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pece_annotation_1479080239

Alexi Martin

The object of the study was to determine what cultural competence means across the relationships of patients, clinicians, and administrators. The study was performed to reveal the 'barriers' in patient care becasue of cultural implications. The lack of a patient-physcian relationship due to cultural barriers whether that be race or ethnicity, lack of explanation of a diagnosis or the differences in appraoches to patient care- as percieved by administration, patients and doctors.

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Andreas_Rebmann

"This realization (of having to face Nuclear disasters) marks a major shift in our thinking about nuclear risk, away from accident prevention, and toward accident mitigation and more rigorous emergency preparedness."

"Severe nuclear accidents may thus require international instiutions to coordinate their mitigation."

"...the 'culture of control' (that is, attempts to regulate every last action of the operating staff) is too rigid to account for all imaginable situations... it would appear to be in the interest of voerall nuclear safety to log and learn from these incidents, rather than conceal them."

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Andreas_Rebmann

“Despite these facts, the risk for outbreaks after disasters is frequently exaggerated by both health offi cials and the media. Imminent threats of epidemics remain a recurring theme of media reports from areas recently affected by disasters, despite attempts to dispel these myths.”

“The risk for communicable disease transmission after disasters is associated primarily with the size and characteristics of the population displaced, specifi cally the proximity of safe water and functioning latrines, the nutritional status of the displaced population, the level of immunity to vaccine-preventable diseases such as measles, and the access to healthcare services” 

“Disaster-related deaths are overwhelmingly caused by the initial traumatic impact of the event. Disaster-preparedness plans, appropriately focused on trauma and mass casualty management, should also take into account the health needs of the surviving disaster-affected populations.” 

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Alexi Martin
Annotation of

The narrative of the film is describing how disorganized the system of healthcare is. The film gives a one on one view of how people without insurance are left to wait for hours upon end to recieve care, then have no way to pay after they recieve treatment. The film provides a in person account of what people have to deal with, only public hospitals take patients who do not have insurance and treatment time is months in advance. The healthcare system is overflowing and the amount of resources to treat people with special circumstances are significantly less than the number of patients that need to be treated.

pece_annotation_1480605982

Andreas_Rebmann

"The violence broke out when the patient spit at the Emergency Service Unit officers and swore at them. The officers responded by hitting him in the face, hauling him off the stretcher to the ground and then tossing him back on the stretcher, the EMTs said in written statements submitted to the FDNY."

"An FDNY spokesman confirmed there was a notification from the agency to the NYPD. The NYPD said the 67th Precinct incident is being investigated by the Internal Affairs Bureau."

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Andreas_Rebmann

It was a new way of addressing disaster in 1971 when it was founded. 

“It’s simple really: go where the patients are. It seems obvious, but at the time it was a revolutionary concept because borders got in the way. It’s no coincidence that we called it ‘Médecins Sans Frontières.’”