Skip to main content

Search

pece_annotation_1473043634

ciera.williams

The program was created in reaction to the disaster at Fukushima-Daiichi, with influence of the lessons learned post-bombing in Hiroshima. Hiroshima University specializes in radiation casualty medicine and works to improve medical care in response to nuclear emergencies. This program was specifically made to generate leaders capable of directing relief efforts while keeping the clear goal of reconstruction post-disaster. 

pece_annotation_1474835380

Andreas_Rebmann

This article covers the investigation procedure following a tragedy, and how the outcomes of these investigations tend to be muddled due to factors outside of logic and reason. These influencing factors make it difficult to draw conclusions as to what contributing factors were most significant in the damage sustained during the tragedy, and how to best avoid them in the future. For this reason, it addresses how difficult it is to improve disaster-response when so little useful information can be gleaned from the modern investigatory procedure. 

pece_annotation_1473631685

ciera.williams

In Baltimore, researchers found that racism and poverty especially affected African Americans without insurance. In order to address this, they removed boundaries to care within the medical system and community so that poor patients could receive the care they needed without economic trouble. Along with this, they also established a system that relied on the community as a whole for care, taking the social stigma away from AIDS/HIV care and building ties as a whole. Within a few years, many disparities disappeared among the studied population.

Another study in rural Haiti was used to develop the PIH model of care. This model relies on an accompagnateur who is trained in drug delivery and supportive care. This allows care to be given within a village, not a clinic, and improves access to care. This model has worked to improve patient care and outcome in Haiti, Peru, and Boston.

In Rwanda, structural violence has perpetuated to transmission of disease from mother to child for decades. Access to resources such as clean water and formula, along with public health agencies promoting the merits of breastfeeding, have made it challenging to address MTCT. However, when researchers asked mothers if they would like these resources, they were eager to receive them and wanted to help in preventing further transmission. 

pece_annotation_1477278101

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."

pece_annotation_1473908346

ciera.williams

The data acquired in this study can be used not only for improvement in policies and training for healthcare workers, but also to examine the risk factors for the disease. One example is the age and gender disparities in those nfected. These could be explained by the typical age and gender of healthcare workers, but could also show a trend in risk when coupled with patient data. The data on the districts and their infection rates can be used to help pinpoint the origin of infection. 

pece_annotation_1480365202

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)

pece_annotation_1476118377

Andreas_Rebmann

They use aggregated interviews wherein all or many of the survivors repeat the same issues with long term effects of the disaster.

They also study the socioeconomic longterm effects of the disaster by comparing New Orleans years later to the past, showing how permanent an effect the storm had despite eventual recovery.

They also used sociological surveys that showed widespread mental health disorders that developed throughout the survivor population in greater frequency than that of the normal population due to the events that occured.