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Mutual Aid/Best Practices vs Local Practices

_jzhao

This image reminds me of how mutual aid and communities keep each other fed, and safe, and how local practices are actually best practices. My own research, although not immediatley related to the specific public health concern of COVID, will focus on Indigenous food soverignty, particularly the right and autonomy to ferment and distribute alcohol (紅糯米酒) within the Amis community, and their current fight with the local health department on declaring whether or not their alcohol is "safe" for public consumption and distribution.

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Sara.Till

The article pays tribute to the development of immigrants into French residency due to medical issues. Should an immigrant have a serious medical condition, and be unable to procure adequate medical care in their home nation, they would be given residency. This was a curious ascent for immigrants in status; the loss of immigrant workers as an integral portion of the economy had led to a general public distaste for immigration.

The very nature of the law made it very subject to individual interpretation-- creating divisions within the health care system. Fassin notes some instances where this interpretation caused the law to fail; discontinuity between medical professionals created situations where similar conditions were met with opposing decisions. Moreover, as cited by Fassin, this also led to several scenarios where doctors allowed their personal opinions on immigration to sway their decisions.

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Sara.Till

As I mentioned in earlier answers, at the peak of the crack-cocaine epidemic, BSVAC was founded (1988). It took outside EMS agencies an average of 30 minutes to reach patients with Bed-Stuy, a time that is far too costly for major trauma patients. This causes the current Commander (formerly referred to as Captain) "Rocky" Robinson to begin a volunteer EMS agency within the city itself. Placing the agency in the city decreased response time significantly, with BSVAC now averaging a response time of less than 4 minutes. 

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Sara.Till

1) "Interventions in the acute phase directly following the disaster are designed to promote survivors’ safety and stability and to help them cope with their experiences (12). One such intervention, psychological debriefing or critical incident stress debriefing, was developed in the 1980s for emergency responders and has been used with other victims of trauma (46)."

2) "Exposure to potentially traumatic events is disaster-specific and often measured differently between studies, making it difficult to compare experiences and mental health consequences or to generalize findings to all disaster-affected populations (22). Additionally, most instruments that assess symptoms of mental disorder have been developed and validated in the United States (23, 48) and may lack cultural relevance and validity in areas impacted by disasters worldwide"

3) "These studies can help us understand what factors are associated with different courses of mental illness, which can help us identify the most vulnerable populations and inform tailored interventions"

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Sara.Till

Obviously, the individual testimonies hold enormous emotional power. Having a tearful mother share of her grief at losing two children, watching former marines such as Denita McCall fight for their lives against cancer, or seeing Mike Partain's massive spreadsheet of male breast cancer incidence all strike deeply. Yet, the most compelling piece was early on in the film. Ensingmer and Partain visit a cemetery near Camp Lejeune. While there, they note the sheer number of graves from between 1957-1987-- the vast majority belonging to infants and children. This, personally, was the most moving; witnessing the sheer number of lives  lost while hearing the excuses and lackluster responses of governing bodies demonstrated just how dire this situation was.

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ciera.williams

Users for I've-Been-Violated just put in name, phone number, and email. It also documents location, sound, and video when you activate the service. 

The other two apps require registration with the system, though if you register for one, you aren't able to just use the same login for the other. The registration just asks for email and password. Not sure if it asks for more later, as the app was really glitchy when I tried.

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Sara.Till

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

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ciera.williams

The author is making the point that we are too caught up in the numbers and facts of medicine, and we need to go back to the narrative. The details that come with a patient's history and social actions contribute a great deal to outcome and treatment. The author supports this with several examples of cases he has had or heard of and how they changed his view of a treatment.