Congratulations Ruxandra Zait, TWB IT Volunteer

Ruxandra was promoted at her state job to Senior IT Auditor after only one year of employment.
Ruxandra describes her job, “I am part of the Internal Audit Unit. It is only two of us that do IT-related audits. We check the systems that hold sensitive data to determine if adequate security controls are in place and if we are compliant with the applicable technical standards. We review everything from access management and data handling to systems and applications development including penetration testing and vulnerability scans. I get to work with people from all units and I truly love this.”


Despite her demanding job responsibilities, Ruxandra volunteers her skills and experience with TWB as the Conceptual Design Developer. Each month she processes and uploads dozens of EM:RAP MP3 and PDF files containing continuing medical education for 700+ doctors and nurses globally who use the Continuing Medical Education on Stick (CMES) and CMES-Pi content. Thank you, Ruxandra!

Itching to Understand Eczema

Photo from the website of Fondation Dermatite Atopique.

Eczema, also called Atopic Dermatitis affects 15-20% of children and 1-3% of adults worldwide according to a paper recommended by the National Center for Biotechnology Information (NCBI). The paper titled, “Worldwide variations in  the prevalence of symptoms of atopic eczema in the International Study of Asthma and Allergies in Childhood”, was originally published in J Allergy Clin Immunol. 1999 Jan;103(1 Pt 1):125-38.

Photo from Wikimedia.

This common recurrent or chronic inflammatory skin disease is characterized by dry skin with acute flare-ups of eczematous pruritic lesions. Vanessa Cardy MD, Adrien Selim MD and Heidi James MD offer bullet point clues to understanding, diagnosing and treating this disease which impacts not only our patients health but their psychosocial well being. Take a listen or read the August Right on Prime’s: The Generalist: Eczema.

 

Photo from Wikimedia.

Who Knew? The first dermatology textbook book, “De Morbis Cutaneis”, was written in 1572 by an Italian physician, Girolamo Mercurialis. Translated it means ““Of all skin diseases and waste treatment of the body.”

Blown Away

The EM:RAP July Introduction by Stuart Swadron MD and Jan Shoenberger MD talks about a case that will blow you away…pneumomediastinum presentation and causes. Can you answer these questions:

  1. Can pnuemomediastinum occur after forceful expiration?
  2. Can ECG findings be distorted due to the presence of subcutaneous air?

You will, once you listen to the MP3 file or read the PDF article.

 

Pneumomediastinum. Photo from Wikicommons.

Cultural Highlight: St. Lucia

While traveling to install the Techies Without Borders Continuing Medical Education on Stick Project (CMES and CMES-Pi) I have been invited to joined in local sports events…playing soccer in Ecuador with clinic patients…volleyball at the Himanchal Higher Education School in Nangi, Nepal…and receiving a cricket lesson in St. Lucia. Understanding not only the medical culture in a country but the cultural pastimes is important in bridging relationships.

Dominoes played in St. Lucia during work breaks.

One of my favorite games to simply watch is Dominoes played with great enthusiasm in St. Lucia. You know a hotly contested game is nearby when you hear the dominoes slammed down onto the table….quickly followed by cheers and groans.

 

Who Knew? Besides playing games, another use of dominoes involves standing them on end in long lines so that when the first tile is toppled, it topples the second, which topples the third, etc., resulting in all of the tiles falling. By analogy, the phenomenon of small events causing similar events leading to change is called the Domino Effect…we at TWB believe making CME available to all medical practitioners directly affects their patients and you don’t need a game face to make the win. (Photo Wikipedia)

Meet a Solar Power House from Nepal

Meet Sandeep Giri, Founder and CEO of Gham Power, a Nepali company providing solar based solutions for rural households, businesses and communities. Their solar micro-grid solutions are used where national gridlines are not available.

Bayalpata Hospital, Achham District, Nepal.

Gham Power enables TWB to provide the free Continuing Medical Education on Stick Project in remote areas of Nepal such as Possible Health’s Bayalpata Hospital in the far western Achham District. They installed the solar panels which provides the electricity to run the hospital and the Raspberry-Pi device. Doctors and nurses use smart phone apps to access up-to-date medical information on the Pi thereby decreasing their isolation and improving their knowledge base. Gham Power uses unique “pay as you go” financing and investors to help communities reach their potential with access to electricity. They also developed solar pump solutions for farmers.

TWB gives a three thumb drive salute to Gham Power for their global foresight, business model and technical ingenuity. Read more about them on our Facebook page.

CMES Participant Highlight: 32 Volcanos in Guatemala

Dr. Carmen (center) and Dr. Herman (right side) from 32 Volcanos using the CMES-Pi.

32 Volcanes may be a new Guatemalan non-profit but they are well known to Techies Without Borders (TWB). 32 Volcanoes, formerly Asociación Pop Wuj, has participated in the CMES-Pi Project since 2018. 32 Volcanos continues to operate and partner with the guidance of Foundation Todos Juntos (FTJ), a Guatemala non-profit which aims to support public health projects. TWB came to know these organizations through our partnership with Timmy Global Health (TGH), a USA based non-profit. We provide CMES and CMES-Pi to all TGH partners in Guatemala, Santo Domingo and Ecuador.

Located in Quetzaltenango (Xela), Guatemala the 32 Volcanos team lead by the tireless, creative and undefeatable Dr. Carmencita de Alvarado support and deliver educational, health, nutrition, and environmental projects in the Western Highlands of Guatemala. Driven by the social needs of the diverse communities the projects integrate all aspects of the communities’ life and health needs.

This new organization comes from the 26 years of experience of Dr. Carmen and Roney Alvarado and has been created not only to maintain and develop their above goals, but also to ensure that this experience becomes a path of mutual, integral development for the Guatemalan people.

“The volcanoes will be there when we are no longer here, and that is what we hope will happen with our work: that it will be a seed that will sprout in more worthy and just futures for all.” Dr. Carmen

Three thumb drive salute to 32 Volcanos for their novel, vigorous and compassionate programs in Guatemala.

Volcano Fuego. Photo from Wikimedia.

Who Knew? A mountain range of 32 volcanoes crosses the entire Guatemalan territory.  The name of this organization refers to one of the most emblematic characteristics of their country. Several volcanos last erupted in the Holocene Period, but Fuego erupted recently in 2018.

TWB Nets Another Awesome Volunteer: Chris Close

Chris is a newcomer to Techies Without Borders, joining in January 2019. Currently Chris works as the Salesforce Platform Director for Owens & Minor in Richmond, Virginia. Prior to living and working in Richmond, he spent several years as a Salesforce consultant for Capgemini and was based in Houston, Texas. Chris holds a B.S.B.A in International Business from the University of Tulsa.

He brings a wealth of experience as our Salesforce Architect…along with his quirk sense of humor and love of all things galactic. He joined TWB to get us off spreadsheets and onto a modern platform, whicheffectively manages our data and streamlines organizational tasks.

In his free time, Chris enjoys rock climbing, hiking, camping, and all things in our national parks. However, Chris’ friends and family would tell you something with him is a little off, because he enjoys driving to as many national parks as possible, even if they are days away. He has driven to and camped in over 20 national parks and has plans for mor

 

Funding: A Funny Thing

Asking for donations isn’t easy. There are many organizations doing vital work in small and large communities…we understand the barrage of requests especially in the world of social media. But the facts are…we can’t operate without donations. Each of us on Techies Without Borders donates our time and skills. We are asking each of you to donate to our project at Global Giving Accelerator Fundraiser. The goal is $5000 USD in 17 days…to fund our next CMES Project for HandUp Congo in the Democratic Republic of Congo. Donate here

Thank you for your support.

Introducing C3: Continuous Core Content

C3 = Continuous Core Content. C3 is now available as a podcast or PDF files with the CMES Project. This is EM:RAP’s clinical reviews of how to approach and take care of patients with serious and common Emergency Department and Urgent care complaints. These are the basics and provide rock-solid skills to your clinical knowledge base. Each month you will find a new topic ranging from Wound Management to Adult Pneumonia. Participants with CMES-Pi can access starting January 2019. CMES thumb drive participants who receive their thumb drives after January 1, 2019 can access the C3 content along with all the other great EM:RAP CME content.

Sudden vision loss is bad. Take a listen or read from the January C3 titled: Acute Vision Loss by Jessica Mason MD, Stuart Swadron and MD, Mel Herbert MD. For those with ultrasound capabilities watch the YouTube video: Ultrasound of Retinal vs. Vitreous Detachment

1 2 3 5