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pece_annotation_1475425660

Sara.Till

The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health

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joerene.aviles

The main argument is that previous disasters involving burning buildings in US history and the subsequent investigations affected emergency response, policy making, and disaster investigation today. These past events can be applied to the 9/11 terrorist attack and investigation of the buildings afterward.

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Sara.Till

Emily Goldmann, PhD, MPH: assistant research professor of Global Public Health at NYU College of Global Public Health. Previous research includes work within several public health consulting firms and employment in the NYC Department of Health and Mental Hygiene in the Bureau of Adult Mental Health; this work included surveillance of psychological distress, metal illness, hospitalization, and rapid assessment of mental health conditions following hurricane Sandy. 

Sandro Galea MD, MPH, DrPH: a Canadian/American board-certified emergency medicine physician and epidemiologist, Dr. Galea is the current dean of the BU School of Public Health and former chair of Epidemiology at Mailman School of Public Health (Columbia University). His research primarily centers on social production of health within urban populations, including mental health disorders such as mood-anxiety and substance abuse; extensive publications exploring health inequalities, epidemiology, and health within vulnerable populations. Dr. Galea has served on numerous boards and committees analyzing the consequences of mass traumas, including 9/11, Hurricane Katrina, and numerous international conflicts. 

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joerene.aviles

1. “Chronic disaster syndrome” thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement.

2. Most efforts to rebuild health care facilities focused on emergency care, routine care, and surgical services rather than psychiatry.

3. For many people, the idea that they had to stay in a state of heightened response to the pending “crisis”—a state they had already been in for over two years—produced huge anxiety and exhaustion.

4. Instead, the notion that New Orleanians themselves were a threat to public or national security circulated and became a rationale for the efforts the government did take to effect change in New Orleans. This change, in effect, targeted the poor. The poor, it seems, were to be evicted from New Orleans as a way to “clean up” the city and help it recover once and for all.

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Sara.Till

1) Attawapiskat: This First Nation region is described in the article as one of the most isolate and remote. Further research indicates not only is it geographically isolated, but it lacks significant resources, resulting in a high cost of living and a scarcity in certain goods. Moreover, the region is serviced by a nursing clinic (no physicians) and a team of 8 paramedics-- truly an under-served medical region.

2) Aboriginal Healing Foundation: Our Catholic high school curriculum involved an ethics class, which debated the mistreatment aboriginals in the name of evangelicalism. I chose to research the foundation and determine what made this special-- why were they able to be cited as making such progress, despite losing funding in a few years.

3) Sheridan: A young girl who came to symbolize the suicide epidemic in Attawapiskat, she was 1 of over 100 who attempted to commit suicide within the span of 7 months. The Vice article describing her life and circumstances shows hints of an adolescent wise beyond her years, quoted as saying "if there's no resources, there's not going to be any change" in her suicide recording. 

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joerene.aviles

1. Arguably, the new Ukrainian accounting of the Cherobyl unknown was part and parcel of the government's strategies for "knowledge-based" governance and social mobilization. In 1991 and in its first set of laws, the new parliament denounced the Soviet management of Chemobyl as "an act of genocide."

2. On the one hand, the Ukrainian government rejected Western neoliberal prescriptions to downsize its social welfare domain; on the other hand, it presented itself as informed by the principles of a moder risk society. On the one hand, these Chernobyl laws allowed for unprecedented civic organizing; on the other hand, they became distinct venues of corruption through which informal practices of providing or selling access to state privileges and protections (blat) expanded.

3. Government-operated radiation research clinics and non- governmental organizations mediate an informal economy of illness and claims to a "biological citizenship"-a demand for, but limited access to, a form of social welfare based on medical, scientific, and legal criteria that recognize injury and compensate for it.

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Sara.Till

The article focuses more on the fallacies of our current approaches to medicine. Dr. Kramer contends that the public would benefit from physicians melding their current factual approaches with anecdotal methods as well. Particularly, the field of psychiatry, which dabbles in processes of the brain not yet understood. While Dr. Kramer acknowledges it is necessary to have a well-defined approach, using "stories" allows for a more enriched judgement and remind practitioners of the vast differences in human experience. 

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joerene.aviles

The film best addresses health care professionals and families of those with chronic illness, as it shows the medical professionals' struggles and successes in providing comfort, closure, and knowledge in end-of-life care. It provides more empathy to the doctors who may get very involved in their patients' lives and who also feel grief when their patient has to get more bad news or passes away.

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Sara.Till

As the data is from 1998, I would sincerely hope that the data has already encouraged responses. Nonetheless, at the very least, the data should be able to serve as a marker for progression in traumatic event services. While sexual assault is markedly different from other traumatic events, the data could also be extrapolated to other events with community ties. More pointedly, data from this study demonstrated where some of the gaps came between victims with the "best" service outcomes and those with the "worst". The primary difference between the "best" group and those in latter tears was in the legal system. These shortcomings appeared to emerge early on, with a discrepancy in whether their reports even made it to the desk of the prosecution from the police department. This indicates a shortcoming in the system, and a point which should be investigated to better victim outcomes moving forward. Sexual assault cases are rarely black and white, thus some detectives may be inclined to create personal judgments about the merit of a case before passing it along, thus leading to its exclusion. This is one of several differences in victim encounters leading to less desired outcomes.

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Sara.Till

This report provides a detailed analysis of international response to nuclear emergencies. In addition to reviewing historic nuclear emergencies and their responses, it examines current nuclear policies. Initial reactions to previous nuclear emergencies (Chernobyl, Three Mile Island, ect.) focused on preventing future incidents. Yet,  Dr. Schmid argues increased safety measures and rigorous regulation cannot possibly safeguard against all emergency scenarios. She emphasizes the need to create an international organization to serve as an emergent response team, and explores several candidates such as the International Atomic Energy Agency and World Association of Nuclear Operators. However, Dr. Schmid concludes none of these suggested organizations currently have the fiscal capability or internation authority to act in this role.