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tamar.rogoszinskiThe main focus of this film is highlighting the need for proper public health infrastructure as a way to contain the spread of disease.
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tamar.rogoszinskiThere are many people portrayed and mentioned in the film. They discuss issues within governments and insurance companies. They show patients without insurance struggling to get medication and care. As a result, they express issues with access to care and paying for hte care that they receive. They show doctors and the struggles they have with handling patients and those that come in with the ambulance. Nurses and other ER staff are shown as well. They show narratives of several patients in the waiting room and their experience once they do finally make it to a bed. All of these players have a lot of decisions to make, starting with the decision of the patient ot come to this public hospital (possibly because being turned away from others), and ending with a doctor's care and decision whether or not to release patients.
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wolmadviewpoints pertaining to the legal side of pallative care are not presented in this film. the ideas of medically assisted suicide are very pertinant to palliative and end of life care, but it is not at all discussed in this film.
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tamar.rogoszinskiEmergency response is discussed a lot in this paper with respect to a global level of care. They analyze the current protocols in place that would create a global response and investigate their effectiveness. The need for a more concrete protocol is discussed as most countries exhibit nationalism and self interest that would inhibit them from helping others.
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tamar.rogoszinski- "At the same time, academic research is often communicated in a format that fails to address the critical policy issues facing aid organizations."
- "Because reporting often focuses on the most serious attacks, such as kidnapping and fatalities, workshop participants stressed that incidents perceived to be less severe, such as threats and obstructions, are more likely to be underreported. For this reason it is important to better understand the impact of perceived threats."
- "Workshop participants also noted examples of violence linked to situations where the medical treatment provided has not met patients’ expectations or was unsatisfactory in other ways."
- "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research. Only thirty-eight articles met the original search criteria outlined in the methods section, of which only eleven contained original research; a further citation search yielded another four original research articles. The remainder was comprised of review articles, commentaries, letters, or analysis based on secondary sources."
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wolmadinformation for this article was obtained from an incident report submitted by the ambulance crew to FDNY administrators
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tamar.rogoszinski- The Burning of the Capitol Building in 1814 is discussed. Knowles talks about how the burning was investigated by one of the key engineers of the building, Latrobe. He was allowed to investigate without any issues and was ultimately allowed to rebuild. Most Americans, however, viewed the burning as a failure of the military, not the engineer.
- The Hague Street Explosion of 1850, which was caused by an exploding boiler and resulted in mass casualties. Investigation and determination of responsibility was carried out by the Coroner's office and police. Media and news reporters also assisted in providing information to the public and attributed the explosion to an overheated boiler, as opposed to an engineering flaw. Jurors listened to expert witnesses in order to determine where the blame could be placed, which ultimately led to the disaster being blamed on all involved in the boiler and factory.
- The Iroquois Theater Fire in Chicago that happened in 1903 provides information regarding disaster investigation as well. The fire curtains, shields, and other technology meant to protect the theater from the spread of a fire did not work. Building inspectors came into the city after the disaster to investigate along with architects and other commissioners. It was found that the theater (along with many others in the city) had many building code violations, which called into question the integrity of the entire building code system in Chicago. One of the nation's foremost authorities on fireproof construction, Ripley Freeman, conducted an extensive investigation with financial support from an elite man in Chicago. This marked a new era in history of disaster investigation in the US.
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wolmadBy establishing for effective communication of information regarding a nuclear accident to other states which could be effected by it, and creating policies for the transfer of information, the convention addresses public health by giving goverments access to the information needed to respond to a nuclear disaster from abroad.
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wolmadIn 2011, the Minnesota Legislature passed and Governor Dayton signed SF 119, creating a new certification for Community Paramedics. The law included language directing the Department of Human Services to create this report.