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pece_annotation_1479003399

erin_tuttle
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  • Throughout the article it became apparent that the individuals being interviewed were rarely prescribed medication and in some cases did not take their medication. I researched the effectiveness of epilepsy medication and severity of not treating seizures in order to better understand that specific illness.
  • The article was written using data collected in 1988. Since medical knowledge has changed dramatically since then I decided to look into the current medical situation in Turkey. Although it is challenging to find unbiased opinions it appears that even with advances in medical science, cultural traditions remain an integral part in dealing with illness in many places and needs to be understood when dealing with patients who have those beliefs.
  • A majority of the patients interviewed attribute their seizures to a traumatic moment in their past, as I was unaware that epilepsy could be triggered in such a way I looked into the causes of epilepsy. In many cases the cause cannot be identified, however there is significant evidence for epileptic fits being caused by post-traumatic stress as well as neurological trauma and even cardiac issues.

pece_annotation_1473202801

erin_tuttle
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The article focused on treatment and prevention of diseases affecting communities, however I was interested in the initial causes of these epidemics in places that were originally free of disease. I read an article “The Tipping Point” published in the New York Times that explained multiple social theories as to how epidemics begin, using Baltimore as a case study.

I looked into the stated mission and some of the work done by the Partners in Health, as they are a group that responds to epidemics. It was interesting to see that they focus not on immediate emergency response but instead on creating lasting infrastructure to gradually stop epidemics, as well as educating locals on how to react to future emergencies of the same nature.

The article mentions that clinicians are not trained to see social issues as they are so commonplace in everyday life as to become invisible, I felt that was a limited mindset and read an article written by Doctors for America. The article showed that while it is true that comparatively little time is spent on social issues during a doctor’s education, clinicians dealing directly with patients clearly recognize social conditions effecting health. The article suggests that the lack of attention on those issues in the medical field is not due to ignorance but rather the lack of an existing system through which individual doctors can report their experiences and work towards a solution.

pece_annotation_1480380395

erin_tuttle
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Emergency response is addressed in terms of post-incident humanitarian aid, dealing with how to identify and help victims of sexual violence without politicizing their situations to the point of forcing them to relive their trauma or making them feel separated from other people receiving aid.

pece_annotation_1473784686

erin_tuttle
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The article referenced many other papers that focus on the modern health threats due to scientific advancement, the spread of disease in modern society, and on the current approach to health prevention and the response to epidemics. This suggests that the paper was a culmination of ideas that did not include new research or data.

pece_annotation_1480893976

erin_tuttle
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There are seven authors on this project, all of whom are connected to research institutes or universities. The project was primarily written by individuals associated with the Stockholm International Peace Research Institute, which has a good reputation.

pece_annotation_1474748563

erin_tuttle
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The argument is mainly supported by historical examples of structural failures and the subsequent investigations. The post incident investigation tactics, or lack thereof, discussed support the argument that disasters require an existing structure for authority and procedure. The 1814 Burning of the Capitol Building is an example of an unrestricted investigation that had a successful ending, the building was reconstructed. The 1850 Hauge St. Explosion shows how a joint investigative team without proper distribution of expertise and responsibility leads to an incomplete investigation.  Finally, the 1903 Iroquois Theater Fire is an example of a modern investigation process that utilized available knowledge and resources effectively.

 

pece_annotation_1480985180

erin_tuttle
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This policy has significant implications as to the future of EMS and fire response, if it became common to carry firearms while on duty. While there are safety benefits, and EMS personnel in Bethel Township say they are also more confident knowing they could defend themselves, it is important to recognize that police have extensive training and protocols on when and how to safely use their firearms. Police should still respond to EMS calls if there is any suspicion that the scene may be unsafe. Additionally, the knowledge that calling an ambulance also means calling several people who may be armed could negatively affect the public opinion of EMS. EMS is here to help the public, and for this to be successful those in need have to feel safe calling 911.

pece_annotation_1474993049

erin_tuttle
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  • “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”
  • “The compassion protocol is thus a procedure of the last resort that derives from a form of sympathy evoked in the face of suffering. It demands the right to keep alive individuals who have nothing except their mere existence.”
  • “the medical officers were caught between the duties mandated to them by the public institution that employed them and those their profession required them to respect”

pece_annotation_1476122177

erin_tuttle
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  • “The response to the disaster was recognized as a bureaucratic nightmare that, regardless of the intent of the federal and state governments, appeared to homeowners as a sign of their having been abandoned.” (16)
  • “And the patterns with the family too. A family is—for as close as we—were and I mean every birthday, with a big family… And now, it’s the closeness that’s all gone. And it’s not just the distance. You can blame it on the distance, use the distance as an excuse. But even when we get together, nobody wants to stay. Everyone wants to get home.” (12)
  • “I haven’t had a mail box in three years, OK. I mean symbolically that’s it right now. I don’t even have a mailbox. You know, if you want to put it in one sentence. I am just tired of not having a mailbox, ya know, because I don’t know where I live.” (9)