"Peace Like a Monkey"
Who were the two clinicians mentioned as part of the research team in the malaria study?
Veronica Ades and Asma Ramadhan Khamis.
What does RCT stand for?
Randomized Controlled Trials
Explain the benefits and/or negative effects of under or post-grad students doing medical volunteer work.
Benefits are geared towards students in terms of boosting CVs and Resumes.
However, students are often insensitive, insufficient, and a risk to patients. Students are also more often focused on recreational activities than working in clinics.
How many countries did Dr. Arnold live in? How many did she work in?
Lived in 5.
Worked in 10.
Where did dr.hb do her live and work for research? (plus 100pts if you can say what she studied)
Tuscany, Italy
She studied the connections between food traditions, sustainability and heritage management
What tools were the principal investigator required to use to handle the placentas?
Scissors and a pipette
What is the therapeutic obligation?
Therapeutic Obligation is the ethical duty to offer patients the best known treatment
How are local health professionals affected by volunteer workers?
Patients wait for free foreign medical care rather than going to local health professionals and spending money. Affecting local health professionals compensation.
What % of child deaths (12-59 months) in Bangladesh are attributable to drowning?
7%
How many times has HB had COVID before this year?
Never, this was the first time she’s gotten the vid.
By what percentage has male circumcision been proven to prevent female-to-male transmission of HIV?
60%
Define bioethics.
The study of ethical, social, and legal issues that arise in biomedicine and biomedical research
What are ways an individual could prepare for medical volunteering?
What are some things you would focus on in order to prepare yourself?
Understanding living conditions, access to medical care, cultural beliefs/traditions, etc.
Discuss
“Relationships matter; earn trust of community”
What does this mean to you? How does it relate to public health in today's society/context?
discussion
Where did HB get her BA
Knox College
What was the focus of the study conducted by the principal investigator in Zanzibar?
Measuring placental malaria infection among Zanzibari women who did not have preventative drugs during pregnancy
How can the ethical standard to respect community autonomy be reached?
Requiring community collaboration to protect against exploiting vulnerable populations, to ensure fair terms of cooperation, to ratify that the interventions to be tested are acceptable to community members, and to minimize potential misunderstandings about the research.
How does ignorance to culture and language barriers raise issues in humanitarian aid?
What are examples of cultural disrespect displayed by volunteers? (from or not from the reading)
When patients cannot understand the cause of their illness they are more reluctant to agree with treatments.
What are factors considered when deciding when to have a burial in Madagascar?
Traditional healers, astrology, ancestors, finances, relatives who live far away.
Where is HB’s office?
108 Evald Hall
Where did the research team face challenges due to fewer births and, ultimately, fewer placentas for the study?
Pemba, the smaller and less populated island of Zanzibar.
What are at least 3 out of the 5 conditions that have to be met to justify research on less expensive, less effective cases?
a large population in need
the existence of a more effective treatment standard that is substantially more expensive than a less costly intervention that is still hypothesized to be considerably effective
economic or political constraints that do not allow universal provision of the higher standard
a high degree of likelihood that the less expensive intervention will be implemented on a wide scale
community endorsement of the research.
What are the ethical principles suggested for better monitoring medical volunteering mentioned in the reading? (at least 4/7)
Establishing collaborative partnerships
Ensuring fairness in site selection
Committing to benefits of social value
Educating local communities and team
Building capacity of infrastructures
Evaluating outcomes
Engaging in ethical review
What are some examples of using mass media to get personal information that were described in the slides?
Urban, national, celebrities on cover, bilingual, distributed via secondary schools and commercially.
Where is Dr. HB from?
Muscatine IA