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Sara.Till

1) Hocas: an anglicized ottoman-Turkish word meaning "master, professor, teacher"; it evolved from "khawaja", and is an honorific title given to a teacher of the Muslim faith, particularly a sufi teacher. 

2) Tonic-clonic seizure: formerly described as "grand mal seizures", they include two sections (hence the "tonic" and "clonic"). The tonic phase includes the initial rigor and consciousness, while the clonic phase is the characteristic muscle spasms. These phases each last around 1 minute and 3 minutes, respectively.

3) Jinns: anglicized to "genie", this is the term for a supernatural creature in the Muslim faith. Many of the patients interviewed in Dr. Good's work spoke of a terrifying event prior to the onset of their epilepsy, often involving the presence of a "jinn". 

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wolmad
Annotation of

This report outlines specified services and payment rates for these services to be performed by community paramedics. The contents of this report are the result of extensive research and consultation with a workgroup conveined by the DHS consisting of representatives of emergency medical service providers, physicians, public health nurses, community health workers, and local public health agencies.

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wolmad

1. “A series of factors – demographic changes, economic development, global travel and commerce, and conflict – ‘have heightened the risk of disease outbreaks,’ ranging from emerging infectious diseases such as HIV/AIDS and drug resistant tuberculosis to food borne pathogens and bioterrorist attacks.”

2. “Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them.”

3. “There is no such thing as being “too secure.” Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions.” 

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Sara.Till

1) "It is important to note that these changes that incorporated gender-based violence into the human rights realm also brought the law to bear as a primary instrument of change and struggle. Calling this ‘governance feminism’, Janet Halley argues that this was the work of a certain group of feminists who came together in the 1990s, taking criminal law as a primary instrument of reform, and working in a top-down fashion to institute punishment for a global war against women."

2) "This approach inherently limits the mode of intervention. The mandate of humanitarianism – again, as defined by the new wave of ‘sans frontiere-ism’ exemplified by ` MSF – is not to reform or improve the kind of life one lives, only to preserve life itself. And yet gender-based violence is about the kind of life one lives. Under the rubric of human rights, freedom from gender-based violence is part of a parcel of rights that define what it means to be human in ways that include the right to be free from violence, the right to equality and the right to dignity"

3) "In MSF’s General Assembly debate, Rony Brauman, the former president of MSF, suggested that rather than descending into politics, humanitarians should make a distinction between describing what one witnesses, and qualifying it, which entails making a judgement. He asked one of the MSF Holland representatives, ‘How do you know the women were raped? Did you see it happening?’ Brauman proposed sticking close to what one sees, and letting others take it from there – he felt strongly that MSF should not have called for action. For him, and many others, humanitarianism is not about justice, politics or taking sides. The MSF Holland representative responded that there was a slippery slope between political neutrality and irresponsibility, and a fierce debate ensued"

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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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wolmad

“A six­month examination by The Times found that the rescuers' ability to save themselves and others was hobbled by technical difficulties, a history of tribal feuding and management lapses that have been part of the emergency response culture in New York City and other regions for years.”

''It's a disgrace,'' he said. ''The police are talking to each other. It's a no­brainer: Get us what they're using. We send people to the moon, and you mean to tell me a firefighter can't talk to a guy two floors above him?''

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Sara.Till

As mentioned earlier, this group is heavily experienced in dealing with traumatic injuries and responding to larger scenes. I imagine the hardest challenge they face is funding; they typically run on a budget made of a few hundred thousand dollars. This encompasses salaries for some personnel (although the vast majority are voluntary), classes for CPR, EMT, First aid certification, and supplies. With such a large call volume of complex cases (think of all the resources needed to treat an individual with multiple gun shots to the chest or someone who has been stabbed several times), this is quite extraordinary that they can function adequately with such little funding.

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Sara.Till

 Often considered a "social disease" HIV/AIDS can be linked to certain social groups and subsequent behaviors within these groups. Taking this a step further, poor prognosis in treatment can be linked to social stratification. In the early 90's in Baltimore, a study was performed that linked race to reception of timely medical intervention. Modifications to the programs, such as removing insurance status as a determining factor for care, drastically reduced racially-biased outcomes. In the Rwandan campaign, Partners in Health instituted proximal care to rural regions-- the areas where care was most significantly lacking. This, in turn, can greatly mitigate the effects of social violence. Moreover, structural interventions (such as changing the accepted and prescribed practices of international bodies) can greatly reduce the effects of disease within a population. This includes such things as when and how drugs are administered, who is receiving medications, and changing conventional practices proven to enhance the spread of disease. 

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wolmad

The article supports its arguments in two main ways, by providing statistics and case stories. Statistics pertaining to medical based residence applications are separated by location, rationale, and department they were processed by in order to demonstrate varied acceptance rates. Case stories are used to show the process, the hurdles faced by applicants, and the effect that this policy has on the health of applicants.