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pece_annotation_1478467302

Sara.Till

1) Janey Ensminger Act: the act, finally passed in August of 2012, provides health care to veterans and family members who were exposed to contaminated water while in residence at Camp Lejeune. The bill specifically lists illnesses linked to the chemicals found in the water supply, thus does not extend unlimited coverage to all former residents. Moreover, those who receive care under the bill must have resided at Camp Lejeune for 30 days or more.

2)The Few, The Proud, The Forgotten: a website created in order to inform Marine/Navy personnel, dependents, and civilian residents of Camp Lejeune exposure. The website also seeks to help these individuals understand their rights under the legislation and as victims. It also provides an illness registration and photo gallery, demonstrating itself to be a page dedicated to informing all aspects of these incidents.

3) TCE: as a former organic chemistry TA and student, the chemical nature of TCE and other VOC's intrigues me. As a student of physiology, it's important to understand how certain chemical properties can effect the body; particularly in regard to pathologies that could arise from exposure. As a halocarbon, the compound demonstrates relative stability and has many industrial uses; however, this stability causes difficulty in disposing, as they do not readily degrade in typical environments, leading to accumulation. Moreover, TCE has specifically been shown to work as a central nervous system depressor. Its interaction with electrical regulation of nervous cells (and thus, action potential propagation) causes a general anesthesia effect-- leading to depressed functioning of the CNS and, in high enough doses, suppression of cardiac and respiratory function. It should also be noted that the cardiovascular system primarily operates under electrical control as well, resulting in a possible link between TCE exposure and arrhythmia 

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tamar.rogoszinski

While this app is tailored for emergency situations, I would find it hard to believe that a physician who is in an emergency situation regarding radiological or nuclear danger would pull out their iPhone or Android to quickly find the proper dosage or way to triage patients. Although this app does suggest review before an emergency and print-outs from their website that can be kept with a physician in this type of situation, I do think it would be difficult for a physician to use their cell phone in this case. This app also works without data or wifi, which is good. But I feel that a physician might not want to take out their phones in an emergency situation, especially if it's because of nuclear spills or something to that nature that can ruin and contaminate their phones (and PPE).

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Sara.Till

Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.  

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tamar.rogoszinski

The author is Byron Good, Ph.D. He is an American anthropologist and teaches medical anthropology at Harvard Medical School. His main focus is mental illness and the cultural meanings of it. He also explores patient narratives and the perspectives of non-Western medical knowledge and compareds different mental health systems. He has done research in Iran, Indonesia, and the US. He has several publications including papers, books, and editted volumes.