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pece_annotation_1477258843

Sara_Nesheiwat

"Health care service delivery may be challenging in the post-disaster environment and often requires coordination and cooperation among levels of government, health services programs, schools, media, and community organizations  "

"The first challenge lies in identifying the correct sampling frame, which generally comprises all persons affected by the disaster. The sampling frame may be even more difficult to identify in natural disasters, when the geographic area of impact is larger and less defined."

"The second challenge lies in finding potential participants and completing interviews. Widespread displacement and communication breakdown may make it difficult to reach per- sons who have experienced the disaster, and if they can be reached, they may be consumed with recovery efforts and may not agree to participate in research .  "

"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control.  "

pece_annotation_1472875710

Sara_Nesheiwat

Reading this article caused me to do a further, in depth research on Fukushima and what actions led to what happened as well as what transpired during and after the disaster. I also looked into what the emergency response standards are today which led me to look at the IEAE website. I also looked at some of the author's other works that she wrote as well as explored and researched the WANO site. I read into their operating experiences and read about their pledge to "Prevent events by learning from others." I found out they have implemented "significant operating experience reports" as well as "significant event reports" and numerous other safe guards. 

pece_annotation_1479078044

Sara_Nesheiwat

Byron Good is a PhD, BD and professor of Medical anthropology. He is a professor in the department of global health and social medicine at Harvard University. He studies psychotic illness, mental health service development and need in post conflict and post tsunami areas. He also analyzes the cultural meaning behind mental illness across the world. He is highly regarded in his field. 

pece_annotation_1473572780

Sara_Nesheiwat

I researched the statistics and numbers of HIV and and information about demographics as well as prevalence in areas such as Rwanda and Haiti. I also researched the PIH and its efforts globally while browsing their website and read about their Priority Programs, as well as countries they assist. I also researched the authors and took a look at the main author's other articles that he cited this paper in. 

pece_annotation_1480141267

Sara_Nesheiwat

Looking at the references, it is very clear that an extensive amount of work and research went into writing this article. Many of the references are from reputable books on sexual violence and gender based violence and its role in society. Many research articles and studies on gender persecution are cited, as well as works written by other experts in the field on human rights, women rights and sexuality and violence of women are cited. The citations also cover a broad range of time showing depth and span of the information that was used to produce this article. 

pece_annotation_1480143817

Sara_Nesheiwat

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_1474155850

Sara_Nesheiwat

The film points out that there is a clear need for more public health infrastructure. Procedures to combat outbreak should be enacted but also increasing the education of the masses on disease spread and how to act preventatively, as well as effectively. 

pece_annotation_1480823167

Sara_Nesheiwat

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.

pece_annotation_1474775697

Sara_Nesheiwat

There was very detailed recounting of investigations of three historical cases. The similarities between those cases and the World Trade Center investigations were then compared. Methods used include data collection, analysis and comparison. The author utilizes expert testimony and cites documents and the media often as well.