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Sara_Nesheiwat
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There was no emergency response addressed in this article directly. Yet, I believe patient narrative and the understanding of the connection between cultural stigmas or background and patient narrative is so imperative for EMS and other healthcare providers. It is crucial for emergency responders to understand possible cultural influences on patients and how that might effect their perception of their illness or how they reflect what they are experiencing to you as the their health care provider. 

pece_annotation_1473044161

ciera.williams
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The shift in thought from prevention to response is well supported as a necessary move. This can obviously be seen by the occurrence of these accidents despite adequate regulation. Nuclear energy is a promising, but dangerous thing, and can quickly become disastrous despite efforts to maintain control. This was seen in the accident at Fukushima, following the earthquake and resulting tsunami in the region. Despite preparation for such an event and the existence of backup generators and batteries, responders were rendered useless in the efforts as they could not access the area. This is where the need for a prepared system of nuclear response is needed. Historically, such emergency response groups have been poorly resourced and short-lived, such as the Soviet Spetsatom developed after the Chernobyl disaster in 1986. This group, which focused on preserving lessons learned and developing response systems, was absorbed by a larger ministry with the goal of integrated disaster response.

Additionally, the author cites a number of factors that played a role in creating the Fukushima-Daiichi disaster, such as “environmental, social, and technical systems” that, due to their complexity and separate protocol, resulted in lack or preparedness for the disaster. Following the disaster, the response efforts were delayed by this lack of preparation, and the media called out TEPCO and the Japanese government for this. STS analysis is important in this aftermath as much as in the creation of the initial plan. By utilizing an interdisciplinary approach, the media (and the people) can be heard and used to reform existing policies, or create new ones. This establishes a continuously evolving system of response that can adapt and take into account many different view of disaster relief. 

pece_annotation_1473570708

Sara_Nesheiwat
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Emergency response isn't really addressed to the degree of the disaster discussed last week. The response discussed in this article isn't about immediate emergency response, triage or even fallout aftermath. The response discussed in this article was more about the analysis of social parameters on the spread of disease. The response in this case would be the need to better address these social influences on the spread of disease in certain populations. 

pece_annotation_1480143817

Sara_Nesheiwat
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This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.

pece_annotation_1474145746

Sara_Nesheiwat
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This film appeals to the viewers from an emotional aspect. The documentary follows a family and is told from the father's perspective, a student from Wisconsin. It shows a first person experience of what it was like to deal with this situation and the climate and magnitude of the situation in Liberia. The documentary isn't scientific or statistics heavy. Rather it has testimony from natives of the area and footage of bodies and the lack of hospital effectiveness and government protocol. The stories and narratives from locals is what really captures the attention of viewers and accurately portrays the hardships faced. There were a few parts at the end where numbers of those infected were mentioned, yet the the narrator's account of what occurred as well as other local's stories is what really drives home the point of anguish and despair seen during those hard times in Africa. 

pece_annotation_1480823167

Sara_Nesheiwat
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The methods utilized in this paper are not necessarily new or inventive, yet this doesn't detract from its effectiveness. The data used for this study was collected from surveys of 1,569 people and the data was then analyzed using statistical methods of logistic regression.

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Sara_Nesheiwat

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ciera.williams
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The film largely plays on emotional appeals and drama. By documenting the interviews of the doctors, which often are about the other doctors, the viewers see just how hard it is to detach ones self from their work. There is a scene in which the doctors talk about how, despite all the issues they face in the medical setting, everything at the end of the day is about personal relationships. It even briefly touches on sex between the medical staff and how that contributes to the care given. Since the film is based on personal interviews, little to no scientific information is given about the disease and injuries seen; its all based on personal opinion.