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pece_annotation_1479080360

Alexi Martin
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The study is publiched on NCBI in a library of medicine for NIHM. On this database (original publisher could not be found- presumed to be in a medical journal, the author works for Columbia University) contains may important and valid articles that contain vital information for the future of mental and physical health of others. Publications in this database are natural and presumed to be credible because its association with NIHMS.

pece_annotation_1474778113

ciera.williams
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In response to

This act provides ongoing support to the first responders and other professionals involved in the rescue efforts of 9/11/2001. The adverse health affects are still being discovered 15 years after the attacks, and the EMS community is still in need of the support provided. This policy also outlines a precedent for future attacks. In the event of another large-scale act of terrorism, the responders would likely receive similar support and "compensation" for the affects that might have them. 

pece_annotation_1474842049

Alexi Martin
Annotation of
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“With this promising technology, though, arrived a whole series of risks,catastrophic boiler explosions being the most dramatic and the deadliest.”

 

“Dr. Astweh-Asel had no idea then how serendipitous and how surprisingly rare this meeting between investigator and wreckage would come to seem in the weeks and months ahead.”

 

“ No one argued with him over these reinventions in principal, but he was thwarted time and time again over the next fifteen years as he tried to defend them in practice.”

pece_annotation_1475447106

ciera.williams
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The main theme of this article is the conditions leading up to, during, and following a policy passed in France in 1998. The policy allowed residency to "any foreigner habitually resident in France and suffering from a serious medical condition requiring medical treatment, and for whom deportation would result in exceptionally serious consequences, provided that he or she would be unable to receive appropriate treatment in the country to which he or she is returned" The author likens the poicy to "compassion protocol" or palliative care. The law should only apply in extreme circumstances and is based on an emotional response to pain/suffering. 

This policy had good intentions, but led to a number of resulting issues, such as disparity in care due to ambiguity in the law. For the enforcers of the law, there was much interpretation which allowed for individuals to exercise "humanitarian reason" and decide what conditions were a "serious medical condition" and what was not. This politicized medical care for foreigners/immigrants, as medical proffessionals no longer diagnosed based on symptoms, but socioeconomic status as well. 

pece_annotation_1480826040

Alexi Martin
Annotation of
In response to

The argument is made and sustained by filming various types of patients in the hospital: a diabetic women who was given a sandwich after waiting for hours, a man who did not want to recieve dialysis because of the ordeal of waiting he had to endure each time he was at the hospital, a boy who got shot and died inside the trauma room, a man who had bone spurs on his spine, to name a few. The narrative is also sustained through the view of the patients, the doctors, the nurses and the financial staff all views of the healthcare system are shown and maintained. The film does have emotional appeal because it follows patients from when they first enter the ER to when they leave: for example a little girl who had a severe case of strep throat and could not talk, to her getting treatment, a doctor's appointment and then being discharged. The film portrays each patient in a way that allows the viewer to want to see more of their story.

pece_annotation_1476931956

ciera.williams
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This article presents some statistics on common psychological issues post- disaster. PTSD and Major Depression are the two most commonly studied issues in realtion to post-disaster. A realtively new term "resilience" has been brought to the table, defining the ability of people to "bounce-back" after disasters. Substance abuse is another studied issue, with some reporting an increase in substance use following disasters. However, it is noted that the post-disaster abuse of substances is highest in those already using or abusing these ubstances. Other conditions such as generalized anxiety disorder, phobias, and other stress disorders are studied and have links to disaster experience.

The article also discusses some risk factors for post-disaster psychological disorders. Prior to disasters, women tend to be less resilient, and more suscpetible to disorders, excepting substance abuse. Children are especially vulnerable to issues. Socioeconomic status, ethnicity, and community support are also factors in the outcome of a person's mental state post-disaster. During a disaster, the degree of exposure to the incident is the greatest factor in outcome. After a disaster, support network and ongoing life stressors play a large rold in the outcome. The biggests steps to preventing poor outcome post-disaster are prepartion and anticipation of the disaster, and recognition/prevention of mental illness. 

Generally, only a small percentage of victims seek help from services provided for mental health disorders. This makes it difficult to accurately research the affects and prevalence of mental health disorders.