This manuscript explores the history of the Freedom House Enterprises Ambulance Service, a social and medical experiment that trained "unemployable" black citizens during the late 1960s and early 1970s to provide then state of the art prehospital care. Through archives, newspapers, personal correspondence, university memoranda, and the medical literature, this paper explores the comparable, yet different roles of the program's two leaders, Drs. Peter Safar and Nancy Caroline. Despite its success in demonstrating national standards for paramedic training and equipment, the program ended abruptly in 1975. And though Pittsburgh's city administration cited economic constraints for its fledgling support of Freedom House, black and majority newspapers and citizens alike understood the city's diminishing support of the program in racial terms. The paper discusses Safar and Caroline's well-intentioned efforts in developing this novel program, while confronting the racial, social, and structural constraints on the program and the limits of racial liberalism.
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http://dx.doi.org/10.1093/jhmas/jrz041 | DOI Listing |
Addict Sci Clin Pract
December 2024
Division of Infectious Diseases and Global Public Health, University of California, San Diego, San Diego, CA, USA.
Background: Oral Pre-exposure prophylaxis (PrEP) is effective in preventing HIV transmission. However, despite high rates of HIV risk behaviors among people who inject drugs (PWID), this population remains underserved by current HIV prevention efforts in the United States. To address this challenge, we conducted an in-depth exploration of perspectives on using oral PrEP among PWID engaged in the HIV Prevention Trials Network (HPTN) 094 INTEGRA Study.
View Article and Find Full Text PDFBMC Health Serv Res
December 2024
Department of Sociology and Work Science, Faculty of Social Sciences, University of Gothenburg, Gothenburg, Sweden.
Background: In Swedish care for older adults, the use of welfare technology - for example, medicine-dispensing robots and GPS alarms - stimulates ongoing evaluations and negotiations. National policy documents, as well as previous research, indicate that these technologies are expected to improve the quality and efficiency of care but also involve potential or experienced challenges in providing high-quality care and the conditions for care workers - often portrayed as a conflict between political and caring organizational values. More research is thus needed on how the use of welfare technology is justified at central and municipal government levels as well as within care-providing organizations.
View Article and Find Full Text PDFAnn Palliat Med
November 2024
Radiation Medicine Program, The Ottawa Hospital/University of Ottawa, Ottawa, ON, Canada.
Background: Palliative radiotherapy (RT) is commonly used for malignancy-associated hemoptysis. This study aims to determine RT control probability, durability, and influencing factors.
Methods: This single-institution prospective observational study included patients ≥18 years old with any lung malignancy and active hemoptysis.
Stud Health Technol Inform
November 2024
SINTEF Community.
Norwegian municipalities require increasing the number of care places. The main challenge for the municipalities is to obtain enough high-quality and suitable residential facilities. As buildings are often inflexible structures, they will impact their daily lives for decades.
View Article and Find Full Text PDFJ Int AIDS Soc
November 2024
Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Introduction: Perspectives on long-acting injectable cabotegravir/rilpivirine (CAB/RPV-LA) from HIV health disparity populations are under-represented in current literature yet crucial to optimize delivery.
Methods: Between August 2022 and May 2023, we conducted in-depth interviews with people with HIV (PWH) at four HIV clinics in Atlanta, Chicago and San Francisco. Eligibility criteria were current CAB/RPV-LA use with receipt of ≥3 injections or CAB/RPV-LA discontinuation.
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