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Sara.Till

This article undertakes reviewing the current approaches to handling mental health in the wake of disasters. It particularly focuses of the current methodologies of research utilized, past methodologies/findings, and how these effect today's approaches to treatment of mental disorders during emergency response. The article begins by discussing the major psychopathology found in populations effected by disasters, including mood disorders such as PTSD and MDD. Other disorders, such as substance abuse and outside symptomologies, are also discussed-- but these first two seem to be the major players addressed here. The work then describes how current comorbidities exist, and how these manifest as pre-disaster risk factors (for example, female disaster survivors are generally more likely to have adverse psychological outcomes, such as PTSD or MDD). Other factors include age, socioeconomic status, and basal trait-level anxiety/depressive symptoms. The report also speaks to during disaster and post-disaster factors as well, as these both have been shown to indicate increased likelihood of developing mental health disorders from a disaster event. Finally, the report delves into current interventions utilized during all three of these time periods (pre, peri, and post), and how these may amplify or diminish the mental health effects of a disaster event. Unfortunately, the paper gives very general guidelines, such as discouraging building in vulnerable locations or testing responses in communities even before disasters occur. For post-disaster preventative measures, however, the report included several key notations-- including implementation of stress debriefings for disaster survivors, and usage of PFA (psychological first aid) to prevent adverse mental health outcomes. 

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ciera.williams

"Third, additional studies are needed of interventions that aim to prevent or reduce symptoms of mental illness among disaster victims (42, 49). Although some interventions have been deemed efficacious in randomized controlled studies, effectiveness studies are needed to evaluate how well interventions work in the general population with practicing clinicians (38) and how well they prevent or reduce comorbid depression and substance use disorders..."

"The disaster context introduces additional methodological challenges, over and above the challenges that affect all studies of mental health, in four key areas: defining the target population, obtaining a representative sample of affected persons from this population, implementing an appropriate study design, and measuring key constructs"

"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."

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Sara.Till

The documentary follows Ensingmer during his searches for information and during the government hearing regarding the water contamination. This includes multiple interviews with former residents of the base, including former marines who are currently undergoing treatment for cancer and other illnesses caused by VOM's. The film mainly includes input from these residents; while it does provide some information through texts during pauses in the film, it does not provide exact numerical data, and mostly provides emotional appeals. The film also follow those effected as they attempt to collect information about all of those exposed to the contaminated water, including a spreadsheet of former male residents diagnosed with breast cancer. 

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ciera.williams
In response to

Since I've-Been-Violated was the only one I could figure out, I have a detailed description:

The app starts with a registration page asking for name, phone number, and email. It also asks for access to the camera. The next page is a terms of use defining the contract you are entering when downloading and registering for the app. The information page has instructions:

  1. Begin to tell your story by following the on-screen instructions. The Red Button will start and stop the video recording. You have the option to record an individual video is needed. There wil be three separate screens, each prompting you on what to say.
  2. An encrypted record of you story is created and stored for future retrieval (through the proper channels) on our offline storage servers. NO video will be available directly to you or anyone else.
  3. When and if you are ready to tell your story to the appropriate authorities, the app will bolster your credibility by giving these authorities access to evidence that you recorded approximately contemporaneously with the incident.
  4. Please consider getting help from the appropriate medical authorities.

The interface is simple with a button to start the log, the info button, and the personal info icon (wich you can update)

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Sara.Till

Dr. Ticktin states in her introduction the report came about through both her personal experience with humanitarian efforts & sexual violence treatment and through supplemental studies. Her bibliography reflects this, and includes multiple studies/reports from humanitarian organizations. Additionally, she utilized multiple independent media sources discussing sexual violence in conflicts, the targeting of female populations, and humanitarian efforts within this realm. The bibliography also includes a multitude of research articles from various human rights journals and publications pertaining to female rights during conflicts.

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Sara.Till

"The deputy chief of Russia's nuclear operator, Rosatom's Nikolai Spassky, suggested that international law should force countries operation nuclear plants to abide by international safety standards. This proposal amounts to a recognition of the international character of the nuclear energy industry, but it remains unclear as to who would enforce such rules and how-- as of this writing, no international agency has such powers." Schmid, 199

"What knowledge should nuclear safety be based upon, where the science is still contested? And how useful is the notion of transparency in a context where the operation of nuclear power plants is considered an "inalienable right", as the text of probably today's single most important nuclear treaty states (IAEA 1970)? Nuclear specialists around the world are still discussing the existing emergency response organizations and the reasons they ultimately failed." Schmid, 200

"Anthropologists who have studied nuclear workplaces consistently find that the 'culture of control' (that is, attempts to regulate every last action of the operating staff) is too rigid to account for all imaginable situations." Schmid, 201

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Sara.Till

This article was meant to highlight the gaps in data available for violence against health care/aid workers in unsecured areas. As such, a large portion of the methods segment is dedicated to discussing the difficulties in locating this data and any patterns in data gaps. The primary method of collection, it appears, was through an initial search for peer-reviewed work that transformed into an accumulation of accounts from media, documentary, and editorial reports. It should be noted that some data is available from various organizations, regarding their specific statistics; however, this mainly tends to focus on larger incidents, such as kidnappings and deaths (as mentioned in the paper). There is also some information available through Aid Workers Security Database, but shortcomings in this area are also heavily noted.