Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Advocacy

Whose Trauma? De-Colonizing Post-Traumatic Stress Disorder and Refugee Mental Health Frameworks

Post-traumatic stress disorder (PTSD) and trauma needs in the Arab region The unprecedented political violence that swept the Arab region in the last century, from the Nakba of the Palestinain people to the wars in Iraq, Sudan, Libya, Syria, and Yemen, have ...
Insights

Arab American Research Gaps and a Survey of its Solutions

A little thought exercise Think of the simplest pieces of health information that we know, rely upon, and understand in society. Smoking causes lung cancer, insulin resistance precedes type-2 diabetes, lead bears a detrimental impact on child health. Because of applied public health, surveillance programs, population health metrics, and increased data ...
Advocacy

Lessons in Health Equity Learned During the Pandemic

In the spring of 2020, as the pandemic bore down on our country, I was appointed to the COVID-19 Vaccine Advisory Group to help guide the executive branch on communication, distribution, and equity issues relating to the distribution of vaccines. My role as the President and CEO of the state’s ...
Stories

Responsible Medical Engagement in the Developing World

In July 2018, I engaged in a four-week research and service-learning trip in Buhoma, Kanungu District, Uganda. The trip was designed to address two of the most pressing concerns for the isolated, rural communities that rely on the local hospital,
Advocacy

Healing Across the Divides: Peace Building Through Health, Part 2

Healing Across the Divides is based on the simple idea that all humans desire good health. And it was created because all Americans are engaged in the Middle East conflict, as Israel is the greatest ...
Insights

A “Mouthless” Medical Education: The Gap Between Medicine and Dentistry in Academia and Practice

Medicine and dentistry in the classroom: the context of Harvard Medical School and Harvard School of Dental Medicine Since the conception of Harvard School of Dental Medicine (HSDM) in 1867, students at the dental school learned alongside medical colleagues at Harvard Medical School (HMS) during their early years of professional development. The idea of dentistry as a ...
Advocacy

Primary Care Innovations in Medical Education during the COVID-19 Pandemic: Lessons from the Philippines

It has been almost two years since the beginning of the COVID-19 pandemic. This global health crisis continues to expose the vulnerabilities of health systems worldwide, especially in low- and middle-income countries such as the Philippines. While advanced hospital-based health care is required in treating the life-threatening complications of severe COVID-19, it is a
Reference

ACE Scores: The New Fifth Vital Sign?

Every day in the hospital, and during every visit to the clinic or emergency room, we pay scrupulous attention to your vital signs: heart rate, temperature, respiratory rate, and blood pressure. These numbers are the bedrock of understanding what is happening with a patient’s health. We should add another number to this group: the Adverse Childhood Event (ACE) score. The significance of Adverse Childhood Event (ACE) scores The ACE score was developed in California ...
Stories

Mindfulness and the Societally Marginalized Person

Mindfulness, in its simplest construct, is generally defined as deliberate present moment awareness, without judgment, coupled with curiosity about what arises. Yet, this seemingly reasonable and scientifically studied approach to living fully, being authentic, and “embracing what is” translates into a minefield when the starkness of such ...
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