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pece_annotation_1478467302

Sara.Till

1) Janey Ensminger Act: the act, finally passed in August of 2012, provides health care to veterans and family members who were exposed to contaminated water while in residence at Camp Lejeune. The bill specifically lists illnesses linked to the chemicals found in the water supply, thus does not extend unlimited coverage to all former residents. Moreover, those who receive care under the bill must have resided at Camp Lejeune for 30 days or more.

2)The Few, The Proud, The Forgotten: a website created in order to inform Marine/Navy personnel, dependents, and civilian residents of Camp Lejeune exposure. The website also seeks to help these individuals understand their rights under the legislation and as victims. It also provides an illness registration and photo gallery, demonstrating itself to be a page dedicated to informing all aspects of these incidents.

3) TCE: as a former organic chemistry TA and student, the chemical nature of TCE and other VOC's intrigues me. As a student of physiology, it's important to understand how certain chemical properties can effect the body; particularly in regard to pathologies that could arise from exposure. As a halocarbon, the compound demonstrates relative stability and has many industrial uses; however, this stability causes difficulty in disposing, as they do not readily degrade in typical environments, leading to accumulation. Moreover, TCE has specifically been shown to work as a central nervous system depressor. Its interaction with electrical regulation of nervous cells (and thus, action potential propagation) causes a general anesthesia effect-- leading to depressed functioning of the CNS and, in high enough doses, suppression of cardiac and respiratory function. It should also be noted that the cardiovascular system primarily operates under electrical control as well, resulting in a possible link between TCE exposure and arrhythmia 

pece_annotation_1476655507

a_chen
Annotation of
  1. Patients: to get access with digital and gamified mental health assessments to diagnose themselves and gain self-awareness. After assessment, the patient might want get to a talk with the health professionals to have an ideal solution to the problem. Even by not getting frequent contacts with health professionals, the patients still can track their own health status with the system.
  2. Providers: will receive patients’ data and recorded into a dashboard data to view the profiles more efficiently. The dashboard function also allows the track on the history and current progress. Relevant assessment also can be send out to the patients regularly in order to assist both provider and patients to understand the situation more clearly.
  3. Organizations: organizations might include from a range of primary care center to hospital emergency room, with the data obtained from the patient, coordinated care can be provided. It is also a great tool to analysis the patients and form a study.

pece_annotation_1479066671

Sara.Till

Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.  

pece_annotation_1480273848

Sara.Till

This report has been cited by 22 other works-- including articles, books, reports, reviews, and studies. This includes several these, book chapters, and dissertations. It appears mostly in anthropological and STSS works, indicating it has yet to move from these social sciences into the realms of policy.