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pece_annotation_1478486764

ciera.williams

The author seems to rely strongly on personal experience and belief to make broad statements about the situation following chernobyl. Most of the article is about the author and their experience with the issue, rather than the objective data and observations of others. This makes the arguments seem rather close-minded and almost biased. 

pece_annotation_1477256113

tamar.rogoszinski
  • "For far too long Inuit have been taking their lives or attempting to take their lives. In fact, Inuit have the highest suicide rates in the world"
  • "...if these statistics were reflected in the general population, there would be an uproar and lasting change."
  • "A focus on mental health, to me, is of the construct of Western European psychological thinking which I think will try to hem the matter into a very small area of inquiry when in fact the discussion has to be much more broadly based."

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_1472844704

tamar.rogoszinski

The object of this study is to observe whether or not there was an overdiagnosis of thyroid cancer after the Fukushima nuclear disaster in 2011. They did this by comparing the observed prevalance of thyroid cancer in the Thyroid Screening Programme with the estimated historical controls on the assumption that there was neither nuclear accident nor screening intervention. 

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_1473448694

tamar.rogoszinski

Delivering AIDS Care Equitably in the United States: AIDS became a disease that disproportionately affected the poor in America. A study done in Baltimore reported how racism and poverty were the cause of excess deaths among African Americans. Efforts were made by physicians to improve community-based care and to get physicians in impoverished areas providing high standard of care. By addressing monetary barriers between poor African Americans and healthcare, dramatic improvements were made and lives were saved. Further studies were done in rural Haiti and Rwanda, which implemented the "PIH model". This model was designed to prevent excess mortality due to AIDS by preventing poverty and social inequalities. It also focused on preventing transmission of the disease. Each of these studies proved to be successful and supported the concept that biosocial circumstances are just as vital to patient care as is the molecular basis of a disease.