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pece_annotation_1477961893

tamar.rogoszinski

This app provides information for healthcare providers about radiological and nuclear emergencies. There is a website as well that has more data, images, and background material to supplement the app. The app has extensive information regarding patient care in the case of an emergency. They provide management algorithms, dose estimators, scarce resources triage tools, isotopes of interest, countermeasures (Rx), emergency contact information, videos, and information regarding triage. 

pece_annotation_1478040667

tamar.rogoszinski

The citations in this article include not only the author's own work, but also many citations by other experts in the field and data. This tells us that the author did extensive research for this article and looked to others for opinions and information, instead of just using her own ethnographic research. 

pece_annotation_1472844848

tamar.rogoszinski

The article is published in the Japanese Journal of Clinical Oncology. It is meant for clinical oncologists and publishes articles on medical oncology, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. It was established in 1971 and is the first journal from Japan to publish clinical research on cancer in English. Since 1977, JJCO is a sister-journal to the Journal of the National Cancer Institute and is linked through Oxford Journals. 

pece_annotation_1473449061

tamar.rogoszinski
    1. “…large­-scale social forces—racism, gender inequality, poverty, political violence and war, and sometimes the very policies that address them—often determine who falls ill and who has access to care.”
    2. "the holy grail of modern medicine remains the search for the molecular basis of disease."
    3. "In some senses, the model is simple: clinical and community barriers to care are removed as diagnosis and treatment are declared a public good and made available free of charge to patients living in poverty."
    4. "The poor are the natural constituents of public health, and physicians ... are the natural attourneys of the poor."

     

     

    pece_annotation_1480348334

    tamar.rogoszinski

    This report addresses the issues of bias and discrimination, which is important for technical professionals to know so that they can avoid making these errors in judgement and provide proper standard of care to everyone. This is important because 19% of the respondents were refused treatment at one point, which is absolutely terrible. 

    pece_annotation_1473995548

    tamar.rogoszinski
    1. I first looked up travel to and from Liberia during the Ebola outbreak, since it had been seized. There was a ban, which has since been lifted after, but people coming to and from West Africa are still screened and recommended to visit physicians. As of mid-2015 there wa still a 21 day monitoring period needed. http://www.infectioncontroltoday.com/news/2015/05/cdc-downgrades-travel…'
    2. I was interested if there had been any progress on treatment for Ebola, but found that the main form of treatment is supportive care. Doctors are informed to provide IV fluid and ensure that the patient's immune response and other bodily functions are functioning properly. A vaccine is being worked on but has not gone through a trial to prove safety and effectiveness. https://www.cdc.gov/vhf/ebola/treatment/index.html
    3. I looked further into the vaccine being produced for Ebola. Currently, there is a combined phase 2 and phase 3 trial occurring in Sierra Leone called STRIVE (Sierra Leone Trial to Introduce a Vaccine against Ebola). The study is unblinded, so patients know whether or not they have received the vaccine. The vaccine is a rVSV-ZEBOV, or recombinant Vesicular Stomatitis Virus Zaire ebolavirus vaccine. This vaccine is also being used in phase 2 and phase 3 trials in Guinea and Liberia http://www.cdc.gov/vhf/ebola/strive/qa.html

    pece_annotation_1480604588

    tamar.rogoszinski

    The authors range from a variety of institutions including: Stockholm International Peace Research Institute in Sweden, Karolinska Institute in Sweden, Fafo Research Institute in Norway, and King's College London in the UK. The main author, Ludvig Foghammar, seems to have a lot of knowledge in economics, political science, and global health (according to his LinkedIn). He has served as Officer for European Affairs for the Swedish Embassy in Vienna, and a researcher at the Stockholm International Peace Research Institute.