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Journal articles on the topic 'Medical Society of the County of New York'

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Published: 4 June 2021
Last updated: 30 July 2024

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1

Maese, John. "Medical Society's Blueprint for a Successful Community Response to Emergency Preparedness." Prehospital and Disaster Medicine 24, no. 1 (February 2009): 73–75. http://dx.doi.org/10.1017/s1049023x00006579.

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AbstractIt is clear from disaster evaluations that communities must be prepared to act independently before government agencies can cope with the early ramifications of disasters. In response to devastation to the borough of Staten Island, New York in the wake of 11 September 2001, the Richmond County Medical Society established a structure to incorporate community needs and institutions to work together for the common good. A program that brings together two hospital systems, nursing homes, emergency medical services, and the Office of Emergency Management physician leadership in a meaningful way now is in place. This approach has improved the disaster preparedness of Staten Island and demonstrated how the Medical Society can provide leadership in disaster preparedness and serve as a conduit for communication amongst entities that normally do not communicate.
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2

Brickman, Jane Pacht. "Minority Politics in the House of Medicine: The Physicians Forum and the New York County Medical Society, 1938-1965." Journal of Public Health Policy 20, no. 3 (1999): 282. http://dx.doi.org/10.2307/3343402.

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3

Shivashankar, Raina, Edward V. Loftus, William J. Tremaine, W. Scott Harmsen, Alan R. Zinsmeister, and Eric L. Matteson. "Incidence of Spondyloarthropathy in Patients with Ulcerative Colitis: A Population-based Study." Journal of Rheumatology 40, no. 7 (May 15, 2013): 1153–57. http://dx.doi.org/10.3899/jrheum.121029.

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Objective.Spondyloarthritis (SpA) is an important extraintestinal manifestation of inflammatory bowel disease (IBD). We assessed the cumulative incidence and clinical spectrum of SpA in a population-based cohort of patients with ulcerative colitis (UC).Methods.The medical records of a population-based cohort of residents of Olmsted County, Minnesota, USA, diagnosed with UC from 1970 through 2004 were reviewed. Patients were followed longitudinally until moving from Olmsted County, death, or June 30, 2011. We used the European Spondylarthropathy Study Group, Assessment of Spondyloarthritis International Society (ASAS) criteria, and modified New York criteria to identify patients with SpA.Results.The cohort included 365 patients with UC, of whom 41.9% were women. The median age at diagnosis of UC was 38.6 years (range 1.2–91.4). Forty patients developed SpA based on the ASAS criteria. The cumulative incidence of a diagnosis of SpA after an established diagnosis of UC was 4.8% at 10 years (95% CI 95% CI 2.2%–7.3%), 13.7% at 20 years (95% CI 9.0%–18.1%), and 22.1% at 30 years (95% CI 4.3%–29.1%).Conclusion.The cumulative incidence of all forms of SpA increased to about 22% by 30 years from UC diagnosis. This value is slightly greater than what we previously described in a population-based cohort of Crohn disease diagnosed in Olmsted County over the same time period. SpA and its features are associated with UC, and heightened awareness on the part of clinicians is needed for diagnosing and managing them.
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4

SHIVASHANKAR, RAINA, EDWARD V. LOFTUS, WILLIAM J. TREMAINE, TIM BONGARTZ, W. SCOTT HARMSEN, ALAN R. ZINSMEISTER, and ERIC L. MATTESON. "Incidence of Spondyloarthropathy in Patients with Crohn’s Disease: A Population-based Study." Journal of Rheumatology 39, no. 11 (September 15, 2012): 2148–52. http://dx.doi.org/10.3899/jrheum.120321.

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Objective.Spondyloarthritis (SpA) is an extraintestinal manifestation of inflammatory bowel disease with significant clinical effects, although the frequency is uncertain. We assessed the cumulative incidence and clinical spectrum of SpA in patients with Crohn’s disease (CD) in a population-based cohort.Methods.The medical records of a population-based cohort of Olmsted County, Minnesota, residents diagnosed with CD between 1970 and 2004 were reviewed. Patients were followed longitudinally until migration, death, or December 31, 2010. We used the European Spondylarthropathy Study Group, Assessment of Spondyloarthritis international Society (ASAS) criteria and modified New York criteria to identify patients with SpA. The Kaplan-Meier method was used to estimate the cumulative incidence of SpA following diagnosis of CD.Results.The cohort included 311 patients with CD (49.8% females; median age 29.9 yrs, range 8–89). Thirty-two patients developed SpA based on ASAS criteria. The cumulative incidence of SpA after CD diagnosis was 6.7% (95% CI 2.5%–6.7%) at 10 years, 13.9% (95% CI 8.7%–18.8%) at 20 years, and 18.6% (95% CI 11.0%–25.5%) at 30 years. The 10-year cumulative incidence of ankylosing spondylitis was 0, while both the 20-year and 30-year cumulative incidences were 0.5% (95% CI 0–1.6%).Conclusion.We have for the first time defined the actual cumulative incidence of SpA in CD using complete medical record information in a population-based cohort. The cumulative incidence of all forms of SpA increased to approximately 19% by 30 years from diagnosis of CD. Our results emphasize the importance of maintaining a high level of suspicion for SpA when following patients with CD.
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5

Schwartz, Thomas J. "Model for Pre-Hospital Disaster Response." Prehospital and Disaster Medicine 2, no. 1-4 (1986): 80–82. http://dx.doi.org/10.1017/s1049023x00030417.

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I will present a process by which many of the prehospital providers in this country are trying to organize effective and efficient response plans for major medical incidents which could in fact include a disaster response.Many people in the emergency medical services community, including myself, have been involved in a planning process for voluntary national EMS standards, the program being coordinated by the American Society of Testing & Materials (ASTM) F30 Emergency Medical Services Standards Committee. I chair a subtask group on Disaster Management. The committee has prepared a document containing elements, suggestions, processes and procedures from MCI/disaster response plans from EMS agencies around the country. These places include the cities of Los Angeles, New York, Chicago, Washington, D.C. area, Phoenix, Arizona and other urban places. The intent of this task group is not to prepare a document as a rigid standard to cover every detail on an individual task response plan. Instead, the intent of our task group is to provide an overview of expectations of what an individual mass casualty plan should include; focusing on such topical areas as Incident Command Management, communications, triage, transportation, logistical support issues, mutual aid and ancillary support services and many other topical areas that agency planners must address in developing their respective operational response plans.
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6

O'Neill, Caitlin M., Ulysses Gomez, Ilene C. Weitz, Casey O'Connell, and Howard Liebman. "Ethnic and Racial Difference In H.Pylori Infection In Patients With ITP Treated At A MAJOR Tertiary Medical Center In LOS Angeles." Blood 122, no. 21 (November 15, 2013): 3548. http://dx.doi.org/10.1182/blood.v122.21.3548.3548.

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Abstract Background Infection with Helicobacter pylori has been implicated as an etiologic agent for the development of immune thrombocytopenia (ITP). In a systematic review of the medical literature Stasi and colleagues reported wide regional variation in the prevalence of H. pylori infection in ITP patients with significant differences in improvement in platelet count with infection eradication. The largest report on H.pylori infection in ITP patients diagnosed in the United States found a lower prevalence of infection (21.6%) than the reported seroprevalence (32.5%) for the general United States population.1 Only 1 of 15 treated patients responded eradication of their infection.1 Based upon this report the American Society of Hematology ITP guidelines do not recommend routine H. pylori testing during the evaluation of newly diagnosed patients. Los Angeles County-University of Southern California Medical Center is the largest healthcare provider in the metropolitan Los Angeles region. It services a large and ethically diverse patient population. Screening for H.pylori infection in newly diagnosed and previously diagnosed ITP patients was begun as a routine part of the diagnostic algorithm in 2008. We initiated a retrospective review of H.pylori infection in patients screened during this period. Results At the time of this report the medical records of 80 ITP patients (M/F: 22/58) have been reviewed. 68 (F/M: 52/16) patients, 51 with 1o ITP and 17 with 2ry ITP, were screened for H.pylori. The median age of the screened patients was 50 yrs (23 to 85 yrs). Patients were screened with either the H. pylori stool antigen (46 pts; 65%) or H. pylori Breath test (10 pts; 16%). 12 patients (19%) were only screened for H.pylori antibodies. Of the screened patients, 29/68 (42.6%) tested positive for H. pylori. However, there were significant ethnic and racial differences in the prevalence of infection (Table ). 27 of the 29 positive patients were treated for their infection. H. Pylori eradication was documented in 20 of 22 (91%). An additional patient was successfully treated with a second course of antibiotics. Response to therapy could not be assessed in 14 of the 27 treated patients due to treatment with concomitant ITP medications. Of the 13 patients who could be evaluated for response using IWG criteria, there were 4 (30.8%) complete responses, 1 (7.7%) partial response and no response in 8 (61.5%). All complete responders were treated within 2 months of initial presentation. At the time of this report only 3 of the 29 patients remain on ITP treatment. Conclusion There are significant ethnic and racial differences in the prevalence of H. pylori infection in ITP patients diagnosed in the greater Los Angeles metropolitan region. Despite earlier reports from New York and Miami, early identification and treatment of H. pylori infected may result in remissions up to a third of patients. 1. Michel M et al. Blood 2004; 103: 890-896. Disclosures: No relevant conflicts of interest to declare.
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7

Vinovskis, Maris, and Mark J. Stern. "Society and Family Strategy: Erie County, New York, 1850-1920." History of Education Quarterly 29, no. 1 (1989): 166. http://dx.doi.org/10.2307/368623.

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8

Smith, Daniel Scott, and Mark J. Stern. "Society and Family Strategy: Erie County, New York, 1850-1920." American Historical Review 94, no. 2 (April 1989): 525. http://dx.doi.org/10.2307/1866982.

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9

Jeffrey, Kirk, and Mark J. Stern. "Society and Family Strategy: Erie County, New York, 1850-1920." Journal of American History 75, no. 1 (June 1988): 264. http://dx.doi.org/10.2307/1889725.

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10

Dupuis, Alan P., Melissa A. Prusinski, Collin O’Connor, Joseph G. Maffei, Kiet A. Ngo, Cheri A. Koetzner, Michael P. Santoriello, et al. "Heartland Virus Transmission, Suffolk County, New York, USA." Emerging Infectious Diseases 27, no. 12 (December 2021): 3128–32. http://dx.doi.org/10.3201/eid2712.211426.

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11

Dumyati, Ghinwa, Vanessa Stevens, George E. Hannett, Angela D. Thompson, Cherie Long, Duncan MacCannell, and Brandi Limbago. "Community-associatedClostridium difficileInfections, Monroe County, New York, USA." Emerging Infectious Diseases 18, no. 3 (February 2012): 392–400. http://dx.doi.org/10.3201/eid1803.102023.

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12

Neckerman, Kathryn M. "Society and Family Strategy: Erie County, New York 1850-1920.Mark J. Stern." American Journal of Sociology 95, no. 1 (July 1989): 193–94. http://dx.doi.org/10.1086/229223.

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13

Landolt, Allison B. "The New York State Medical Society Impaired Physician Program." JAMA: The Journal of the American Medical Association 261, no. 11 (March 17, 1989): 1584. http://dx.doi.org/10.1001/jama.1989.03420110058022.

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14

Klein, Natalie C., Diane H. Johnson, Burke A. Cunha, Venkat Minnaganti, and Eric Hansen. "West Nile Virus in Nassau County, New York: The Long Island Experience." Infectious Diseases in Clinical Practice 9, no. 7 (September 2000): 303–8. http://dx.doi.org/10.1097/00019048-200009070-00008.

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15

Lange, Rachel E., Alan P. Dupuis, and Alexander T. Ciota. "Diversification of Bourbon Virus in New York State." Microorganisms 11, no. 6 (June 15, 2023): 1590. http://dx.doi.org/10.3390/microorganisms11061590.

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Bourbon virus (BRBV, family Orthomyxoviridae) is a tickborne virus recently detected in the United States (US). BRBV was first identified from a fatal human case in 2014 in Bourbon County, Kansas. Enhanced surveillance in Kansas and Missouri implicated Amblyomma americanum as the primary vector for BRBV. Historically, BRBV was only detected in the lower midwestern US, but since 2020 it has been reported in North Carolina, Virginia, New Jersey, and New York State (NYS). This study aimed to elucidate genetic and phenotypic characteristics of BRBV strains from NYS through whole genome sequencing and the assessment of replication kinetics in mammalian cultures and A. americanum nymphs. Sequence analysis revealed the existence of two divergent BRBV clades circulating in NYS. BRBV NY21-2143 is closely related to the midwestern BRBV strains but has unique substitutions in the glycoprotein. Two other NYS BRBV strains, BRBV NY21-1814 and BRBV NY21-2666, form a distinct clade unique from previously sequenced BRBV strains. Phenotypic diversification was also detected in NYS BRBV strains compared to each other and midwestern BRBV strains, with BRBV NY21-2143 displaying attenuation in rodent-derived cell culture and a fitness advantage in experimentally infected A. americanum. These data suggest genetic and phenotypic diversification of emergent BRBV strains circulating in NYS that could contribute to increased spread of BRBV in the northeastern US.
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16

Papamanoli, Aikaterini, Zeena Lobo, and George Psevdos. "COVID-19 in a Veterans Affairs Hospital at Suffolk County, Long Island, New York." Infectious Diseases in Clinical Practice 29, no. 1 (October 21, 2020): e58-e61. http://dx.doi.org/10.1097/ipc.0000000000000963.

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17

Marcos, Luis, Kalie Smith, Fredric Weinbaum, and Eric Spitzer. "667. An Emerging Tick-Borne Disease in Long Island, New York: Relapsing Fever Caused by Borrelia miyamotoi." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S241. http://dx.doi.org/10.1093/ofid/ofy210.674.

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Abstract Background Suffolk County (Long Island, New York) reports annually the highest absolute number of tick-borne diseases in New York. A new Borrelia species, Borrelia miyamotoi which causes a relapsing fever, has been reported in New York recently. The aim of this study was to identify the number of cases of B. miyamotoi diagnosed in Suffolk county. Methods A retrospective chart review was performed in Stony Brook (SB) Medicine hospitals, SB University Hospital (the only tertiary medical center in Suffolk County) and Southampton Hospital (a major hospital in the east end of Suffolk County). Laboratory records were queried for a positive B. miyamotoi PCR test from blood or a positive IgG antibody with a B. miyamotoi-specific EIA that utilizes a recombinant GlpQ antigen (both tests performed in a commercial laboratory). Results Twenty-eight cases were positive for serology (IgG EIA; n = 19) or PCR (n = 9). None of the IgG-positive cases had a positive PCR result indicating that individuals were likely exposed to B. miyamotoi in the past. Of the nine PCR-positive cases (median age:67 years), eight were men, three were diagnosed in the outpatient clinic (33.3%) and six were diagnosed through the emergency department and required hospitalization (66.6%). Thrombocytopenia and transaminitis were common findings. Two-thirds of these nine cases were diagnosed in the period of 2016–2017 and one-third in the period, 2013–2015 (P = 0.17). Conclusion An increasing number of cases of B. miyamotoi were observed in Suffolk County during 2013–2017 and two-thirds required hospitalization. The real burden of this tick borne disease in Suffolk County and the rest of the state is unknown. Disclosures All authors: No reported disclosures.
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18

Frosch, John. "The New York Psychoanalytic Civil War." Journal of the American Psychoanalytic Association 39, no. 4 (December 1991): 1037–64. http://dx.doi.org/10.1177/000306519103900408.

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The goal of this contribution is to give an overall survey of the analytic schisms in the New York area from 1934 on. The general background, laying the groundwork for potential schisms, is described. There were several major schisms in the New York area. The first related to Horney's departure from the New York Psychoanalytic Society and Institute. There were multiple splits in this group which eventuated in a psychoanalytic facility at the New York Medical College, as well as the establishment of the William Alanson White Institute. Then there was the establishment of a psychoanalytic training facility at Columbia University, one at the Downstate Medical Center, and another at the New York University School of Medicine. The various factors that played a role in the splits are discussed. Finally, there is a discussion of why psychoanalytic schisms take place.
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19

Tracy, Marissa, Christina B. Felsen, Anita Gellert, and Ghinwa Dumyati. "Trends in Staphylococcus aureus Bloodstream Infections in Nursing Homes in Monroe County, New York." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s417—s418. http://dx.doi.org/10.1017/ice.2020.1073.

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Background: Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections (BSIs) are common in hospitals and nursing homes. Infection prevention efforts reduced MRSA BSI in hospitals but the trend in nursing homes is not well described. In addition, the contribution of methicillin sensitive S. aureus (MSSA) to the total burden of invasive S. aureus (iSA) in nursing homes remains unknown. Methods: As part of the CDC Emerging Infections Program, we conduct population-based surveillance for iSA infections in Monroe County, New York. Case patients were county residents with S. aureus isolated from a sterile site. Our analysis was limited to data from 2009–2018 for MRSA and 2015–2018 for MSSA and to cases classified as hospital-onset (HO, positive culture ≥3 calendar days after admission) or nursing home-onset (NHO, positive culture in nursing homes or within 3 days of hospital admission from a nursing home). Risk factors for iSA BSI in nursing homes were compared using the χ2 and Student t tests in SAS version 9.4 software. Results: During 2009–2014, 664 MRSA cases occurred and 427 (64%) were BSIs. Of these, 228 (53%) were NHO and 199 (47%) were HO. The BSI incidence per 100,000 population of NHO cases declined from 7.9 in 2009 to 2.8 in 2014, mirroring the decline in HO incidence from 8.7 in 2009 to 3.1 in 2014 (Fig. 1). During 2015–2018, 203 MRSA cases (163 BSIs, 80%) and 235 MSSA cases (163 BSIs, 69%) occurred. Of the 163 MRSA BSIs, 94 (58%) were NHO and 69 (42%) were HO, whereas of the 235 MSSA BSIs, only 56 (34%) were NHO and 107 (66%) were HO. MRSA BSI incidence per 100,000 population in both settings plateaued during 2015–2018 (Fig. 1) and MSSA NHO BSI incidence was lower than HO (1.9 NHO vs 3.6 HO). The total iSA BSI incidence was similar in both settings (5.9 vs 5.0 per 100,000 population in HO and NHO, respectively). NHO MSSA and MRSA cases have similar risk factors for BSI; 45 (30%) had decubitus ulcers, 34 (23%) were on chronic dialysis, 41 (27%) had a CVC in place within 2 days of BSI onset, and 63% had prior healthcare exposures. Most of these developed within 4 weeks of hospital discharge (Fig. 2). Conclusions: The incidence of MRSA BSI in nursing homes has declined since 2009 but plateaued starting in 2015. Compared to MRSA, MSSA caused fewer BSIs in nursing homes; however, iSA risk factors, including previous healthcare exposure, were similar. Continued study is needed to identify interventions effective against all iSA infections in nursing homes.Funding: NoneDisclosures: None
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20

Altschuler, G. C. "Society and Family Strategy Erie County, New York 1850-1920. By Mark J. Stern (Albany: State University of New York Press, 1987. xiii plus 172 pp.)." Journal of Social History 22, no. 2 (December 1, 1988): 364–66. http://dx.doi.org/10.1353/jsh/22.2.364.

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21

Steckel, Richard H. "Society and Family Strategy: Erie County, New York, 1850–1920. By Mark J. Stern. Albany: State University of New York Press, 1987. Pp. xiv, 172. $39.50." Journal of Economic History 48, no. 2 (June 1988): 492–93. http://dx.doi.org/10.1017/s0022050700005489.

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22

Rowbotham, David J. "Analgesics: the Dawn of a New Era?" British Journal of Anaesthetic and Recovery Nursing 2, no. 2 (May 2001): 2. http://dx.doi.org/10.1017/s1742645600000528.

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Iam fortunate, if that is the correct word, to have several responsibilities other than those of my day job. One of these is Chairman of the Scientific Programme Committee of the Pain Society. Indeed, as I sit writing this missive with one hand, the other hand is busy packing my bags for this year's annual 4–day meeting in York. The General Synod of the Church of England hold their meeting on the University of York campus every year, so it will be no surprise for those of you who know any members of the Pain Society that it is perfect for their needs.
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23

Drame, Fanta Nani, Marguerite A. Urban, Roxana R. Inscho, Michael D. Mendoza, Katharine Hiltunen, John M. Owens, Cord Stone, and Rachel Hart-Malloy. "Best Practices Implementation: Congenital Syphilis Prevention Efforts in Monroe County, New York, 2018." Sexually Transmitted Diseases 49, no. 4 (December 7, 2021): 310–12. http://dx.doi.org/10.1097/olq.0000000000001588.

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24

Mele, Vincenzo. "Enrico Campo, Attention and its crisis in Digital Society, Abington, New York: Routledge, 2022." Simmel Studies 26, no. 1 (August 15, 2022): 137–41. http://dx.doi.org/10.7202/1091336ar.

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25

Schedlbauer, Lewis M., and Kenneth A. Pass. "Cellulose Acetate/Citrate Agar Electrophoresis of Filter Paper Hemolysates From Heel Stick." Pediatrics 83, no. 5 (May 1, 1989): 839–42. http://dx.doi.org/10.1542/peds.83.5.839.

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In 1965, New York State Public Health Law 2500-a was enacted, mandating the screening of all newborns for phenylketonuria. The law was amended in 1974 to include testing for six other conditions, one of which is homozygous sickle cell disease. Originally, all screening was done in four semiautonomous laboratories located in Erie County (Buffalo), Onondaga County (Syracuse), New York City, and Albany County (Albany). These laboratories were set up to receive, test, and report results of all specimens in their respective regions of the state. Between 1981 and 1985, all screening was centralized at the Wadsworth Laboratories of the New York State Health Department in Albany, where in 1986 the newborn screening laboratory tested more than 288,000 specimens. Hemoglobin is screened with the two-tier procedure of Garrick et al: alkaline electrophoresis on cellulose acetate followed by acid electrophoresis on citrate agar. METHODS/PROCEDURES The average daily volume of the New York State Newborn Screening Program is 1,200 specimens, but the number of specimens can range from 800 to 3,000 per day. Specimens are collected from infant blood obtained by heel stick on Schleicher and Schuell 903 filter paper. Medical personnel are advised to collect the specimen when the infant is three to five days of age and before any planned transfusion is administered. The specimens are air dried and mailed to the laboratory within 24 hours of collection. When received in the laboratory accessioning unit, the specimens are examined to determine their suitability for testing. Specimens are screened for sickle hemoglobin only if there is sufficient blood on the filter paper and the date of collection to date of laboratory receipt is less than 14 day.
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Yagupsky, P., M. Loeffelholz, K. Bell, and M. A. Menegus. "Use of multiple markers for investigation of an epidemic of Shigella sonnei infections in Monroe County, New York." Journal of Clinical Microbiology 29, no. 12 (1991): 2850–55. http://dx.doi.org/10.1128/jcm.29.12.2850-2855.1991.

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27

Spallone, Amy, Luboslav Woroch, Keith Sweeney, Roberta Seidman, and Luis A. Marcos. "The Burden of Neurocysticercosis at a Single New York Hospital." Journal of Pathogens 2020 (July 27, 2020): 1–9. http://dx.doi.org/10.1155/2020/8174240.

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Neurocysticercosis (NCC), a disease caused by the larval pork tapeworm Taenia solium, has emerged as an important infection in the United States. In this study, we describe the spectrum of NCC infection in eastern Long Island, where there is a growing population of immigrants from endemic countries. A retrospective study was designed to identify patients diagnosed with NCC using ICD-9 and ICD-10 codes in the electronic medical records at Stony Brook University Hospital between 2005 and 2016. We identified 52 patients (56% male, median age: 35 years) diagnosed with NCC in the only tertiary medical center in Suffolk County. Twenty-five cases were reported in the last three years of the study. Forty-eight (94%) patients self-identified as Hispanic or Latino in the electronic medical record. Twenty-two (44%) and 28 (56%) patients had parenchymal and extraparenchymal lesions, respectively. Nineteen (41.3%) patients presented with seizures to the emergency department. Six patients (11.7%) had hydrocephalus, and five of them required frequent hospitalizations and neurosurgical interventions, including permanent ventriculoperitoneal shunts or temporary external ventricular drains. No deaths were reported. The minimum accumulated estimated cost of NCC hospitalizations during the study period for all patients was approximately 1.4 million United States dollars (USD). In conclusion, NCC predominantly affects young, Hispanic immigrants in Eastern Long Island, particularly in zip codes correlating to predominantly Hispanic communities. The number of cases diagnosed increased at an alarming rate during the study period. Our study suggests a growing need for screening high-risk patients and connecting patients to care in hopes of providing early intervention and treatment to avoid potentially detrimental neurological sequelae.
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Fiebelkorn, Amy Parker, Jacqueline Lawler, Aaron T. Curns, Christina Brandeburg, and Gregory S. Wallace. "Mumps Postexposure Prophylaxis with a Third Dose of Measles-Mumps-Rubella Vaccine, Orange County, New York, USA." Emerging Infectious Diseases 19, no. 9 (September 2013): 1411–17. http://dx.doi.org/10.3201/eid1909.130299.

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29

Hoefer, Dina, Patricia S. Ruppert, Elizabeth Rausch-Phung, Elizabeth Dufort, Manisha Patel, Manisha Patel, Dylan Johns, et al. "LB15. Measles Outbreak in New York State (NYS) Outside of New York City, 2018–2019." Open Forum Infectious Diseases 6, Supplement_2 (October 2019): S999—S1000. http://dx.doi.org/10.1093/ofid/ofz415.2498.

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Abstract Background The United States is experiencing one of the largest and longest measles outbreaks since elimination was declared in 2000 and is at risk of losing this status. Most cases occurring in NYS were reported in undervaccinated communities. Methods We included all confirmed NYS measles cases (excluding NYC) from outbreak counties from October 1, 2018 to July 25, 2019. We used the CSTE measles case definition requiring an acute febrile rash illness and either laboratory confirmation or direct epidemiologic linkage to a lab-confirmed case. For each case, demographic and clinical characteristics were obtained. A medical record review was completed for those reported to have an encounter at a hospital, emergency department, or urgent care center. Results There were 371 cases of measles reported, including 11 internationally imported cases. Most occurred in Rockland county (n = 283); followed by Orange (n = 55), Westchester (n = 18), Sullivan (n = 14) and Greene (n = 1) (Figures 1 and 2). The median age was 5.5 years; 79% of all cases occurred among children younger than 18 years of age (Figure 3). Most cases (79%) had not received any doses of measles vaccine. Of the 371 cases, 263 (71%) were children who had received 0 doses of measles, mumps, rubella vaccine (MMR), 218 (83%) of whom were over 1 year of age (Table 1). There have been no deaths or documented cases of encephalitis. Twenty-eight (8%) patients were diagnosed with pneumonia and 25 (7%) patients were hospitalized. Among 17 hospitalized children, 5 (29%) were admitted to the intensive care unit (ICU) (ages 1 day to 7 years). There were two preterm births at 34 and 25 weeks gestation to women with measles while pregnant. During October 1, 2018–July 31, 2019, providers in outbreak counties vaccinated 72,465 individuals with MMR, a 46% increase from the same period the year prior. Conclusion Unvaccinated children were identified as the largest group affected and experienced severe complications; nearly 30% of hospitalized children were admitted to an ICU. These data support the critical need for continued education and outreach on the risks of measles and the value of vaccination to prevent continued circulation in undervaccinated communities and potential further cases of severe disease. Disclosures Kirsten St. George, MAppSc, PhD, Akonni Biosystems (Other Financial or Material Support), ThermoFisher (Grant/Research Support), Zeptometrix (Other Financial or Material Support, royalty generating collaborative agreement); others, no disclosures reported..
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Friedland, Martin L., and Kent Roach. "Borderline Justice: Choosing Juries in the Two Niagaras." Israel Law Review 31, no. 1-3 (1997): 120–58. http://dx.doi.org/10.1017/s0021223700015260.

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This paper examines the use of juries in criminal cases in Canada and the United States. It is part of a larger study of the administration of criminal justice in Niagara County, Ontario and Niagara County, New York. The basic question examined is why persons accused of serious crimes in the United States usually select a jury, whereas persons in similar circumstances in Canada normally select trial by a judge alone. An investigation of this question will enable us to see some significant differences between the administration of criminal justice in the United States and Canada. It will also show how changes in specific procedural rules may affect other practices. There is a complex interplay between procedural rules. The paper concludes by showing that the widespread use of juries in the United States is consistent with the more populist grass-roots approach in American society which tends to distrust government, compared with the traditional respect for authority, including the authority of judges, in Canada.
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Maeda, Tetsuro, Margaret Connolly, Kelly Thevenet-Morrison, Paul Levy, Mark Utell, Sonal Munsiff, and Daniel Croft. "Tuberculosis screening for patients on biologic Medications: A Single-Center experience and Society guideline Review, Monroe County, New York, 2018–2021." Journal of Clinical Tuberculosis and Other Mycobacterial Diseases 36 (August 2024): 100460. http://dx.doi.org/10.1016/j.jctube.2024.100460.

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Davis, Christopher F., Michelle Cummings, Bruce F. Coles, and Louise-Anne McNutt. "Alternative Approaches to Partner Notification, Diagnosis, and Treatment: Perspectives of New York County Health Departments, 2007." Sexually Transmitted Diseases 36, no. 3 (March 2009): 185–90. http://dx.doi.org/10.1097/olq.0b013e31818eb8f8.

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Derrick, Sharon M., and Benjamin Figura. "The Role of the Anthropologist in Identification at Two Urban Medical Examiner Offices: New York City and Harris County." Academic Forensic Pathology 6, no. 3 (September 2016): 413–23. http://dx.doi.org/10.23907/2016.042.

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Hebert, Kirsten. "Minerva H. Weinstein (1893-1982)." Hindsight: Journal of Optometry History 51, no. 1 (January 29, 2020): 11–19. http://dx.doi.org/10.14434/hindsight.v51i1.29134.

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Dr. Minerva H. Weinstein (1893-1982), was the first woman licensed by examination to practice optometry in New York City and the fourth woman licensed in the State of New York. In 1915, Dr. Weinstein graduated from the American Institute of Optometry, becoming the third generation in her family to forge a career in applied optics. She began her practice at one of three family-owned optical shops in the Bronx, where she remained for more than 40 years, diligently serving the needs of her community’s most vulnerable members and tirelessly researching new techniques to improve care for the most difficult vision problems. During her career, she founded the Bronx County Optometric Society and organized the local Woman’s Auxiliary for the Bronx, Manhattan and Brooklyn, as well as the New York state affiliate of the national organization. She was a founding member of the Bronx County Optometric Service, the first free optometry clinic in New York, and went on to expand the service to two additional locations. She also participated in professional women’s organizations, charitable foundations and civic clubs, and represented optometry at community events. Dr. Weinstein’s narrative is unique, but in many ways her family’s story was typical of many immigrants arriving in the U.S. during the late-nineteenth and early twentieth centuries who were successful in improving their lot and passing on a professional legacy to the younger generation−and it is a story that is particularly common among optometry’s founders, and one that resonates in the first two decades of the twenty first century. The story of her career, and the personal details that serve as its backdrop, are also representative of the many challenges faced by the generation of professional women who helped establish the profession of optometry during the inter-war years. This biographical sketch, made possible through research in Minerva Weinstein Papers (MSS 501.4.11) held at the Archives & Museum of Optometry, sheds light on the tremendous debt optometry owes to its founding mothers and highlights the work that remains to complete the narrative of optometry history through new scholarship in hidden collections.
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Eckert, Fabian, John Juneau, and Michael Peters. "Sprouting Cities: How Rural America Industrialized." AEA Papers and Proceedings 113 (May 1, 2023): 87–92. http://dx.doi.org/10.1257/pandp.20231075.

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We study the joint process of urbanization and industrialization in the US economy between 1880 and 1940. We show that only a small share of aggregate industrialization is accounted for by the relocation of workers from remote rural areas to industrial hubs like Chicago or New York City. Instead, most sectoral shifts occurred within rural counties, dramatically transforming their sectoral structure. Most within-county industrialization occurred through the emergence of new “factory” cities with notably higher manufacturing shares rather than the expansion of incumbent cities. In contrast, today's shift toward services seems to benefit large incumbent cities the most.
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Pecora, Nicole, Stacy Holzbauer, Xiong Wang, Yu Gu, Trupti Hatwar, Michelle Dziejman, Jason Myers, et al. "Genomic analysis of Clostridioides difficile in two regions reveals a diversity of strains and limited transmission." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s237—s238. http://dx.doi.org/10.1017/ice.2020.793.

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Background: The epidemic NAP1/027 Clostridioides difficile strain (MLST1, ST1) that emerged in the mid-2000 is on the decline. The current distribution of C. difficile strain types and their transmission dynamics are poorly defined. We performed whole-genome sequencing (WGS) of C. difficile isolates in 2 regions to identify the predominant multilocus sequence types (MLSTs) in community- and healthcare-associated cases and potential transmission between cases using whole-genome single-nucleotide polymorphism (SNP) analysis. Methods: Isolates were collected through the CDC Emerging Infections Program population-based surveillance for C. difficile infections (CDI) for 3 months between 2016 and 2017 in 5 Minnesota counties and 1 New York county. Isolates were limited to incident cases (CDI in a county resident with no positive C. difficile test in the preceding 8 weeks). Cases were classified as healthcare associated (HA-CDI) or community associated (CA-CDI) based on healthcare exposures as previously described. WGS was performed on an Illumina Miseq. The CFSAN (FDA) pipeline was used to compute whole-genome SNPs, SPAdes was used for assembly, and MLST was assigned according to www.pubmlst.org. Results: Of 431 isolates, 269 originated from New York and 162 from Minnesota; 203 cases were classified as CA-CDI and 221 as HA-CDI. The proportion of CA-CDI cases was higher in Minnesota than in New York: 62% vs 38%. The predominant MLSTs across both sites were ST42 (9%), ST8 (8%), and ST2 (8%). MLSTs more frequently encountered in HA-CDI than CA-CDI included ST1 (note that this ST includes PCR Ribotype 027; 76% HA-CDI), ST53 (84% HA-CDI), and ST43 (80% HA-CDI). In contrast, ST110 (63% CA-CDI) and ST3 (67% CA-CDI) were more commonly isolated from CA-CDI cases. ST1 accounted for 7.6% of circulating strains and was more common in New York than Minnesota (10% vs 3%) and was concentrated among New York HA-CDI cases. Also, 412 isolates (1 per patient) were included in the final whole-genome SNP analysis. Of these, only 12 pairs were separated by 0–3 SNPs, indicating potential transmission, and most involved HA-CDI cases. ST1, ST17, and ST46 accounted for 8 of 12 pairs, with ST17 and ST46 potentially forming small clusters. Conclusions: This analysis provides a snapshot of the current genomic epidemiology of C. difficile across 2 geographically and epidemiologically distinct regions of the United States and supports other studies suggesting that the role of direct transmission in the spread of CDI may be limited.Funding: NoneDisclosures: None
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Badner, Victor, and Mana Saraghi. "Using Dental Health Care Personnel During a Crisis." Public Health Reports 136, no. 2 (January 13, 2021): 143–47. http://dx.doi.org/10.1177/0033354920976577.

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The first few months of the coronavirus disease 2019 (COVID-19) pandemic challenged health care facilities worldwide in many ways. Inpatient and intensive care unit (ICU) beds were at a premium, and personnel shortages occurred during the initial peak of the pandemic. New York State was the hardest hit of all US states, with a high concentration of cases in New York City and, in particular, Bronx County. The governor of New York and leadership of hospitals in New York City called upon all available personnel to provide support and patient care during this health care crisis. This case study highlights the efforts of Jacobi Medical Center, located in the northeast Bronx, from March 1 through May 31, 2020, and its use of nontraditional health care personnel, including Department of Dentistry/OMFS (Oral and Maxillofacial Surgery) staff members, to provide a wide range of health care services. Dental staff members including ancillary personnel, residents, and attendings were redeployed and functioned throughout the facility. Dental anesthesiology residents provided medical services in support of their colleagues in a step-down COVID-19–dedicated ICU, providing intubation, ventilator management, and critical and palliative care. (Step-down units provide an intermediate level of care between ICUs and the general medical–surgical wards.) Clear communication of an acute need, a well-articulated mission, creative use of personnel, and dedicated staff members were evident during this challenging time. Although not routinely called upon to provide support in the medical and surgical inpatient areas, dental staff members may provide additional health care personnel during times of need.
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Coplan, James, Timothy D. Dye, Kathie A. Contello, Coleen K. Cunningham, Kim Kirkwood, and Leonard B. Weiner. "Failure to Identify Human Immunodeficiency Virus-Seropositive Newborns: Epidemiology and Enrollment Patterns in a Predominantly White, Nonurban Setting." Pediatrics 96, no. 6 (December 1, 1995): 1083–89. http://dx.doi.org/10.1542/peds.96.6.1083.

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Objective. To describe the epidemiology of newborn seroprevalence for human immunodeficiency virus (HIV) in a predominantly white, nonurban population, and to determine the factors associated with enrollment at a regional pediatric acquired immunodeficiency syndrome (AIDS) center serving that population. Design. Retrospective case series of children enrolled at a regional pediatric AIDS center during a 6-year period and comparison with universal blind newborn screening data collected by the state of New York during the same time interval. Setting. The Pediatric AIDS Center at State University of New York-Health Science Center at Syracuse, which serves as the only source of HIV-related pediatric care for children in a 16-county region of upstate New York totaling 1.8 million population. Results. One hundred thirty-nine HIV-seropositive infants were born in the region during the 6-year study period; complete blind screening data were available for 138. Sixty-five (47%) of these infants were white. Thirty-nine (28%) of 138 had been enrolled at the Pediatric AIDS Center within the first 90 days of life. An additional 22 (16%) were enrolled at older than 90 days of life. The remaining 77 (56%) have never been seen at the center and are presumed to be unidentified. County enrollment rates varied from 0% to 100% and correlated with percent nonwhite births (r = .58; 95% confidence interval, 0.04-0.86). Children in outlying counties were at greater risk for nonenrollment than children from Onondaga County (site of the Pediatric AIDS Center) (adjusted relative risk, 1.38; 95% confidence interval, 1.05-1.85). White infants residing outside of Onondaga County were at the greatest risk of nonenrollment; of 50 seropositive white infants residing outside of Onondaga County, only 7(14%) were enrolled at the center within the first 90 days of life. Conclusions. Local demographic factors can skew the racial distribution of HIV-seropositive infants dramatically compared with the national experience. White race and residence in counties away from the medical center each constituted risk factors for nonenrollment at the Pediatric AIDS Center. The epidemiology of HIV in this predominantly white, rural population, coupled with physician practices, probably contributed to low identification and enrollment rates. As the AIDS epidemic spreads into similar populations elsewhere, HIV infection in pregnant women or newborn infants is likely to become progressively harder to detect, unless universal screening is adopted.
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39

Luc, Casey M., Danyel M. Olson, David Banach, James Hadler, and Paula Clogher. "790. Evaluation of Connecticut Medical Providers Concordance with 2017 IDSA/SHEA Clostridioides difficile Treatment Guidelines in New Haven County, 2017-2019." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S439. http://dx.doi.org/10.1093/ofid/ofaa439.980.

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Abstract Background Treatment guidelines for Clostridioides difficile infection (CDI) were updated by the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA) in 2017, notably for disease severity and antibiotic recommendations. Our objectives were to assess Connecticut medical providers’ concordance (2017-2019) with the 2017 update. The effect of guideline concordance on the risk of CDI recurrence was also assessed. Methods Using data from the Connecticut Emerging Infections Program’s CDI surveillance in New Haven County, severity and concordance were defined. For severity, white blood cell count and presence of megacolon and/or ileus were used. Concordant treatment was defined as receiving the recommended first-line antibiotic (vancomycin for adult patients, vancomycin or metronidazole for pediatric patients) for exactly 10 days. In univariate & multivariate analyses, significance was determined by a p-value of < 0.05. Results Of 1,216 cases, concordance increased from 10.0% in 2017 to 36.9% in 2019. Concordance with first-line antibiotic increased from 40.2% in 2017 to 80.8% in 2019. Concordance was highest for fulminant cases (62.2%). The recurrence rate was 11.2% and highest for non-severe cases and older cases but was not significantly associated with concordance. Concordance with selected treatment criteria by year, 2017-2019 Conclusion From 2017 through 2019, CDI treatment in New Haven County increasingly was concordant with the updated 2017 IDSA/SHEA guidelines, but still low overall in 2019. Although concordance with treatment did not affect recurrence risk, close attention should be paid by medical providers to non-severe cases and older cases as they are at an increased risk for recurrence. Disclosures All Authors: No reported disclosures
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40

Colgrove, James. "Reform and Its Discontents: Public Health in New York City During the Great Society." Journal of Policy History 19, no. 1 (January 2007): 3–28. http://dx.doi.org/10.1353/jph.2007.0000.

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The health-care system was one of the most visible and contentious battlegrounds on which the social conflicts of the 1960s unfolded. To an unprecedented extent, health status—especially the stark disadvantage in access and outcomes for racial and ethnic minorities and the poor—became an object of public and governmental concern during the Great Society era, as clinicians, community activists, politicians, and policymakers sought to create new models of medical care that were more equitable and efficient than those of the past. The social science theories that informed the ambitious programs of Lyndon Johnson's administration gave an imprimatur to the idea that illness was both cause and consequence of the “cycle of poverty.”
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41

Miškić, Blaženka, Željka Dujmić, Ines Rajkovača-Latić, Karla Miškić, Aleksandar Včev, and Vesna Ćosić. "Preporuke za oboljele od osteoporoze i liječnike obiteljske medicine u doba COVID-19 pandemije." Collegium antropologicum 44, no. 3 (2020): 165–70. http://dx.doi.org/10.5671/ca.44.3.9.

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The paper presents the guidelines made by the Multidisciplinary Team for Osteoporosis for patients in the General Hospital “Dr.Josip Benčević”, Slavonski Brod and general practitioners in the Brod-Posavina County in order to inform them properly about the COVID-19 pandemic and the recommendations of the National Civil Protection Committee, as well as to help them reduce their fear and to improve their cooperation with their general practitioners. A system of recording new fractures in the county was maintained since the onset of the epidemic. The recommendations for patients with osteoporosis include their lifestyle, medical treatment and balanced nutrition, following the advices of the International Osteoporosis Foundation, the Croatian Osteoporosis Society and the British Royal Osteoporosis Society. Living with osteoporosis demands balanced nutrition, regular exercise and taking prescribed medications. As in the present conditions of COVID-19 epidemic outdoor physical activities are temporarily limited it is necessary to ensure the availability of calcium-rich food and vitamin D supplies. As medical treatment of osteoporosis does not increase risk of COVID-19 infection it is recommended for patients to continue their prescribed therapy in consultation with their general practitioner.
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42

Rosenfeld, Louis. "Clinical chemistry in New York at the founding of the AACC: recollection and remembrance." Clinical Chemistry 37, no. 12 (December 1, 1991): 2146–49. http://dx.doi.org/10.1093/clinchem/37.12.2146.

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Abstract The Division on the History of Clinical Chemistry, successor to the Archives Committee of the American Association for Clinical Chemistry, has accepted the responsibility for chronicling the origins of its profession and its organization with exhibits, histories of local sections, and biographies of notable figures in clinical chemistry from the past and present. A particularly interesting period in the history of the AACC was that around 1948 when the society was formed. In this report, I have collected and edited the accounts of several early members who recalled their experiences and the hospital laboratory scene at the time of the founding of the AACC in New York.
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Szilagyi, Peter G., Laura Pollard Shone, Jane L. Holl, Lance E. Rodewald, Jacqueline Jennings, Jack Zwanziger, Dana B. Mukamel, et al. "Evaluation of New York State's Child Health Plus: Methods." Pediatrics 105, Supplement_E1 (March 1, 2000): 697–705. http://dx.doi.org/10.1542/peds.105.se1.697.

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Background. The State Children's Health Insurance Program (SCHIP) is the largest public investment in child health care in 30 years, targeting 11 million uninsured children, yet little is known about the impact of health insurance on uninsured children. In 1991 New York State implemented Child Health Plus (CHPlus), a health insurance program that was a prototype for SCHIP. A study was designed to measure the association between CHPlus and access to care, utilization of services, and quality of care. Methods. The setting was a 6-county region in upstate New York (population 1 million) around and including the city of Rochester. A before-and-during design was used to compare children's health care for the year before they enrolled in CHPlus versus the first year during CHPlus, for 1828 children (ages 0–6.99 years at enrollment) who enrolled between November 1, 1991 and August 1, 1993. An additional study involved 187 children 2 to 12.99 years old who had asthma. Parents were interviewed to assess demographic characteristics, sources of health care, experience with CHPlus, and impact of CHPlus on their children's quality of care and health status. Medical charts were reviewed to measure utilization and quality of care, for 1730 children 0 to 6.99 years and 169 children who had asthma. Charts were reviewed at all primary care offices and at the 12 emergency departments and 6 public health department clinics in the region. CHPlus claims files were analyzed to determine costs during CHPlus and to impute costs before CHPlus from utilization data. Analyses. Logistic regression and Poisson regression were used to compare the means of dependent measures with and without CHPlus coverage, while controlling for age, prior insurance type, and gap in insurance coverage before CHPlus. Conclusions. This study developed and implemented methods to evaluate the association between enrollment in a health insurance program and children's health care. These methods may also be useful for evaluations of SCHIP.
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Bilfinger, Thomas, Allison Nemesure, Robert Pyo, Jonathan Weinstein, Giridhar Korlipara, Daniel Montellese, Shamim Khan, et al. "Distressed Communities Index in Patients Undergoing Transcatheter Aortic Valve Implantation in an Affluent County in New York." Journal of Interventional Cardiology 2021 (August 24, 2021): 1–8. http://dx.doi.org/10.1155/2021/8837644.

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Background. The clinical impact of the distressed communities index (DCI), a composite measure of economic well-being based on the U.S. zip code, is becoming increasingly recognized. Ranging from 0 (prosperous) to 100 (distressed), DCI’s association with cardiovascular outcomes remains unknown. We aimed to study the association of the DCI with presentation and outcomes in adults with severe symptomatic aortic stenosis (AS) undergoing transcatheter aortic valve intervention (TAVR) in an affluent county in New York. Methods. The study population included 286 patients with severe symptomatic AS or degeneration of a bioprosthetic valve who underwent TAVR with a newer generation transcatheter heart valve (THV) from December 2015 to June 2018 at an academic tertiary medical center. DCI for each patient was derived from their primary residence zip code. Patients were classified into DCI deciles and then categorized into 4 groups. The primary and secondary outcomes of interest were 30-day, 1-year, and 3-year mortality, respectively. Results. Among 286 patients studied, 26%, 28%, 28%, and 18% were categorized into DCI groups 1–4, respectively (DCI <10: n = 73; DCI 10–20: n = 81; DCI 20–30: n = 80; DCI >30: n = 52). Patients in group 4 were younger with worse kidney function compared to patients in groups 1 and 2. They also had smaller aortic annuli and were more likely to receive a smaller THV. No significant difference in hospital length of stay or distribution of in-hospital, 30-day, 1-year, and 3-year mortality was demonstrated. Conclusions. While the DCI was associated with differences in the clinical and anatomic profile, it was not associated with differences in clinical outcomes in this prospective observational study of adults undergoing TAVR suggesting that access to care is the likely discriminator.
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Wieland, Shannon C., Christopher A. Cassa, Kenneth D. Mandl, and Bonnie Berger. "Revealing the spatial distribution of a disease while preserving privacy." Proceedings of the National Academy of Sciences 105, no. 46 (November 17, 2008): 17608–13. http://dx.doi.org/10.1073/pnas.0801021105.

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Datasets describing the health status of individuals are important for medical research but must be used cautiously to protect patient privacy. For patient data containing geographical identifiers, the conventional solution is to aggregate the data by large areas. This method often preserves privacy but suffers from substantial information loss, which degrades the quality of subsequent disease mapping or cluster detection studies. Other heuristic methods for de-identifying spatial patient information do not quantify the risk to individual privacy. We develop an optimal method based on linear programming to add noise to individual locations that preserves the distribution of a disease. The method ensures a small, quantitative risk of individual re-identification. Because the amount of noise added is minimal for the desired degree of privacy protection, the de-identified set is ideal for spatial epidemiological studies. We apply the method to patients in New York County, New York, showing that privacy is guaranteed while moving patients 25—150 times less than aggregation by zip code.
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Psevdos, George, Aikaterini Papamanoli, and Zeena Lobo. "527. Corona Virus Disease-19 (COVID-19) in a Veterans Affairs Hospital at Suffolk County, Long Island, New York." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S330—S331. http://dx.doi.org/10.1093/ofid/ofaa439.721.

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Abstract Background The area of New York was hit hard by the COVID 19 pandemic with Suffolk county in Long Island numbering &gt;40 thousand cases and 1900 deaths by the end of May 2020. The Veterans Affairs Medical Center (VAMC) at Northport NY serves over 30000 Veterans. We report our institution’s experience during the COVID 19 outbreak Methods Retrospective chart review of hospitalized Veterans (VETS) with COVID-19 from March 1st to May 31st 2020 at Northport VAMC Results A total of 141 VETS had laboratory confirmed SARS-CoV-2 infection, 67 got hospitalized, and 20/67 died. The median age of the hospitalized cohort was 73 years (33 to 94). Figure 1 shows the dates of tests, Tables 1 &2 summarize the demographic characteristics, medical history and laboratory findings. No co-infection with influenza or other respiratory viruses were identified. The deceased group was older 77.5 vs 71 years P 0.007, had lower oxygen saturation and higher respiratory rate on presentation, had longer length of stay P 0.091, more likely to be in ICU and intubated, had lower bicarbonate levels, higher SAPS P &lt; 0.001, higher lactate dehydrogenase, blood urea nitrogen, potassium levels, and higher peak procalcitonin, CRP, ferritin, ESR levels. There was no difference between recovered and deceased in terms of comorbidities except atrial fibrillation. Also, no difference in use of ACE inhibitors, statins, famotidine, hydroxychloroquine (HCQ), azithromycin, doxycycline, steroids. Beta lactam antibiotics and tocilizumab were given more in the deceased group. HCQ was stopped in 1 patient due to QTc prolongation. No bacteremia identified in the recovered group contrary to two occasions in the deceased, E. faecalis and S. mitis. Six pneumonias in intubated deceased patients were identified (3 had received steroids and one tocilizumab) and 4 in recovered (2 intubated/steroids and 1 tocilizumab). 12 recovered patients had persistent positive nasopharyngeal PCR for SARS-CoV-2 for average 29 days (14 to 79 days), and 4 of them were checked and had detectable IgG antibody Dates of Tests for Hospitalized Veterans with COVID-19 Comparison of Demographic Data and Comorbidities in Recovered vs Diseased Hospitalized Veterans with COVID - 19 Comparison of Laboratory Data in Recovered vs Diseased Hospitalized Veterans with COVID - 19 Conclusion The inpatient mortality of hospitalized VETS with COVID-19 in our institution was 30%. Mortality was associated with older age. Ongoing monitoring of outcomes in hospitalized patients will be important to understand the evolving epidemiology of COVID-19 among US VETS. Disclosures All Authors: No reported disclosures
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Kerwin, Donald, and Evin Millet. "Charitable Legal Immigration Programs and the US Undocumented Population: A Study in Access to Justice in an Era of Political Dysfunction." Journal on Migration and Human Security 10, no. 3 (September 2022): 190–214. http://dx.doi.org/10.1177/23315024221124924.

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This study examines the legal capacity available to low-income immigrants on national, state and sub-state levels. Legal professionals working in charitable immigration service programs serve as the study's rough proxy for legal capacity, and undocumented immigrants its proxy for legal need. The Center for Migration Studies of New York (CMS) compiled data on charitable immigration programs and their legal professionals from the: US Department of Justice's (DOJ's) “Recognized Organizations and Accredited Representatives Roster by State and City,” which is maintained by the Executive Office for Immigration Review's (EOIR's) Office of Legal Access Programs (OLAP). Directories of two leading, legal support agencies for charitable immigration legal programs, the Catholic Legal Immigration Network, Inc. (CLINIC) and the Immigrant Advocates Network (IAN). CMS supplemented and updated these sources with information from the websites of charitable immigration programs. It also added legal programs to its dataset that did not appear in any of these lists. It counted as legal professionals, attorneys, federally accredited non-attorneys, paralegals and legal assistants. The paper finds that there are 1,413 undocumented persons in the United States for every charitable legal professional, and far less capacity than the national average in: States such as Alabama (6,656 undocumented per legal professional), Hawaii (4,506), Kansas (3,010), Georgia (2,853), New Jersey (2,687), Florida (2,681), North Carolina (2,671), Virginia (2,634) and Arizona (2,561). Metropolitan areas (MAs) such as Riverside-San Bernardino-Ontario (5,307), Dallas-Fort Worth-Arlington (4,436), Phoenix-Mesa-Scottsdale (3,439) and Houston-The Woodlands-Sugar Land (3,099). San Bernardino County (6,178), Clark County (4,747), Riverside County (4,625), Tarrant County (3,955) and Dallas County (3,939). The study's introduction summarizes its top-line findings. Its first section describes the importance of charitable immigration legal programs to immigrants, families and communities. Its second details the study's findings on charitable legal capacity and immigrant need. Its third compares the legal capacity of 1,803 charitable legal programs and their 7,322 legal professionals, with the US undocumented population by state and for the 15 largest MAs and counties. Its fourth describes CMS's research methodology and data sources. The paper ends with policy recommendations on how to expand legal capacity for low-income immigrants and better assess legal capacity and need moving forward.
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Endee, Lisa, Russell Rozensky, and Stephen Smith. "301 Evaluation of Fatigue and Healthy Lifestyle Practices among New York State Law Enforcement Professionals." Sleep 44, Supplement_2 (May 1, 2021): A120. http://dx.doi.org/10.1093/sleep/zsab072.300.

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Abstract Introduction An important risk factor for drowsy driving is shift work, and law enforcement, an occupation known for its atypical work schedules, is a highly vulnerable occupation. A connection between fatigue and unintentional injuries among police officers has been observed (Vila, 2006), but data supporting the connection is limited. Understanding how sleep and lifestyle practices impact this population’s driving performance and job safety is critical to officer safety. Methods An online survey was disseminated to New York State law enforcement agencies by the Governor’s Traffic Safety Committee to assess sleep health and lifestyle practices among law enforcement personnel. Statistical analysis included data cleaning, basic and advanced statistical testing. Results 7,366 survey invitations were distributed, 1,171 were returned (15.9% response rate), and after data cleaning, 1,038 surveys were included in the analysis. Respondents reported from various state, county, and local agencies, holding titles from Police Officer to Senior Management. More than 30% of officers reported driving 5 hours or more during their shift, with 12% driving greater than 7 hours. 65% of respondents reported having experienced drowsy driving. Although, 34% reported never having received education about drowsy driving. On work days, only 40% of respondents obtain 7 hours of sleep or more. On days off, 23.6% reported sleeping 6 hours or less. Work, stress, and family responsibilities were reported as having a significant impact on sleep. Almost 87% reported at least one medical issue. Daytime sleepiness (47.4%), fatigue (42.6%), and poor memory (26.8%) were reported daily. Only 23.8% and 29.3% of respondents received education on sleep or heart health, respectively. The majority (81.7%) reported they would consider education in a variety of health-related programs. Conclusion Our findings indicate that poor sleep (60%), high stress (22.7%), and anxiety (16.8%) are a concern amongst officers. Poor cardiovascular health was also noted, based on reports of obesity (34.1%), high blood pressure (23.5%), and high cholesterol (22.4%). This research supports the need for prioritizing health education programs within law enforcement agencies. Support (if any) Funded by The National Highway Traffic Safety Administration with a grant from The New York State Governor’s Traffic Safety Committee.
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Tiedemann, J. S. "Divisions Throughout the Whole: Politics and Society in New Hampshire County, Massachusetts, 1740-1775. By Gregory H. Nobles (New York: Cambridge University Press, 1983. xii plus 258 pp. $29.95)." Journal of Social History 18, no. 4 (June 1, 1985): 644–46. http://dx.doi.org/10.1353/jsh/18.4.644.

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Strach, Patricia, Katie Zuber, and Elizabeth Pérez-Chiqués. "Why Policies Fail: The Illusion of Services in the Opioid Epidemic." Journal of Health Politics, Policy and Law 45, no. 2 (December 3, 2019): 341–64. http://dx.doi.org/10.1215/03616878-8004910.

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Abstract Context: Although New York State is a generous provider of substance-use treatment, people who ask for help have difficulty accessing services. If the laws are on the books, the agency is there to act, and the options are available, why is treatment so hard to get? Methods: The authors conducted 87 open-ended interviews and observed local task force meetings in Sullivan County, New York. They open coded data, identifying key topics and themes. Findings: Even though New York is a best-case scenario for treatment, people who seek help cannot always access it. The state sees the problem as a lack of beds or information about beds, but people on the ground face real barriers that make it difficult to get treatment, including the medical model of detoxification, admissions criteria, staff shortages, and other life complications. Conclusions: Contrary to the policy literature, this article shows that policies may fail not because they are poorly designed or implemented but because the policy itself does not address the actual underlying problem. Furthermore, in the case of opioids, it shows how misplaced solutions can hide evidence of the underlying problem, exacerbating the very issue that policy makers want to fix.
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