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pece_annotation_1475371051

ciera.williams
Annotation of

The film gave a lot of instances where the providers were more or less just having fun. For example, nearly every interview invoved the guys sitting down and drinking a beer while joking. While this proved their humanity, it also showed that the doctors spent much of their free time having fun rather than getting sleep. I would assume that they weren't drinkng while still "on call" or planning on giving care, and thus had the time to get proper rest. The amount of luxury afforded to the doctors after the trip also was a bit less compelling. At the end, the doctors were swimming at a nice pool and just relaxing, which is understandable for destressing. But it also seemed to take away some perspective. These doctors go on about how little resources they have to give and how the wish they could stay on their mission, but immediately turn back to luxury. Its just a bit hypocritical. And I understand that they cannot directly contribute to the people they care for in terms of wealth, but I found it was a bit unnecessary to include in the film.

pece_annotation_1476208027

ciera.williams

The article addresses the lack of unity in the decision making proceess during emergencies. Lots of life-or-death decisions are left up to a doctor's judgemnet, which causes ambiguity as a result. One can argue that doctors are given this right to judgment as a sign of their training and the trust we put in them. However, when the trust is perceived as betrayed by affected individuals, the judgement is called into question. 

Another point is the lack of evacuation preparadness in hospitals.

pece_annotation_1481682374

ciera.williams
Annotation of

The app allows the user to view photos of other users' cases and patients. One really cool function is if a user posts the images from of CT, you can scroll to view the slice by slice progression. And if its a full body scan, you can rotate around the body. It really feels like using imaging programs. 

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ciera.williams

The program was created in reaction to the disaster at Fukushima-Daiichi, with influence of the lessons learned post-bombing in Hiroshima. Hiroshima University specializes in radiation casualty medicine and works to improve medical care in response to nuclear emergencies. This program was specifically made to generate leaders capable of directing relief efforts while keeping the clear goal of reconstruction post-disaster. 

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ciera.williams

In Baltimore, researchers found that racism and poverty especially affected African Americans without insurance. In order to address this, they removed boundaries to care within the medical system and community so that poor patients could receive the care they needed without economic trouble. Along with this, they also established a system that relied on the community as a whole for care, taking the social stigma away from AIDS/HIV care and building ties as a whole. Within a few years, many disparities disappeared among the studied population.

Another study in rural Haiti was used to develop the PIH model of care. This model relies on an accompagnateur who is trained in drug delivery and supportive care. This allows care to be given within a village, not a clinic, and improves access to care. This model has worked to improve patient care and outcome in Haiti, Peru, and Boston.

In Rwanda, structural violence has perpetuated to transmission of disease from mother to child for decades. Access to resources such as clean water and formula, along with public health agencies promoting the merits of breastfeeding, have made it challenging to address MTCT. However, when researchers asked mothers if they would like these resources, they were eager to receive them and wanted to help in preventing further transmission. 

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ciera.williams

The data acquired in this study can be used not only for improvement in policies and training for healthcare workers, but also to examine the risk factors for the disease. One example is the age and gender disparities in those nfected. These could be explained by the typical age and gender of healthcare workers, but could also show a trend in risk when coupled with patient data. The data on the districts and their infection rates can be used to help pinpoint the origin of infection. 

pece_annotation_1474777203

ciera.williams

Following the attacks on 9/11/2001, a number of health issues arose in the population of residents and workers present. Dust and other toxins inhaled from the rubble created a number of respiratory issues. The need for monitoring of these, and other, health conditions is what lead to the need for such a policy. Without the policy in place, victims would need to fund their own healthcare, and with the large number of affected people, the price would be more or less ridiculous to force on people.