(2) 633-57
    13.

    14.
    Itzigsohn, J.,
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    22(2), 316-339.
    14.

    15.
    Bennett, James
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    1/6/13. http://encyclopedia.jrank.org/articles/pages/6432/Bennett-James-Gordon-1795-1872.html
    15.

    16.
    Jenkins, S.
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    Sons, p326.
    16.

    17.
    Kardeman, R.
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    Inwood Inc.
    17.

    18.
    Leonard, T.
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    (accessed 1/14/2013)
    18.

    19.
    McKnight, J.
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    Northwestern University.
    19.

    20.
    McLain, S.
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    from http://www.cumc.columbia.edu/psjournal/archive/archives/jour_v18no3/healthy.html
    20.

    21.
    Meyer, D.,
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    80(4), 327-333.
    21.

    22.
    Meyer, D.
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    1(3), 207-208.
    22.

    23.
    Miniño AM.
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    Statistics. 2010.
    23.

    24.
    New York
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    [1/10/2013]. http://nyc.gov/health/epiquery
    24.

    25.
    New York
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    [1/10/2013]. http://nyc.gov/health/epiquery
    25.

    26.
    Nutrition for
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    from http://www.cdc.gov/nutrition/everyone/fruitsvegetables/index.html
    26.

    27.
    NYS Department
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    Accessed 1/10/2013
    27.

    28.
    NYC Department
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    12/4/2012. www.nyc.gov/html/doh/downloads/.../healthy-bodegas-rpt2010.pdf
    28.

    29.
    Office of
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    from http://nyp.org/oer/com_hos_ser_sch.html?name1=Hospital+Services&type1=2Select&name2=School+Based+Health+Clinics&type2=3Active
    29.

    30.
    Olson E.C.,
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    2006; 19(42):1-16.
    30.

    31.
    Peretz, P.
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    102(8), 1443-1446.
    31.

    32.
    Roberts, S.(2012)
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    Dec. 2012.
    32.

    33.
    Sildelinger, D.
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    115(4), 1160-1164.
    33.

    34.
    Vandebroek, I.,
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    128(1), 20-41.
    34.

    35.
    Washington Heights
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    2013. http://www.dnainfo.com/new-york/crime-safety-report/manhattan/washington-heights
    35.

    36.
    "Washington Heights
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    2013. <http://www.city-data.com/neighborhood/Washington-Heights-New-York-NY.html>.
    36.

    37.
    Waxman, L.,
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    6:22 am

Sunday, February 3

  1. page Dominican Immigration in WaHI edited ... {juan4u-1-web.jpg} Juan Rodriguez in center wearing blue. Charles Lilly painting courtesy Scho…
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    {juan4u-1-web.jpg} Juan Rodriguez in center wearing blue. Charles Lilly painting courtesy Schomberg Center for Research on Black Culture
    Who was Juan Rodriguez?
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    York City (Feiden).(10).
    The Feast of the Goat
    While what is considered the "modern" era of Dominican migration did not start in the 1600's with Juan Rodriguez, his historic immigration does set the tone for our discussion of what has now become known as the Dominican diaspora. Before exploring the trends in immigration, it is important to take a moment and look back at a dark era in Dominican History, the Trujillo Regime.
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    National Guard (Leonard).(17).
    In 1930, Trujillo overthrew the Dominican government and established a fascist dictatorship that would last more than thirty years. With seven secret agencies protecting him, he set up one of the most authoritarian governments the modern world has ever seen. Many historians liken him to a Hitler of the western hemisphere, drawing parallels with the 1937 genocide of 12,000 Haitians in an effort to "ethnically cleanse" the
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    November 25th 1960(Leonard).1960 (17). Known as
    On the right is the song "Mataron al Chivo/They killed the goat" which was released only days after Trujillo's death (Trujillo was known as 'El Chivo').
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    States began (Castro).(6).
    This was the beginning of the Dominican Diaspora.
    Dominican Diaspora
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    then, reaching 335251335,251 in the
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    the board (Castro).(6).
    This large
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    US in 2000(Castro).2000 (6).
    This diaspora
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    the Dominican Republic(Castro).Republic (6).
    "Un pie aqui, un pie alla"
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    the overwhelming binationalbi-national identity of
    Transnationalism is a term that describes an immigrant community who has no severed themselves from their country of origin and instead nurture and foster the linkage to their home country. This link is cultural, political, and economic.
    I. Cultural Transnationalism
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    Margot restaurant (Duany, Itzigsohn).(9, 13).
    While these customs we are discussing influence Dominicans abroad, expats culturally influence the Dominican Republic in a host of ways. When thinking about music, hip hop influences have started to not only permeate Dominican musicians in the United States but has crept into the mainstream of island based music as well. In literature, more and more Dominican writers are giving a voice to the hybrid identity of Dominican Americans including Julia Alvarez and Junot Diaz (Read more about their books at the word up bookstore).
    II. Political Transnationalism
    Another part of cultural transnationalism is the belief that one day, many Dominican immigrants will return to their home country. This desire to return to the island serves as another example of just how linked Dominican immigrants to the United States are to those remaining on the island.
    Politically the ties between Dominicans in the United States and those on the island are incredibly strong. Firstly, Dominicans are notorious for for their interest in politics, particularly those of the DR and in local politics. Dominicans in the United
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    the island (Itzigsohn)!(13)!
    These political ties are no doubt strengthened by the economic links between Dominicans in the United States and the fiscal security of the Dominican Republic.
    III. Economic Transnationalism
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    the Dominican republic.Republic. For instance,
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    discussed earlier (Itzig).(13).
    The most
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    Dominican Republic" (Itzig-other).(12). The much
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    Dominican immigrants (Itzig).(13). So engrained
    This discussion on Dominican transnationalism is important to understand when treating Dominican patients. Because of this binational identity and lifestyle, often times patients will be spending weeks-months in the Dominican Republic before returning to the US. This means that there will be longer lapses between visits that you as a practitioner may prefer. With a healthy anticipation of this behavior, a health provider can better plan for these lapses in care with effective patient education and appropriate medication prescriptions
    Next Stop: Dominican Diet
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    5:30 pm
  2. page Community Academic Partnerships edited ... CHALK was one of the driving forces for this incredible addition to our neighborhood and is on…
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    CHALK was one of the driving forces for this incredible addition to our neighborhood and is only the tip of the iceberg when it comes to their initiatives throughout northern Manhattan. To learn more about CHALK and ways to get involved visit them here.
    Washington Heights and Inwood Network (WIN) for Asthma
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    national average ().(26). Community, hospital,
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    child's asthma (Peretz).(30).
    {win_family_grad_2.jpg} Annual Graduation Ceremony of WIN for Asthma Program
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    congestive heart failure(Peretz).failure (30).
    School Based Health Clinics (SBHCs)
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    this fact (Miniño).(22). In 1986,
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    immediate health concerns( McLain, office).concerns (19, 28).
    All of these organizations are a testament to the power of community academic partnerships. Through this type of program, the efficacy of interventions are compounded to help elevate our patient populations health overall. For a list of other community based organizations visit here
    .
    Next Stop: Dominican Immigration in WaHI
    21
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    5:21 pm
  3. page Community Academic Partnerships edited ... {greenmarketfarmer.JPG} centered way. One of the most exciting CHALK initiatives that benefi…
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    {greenmarketfarmer.JPG}
    centered way. One of the most exciting CHALK initiatives that benefits the community at large (including the medical student community!) is the establishment of the 168th street Greenmarket.
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    food stamps (CHalk).(8).
    CHALK was one of the driving forces for this incredible addition to our neighborhood and is only the tip of the iceberg when it comes to their initiatives throughout northern Manhattan. To learn more about CHALK and ways to get involved visit them here.
    Washington Heights and Inwood Network (WIN) for Asthma
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    national average (NYS).(). Community, hospital,
    {win_family_grad_2.jpg} Annual Graduation Ceremony of WIN for Asthma Program
    The program had 472 families enroll from its opening to November of 2010. They were interviewed at 6 and 12 months. Data from the evaluations showed that these families had a 50% decrease in emergency room visits as well as Caregiver self efficacy (how comfortable caregivers felt handling their child's asthma) of 97% (up from 61% at entry). This is an incredible testament to the not only the efficacy of partnering with our community but of the resourcefulness of our community in general. This program was originally funded by a grant from Merck. After the grant was exhausted New York Presbyterian Hospital was so impressed with its efficacy that it started funding the program and expanded it to include other chronic diseases such as diabetes, adult asthma, and congestive heart failure(Peretz).
    (view changes)
    5:13 pm

Friday, February 1

  1. page Website Feedback edited Thank you for looking through VIDA! Please fill out this feedback survey about your experience. …

    Thank you for looking through VIDA! Please fill out this feedback survey about your experience.
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    8:06 am

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