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Journal articles on the topic 'New York (N.Y.). Department of Licenses'

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Published: 4 June 2021
Last updated: 31 July 2024

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1

Muir, K. Jane, Raina M. Merchant, Karen B. Lasater, and J. Margo Brooks Carthon. "Emergency Nurses’ Reasons for Not Recommending Their Hospital to Clinicians as a Good Place to Work." JAMA Network Open 7, no. 4 (April 9, 2024): e244087. http://dx.doi.org/10.1001/jamanetworkopen.2024.4087.

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ImportanceHalf of emergency nurses report high burnout and intend to leave their job in the next year. Whether emergency nurses would recommend their workplace to other clinicians may be an important indicator of a hospital’s ability to recruit clinicians.ObjectiveTo examine why emergency nurses do not recommend their hospital to other clinicians as a good place to work.Design, Setting, and ParticipantsThis qualitative study used directed content analysis of open-text responses (n = 142) from the RN4CAST-NY/IL survey of registered nurses licensed in New York and Illinois between April 13 and June 22, 2021. Inductive and deductive analytic approaches guided study theme development informed by the Social Ecological Model. The collected data were analyzed from April to June 2023.Main Outcomes and MeasuresNurses who answered “probably not” or “definitely not” to the survey question, “Would you recommend your place of employment as a good place to work?” were prompted to provide a rationale in an open-text response.ResultsIn this qualitative study of 142 emergency nurses (mean [SD] age, 43.5 [12.5] years; 113 [79.6%] female; mean [SD] experience, 14.0 [12.2] years), 94 (66.2%) were licensed to work in New York and the other 48 (33.8%) in Illinois. Five themes and associated subthemes emerged from the data. Themes conveyed understaffing of nurses and ancillary support (theme 1: unlimited patients with limited support); inadequate responsiveness from unit management to work environment safety concerns (theme 2: unanswered calls for help); perceptions that nurses’ licenses were in jeopardy given unsafe working conditions and compromised care quality (theme 3: license always on the line); workplace violence on a patient-to-nurse, clinician-to-nurse, and systems level (theme 4: multidimensional workplace violence); and nurse reports of being undervalued by hospital management and unfulfilled at work in delivering suboptimal care to patients in unsafe working conditions (theme 5: undervalued and unfulfilled).Conclusions and RelevanceThis study found that emergency department nurses did not recommend their workplace to other clinicians as a good place to work because of poor nurse and ancillary staffing, nonresponsive hospital leadership, unsafe working conditions, workplace violence, and a lack of feeling valued. These findings inform aspects of the work environment that employers can address to improve nurse recruitment and retention.
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Hanson, Melissa, Nicholas Hollingshead, Krysten Schuler, William F. Siemer, Patrick Martin, and Elizabeth M. Bunting. "Species, causes, and outcomes of wildlife rehabilitation in New York State." PLOS ONE 16, no. 9 (September 21, 2021): e0257675. http://dx.doi.org/10.1371/journal.pone.0257675.

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Wildlife rehabilitation is a publicly popular practice, though not without controversy. State wildlife agencies frequently debate the ecological impact of rehabilitation. By analyzing case records, we can clarify and quantify the causes for rehabilitation, species involved, and treatment outcomes. This data would aid regulatory agencies and rehabilitators in making informed decisions, as well as gaining insight into causes of species mortality. In New York State, the Department of Environmental Conservation (NYSDEC) has licensed rehabilitators since 1980 and annual reporting is required. In this study, we analyzed 58,185 individual wildlife cases that were attended by New York rehabilitators between 2012 and 2014. These encompassed 30,182 (51.9%) birds, 25,447 (43.7%) mammals, 2,421 (4.2%) reptiles, and 75 (0.1%) amphibians. We identified patterns among taxonomic representation, reasons for presentation to a rehabilitation center, and animal disposition. Major causes of presentation were trauma (n = 22,156; 38.1%) and orphaning (n = 21,679; 37.3%), with habitat loss (n = 3,937; 6.8%), infectious disease (n = 1,824; 3.1%), and poisoning or toxin exposure (n = 806; 1.4%) playing lesser roles. The overall release rate for animals receiving care was 50.2% while 45.3% died or were euthanized during the rehabilitation process. A relatively small number (0.3%) were permanently non-releasable and placed in captivity; 4.1% had unknown outcomes. A comparable evaluation in 1989 revealed that wildlife submissions have increased (annual mean 12,583 vs 19,395), and are accompanied by a significant improvement in release (50.2% in the study period vs 44.4% in 1989) (χ2(1) = 90.43, p < 0.0001). In this manuscript, we aim to describe the rehabilitator community in New York State, and present the causes and outcomes for rehabilitation over a three-year period.
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Nursalam, La Ode, A. Arisona, R. Ramli, La Harudu, Sitti Kasmiati, Eko Harianto, Fahrudi Ahwan Ikhsan, and Andri Estining Sejati. "Mapping of Subsurface Geological Structure and Land Cover Using Microgravity Techniques for Geography and Geophysic Surveys: A Case Study of Maluri Park, Malaysia." Geosfera Indonesia 4, no. 3 (November 25, 2019): 280. http://dx.doi.org/10.19184/geosi.v4i3.13738.

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A microgravity investigation on bedrock topography was conducted at Maluri park reference level in Kuala Lumpur, Malaysia. The study aim to mapping the near-surface structure and soil and land cover distribution for geography and geophysics surveys. Two types of cross-section modeling of the residual anomaly generated the MaluriBouguer Anomaly model for site-1 and site-2 at Maluri Park. The 2D microgravity models produced the contour map, displaying the characterization due to density contrast in rock types while mapping the subsurface geological structure at different depths. Moreover, a synthetic model was initiated with the assumption of lateral distance on the left and right sides taken at 50 m and a depth of 60 m. The results of modeling confirmed that the soil and rock type composition on both models site tests are topsoil (1.1 to 1.92 g/cm3), soil (1.8 g/cm3), clay (1.63 g/cm3), gravel (1.7 g/cm3), sand (2.0 g/cm3), shale (2.4 g/cm3), sandstone (2.76 g/cm3), and limestone (2.9 g/cm3). The 2D gravity modeling using two model site tests obtained a correspondence with the observed microgravity data. Keywords: Bouguer anomaly, limestone, microgravity, soil structure, topography. References Amaluddin, L. O., Rahmat, R., Surdin, S., Ramadhan, M. I., Hidayat, D. N., Purwana, I. G., & Fayanto, S. (2019). The Effectiveness of Outdoor Learning in Improving Spatial Intelligence. Journal for the Education of Gifted Young Scientists, 7(3), 667–680. https://doi.org/10.17478/jegys.613987 Arisona,A., Mohd N., Amin E.K., &Abdullahi, A.(2018).Assessment of microgravity anomalies of soil structure for geotechnical 2d models.Journal of Geoscience, Engineering, Environment, and Technology (JGEET)3(3), 151-154. Georgsson, L.S. (2009). Geophysical Methotds Used in Geothermal Exploration. Presented at Exploration for Geothermal Resources, 1-22 November 2009, 1-16. Grandjean, G. (2009). From Geophysical Parameters to Soil Characteristics.Florida: Report N°BRGM/FP7-DIGISOIL Project Deliverable 2.1, Final ReportDepartment of Civil and Coastal EngineeringUniversity of Florida. Hiltunen, D.R., Hudyma,N.,Tran,K.T.,&Sarno,A.I. (2012).Geophysical Testing of Rock and Its Relationthipsto Physical Properties.Florida:Final ReportDepartment ofCivil and Coastal EngineeringUniversity ofFlorida. Kirsch,R. (2006).GroundwaterGeophysics, ATool for Hydrogeology.New York: Springer. Kamal,H.,Taha,M.,&Al-Sanad,S. (2010). Geoenvironmental Engineering and Geotechnics, GeoShanghai 2010 International Conference. (accessed 02.03.17) Lilie, R.J. (1999).Whole Earth Geophysics: An Introductory Textbook for Geologists and Geophysicists. New Jersey:Prentice-HallInc. Pringle, J.K., Styles, P., Howell, C.P.,Branston, M.W., Furner, R., &Toon,S.M. (2012). Long-term time-lapse microgravity and geotechnical monitoring of relict salt mines, marston, cheshire, uk. Geophysic77(6), 165-171. Samsudin, H.T.(2003).A microgravity survey over deep limestone bedrock.Bulletin of Geological Society of Malaysia4(6), 201-208. Tan, S.M. (2005). Karsticfeatures of kualalumpur limestone. Bulletin of the Institution of EnginnerMalaysia 4(7), 6-11. Tajuddin, A.&Lat, C.N. (2004).Detecting subsurfacevoids using the microgravity method, a case study from kualalipis, pahang.Bulletin of Geological Society of Malaysia 3(48), 31-35. Tuckwell, G., Grossey, T., Owen, S., & Stearns, P. (2008). The use of microgravity to detect small distributed voids and low-density ground. Quarterly Journal of Engineering Geology and Hydrogeology, 41(3), 371–380. https://doi.org/10.1144/1470-9236/07-224 Wanjohi, A.W. (2014). Geophysical Field Mapping. Presented at Exploration for Geothermal Resources, 2-23 November 2014, 1-9. Yusoff , Z.M., Raju,G. &Nahazanan, H.(2016).Static and dynamic behaviour of kualalumpur limestone. Malaysian Journal of Civil Engineering Special Issue Vol.28 (1), p.:18-25. Zabidi, H. & De Freitas, M.H. (2011).Re-evaluation of rock core logging for the prediction of preferred orientations of karst in the kualalumpur limestone formation. Engineering Geology, 117(3-4), p.: 159–169. Copyright (c) 2019 Geosfera Indonesia Journal and Department of Geography Education, University of Jember This work is licensed under a Creative Commons Attribution-Share A like 4.0 International License
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Márquez Roa, Ubaldo. "ACERCAMIENTO AL TERRORISMO (AN APPROACH TO TERRORISM)." Universos Jurídicos, no. 18 (June 8, 2022): 75–140. http://dx.doi.org/10.25009/uj.vi18.2626.

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Resumen: El presente artículo se encuentra dividido en cinco apartados que permiten que su lectura y comprensión sea mucho más amigable. Es interesante y entender que el tema del terrorismo es un tema de naturaleza dinámica y cambiante, en el artículo se estudiara los diferentes tipos de terrorismo que existe y el impacto que ha tenido en el establecimiento de los estados de seguridad pública, así como la afectación a los derechos humanos de las personas y los regímenes jurídicos en los cuales se tipifica esta figura. Abstract: This article is divides into five sections that allow its reading and understanding to be much more user-friendly. It is interesting to understand that the issue of terrorism is a dynamic and changing issue, the article will study the different types of terrorism that exist and the impact it has had on the establishment of states of publica security as well as the impact to the human rights of persons and the legal regimes in which this figure is typified. Fuentes de consulta: Arendt H. (2006) Sobre la revolución, Madrid: Alianza. Báez Corona, J. F. (2015). El realismo mágico jurídico (recreación legal de una ficción literaria con especial referencia a Latinoamérica). Justicia. (28), 15-31. doi:http://dx.doi.org/10.17081/just.20.28.1032 Báez, J. (2021). Tradición contra innovación en los modelos de formación jurídica universitaria en México. Revista de Derecho. (56). 137-153. https://dx.doi.org/10.14482/dere.56.340 Bakke E. (2015) Terrorism and Conterterrorism studies, comparing theory and practice, Netherlands, Leiden University Press. Bobbio N. (2004) Estado, Gobierno y Sociedad por una teoría general de la política, México, Fondo de Cultura Económica. Caillois R. (1973) La cuesta de la guerra (trad.) Rufina Bórquez, México, Fondo de Cultura Económica. Coteño Muñoz A. (2018) “Terrorismo individual los atentados perpetrados por actores solitarios” Eunomía. Revista en Cultura de la Legalidad, número 15 Madrid, Universidad Carlos III. Donner, F. (2007) “Fight for God- But Do So with Kindness: Reflections on War, Peace, and Communal Identity in Early Islam”. In War and Peace in the Ancient World, Oxford. Blackwell. Durham M. (2000) The Christian right, the far right and the Boundaries of American Conservatism. Manchester: Manchester University Press. Dworkin R, (2013) “Foreword”, in Extreme Speech and Democracy, Oxford, Oxford University Press. Essig, C. (2001). Terrorism: Criminal Act of Act of War? Implications for National Security in the 21st Century. Pennsylvania: US Army War College. Foucault, M. (2009) Historia de la sexualidad 1. La voluntad de saber, México, Siglo XXI. Friedman B, H., Harper J, Preble C. (2010) Terrorizing ourselves. Why U.S. Counterterrorism Policy is Failing and How to Fix It. Washington D.C. Instituto Cato. Gallego, C. (2012). El concepto de seguridad jurídica en el Estado social. Revistas jurídicas. Vol 2, Núm 9, Recuperado de http://juridicas.ucaldas.edu.co/downloads/Juridicas9(2)_6.pdf Griset, P. L., Mahan, S. (2003) Terrorism in perspective, United States of America. Sage Publications Inc. González Calleja, E. (2013). El Laboratorio del Miedo, Madrid, Crítica. Habermas J. (1998) Derechos humanos y soberanía popular. Las versiones liberal y republicana, en Rafael del Águila, Fernando Val, Madrid, Alianza Habermas J. (1994) La desobediencia civil, piedra de toque del Estado democrático de Derecho, en Ensayos políticos, Barcelona, Península. Heydar S. (2017) Islamic Peace Ethics. Legitimate and Illegitimate Violence in Contemporary Islamic Thought. United States of America, Baden-Baden: NomosAschendorff Verlag. Hoffman B., Howard R. (2011) Terrorism and counterterrorism: Understandin the new security environment readings and interpretations: 4a eth, United States of America, Mcgraw-Hill. Hoffman, B. (2006). Inside Terrorism. New York: Columbia University Press. Jackson, R, et al., (2011) Terrorism. A Critical Introduction, New York, Palgrave Macmillian Jassies N. (2009) Mrinus Van Der Lubbe y el incendio del Reichstag. Trad., García Velasco C., España, Editorial Alikornio. Jellinek G (1954) Teoría Geenral de los Estados. Trad. Fernando de los Ríos. Buenos Aires, ed. Albatroz. Jenkins, B.M. (1975), "International Terrorism: A New Mode of Conflict", in Garitón D, y Schaerf C. Internactional Terrorism and World Security, Londres, Cromm Helm. Johnston, T. D. (1981). Selective costs and benefits in the evolution of learning. En J. S. Rosenblatt, R .A. Hinde, C. Beer y M. C. Busnel (Eds.). Advances of the study of behavior. New York: Academic Press Kilpatrick J (2020) Quand un état d’urgence temporarire devient permanent, le cas de la France. París, Transnational Institute. Khadduri, M. (1955) War and Peace in the Law of Islam. Baltimore, The Johns Hopkins Press. Kyrou, A. (2012). L’imaginaire des Anonymous, des luddites à V pour Vendetta. París Folis esssays Lasoen, K. (2018). “War of Nerves: The Domestic Terror Threat and the Belgian Army”. In Studies in Conflict & Terrorism, vol. 42, no. 11. Le Goff J. (1984) La Civilisation d l’occident médiéval, París, Foils Essay. Lillich, B. R. (1985) Paris Minimum Standards of Human Rights Norms in a State of Emergency, The American Journal of International Law, Vol. 79, No. 4 Locke J. (1997), Segundo tratado sobre el gobierno civil, Madrid, Alianza. Loubet Del Bayle, J. L. (1992) La Police. Approche socio-politique. Paris, Montchrestien. Luhmann, N. (2005) El derecho de la sociedad, 2a ed., México, Herder, Universidad Iberoamericana. Majoran, A. (2015). The illusion of war: Is terrorism a criminal act or an act of war? International Politics Reviews, Vol.3 Issue 1 Martin J-C, (2006) Les règles internationales relatives à la lutte contre le terrorismo. París, edición Bruylant. Nateras González M, E. (2018) Colombia Las autodefensas en Michoacán, México: ¿rescate de la ciudadanía ante la violencia? Revista Opinión Jurídica, Universidad de Medellín, Vol. 17, Núm. 33 Placido A. P., y Perkins L K. (2010) Drug Trafficking violence in México implications for the United States. Washington D.C. U.S. Senate Caucus on International Narcotics Control Departmente of Justice Poczynok, I. (2019). Fuerzas armadas y contraterrorismo. Apuntes para renovar un “debate crónico” en la Argentina. Revista Relaciones Internacionales, Estrategia Y Seguridad, vol. 2, Núm. 14 Poland J. (2004) Understanding Terrorism: Groups, Strategies and responses. New York. Pretince Hall. Rawls J (1999) La justificación de la desobediencia civil, en Justicia como equidad. Materiales para una teoría de la justicia, Madrid, Tecnos. Reinares, F y García-Calvo, C. (2016) Estado Islámico en España. Madrid: Real Instituto Elcano. Rivas, P., y Rey, P. (2008) Las autodefensas y el paramilitarismo en Colombia (1964-2003), Bogotá, CON Fines. Rapoport, D. (2004). “The four waves of modern terrorism”. En Audrey, C. y James, L. Attacking Terrorism: Elements of a Grand Strategy. Washington D.C. George town University Press Rodley N. (1985) International Human Rights Law, dans Evans, M. D, International Law, Oxford, Oxford University Press. Reitberger M (2013) “License to kill: is legitimate authority a requirement for just war? in International Theory, Cambridge, Cambridge University Press, Vol. 5, Issue 1. Robespierre Maximilien (2005) Por la felicidad y por la libertad, discursos. España, El viejo topo. Rousseau J. J., (2013) Discurso sobre el origen y fundamento de la desigualdad entre los hombres, Madrid, Calpe. Tinnes J. (2020) Bibliography: Defining and Conceptualizing Terrorism Compiled PERSPECTIVES ON TERRORISM Volume 14, Issue 6, The Netherlands Universiteit Leiden. recuperado de https://www.universiteitleiden.nl/perspectives-on-terrorism/archives/2020#volume-xiv-issue-6 Toboso Buezo M. (2020) Colección Segmentos de Seguridad Terrorismo y antiterrorismo. España. Institut de Seguretat Pública de Catalunya.. Saint Thomas Aquinas (2003) On law, morality and Politics, translated by Regan Richard United States of America, Hackett publishing company. Sinai, J. (2008) “How to Define Terrorism”, Perspectives on Terrorism, Journal of the Terrorism Research Initiative and the Center for Terrorism and Security Studies, The Netherlands, Universiteit Leiden, Vol. 2, No.4, recuperado de http://www.terrorismanalysts.com/pt/index.php/pot/article/view/33/html Skinner, B. F. (1953) Science and human behavior. New York, The Macmillan Company. United States Department of State. (2004) Patterns of Global Terrorism 2003 Washington, DC: Office of the Secretary of State, Office of the Coordinator for Counterterrorism. Valadés D. (1974) La dictadura constitucional en América Latina, México, UNAM. Walther T C., Höhn A., (2020) El ejército alemán y sus graves problemas con la ultraderecha. DW noticiero recuperado de https://www.dw.com/es/el-ej%C3%A9rcito-alem%C3%A1n-y-sus-graves-problemas-con-la-ultraderecha/a-54044495 Wallace, D. (2008). Combatiendo el terrorismo bajo las leyes de la guerra. Military Review Hispan-American, Vol. 88, Issue 2 Weber M. (1986) El político y el científico. (trad) Francisco Rubio Llorente, Madrid, Alianza Editorial.
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Rahayu, Sri, M. Murjainah, and M. Idris. "The Effect of Google Earth Utilization on Students' Spatial Thinking Ability." Geosfera Indonesia 4, no. 3 (December 12, 2019): 291. http://dx.doi.org/10.19184/geosi.v4i3.13350.

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The ability to think spatially in geography learning is essential, so it requires technology-based learning resources in the form of google earth, which can facilitate students in imagining or visualizing images in mind. In this regard, this study aims to determine the effect of the use of google earth on the spatial thinking abilities of students in the class X Geography of SMA PGRI 2 Palembang. This study used an experimental research method (Posttest-Only Control Design), because this design is suitable to use if the pre-test is not possible or pre-test can influence the experimental. The sample data collection technique uses Purposive Sampling, which is based on considerations or criteria that must be met by the sample used in the study. The sample in this study is class X IPS 1 as the experimental class and X IPS 2 as the control class. Data collection techniques use documentation and tests. For data analysis techniques, normality test, homogeneity test, and hypothesis testing using the IBM SPSS Statistics 20 formula for Windows. Based on the results of the study, the average value of the experimental class's superior post-test was 82.92, and the results of the posttest control class were 66.39. It shows that there are differences in the spatial thinking ability of the experimental group students who were treated using Google Earth during the learning process. The significance of the results of the posttest t-test from the two experimental and control groups was 0.000, and then the null hypothesis Ho was declared rejected because based on the t-test criteria, the significance value was <0.05 or the Sig (2-tailed) value of 0,000 was obtained <0.05. So it can be concluded that there is a significant influence between the use of google earth on the spatial thinking ability of students in the class X Geography subject of SMA PGRI 2 Palembang. Keywords: Google Earth, Spatial Thinking Ability, Geography. References Aliman, Mutia, & Yustesia. (2018). Integrasi Kebangsaan Dalam Tes Berpikir Spasial. Jurnal Geografi FKIP UMP , 82-89. Arikunto, S. (2010). Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Rineka Cipta. Ardyodyantoro, Gatty. (2014). Pemanfaatan Google Earth Dalam Pembelajaran Geografi Untuk Meningkatkan Hasil Belajar Siswa Kelas X SMA Widya Kutoarjo. Skripsi. Program Studi Pendidikan Geografi Fakultas Ilmu Sosial Universitas Negeri Yogyakarta. Cuviello, Matthew P. (2010). Evaluating Google Earth in the Classroom. New York : Center for Teaching Excellence Ervina, E., Asyik, B., & Miswar, D. (2012). Pengaruh Penggunaan Media Google Earth Dan Peta Terhadap Peningkatan Hasil Belajar Geografi. JPG (Jurnal Penelitian Geografi), 1(1). Hidayat, K. N., & Fiantika, F. R. (2017). Analisis Proses Berfikir Spasial Siswa Pada Materi Geometri. Prosiding Si Manis (Seminar Nasional Integrasi Matematika dan Nilai Islami) , 385-394. Isnaini, N. (2018). Komparasi Penggunaan Media Google Earth Dengan Peta Digital Pada Materi Persebaran Fauna Kelas XI IPS di SMA Negeri 1 Semarang. Jurnal Geografi: Media Informasi Pengembangan Dan Profesi Kegeografian, 12(1), 52-61. Jo, I., & Hong, J. E. (2018). Geography Education, Spatial Thinking, and Geospatial Technologies: Introduction to the Special Issue. International Journal of Geospatial and Environmental Research, 5(3), 1. Liu, R., Greene, R., Li, X., Wang, T., Lu, M., & Xu, Y. (2019). Comparing Geoinformation and Geography Students’ Spatial Thinking Skills with a Human-Geography Pedagogical Approach in a Chinese Context. Sustainability, 11(20), 5573. doi:10.3390/su11205573 Nofirman, N. (2019). Studi Kemampuan Spasial Geografi Siswa Kelas XII SMA Negeri 6 Kota Bengkulu. Jurnal Georafflesia: Artikel Ilmiah Pendidikan Geografi, 3(2), 11-24. Oktavianto, D. A. (2017). Pengaruh Pembelajaran Berbasis Proyek Berbantuan Google Earth Terhadap Keterampilan Berpikir Spasial. Jurnal Teknodik, 21(1), 059. Patterson, T. C. (2007). Google Earth as a (Not Just) Geography Education Tool. Journal of Geography, 106(4), 145–152. doi:10.1080/00221340701678032 Setiawan, I. (2016). Peran Sistem Informasi Geografis (Sig) Dalam Meningkatkan Kemampuan Berpikir Spasial (Spatial Thinking). Jurnal Geografi Gea, 15(1). doi:10.17509/gea.v15i1.4187 Sugiyono. (2010). Metode Penelitian Pendidikan Pendekatan Kuantitatif, kualitatif, dan R&D. Bandung: Alfabeta. Sudjana. (2005). Metode Statistika. Bandung: Tarsito. Yousman, Y. (2008). Google Earth. Yogyakarta: C.V Andi. Copyright (c) 2019 Geosfera Indonesia Journal and Department of Geography Education, University of Jember This work is licensed under a Creative Commons Attribution-Share A like 4.0 International License
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Putra, Upang Septa, and Muhsinatun Siasah Masruri. "THE EFFECTIVENESS COMPARISON BETWEEN INQUIRY AND PROBLEM BASED LEARNING TOWARDS GEOGRAPHY LEARNING OUTCOMES." Geosfera Indonesia 4, no. 2 (August 20, 2019): 146. http://dx.doi.org/10.19184/geosi.v4i2.10849.

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This study aims to determine the differences of learning outcomes between students that were performed using inquiry and student who were applied using problem based learning in classes of X SMA 2 Plakat Tinggi. This study also purposes to examine the effectiveness comparison between problem based learning and inquiry method. The research engages quantitative research with quasi-experimental type. Subject selection conducts match design. The population of this study were students of class X IPS in SMA 2 Plakat Tinggi which composed of three classes. The sample selection in this study engaged purposive sampling, hereby X IPS 3 was elected as experimental group 1 (Problem based learning) and class X IPS 1 as the experimental group 2 (Inquiry) class. Data collection technique performed in this study was learning outcomes in the form of written test. Data analysis technique was engaging independent sample t-test, which was followed by N increased and effect size extent. The findings are differences of learning outcomes improvement between students who studied utilizing inquiry method and students who were taught using problem based learning method. Problem based learning is more effective than inquiry in promoting Geography learning outcomes. This is indicated through calculation result upon effect size extent, where students who were taught using problem based learning method obtain a value of 4.185, larger compared to those who were treated using inquiry method which obtain a value of 3.462. Keywords: Inquiry, problem based learning, Geography References Agustini, D. M. (2017). PBL untuk Meningkatkan Hasil Belajar IPA Siswa Tunarungu Kelas IV A SLBN 2 Bantul. Widia Ortodidaktika, 6(4), 427-437. Alberta. (2004). Focus on Inquiry: A Teacher’s Guide to Implementing Inquiry Based Learning. Canada: Learning Resources Centre. Barret, T., & Moore, S. (2010). New Approaches to: Problem based learning Reveitalising Your Practice in Higher Education. New York: Routledge. Blessinger, P., & Carfora, J. M. (Eds.). (2014). Inquiry-based learning for the arts, humanities and social sciences: A conceptual and practical resource for educators. Emerald Group Publishing. Bridges, S., McGrath, C., & Whitehill, T. L. (Eds.). (2012). Problem-based learning in clinical education: The next generation (Vol. 8). Springer Science & Business Media. Chu, S. K. W., Reynolds, R. B., Tavares, N. J., Notari, M., & Lee, C. W. Y. (2017). 21st Century Skills Development Through Inquiry-Based Learning. doi:10.1007/978-981-10-2481-8 Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences. New York, NY: Routledge Academic. Duran, M., & Dokme, L. (2016). The Effect of the Inquiry Based Learning Approach on Student’s Critical Thinking Skills. Eurasia Journal of Mathematics, Science & Technology Education, 12(12), 2887-2908. https://doi.org/10.12973/eurasia.2016.02311a. Friesen, S., & David, S. (2013). Inquiry Based Learning Review. Calgary: University of Calgary. Retrieved from https://www.researchgate.net/publication/312592892_Inquiry-Based_Learning_A_Review_of_the_Research_Literature. Goodman, D. (2018). Problem-Based Learning in the MPA Curiculum. Journal of Public Affrairs Education, 14(2), 253-270. Retrieved from http://www.jstor.org/stable/40215813. Grady, G.O., Elaine H.J.Y., Karen, P.L.G., & Henk, G.S. (2012).One Day One Problem an Approach to Problem Based Learning. Singapore: Springer. Handoyono, N.A. (2016). Pengaruh Inquiry Learning Dan Problem-Based Learning terhadap Hasil Belajar PKKR Ditinjau dari Motivasi Belajar. Jurnal Pendidikan Vokasi, 6(1). http://dx.doi.org/10.21831/jpv.v6i1.8114. Hmelo-Silver, C. E. (2004). Problem-based learning: What and how do students learn?. Educational psychology review, 16(3), 235-266. McKeown, T. R., Abrams, L. M., Slattum, P. W., & Kirk, S. V. (2015). Enhancing Teacher Beliefs through an Inquiry-Based Professional Development Program. Journal of Education in Science, Environment and Health, 2(1), 85. doi:10.21891/jeseh.30143 Minner, D. D., Levy, A. J., & Century, J. (2010). Inquiry-based science instruction-what is it and does it matter? Results from a research synthesis years 1984 to 2002. Journal of Research in Science Teaching, 47(4), 474–496. doi:10.1002/tea.20347 Mundilarto. (2013). Keefektifan Pembelajaran Inquiry Based Learning untuk Peningkatan Karakter Siswa pada Pembelajaran Fisika. Jurnal Cakrawala Pendidikan. Retrieved from https://journal.uny.ac.id/index.php/cp/article/download/1483/pdf. Seng, T.O. (2009). Problem Based Learningand Creativty. Singapore: Cengage Learning Asia Pte Ltd. Simone, C.D. (2014). Problem Based Learning in Teacher Education: Trajectories of Change. International Journal of Humanities and Social Science, 4(12).Retrieved from http://www.ijhssnet.com/journals/Vol_4_No_12_October_2014/3.pdf. Smith, R.S., & Walker, R. (2010). Can Inquiry-Based Learning Strengthen the Links between Teaching and Disciplinary Research? Studies in Higher Education, 35(6), 723-740. https://doi.org/10.1080/03075070903315502. Sumaatmadja, N. (2001). Metode Pengajaran Geografi. Jakarta: BumiAksara. Suprijono, A. (2015). Cooperative Learning Teori & Aplikasi Paikem. Yogyakarta: Pustaka Pelajar Trianto. (2010). Model Pembelajaran Terpadu: Konsep, Strategi, dan Implementasinya dalamKurikulum Tingkat Satuan Pendidikan (KTSP). Jakarta: Bumi Aksara. Unver, A.O., & Sertac, A. (2011).Ovierviews on Inquiry Based and Problem Based Learning Methods. Western Anatolia Journal of Educational Science, 303-309. Retrieved from http://webb.deu.edu.tr/baed/giris/baed/ozel_sayi/303-310.pdf. Warner, R.M. (2008). Applied Statistic. USA: Sage Publications. Westwood, P.S. (2008).What the Teacher Need to Know About Teaching Methods. Camberwell, V: Acer Press. Whitcombe S.W. (2013) Problem-based Learning Students’ Perceptions of Knowledge and Professional Identity: Occupational Therapists as ‘Knowers’, British Journal of Occupational Therapy,76(1), 37-42 Wijayanti, A., & Wulandari, T. (2016). Efektivitas Model CTL dan Model PBL terhadap Hasil Belajar IPS. Harmoni Sosial: Jurnal Pendidikan IPS, 3(2), 112. doi:10.21831/hsjpi.v3i2.7908 Yew, E.H.J., & Karen, G. (2016). Problem-Based Learning: An Overview of its Process and Impact on Learning. Journal Health Professions Education, 2(2), 75-79. https://doi.org/10.1016/j.hpe.2016.01.004\. Yuniawati. (2016). Peningkatan Kualitas Pembelajaran PPKN Melalui Penerapan Problem Based Learning di SMP. Jurnal Pendidikan IPS. Retrieved from https://journal.uny.ac.id/index.php/hsjpi/article/view/7947/8576. Copyright (c) 2019 Geosfera Indonesia Journal and Department of Geography Education, University of Jember This work is licensed under a Creative Commons Attribution-Share A like 4.0 International License
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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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Bedard, Brenden, Melissa Pennise, Anita C. Weimer, and Byron S. Kennedy. "Magnitude of Giardia cases among refugees, adoptees and immigrants in Monroe County, New York, 2003-2013." International Journal of Migration, Health and Social Care 12, no. 3 (September 12, 2016): 211–15. http://dx.doi.org/10.1108/ijmhsc-05-2015-0019.

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Purpose The purpose of this paper is to determine the morbidity of Giardia in Monroe County, New York attributed to refugees, foreign adoptees and immigrants, and to examine factors related to asymptomatic Giardia infection. Design/methodology/approach A retrospective epidemiological analysis was conducted of Giardia case investigations submitted to the New York State Department of Health on the Communicable Disease Electronic Surveillance System, between January 1, 2003 and December 31, 2013 from Monroe County Department of Public Health. Univariate and multivariate logistic regression models were used to assess odds for asymptomatic Giardia. Findings Of the 1,221 Giardia cases reported in Monroe County during that time, 38 percent (n=467) were refugees, 6 percent (n=77) were foreign adoptees and 1.4 percent (n=17) were immigrants. In total, 95 percent of the refugees and 89 percent of the adoptees/immigrants were asymptomatic, compared to 15 percent of the non-refugee/adoptee/immigrant cases. Unadjusted odds for asymptomatic infection were 113.4 (95 percent CI: 70.6-183.7) for refugees, and 45.6 (95 percent CI: 22.9-91) for adoptees/immigrants. Originality/value This study demonstrates the importance of routine screening for Giardia during refugees’ initial health assessment.
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LACHANCE-McCULLOUGH, MALCOLM L., JAMES M. TESORIERO, MARTIN D. SORIN, and ANDREW STERN. "HIV Infection among New York State Female Inmates: Preliminary Results of a Voluntary Counseling and Testing Program." Prison Journal 74, no. 2 (June 1994): 198–219. http://dx.doi.org/10.1177/0032855594074002004.

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New York State's prison population has the highest seroprevalence of human immunodeficiency virus (HIV) among incarcerated populations in the United States. Five percent of the State prison inmate population is female. To date there have been few studies of incarcerated females in New York State (NYS). Seroprevalence rates have ranged from 18.9% to as high as 29%. In 1991, counselors from the New York State Department of Health (NYSDOH) AIDS Institute's Criminal Justice Initiative, in collaboration with the State's Department of Correctional Services (NYSDOCS), began to offer educational services and anonymous pretest counseling, HIV antibody testing, and posttest counseling to NYS female prisoners. With preliminary program testing data (N = 216) descriptive and multivariate techniques are used to evaluate the demographic and risk-related behaviors associated with HIV infection among female inmates in this voluntary HIV testing program. Results are discussed in light of previous research findings regarding the correlates of HIV seropositivity among New York State prison inmates and compared to previous blinded epidemiological studies of female inmates in the State. Future research, addressing the limitations of this preliminary study, is proposed.
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ARAKAKI, L., S. NGAI, and D. WEISS. "Completeness ofNeisseria meningitidisreporting in New York City, 1989–2010." Epidemiology and Infection 144, no. 11 (March 17, 2016): 2374–81. http://dx.doi.org/10.1017/s0950268816000406.

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SUMMARYInvasive meningococcal disease (IMD) completeness of reporting has never been assessed in New York City (NYC). We conducted a capture–recapture study to assess completeness of reporting, comparing IMD reports made to the NYC Department of Health and Mental Hygiene (DOHMH) and records identified in the New York State hospital discharge database [Statewide Planning and Research Cooperative System (SPARCS)] by ICD-9 codes from 1989 to 2010. Reporting completeness estimates were calculated for the entire study period, and stratified by year, age group, clinical syndrome, and reporting system. A chart review of hospital medical records from 2008 to 2010 was conducted to validate hospital coding and to adjust completeness estimates. Overall, 2194 unique patients were identified from DOHMH (n= 1300) and SPARCS (n= 1525); 631 (29%) were present in both. Completeness of IMD reporting was 41% [95% confidence interval (CI) 40–43]. Differences in completeness were found by age, clinical syndrome, and reporting system. The chart review found 33% of hospital records from 2008 to 2010 had no documentation of IMD. Removal of those records improved completeness of reporting to 51% (95% CI 49–53). Our data showed a low concordance between what is reported to DOHMH and what is coded by hospitals as IMD. Additional guidance to clinicians on IMD reporting criteria may improve completeness of IMD reporting.
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Prince, Patricia, Leah M. Hines, Michael J. Bauer, Chang Liu, Jin Luo, Matthew Garnett, and Joyce C. Pressley. "Pediatric Restraint Use and Injury in New York City Taxis Compared with Other Passenger Vehicles." Transportation Research Record: Journal of the Transportation Research Board 2673, no. 7 (May 5, 2019): 541–49. http://dx.doi.org/10.1177/0361198119843091.

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In New York City (NYC), as in several other U.S. cities, pediatric occupant restraint laws exempt rear-seated passengers in vehicles-for-hire from those that apply to private vehicles. This study compares rear-seated infant, child, adolescent, and teen passenger restraint use and injury in taxis compared with other passenger vehicles. New York State Department of Health Crash Outcome Data Evaluation System (CODES) was analyzed for rear-seated pediatric passengers aged 0–19 years traveling in taxis ( n = 1,631) or other passenger vehicles ( n = 21,984) involved in a crash in NYC 2011–2013. CODES is a probabilistically linked data set comprising emergency department, hospitalization, and Department of Motor Vehicle crash data. Bivariate and multivariable logistic regression odds ratios (OR) are reported with 95% CI. Taxi passenger restraint use was lower than in other passenger vehicles (51.2% vs. 86.7%, p < 0.0001). Use of a child restraint for ages < 8 years was low (5.9%) and one-tenth that of other passenger vehicles. Multivariable adjusted odds of restraint use was 9.80 (8.2–11.7) for other passenger vehicles compared with taxis. Compared with passengers in other vehicles, passengers in taxi crashes were twice as likely to be moderately or severely injured ( p < 0.0001) and twice as likely to have traumatic brain injury ( p = 0.0070). This study documents lower restraint use and higher injury, including traumatic brain injury, for pediatric taxi passengers compared with other passenger vehicles. Improved data systems, surveillance, and enforcement are needed to improve restraint use and reduce injury in children and teens, particularly those in vehicles-for-hire.
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Looker, Peter. "Bangeni, B & Kapp, R. (eds.). 2017. Negotiating Learning and Identity in Higher education: Access, Persistence and Retention. London & New York: Bloomsbury." Scholarship of Teaching and Learning in the South 2, no. 2 (September 30, 2018): 92. http://dx.doi.org/10.36615/sotls.v2i2.81.

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Peter Looker finds that student voice comes through very strongly in Negotiating Learning and Identity in Higher education: Access, Persistence and Retention, which focuses on the pathways of black working-class, first-generation, tertiary students. The book is a volume of the Bloomsbury series ‘Understanding Student Experiences in Higher Education’. How to cite this book review:LOOKER, Peter. Book review: Bangeni, B & Kapp, R. (eds.) 2017. Negotiating Learning and Identity in Higher education: Access, Persistence and Retention. London & New York: Bloomsbury. Scholarship of Teaching and Learning in the South v. 2, n. 2, p. 92-94, Sept. 2018. Available at: http://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=81&path%5B%5D=28 This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
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Moore, Miranda S., Angelica Bocour, Fabienne Laraque, and Ann Winters. "A Surveillance-Based Hepatitis C Care Cascade, New York City, 2017." Public Health Reports 133, no. 4 (June 14, 2018): 497–501. http://dx.doi.org/10.1177/0033354918776641.

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Objectives: The care cascade, a method for tracking population-level progression from diagnosis to cure, is an important tool in addressing and monitoring the hepatitis C virus (HCV) epidemic. However, little agreement exists on appropriate care cascade steps or how best to measure them. The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) sought to construct a care cascade by using laboratory surveillance data with clinically relevant categories that can be readily updated over time. Methods: We identified all NYC residents ever reported to the DOHMH surveillance registry with HCV through June 30, 2017 (n = 175 896). To account for outmigration, death, or treatment before negative RNA results became reportable to the health department, we limited the population to people with any test reported since July 1, 2014. Of these residents, we identified the proportion with a reported positive RNA test and estimated the proportion treated and cured since July 2014 by using DOHMH-developed surveillance-based algorithms. Results: Of 78 886 NYC residents ever receiving a diagnosis of HCV and tested since July 1, 2014, a total of 70 397 (89.2%) had ever been reported as RNA positive through June 30, 2017; 36 875 (46.7%) had initiated treatment since July 1, 2014, and 23 766 (30.1%) appeared cured during the same period. Conclusion: A substantial gap exists between confirming HCV infection and initiating treatment, even in the era of direct-acting antivirals. Using this cascade, we will monitor progress in improved treatment and cure of HCV in NYC.
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Kiely, J. L. "Time Trends in Neonatal Mortality Among Twins and Singletons in New York City, 1968–1986." Acta geneticae medicae et gemellologiae: twin research 40, no. 3-4 (October 1991): 303–9. http://dx.doi.org/10.1017/s0001566000003482.

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AbstractThe objective of this study was to compute yearly neonatal mortality rates (NMRs) in twins and compare these to rates in singletons during the same time period. The focus was on time trends in birthweight-specific twin mortality in the birth population of New York City during the years 1968 to 1986. The study population was all twin livebirths ≥ 500 g birthweight (N = 45,605), with a comparison group of all singleton livebirths in the same birthweight range (N = 2,191,144). Data came from the New York City Department of Health's computerized vital records on livebirths and infant deaths. Between 1968 and 1986 the crude NMR declined 39% in twins and 47% in singletons. In twins there were birthweight-specific declines of 69% to 84% between 1000 g and 2499 g. However, there was only a 19% decline in the twin NMR over 2499 g. This contrasts with a 50% decline in the singleton NMR over 2499 g. In New York City, modern medical care has been remarkably successful in lowering the NMR in low birthweight twins. However, more effort must be made to understand the etiology of perinatal problems in twins with birth weights greater than 2500 g.
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Bocour, A., S. K. Greene, F. Laraque, and A. Winters. "Estimating the prevalence of chronic hepatitis C virus infection in New York City, 2015." Epidemiology and Infection 146, no. 12 (June 22, 2018): 1537–42. http://dx.doi.org/10.1017/s095026881800170x.

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AbstractChronic hepatitis C virus (HCV) infection is the most common blood-borne infection in the USA. Estimating prevalence is critical for monitoring diagnosis, treatment, and cure and for allocating resources. Surveillance data reported to the New York City (NYC) Health Department, 2000–2015, were used to estimate HCV prevalence in NYC in 2015. The numbers who died, out-migrated or whose last RNA test was negative were removed from the count of people reported with HCV. A simulation model was used to remove estimates of people whose infection spontaneously cleared or was cured and to add an estimate of people unaware of infection. The surveillance-based HCV prevalence in NYC in 2015 overall was 1.4% (95% certainty level (CL) 1.2–1.6%; n ≈ 116 000, 95% CL ≈99 000–135 000) and among adults aged ⩾20 years was 1.8% (95% CL 1.5–2.0%, n ≈ 115 000, 95% CL ≈99 000–134 000), lower than the 2010 estimate among adults aged ⩾20 years of 2.4% (n ≈ 147 000). Contributors to the decrease in HCV prevalence from 2010 to 2015 include both the availability of highly effective treatment and also deaths among an ageing population. The 2015 estimate can be used to set NYC-specific HCV screening and treatment targets and monitor progress towards HCV elimination.
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Arshad, Faizan H., Alan Williams, Glenn Asaeda, Douglas Isaacs, Bradley Kaufman, David Ben-Eli, Dario Gonzalez, et al. "A Modified Simple Triage and Rapid Treatment Algorithm from the New York City (USA) Fire Department." Prehospital and Disaster Medicine 30, no. 2 (February 17, 2015): 199–204. http://dx.doi.org/10.1017/s1049023x14001447.

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AbstractIntroductionThe objective of this study was to determine if modification of the Simple Triage and Rapid Treatment (START) system by the addition of an Orange category, intermediate between the most critically injured (Red) and the non-critical, non-ambulatory injured (Yellow), would reduce over- and under-triage rates in a simulated mass-casualty incident (MCI) exercise.MethodsA computer-simulation exercise of identical presentations of an MCI scenario involving a 2-train collision, with 28 case scenarios, was provided for triaging to two groups: the Fire Department of the City of New York (FDNY; n = 1,347) using modified START, and the Emergency Medical Services (EMS) providers from the Eagles 2012 EMS conference (Lafayette, Louisiana USA; n = 110) using unmodified START. Percent correct by triage category was calculated for each group. Performance was then compared between the two EMS groups on the five cases where Orange was the correct answer under the modified START system.ResultsOverall, FDNY-EMS providers correctly triaged 91.2% of cases using FDNY-START whereas non-FDNY-Eagles providers correctly triaged 87.1% of cases using unmodified START. In analysis of the five Orange cases (chest pain or dyspnea without obvious trauma), FDNY-EMS performed significantly better using FDNY-START, correctly triaging 86.3% of cases (over-triage 1.5%; under-triage 12.2%), whereas the non-FDNY-Eagles group using unmodified START correctly triaged 81.5% of cases (over-triage 17.3%; under-triage 1.3%), a difference of 4.9% (95% CI, 1.5-8.2).ConclusionsThe FDNY-START system may allow providers to prioritize casualties using an intermediate category (Orange) more properly aligned to meet patient needs, and as such, may reduce the rates of over-triage compared with START. The FDNY-START system decreases the variability in patient sorting while maintaining high field utility without needing computer assistance or extensive retraining. Comparison of triage algorithms at actual MCIs is needed; however, initial feedback is promising, suggesting that FDNY-START can improve triage with minimal additional training and cost.ArshadFH, WilliamsA, AsaedaG, IsaacsD, KaufmanB, Ben-EliD, GonzalezD, FreeseJP, HillgardnerJ, WeakleyJ, HallCB, WebberMP, PrezantDJ. A modified Simple Triage and Rapid Treatment algorithm from the New York City (USA) Fire Department. Prehosp Disaster Med. 2015;30(2):1-6.
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Liu, Sze Yan, Christina Fiorentini, Zinzi Bailey, Mary Huynh, Katharine McVeigh, and Deborah Kaplan. "Structural Racism and Severe Maternal Morbidity in New York State." Clinical Medicine Insights: Women's Health 12 (January 2019): 1179562X1985477. http://dx.doi.org/10.1177/1179562x19854778.

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Objective: We examined the association between county-level structural racism indicators and the odds of severe maternal morbidity (SMM) in New York State. Design: We merged individual-level hospitalization data from the New York State Department of Health Statewide Planning and Research Cooperative System (SPARCS) with county-level data from the American Community Survey and the Vera Institute of Justice from 2011 to 2013 (n = 244 854). Structural racism in each county included in our sample was constructed as the racial inequity (ratio of black to white population) in female educational attainment, female employment, and incarceration. Results: Multilevel logistic regression analysis estimated the association between each of these structural racism indicators and SMM, accounting for individual- and hospital-level characteristics and clustering in facilities. In the models adjusted for individual- and hospital-level factors, county-level racial inequity in female educational attainment was associated with small but statistically significant higher odds of SMM (odds ratio [OR] = 1.17, 95% confidence interval [CI] = 1.47, 1.85). County-level structural racism indicators of female employment inequity and incarceration inequity were not statistically significant. Interaction terms examining potential effect measure modification by race with each structural racism indicator also indicated no statistical difference. Conclusions: Studies of maternal disparities should consider multiple dimensions of structural racism as a contributing cause to SMM and as an additional area for potential intervention.
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Hasan, Shaakir, Robert H. Press, Arpit Chhabra, J. Isabelle Choi, and Charles B. Simone. "Longitudinal Quantitative Analysis of Radiation Oncology Staff Illness in a New York City Center during COVID-19: The Impact of New Guidelines on Operations and Employee Health." International Journal of Particle Therapy 7, no. 1 (June 1, 2020): 21–27. http://dx.doi.org/10.14338/ijpt-20-00032.1.

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Abstract Purpose The novel coronavirus (COVID-19) forced radiation oncology clinics to overhaul operational policies, but the effect on employee safety has not, to our knowledge, been reported. The New York Proton Center (NYPC), a large freestanding clinic in New York City, New York, presents a 1-month experience of employee-reported health outcomes after the infiltration of COVID-19 and enforcement of policies designed to mitigate its impact. Materials and Methods In March 2020, new operational policies were implemented, including rigorous and frequent sanitation, visitor and treatment restrictions, distribution of personal protective equipment, work-from-home orders, and isolated nursing and radiation therapy teams. Employees of NYPC were prospectively monitored for exposure and symptoms of COVID-19. Work hours lost because of illness or quarantines were quantified from March 1, 2020, to March 31, 2020. Results Among 95 total employees, 23 (24%) were quarantined because of symptoms (n = 15; 65%), high-risk exposure (n = 5; 22%), or self-quarantined with personal concern (n = 3; 13%). Of 44 full-time, on-site employees, 39% (n = 17, including 6 therapists and 5 nurses) missed significant work time, including 6 (14%) with confirmed COVID-19. At full capacity, NYPC would have used 7260 work hours during March 2020 from the full-time, on-site staff, which was reduced by 18.8% overall (25.2% of nursing and 13.3% of therapy work hours), all in the latter half of the month. Among the therapist lost work hours, 92% were from 2 of 7 distinct, isolated therapy teams (29%). Without isolation, the exposure was modeled to have been 100%. Conclusion Despite losing significant staff hours in our department because of COVID-19, early and aggressive adoption of current, recommended policy guidelines outlined in this manuscript allowed NYPC to continue patient operations at full capacity.
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Wysota, Christina N., Scott E. Sherman, Elizabeth Vargas, and Erin S. Rogers. "Sociodemographic Correlates of Food Insecurity Among New York City Tobacco Users." American Journal of Health Promotion 34, no. 6 (February 7, 2020): 664–67. http://dx.doi.org/10.1177/0890117120904002.

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Purpose: To identify rates and sociodemographic correlates of food insecurity among low-income smokers. Design: Cross-sectional analysis of baseline survey data from a randomized controlled trial (N = 403) testing a smoking cessation intervention for low-income smokers. Setting: Two safety-net hospitals in New York City. Sample: Current smokers with annual household income <200% of the federal poverty level. Measures: Food insecurity was measured using the United States Department of Agriculture 6-item food security module. Participant sociodemographics were assessed by self-reported survey responses. Analysis: We used frequencies to calculate the proportion of smokers experiencing food insecurity and multivariable logistic regression to identify factors associated with being food insecure. Results: Fifty-eight percent of participants were food insecure, with 29% reporting very high food insecurity. Compared to married participants, separated, widowed, or divorced participants were more likely to be food insecure (adjusted odds ratio [AOR] = 2.33, 95% confidence interval [CI]: 1.25-4.33), as were never married participants (AOR = 2.81, 95% CI: 1.54-5.14). Conclusions: Health promotion approaches that target multiple health risks (eg, smoking and food access) may be needed for low-income populations. Interventions which seek to alleviate food insecurity may benefit from targeting socially isolated smokers.
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Greenstein, Josh, Jerel Chacko, Brahim Ardolic, and Nicole Berwald. "Impact of Hurricane Sandy on the Staten Island University Hospital Emergency Department." Prehospital and Disaster Medicine 31, no. 3 (April 6, 2016): 335–39. http://dx.doi.org/10.1017/s1049023x16000261.

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AbstractIntroductionOn October 29, 2012, Hurricane Sandy touched down in New York City (NYC; New York USA) causing massive destruction, paralyzing the city, and destroying lives. Research has shown that considerable damage and loss of life can be averted in at-risk areas from advanced preparation in communication procedures, evacuation planning, and resource allocation. However, research is limited in describing how natural disasters of this magnitude affect emergency departments (EDs).Hypothesis/ProblemThe aim of this study was to identify and describe trends in patient volume and demographics, and types of conditions treated, as a result of Hurricane Sandy at Staten Island University Hospital North (SIUH-N; Staten Island, New York USA) site ED.MethodsA retrospective chart review of patients presenting to SIUH-N in the days surrounding the storm, October 26, 2012 through November 2, 2012, was completed. Data were compared to the same week of the year prior, October 28, 2011 through November 4, 2011. Daily census, patient age, gender, admission rates, mode of arrival, and diagnoses in the days surrounding the storm were observed.ResultsA significant decline in patient volume was found in all age ranges on the day of landfall (Day 0) with a census of 114; -55% compared to 2011. The daily volume exhibited a precipitous drop on the days preceding the storm followed by a return to usual volumes shortly after.A notably larger percentage of patients were seen for medication refills in 2012; 5.8% versus 0.4% (P<.05). Lacerations and cold exposure also were increased substantially in 2012 at 7.6% versus 2.8% (P<.05) and 3.8% versus 0.0% (P<.05) of patient visits, respectively.A large decline in admissions was observed in the days prior to the storm, with a nadir on Day +1 at five percent (-22%). Review of admitted patients revealed atypical admissions for home care service such as need for supplemental oxygen or ventilator.In addition, a drop in Emergency Medical Services (EMS) utilization was seen on Days 0 and +1. The SIUH-N typically sees 18% of patients arriving via EMS. On Day +1, only two percent of patients arrived by ambulance.ConclusionThe daily ED census saw a significant decline in the days preceding the storm. In addition, the type of conditions treated varied from baseline, and a considerable drop in hospital admissions was seen. Data such as these presented here can help make predictions for future scenarios.GreensteinJ, ChackoJ, ArdolicB, BerwaldN. Impact of Hurricane Sandy on the Staten Island University Hospital emergency department. Prehosp Disaster Med. 2016;31(3):335–339.
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Reckrey, Jennifer M., Emma Tsui, R. S. Morrison, Emma Geduldig, Robyn Stone, Katherine Ornstein, and Alex Federman. "THE HEALTH-RELATED TASKS PAID CAREGIVERS IN NEW YORK STATE PERFORM IN THE HOME." Innovation in Aging 3, Supplement_1 (November 2019): S216. http://dx.doi.org/10.1093/geroni/igz038.790.

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Abstract Paid caregivers (e.g. home health aides, personal care attendants) are formally tasked with helping older adults with functional impairment meet their basic needs at home. This study used semi-structured interviews (n=30) with dyads of patients or their proxies and their paid caregivers in New York City to 1) understand the range of health-related tasks paid caregivers perform in the home and 2) determine if these tasks are taught in the New York State government’s Department of Health curricula. We found that patients, proxies, and paid caregivers all described that paid caregivers performed a wide range of health-related tasks that were often not a part of their formal training. Creating clear competencies for paid caregivers that reflect the full breadth of health-related tasks they may perform at home will help maximize the potentially positive impact of the paid caregiver workforce on the lives of patients living at home with functional impairment.
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Reilly, Kathleen H., Katherine Bartley, Denise Paone, and Ellenie Tuazon. "Alcohol-related emergency department visits and income inequality in New York City, USA: an ecological study." Epidemiology and Health 41 (October 8, 2019): e2019041. http://dx.doi.org/10.4178/epih.e2019041.

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OBJECTIVES: Previous research has found that greater income inequality is related to problematic alcohol use across a variety of geographical areas in the USA and New York City (NYC). Those studies used self-reported data to assess alcohol use. This study examined the relationship between within-neighborhood income inequality and alcohol-related emergency department (ED) visits.METHODS: The study outcome was the alcohol-related ED visit rate per 10,000 persons between 2010 and 2014, using data obtained from the New York Statewide Planning and Research Cooperative System. The main predictor of interest was income inequality, measured using the Gini coefficient from the American Community Survey (2010-2014) at the public use microdata area (PUMA) level (n=55) in NYC. Variables associated with alcohol-related ED visits in bivariate analyses were considered for inclusion in a multivariable model.RESULTS: There were 420,568 alcohol-related ED visits associated with a valid NYC address between 2010 and 2014. The overall annualized NYC alcohol-related ED visit rate was 100.7 visits per 10,000 persons. The median alcohol ED visit rate for NYC PUMAs was 88.0 visits per 10,000 persons (interquartile range [IQR], 64.5 to 133.5), and the median Gini coefficient was 0.48 (IQR, 0.45 to 0.51). In the multivariable model, a higher neighborhood Gini coefficient, a lower median age, and a lower percentage of male residents were independently associated with the alcohol-related ED visit rate.CONCLUSIONS: This study found that higher neighborhood income inequality was associated with higher neighborhood alcohol-related ED visit rates. The precise mechanism of this relationship is not understood, and further investigation is warranted to determine temporality and to assess whether the results are generalizable to other locales.
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Latham, Lesley P., and Stacy Ackroyd-Stolarz. "Defining potentially preventable emergency department visits for older adults." International Journal of Healthcare 3, no. 2 (June 5, 2017): 1. http://dx.doi.org/10.5430/ijh.v3n2p1.

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Objective: As older adults become increasingly reliant on emergency departments (EDs) for care, there is an interest in determining what types of ED visits by this population may be preventable, or amenable to other forms of care. The aim of this project was to explore the concept of preventable ED visits by older adults.Methods: We conducted a literature search to identify definitions of “preventable” or “avoidable” ED visits. We then applied a definition of preventable ED visits to an administrative data set consisting of ED visit data extracted from four sites in Halifax, Nova Scotia, Canada. Visits for patients 65 years of age or older were eligible for inclusion. Visits were categorized using triage level and discharge diagnosis.Results: Four methods of defining preventable ED visits were identified in our literature search: 1) Ambulatory Care Sensitive Conditions (ACSCs) (N = 7), 2) Low Acuity/low intensity visits (N = 5), 3) New York University (NYU) (Billings) Algorithm (N = 3) and 4) hospital admission vs. non-admission (N = 1). We categorized 34,454 ED visits from our dataset using a modified definition of preventable ED visits that included ACSCs (15.3%) as well as low acuity visits that required no testing or hospital admission (9.9%).Conclusions: Our results suggest that approximately 25% of ED visits by older adults may be preventable or amenable to other forms of care. This data may be useful in the planning of care delivery appropriate for the needs of this population.
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Turner, MD, MSEd, Barbara J., Christine Laine, MD, MPH, Alan Kott, and Walter W. Hauck, PhD. "Effect of drug and medical treatment on wide geographic variations in repeated emergency department use by HIV-infected drug users." Journal of Opioid Management 2, no. 2 (March 1, 2006): 105. http://dx.doi.org/10.5055/jom.2006.0017.

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Repeated (≥ two visits) emergency department (ED) visits by HIV-infected (HIV+) drug users in New York State (NYS) vary widely by region and may reflect regional inequities in receipt of needed drug treatment and medical services. The study’s objective was to evaluate receipt of drug treatment and medical care by HIV+ drug users by region and its effect on ED use. For NYS Medicaid-enrolled HIV+ drug users (N = 11,556) in 1996 and 1997, we identified receipt of long-term (≥ six months) drug treatment, HIV care, and a usual source of medical care from claims files. Regions were classified as New York City , downstate suburban, upstate urban, and rural/small city. We examined adjusted associations of these services with ≥ two ED visits in the entire cohort and separately among patients who do and do not receive these three types of services. Repeated ED visits were greatest in rural/small cities (40.7 percent) and least in New York City (24.1 percent; p < 0.001), and receipt of drug treatment was also poorest (p < 0.001) in rural/small cities, whereas receipt of HIV care and usual source of medical care varied less by region. Adjusted odds of ≥ two ED visits was increased for patients in rural/small cities (1.89 [confidence interval, 1.44 to 2.50]) vs. New York City and reduced for patents with long-term drug treatment (0.76 [confidence interval, 0.69 to 0.84]). Among persons receiving long-term drug treatment, observed regional differences in ED use largely disappeared. Regional variations in receipt of long-term drug treatment by HIV+ drug users in one state appear to contribute to large differences in ED utilization.
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Weiss, Linda, Kerry Griffin, Meng Wu, Ellie DeGarmo, Foram Jasani, and José A. Pagán. "Transforming Primary Care in New York Through Patient-Centered Medical Homes: Findings From Qualitative Research." Journal of Primary Care & Community Health 13 (January 2022): 215013192211125. http://dx.doi.org/10.1177/21501319221112588.

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Background: The patient-centered medical home (PCMH) model, an important component of healthcare transformation in the United States, is an approach to primary care delivery with the goal of improving population health and the patient care experience while reducing costs. PCMH research most often focuses on system level indicators including healthcare use and cost; descriptions of patient and provider experience with PCMH are relatively sparse and commonly limited in scope. This study, part of a mixed-methods evaluation of a multi-year New York State initiative to refine and expand the PCMH model, describes patient and provider experience with New York State PCMH and its key components. Methods: The qualitative component of the evaluation included focus groups with patients of PCMH practices in 5 New York State counties (n = 9 groups and 67 participants) and interviews with providers and practice administrators at New York State PCMH practices (n = 9 interviews with 10 participants). Through these focus groups and interviews, we elicited first-person descriptions of experiences with, as well as perspectives on, key components of the New York State PCMH model, including accessibility, expanded use of electronic health records, integration of behavioral health care, and care coordination. Results: There was evident progress and some satisfaction with the PCMH model, particularly regarding integrated behavioral health and, to some extent, expanded use of electronic health records. There was less evident progress with respect to improved access and reasonable wait times, which caused patients to continue to use urgent care or the emergency department as substitutes for primary care. Conclusions: It is critical to understand the strengths and limitations of the PCMH model, so as to continue to improve upon and promote it. Strengths of the model were evident to participants in this study; however, challenges were also described. It is important to note that these challenges are difficult to separate from wider healthcare system issues, including inadequate incentives for value-based care, and carry implications for PCMH and other models of healthcare delivery.
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Sukariasih, Luh, I. Gede Purwana Edi Saputra, Fahrudi Ahwan Ikhsan, Andri Estining Sejati, and Khaerun Nisa. "IMPROVING THE LEARNING OUTCOMES OF KNOWLEDGE AND INQUIRY SKILL DOMAIN ON THIRD GRADE STUDENTS OF SMP NEGERI 14 KENDARI THROUGH THE GUIDED INQUIRY LEARNING MODEL ASSISTED BY SCIENCE KIT." Geosfera Indonesia 4, no. 2 (August 23, 2019): 175. http://dx.doi.org/10.19184/geosi.v4i2.10097.

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The study aims to improve the learning outcomes in the field of knowledge and inquiry skill in class VIII 5 SMP Negeri 14 Kendari on the subject matter of light in atmosphere as the effect of applying the guided inquiry learning model assisted by science KIT. The method of the study used a classroom action research with research design is cycle model. The research subject is the students of class VIII 5 SMP Negeri 14 Kendari in the academic year 2016/2017 which consist of 26 students. The learning data achievements of the learners' realm were obtained through the learning result test (cycle test), the skill data of the learners were obtained through the inquiry sheet, and then was analyzed used the descriptive statistics. Results of data analysis are: 1) learning outcomes increased from 60,31 in cycle I to 75 in cycle II; 2) the students group inquiry skill increased form average value 2.68 (enough category) in the cycle I to 3.15 (good category) in cycle II; 3) the students mastery learning percentage increase from 42.31% (11 students) in cycle I to 77% (20 students) in cycle II. It could be concluded that the implementation of guided inquiry learning model assisted by science KIT could improve the learning outcomes of knowledge and inquiry skill domain on Class VIII 5 SMP Negeri 14 Kendari in the subject matter of light in atmosphere. Keywords: guided inquiry, inquiry skills, learning outcomes,science KIT. References Ahmadi, L. (2015). Pemanfaatan Alat KIT pada Pembelajaran.Gorontalo: Universitas Negeri Gorontalo. Aksa, F.I., Utaya, S., & Bachri, S. (2019). Geografi dalam Perspektif Filsafat Ilmu. Majalah Geografi Indonesia,33(1), 43-37. Amaliana, I. (2017). Teacher-centered or Student-centered Learning Approach to Promote Learning?. Jurnal Sosial Humaniora, 10(2), 59-70. Anderson, L.W., & Krathwohl, D.R. (2015). Kerangka Landasan untuk Pembelajaran, Pengajaran, dan Asesmen Revisi Taksonomi Pendidikan Bloom (A. Priantoro, Trans.). Yogyakarta: Pustaka Pelajar. Arikunto, S. (2016). Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta: Rineka Cipta. Depdiknas. (2004). Kurikulum Mata PelajaranSains SMP danMTs.Jakarta: Depdiknas. Greenwald, R.R.,&Quitadamo, I.J. (2014). A Mind of Their Own: Using Inquiry-based Teaching to Build Critical Thinking Skills and Intellectual Engagement in an Undergraduate Neuroanatomy Course. The Journal of Undergraduate Neuroscience Education, 12(2), 100-106. Hardianti, T., & Kuswanto, H. (2017). Difference among Levels of Inquiry: Process Skills Improvement at Senior High School in Indonesia. International Journal of Instruction, 10(2), 119-130. Hidayati, D.N., Amaluddin, L.O., & Surdin. (2016). The Effect Guided Inquiry to Critical Thinking Ability to Build Student Character in Geography Subject. Social Science, Education and Humanities Research,9(1), 367-371. Kuhlthau, C.C., Maniotes, L.K., & Caspari, A.K. (2015). Guided Inquiry: Learning In The 21st Century(2nd ed.). California: Libraries Unlimeted. Mulyana, S., Rusdi, & Vivanti, D. (2018). The Effect of Guided Inquiry Learning Model and Scientific Performance on Student Learning Outcome. Indonesian Journal of Science and Education, 2(1), 105-109. Niana, R., Sarwanto, & Ekawati, E.Y. (2016). The Application of Guided Inquiry Model on Physic Learning to Improve Scientific Attitude and Students Analysis Ability. Proceedings of the 2nd International Conference on Teacher Training and Education Sebelas Maret University,2(1), 605-615. Piaget, J. (1970). Science of Education and the Psychology of The Child. New York: Wiley. Putra, M.I.S., Widodo, W., & Jatmiko, B. (2016). The Development of Guided Inquiry Science Learning Materials to Improve Science Literacy Skill of Prospective MI Teachers.JPII, 5(1), 83-93. Riduwan. (2015). Dasar-Dasar Statistika. Bandung: Tarsito. Sanjaya, W. (2014). Strategi Pembelajaran. Jakarta: Kencana Prenada Media Group. Sapriya. (2014). Pendidikan IPS. Bandung: RemajaRosdaKarya. Sarwi, S.,& Prayitno, W.W. (2016). Implementation of Guided Inquiry Physics Instruction to Increase An Understanding Concept and to Develop The Students Character Conservation. JurnalPendidikanFisika Indonesia,12(1), 1-7. Sitorus, H.H., Hasruddin, & Edi, S. (2017). The Influence of Inquiry Learning Model on Student’s Scientific Attitudes in Ecosystem Topic at MTs. Daarul Hikmah Sei Alim (Islamic Junior High School) Asahan. International Journal of Humanities Social Sciences and Education (IJHSSE), 4(11), 170-175. Sohibun. (2014). Penerapan Strategi Belajar Dengar Lihat Kerjakan (Delikan) Berbasis Laboratorium Mini terhadap Ketrampilan Proses Sains (KPS) Siswa SMA Kelas X MIA. Jurnal Imliah Edu Research, 3(1), 53-67. Sudjana, N. (2014). Penelitian Hasil Proses Belajar Mengajar. Bandung: Remaja Rosdakarya. Sugiyono. (2014). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan R&D. Bandung: Alfabeta. Tim Direktorat Pembinaan SMP. (2017). Panduan Penilaian oleh Pendidik dan Satuan Pendidikan Sekolah Menengah Pertama. Jakarta: Kementerian Pendidikan dan Kebudayaan Direktorat Jenderal Pendidikan Dasar dan Menengah Direktorat Pembinaan Sekolah Menengah Pertama. Wardani, S., Nurhayati, S., & Safitri, A. (2015). The Effectiveness of the Guided Inquiry Learning Module towards Students’ Character and Concept Understanding. International Journal of Science and Research (IJSR), 5(6), 1589-1594. Yewang, M.U.K., Degeng, I.N.S., Setyosari, P., & Sulton. (2016). The Effect of Guided Inquiry Learning Method VS Free Inquiry Against Learning Outcomes. International Conference on EducationUM, 561-568. Zaini, M. (2016). Guided Inquiry Based Learning on the Concept of Ecosystem Toward Learning Outcomes and Critical Thinking Skills of High School Student. IOSR Journal of Research & Method in Education (IOSR-JRME), 6(6), 50-55. Copyright (c) 2019 Geosfera Indonesia Journal and Department of Geography Education, University of Jember This work is licensed under a Creative Commons Attribution-Share A like 4.0 International License
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Curry, Laurel E., Ashley L. Feld, Todd Rogers, Ellen M. Coats, James Nonnemaker, Elizabeth Anker, Christina Ortega-Peluso, and Haven Battles. "Changes in Reported Secondhand Smoke Incursions and Smoking Behavior after Implementation of a Federal Smoke-Free Rule in New York State Federally Subsidized Public Housing." International Journal of Environmental Research and Public Health 19, no. 6 (March 16, 2022): 3513. http://dx.doi.org/10.3390/ijerph19063513.

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This study assessed changes in smoking behavior and secondhand smoke (SHS) exposure after implementation of the U.S. Department of Housing and Urban Development (HUD) rule prohibiting the use of cigarettes, cigars, pipes, and waterpipes in all federally subsidized public housing, including within residential units (apartments). Using quantitative data from a repeated cross-sectional mail survey of New York State residents of five public housing authorities (N = 761 at Wave 1, N = 649 at Wave 2), we found evidence of policy compliance (99% decrease in odds of self-reported smoking in units, OR = 0.01, p < 0.01, CI: 0.00–0.16), reduced SHS incursions (77% decrease in odds of smelling smoke within developments, OR = 0.23, p < 0.01, CI: 0.13–0.44), and lower reported smoking rates in July 2018 (9.5%, down from 16.8%), 10 months after implementation of the rule. Despite evident success, one-fifth of residents reported smelling smoke inside their apartment at least a few times per week. This study provides insights into how the policy was implemented in selected New York public housing authorities, offers evidence of policy-intended effects, and highlights challenges to consistent and impactful policy implementation.
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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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Mchunu, Khaya. "Appraising understandings of a social justice-infused pedagogy: Adinkra symbols as probes." Scholarship of Teaching and Learning in the South 3, no. 2 (September 27, 2019): 68. http://dx.doi.org/10.36615/sotls.v3i2.85.

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This article explores understandings of a social justice-infused pedagogy whilst inspiring new approaches to design. Drawing on the work of Giroux (2004), hooks (2003) and Leibowitz and Bozalek (2016), amongst others, this paper offers a case study of a student project in a Department of Fashion at a Durban-based University of Technology (UoT), in which students partnered with community stakeholders on a collaborative handbag design project. The project involved using traditional Ghanaian Adinkra symbols as probes to explore how students and their community partners understand the concept of social justice pedagogy. Group interviews, photographs and thematic content analysis are used to collect and analyse data on understandings of social justice pedagogy. Consequently, three themes are discussed about the groups’ understanding of a socially infused pedagogy. Beyond their role in understanding this pedagogy, these historical symbols are noted by the groups as providing a new approach to their design process. How to cite this article: MCHUNU, Khaya. Appraising understandings of a social justice-infused pedagogy: Adinkra symbols as probes. Scholarship of Teaching and Learning in the South. v. 3, n. 2, p. 68-83. Sept. 2019. Available at: https://sotl-south-journal.net/?journal=sotls&page=article&op=view&path%5B%5D=85&path%5B%5D=47 This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
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Feijó, Maria KEF, Karen Brasil Ruschel, Daniela Bernardes, Eduarda B. Ferro, Luis E. Rohde, Andreia Biolo, and Eneida Rejane Rabelo da Silva. "Effects of a diuretic adjustment algorithm protocol on heart failure admissions: A randomized clinical trial." Journal of Telemedicine and Telecare 27, no. 5 (May 9, 2021): 288–97. http://dx.doi.org/10.1177/1357633x211009640.

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Introduction The aim of this study was to evaluate the effectiveness of a diuretic adjustment algorithm (DAA) in maintaining clinical stability and reducing HF readmissions using telemonitoring technologies. Methods Randomized clinical trial of patients with an indication for furosemide dose adjustment during routine outpatient visits. In the intervention group (IG), the diuretic dose was adjusted according to the DAA and the patients received telephone calls for 30 days. In the control group (CG), the diuretic dose was adjusted by a physician at baseline only. Co-primary outcomes were hospital readmission and/or emergency department visits due to decompensated HF within 90 days, and a 2-point change in the Clinical Congestion Score and/or a deterioration in New York Heart Association functional class within 30 days. Results A total of 206 patients were included. Most patients were male ( n=119; 58%), with a mean age of 62 (SD 13) years. Four patients (2%) in the IG and 14 (7%) in the CG were hospitalized for HF (odds ratio (OR) 0.31 (0.10–0.91); p=0.04). Multivariate analysis showed a reduction of 67% in readmissions and/or emergency department visits due to decompensated HF in the IG compared with the CG (95% CI 0.13–0.88; p=0.027). Regarding the combined outcome of HF readmission and/or emergency department visits or clinical instability, the IG had 20% fewer events than the CG within 30 days (IG: n=48 (23%), CG: n=70 (34%); OR 0.80 (0.63–0.93); p=0.03). Discussion Using DAA improved the combined outcome in these outpatients, with favorable and significant results that included a reduction in HF admissions and in clinical instability. (NCT02068937)
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Ryaguzova, Elena V. "Nikolai V. Krogius: A life-long chess game." Izvestiya of Saratov University. Educational Acmeology. Developmental Psychology 11, no. 4 (December 15, 2022): 384–90. http://dx.doi.org/10.18500/2304-9790-2022-11-4-384-390.

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The article is devoted to the life and work of Nikolai Vladimirovich Krogius who was an international grandmaster (1964), European champion as part of the team (1965); two-time champion of the RSFSR (1952, 1964); Doctor of Psychological Sciences (1980), Head of the Department of Psychology of SSU (1978–1980), head of the Department of Chess of SCOLIPE (State Central Order of Lenin Institute of Physical Education) (1981–1983), Head of the Chess Department of the USSR State Sports Committee (1981–1989), Vice-President of FIDE (1986–1990). The objective of the article is to reflect on the life and creative work of Nikolai Vladimirovich viewing it as a successful chess game. The article presents several stages: the debut, including his childhood and studies in Saratov, his passion for chess and the first chess victories, studies at the Faculty of Philosophy of LSU; middlegame devoted to teaching in Saratov, serious sports and coaching work, doctoral dissertation defense, responsible management activities in the USSR State Sports Committee and FIDE; endgame including retirement, participation and prizes in the World Chess Championships among veterans, moving to New York, publishing books, articles and memoirs. The article pays special attention to the scientific activity of N. V. Krogius and the issues that are in the focus of his research interest. It shows theoretical and practical significance of his scientific works for the development of social and sports psychology, as well as the psychology of chess, which was founded in Russia by N. V. Krogius.
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Stoica, Alexandra, Victoriţa Şorodoc, Cătălina Lionte, Irina M. Jaba, Irina Costache, Ecaterina Anisie, Cristina Tuchiluș, et al. "Acute cardiac dyspnea in the emergency department: diagnostic value of N-terminal prohormone of brain natriuretic peptide and galectin-3." Journal of International Medical Research 47, no. 1 (September 17, 2018): 159–72. http://dx.doi.org/10.1177/0300060518798257.

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Objective This study was performed to determine whether a dual-biomarker approach using N-terminal prohormone of brain natriuretic peptide (NT-proBNP) and galectin-3 optimizes the diagnosis and risk stratification of acute cardiac dyspnea. Atypical clinical manifestations and overlapping pathologies require objective and effective diagnostic methods to avoid treatment delays. Methods This prospective observational study included 208 patients who presented to the emergency department for acute dyspnea. NT-proBNP and galectin-3 were measured upon admission. The patients were divided into two groups according to the etiology of their clinical manifestations: cardiac and non-cardiac dyspnea. The patients’ New York Heart Association functional class, left ventricular ejection fraction, and discharge status were assessed. Results Diagnostic criteria for acute heart failure were fulfilled in 61.1% of the patients. NT-proBNP and galectin-3 were strongly and significantly correlated. Receiver operating characteristic analysis revealed similar areas under the curve for both markers in the entire group of patients as well as in the high-risk subsets of patients. Conclusions The diagnostic performance of NT-proBNP and galectin-3 is comparable for both the total population and high-risk subsets. Galectin-3 adds diagnostic value to the conventional NT-proBNP in patients with acute cardiac dyspnea, and its utility is of major interest in uncertain clinical situations.
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Kummer, Benjamin R., Chloe Sweetnam, Barbara G. Vickrey, Georges Naasan, Dayneen Harvey, Kimberly Gallagher, and Nathalie Jetté. "Teleneurology Expansion in Response to the COVID-19 Outbreak at a Tertiary Health System in New York City." Neurology: Clinical Practice 11, no. 2 (March 9, 2021): e102-e111. http://dx.doi.org/10.1212/cpj.0000000000001057.

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ObjectiveTo assess the implementation of teleneurology (TN), including patient and clinician experiences, during the coronavirus respiratory disease 2019 (COVID-19) pandemic.MethodsWe studied synchronous (video visit) and asynchronous (store-and-forward, patient-portal evaluation, remote monitoring) TN utilization in the Mount Sinai Health System Neurology Department in New York, 2 months before and after the start of our department's response to the pandemic in mid-March 2020. Weekly division meetings enabled ongoing assessments and analysis of barriers and facilitators according to the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change models. We used postvisit surveys of clinicians (from April 13 to May 15, 2020) and patients (from May 11 to 15, 2020) to determine technology platforms used, and TN experience and acceptability, using Likert scales (1 = very poor/unlikely to 5 = very good/likely).ResultsOver the 4-month period, 117 TN clinicians (n = 14 subspecialties) conducted 4,225 TN visits with 3,717 patients (52 pre- vs 4,173 post–COVID-19). No asynchronous TN services were delivered. Post–COVID-19, the number of TN clinicians, subspecialties performing TN, and visits increased by 963%, 133%, and 7,925%, respectively. Mean acceptability among patients and clinicians was 4.7 (SD 0.6) and 3.4 (SD 1.6), respectively. Most video visits were completed using Epic MyChart (78.5%) and Zoom (8.1%). TN implementation facilitators included Medicare geographic restriction waivers, development of clinician educational materials, and MyChart outreach programs for patients experiencing technical difficulties.ConclusionsA significant expansion of TN utilization accompanied the COVID-19 response. Patients found TN more acceptable than did clinicians. Proactive application of an implementation framework facilitated rapid and effective TN expansion.
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Pressley, Joyce C., Leah M. Hines, Michael J. Bauer, Shin Ah Oh, Joshua R. Kuhl, Chang Liu, Bin Cheng, and Matthew F. Garnett. "Using Rural–Urban Continuum Codes (RUCCS) to Examine Alcohol-Related Motor Vehicle Crash Injury and Enforcement in New York State." International Journal of Environmental Research and Public Health 16, no. 8 (April 15, 2019): 1346. http://dx.doi.org/10.3390/ijerph16081346.

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Rural areas of New York State (NYS) have higher rates of alcohol-related motor vehicle (MV) crash injury than metropolitan areas. While alcohol-related injury has declined across the three geographic regions of NYS, disparities persist with rural areas having smaller declines. Our study aim was to examine factors associated with alcohol-related MV crashes in Upstate and Long Island using multi-sourced county-level data that included the Crash Outcome Data Evaluation System (CODES) with emergency department visits and hospitalizations, traffic citations, demographic, economic, transportation, alcohol outlets, and Rural–Urban Continuum Codes (RUCCS). A cross-sectional study design employed zero-truncated negative binominal regression models to assess relative risks (RR) with 95% confidence interval (CI). Counties (n = 57, 56,000 alcohol-related crashes over the 3 year study timeframe) were categorized by mean annual alcohol-related MV injuries per 100,000 population: low (24.7 ± 3.9), medium (33.9 ± 1.7) and high (46.1 ± 8.0) (p < 0.0001). In multivariable analyses, alcohol-related MV injury was elevated for non-adjacent, non-metropolitan counties (RR 2.5, 95% CI: 1.6–3.9) with higher citations for impaired driving showing a small, but significant protective effect. Less metropolitan areas had higher alcohol-related MV injury with inconsistent alcohol-related enforcement measures. In summary, higher alcohol-related MV injury rates in non-metropolitan counties demonstrated a dose–response relationship with proximity to a metropolitan area. These findings suggest areas where intervention efforts might be targeted to lower alcohol-related MV injury.
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Brackbill, Robert M., Amy R. Kahn, Jiehui Li, Rachel Zeig-Owens, David G. Goldfarb, Molly Skerker, Mark R. Farfel, et al. "Combining Three Cohorts of World Trade Center Rescue/Recovery Workers for Assessing Cancer Incidence and Mortality." International Journal of Environmental Research and Public Health 18, no. 4 (February 3, 2021): 1386. http://dx.doi.org/10.3390/ijerph18041386.

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Three cohorts including the Fire Department of the City of New York (FDNY), the World Trade Center Health Registry (WTCHR), and the General Responder Cohort (GRC), each funded by the World Trade Center Health Program have reported associations between WTC-exposures and cancer. Results have generally been consistent with effect estimates for excess incidence for all cancers ranging from 6 to 14% above background rates. Pooling would increase sample size and de-duplicate cases between the cohorts. However, pooling required time consuming steps: obtaining Institutional Review Board (IRB) approvals and legal agreements from entities involved; establishing an honest broker for managing the data; de-duplicating the pooled cohort files; applying to State Cancer Registries (SCRs) for matched cancer cases; and finalizing analysis data files. Obtaining SCR data use agreements ranged from 6.5 to 114.5 weeks with six states requiring >20 weeks. Records from FDNY (n = 16,221), WTCHR (n = 29,372), and GRC (n = 33,427) were combined de-duplicated resulting in 69,102 unique individuals. Overall, 7894 cancer tumors were matched to the pooled cohort, increasing the number cancers by as much as 58% compared to previous analyses. Pooling resulted in a coherent resource for future research for studies on rare cancers and mortality, with more representative of occupations and WTC- exposure.
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Zhang, Laura, Emilia Pawlowski, Leah M. Hines, Michael J. Bauer, and Joyce C. Pressley. "Risk and Protective Factors for Injury in Adult Front- and Rear-Seated Motor Vehicle Occupants in New York State." International Journal of Environmental Research and Public Health 21, no. 6 (May 22, 2024): 663. http://dx.doi.org/10.3390/ijerph21060663.

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Although seatbelt use is known to reduce motor vehicle occupant crash injury and death, rear-seated adult occupants are less likely to use restraints. This study examines risk and protective factors associated with injury severity in front- and rear-seated adults involved in a motor vehicle crash in New York State. The Crash Outcome Data Evaluation System (CODES) (2016–2017) was used to examine injury severity in front- and rear-seated occupants aged 18 years or older (N= 958,704) involved in a motor vehicle crash. CODES uses probabilistic linkage of New York State hospitalization, emergency department, and police and motorist crash reports. Multivariable logistic regression models with MI analyze employed SAS 9.4. Odds ratios are reported as OR with 95% CI. The mortality rate was approximately 1.5 times higher for rear-seated than front-seated occupants (136.60 vs. 92.45 per 100,000), with rear-seated occupants more frequently unrestrained than front-seated occupants (15.28% vs. 1.70%, p < 0.0001). In adjusted analyses that did not include restraint status, serious injury/death was higher in rear-seated compared to front-seated occupants (OR:1.272, 1.146–1.412), but lower once restraint use was added (OR: 0.851, 0.771–0.939). Unrestrained rear-seated occupants exhibited higher serious injury/death than restrained front-seated occupants. Unrestrained teens aged 18–19 years old exhibit mortality per 100,000 occupants that is more similar to that of the oldest two age groups than to other young and middle-aged adults. Speeding, a drinking driver, and older vehicles were among the independent predictors of serious injury/death. Unrestrained rear-seated adult occupants exhibit higher severe injury/death than restrained front-seated occupants. When restrained, rear-seated occupants are less likely to be seriously injured than restrained front-seated occupants.
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Liu, N., J. Sperling, R. Green, S. Clark, D. Vawdrey, and R. Schnall. "An Electronic Alert for HIV Screening in the Emergency Department Increases Screening but not the Diagnosis of HIV." Applied Clinical Informatics 05, no. 01 (2014): 299–312. http://dx.doi.org/10.4338/aci-2013-09-ra-0075.

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SummaryObjective: Based on US. Centers for Disease Control and Prevention recommendations, New York State enacted legislation in 2010 requiring healthcare providers to offer non-targeted human immunodeficiency virus (HIV) testing to all patients aged 13–64. Three New York City adult emergency departments implemented an electronic alert that required clinicians to document whether an HIV test was offered before discharging a patient. The purpose of this study was to assess the impact of the electronic alert on HIV testing rates and diagnosis of HIV positive individuals.Methods: During the pre-intervention period (2.5–4 months), an electronic “HIV Testing” order set was available for clinicians to order a test or document a reason for not offering the test (e.g., patient is not conscious). An electronic alert was then added to enforce completion of the order set, effectively preventing ED discharge until an HIV test was offered to the patient. We analyzed data from 79,786 visits, measuring HIV testing and detection rates during the pre-intervention period and during the six months following the implementation of the alert.Results: The percentage of visits where an HIV test was performed increased from 5.4% in the pre-intervention period to 8.7% (p<0.001) after the electronic alert. After the implementation of the electronic alert, there was a 61% increase in HIV tests performed per visit. However, the percentage of patients testing positive per total patients-tested was slightly lower in the post-intervention group than the pre-intervention group (0.48% vs. 0.55%), but this was not significant. The number of patients-testing positive per total-patient visit was higher in the post-intervention group (0.04% vs. 0.03%).Conclusions: An electronic alert which enforced non-targeted screening was effective at increasing HIV testing rates but did not significantly increase the detection of persons living with HIV. The impact of this electronic alert on healthcare costs and quality of care merits further examination.Citation: Schnall R, Liu N, Sperling J, Green R, Clark S, Vawdrey D. An electronic alert for HIV screening in the emergency department increases screening but not the diagnosis of HIV. Appl Clin Inf 2014; 5: 299–312 http://dx.doi.org/10.4338/ACI-2013-09-RA-0075
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Flórez, Karen R., Sandra S. Albrecht, Neil Hwang, Earle Chambers, Yan Li, Francesca M. Gany, and Marivel Davila. "Household Food Security and Consumption of Sugar-Sweetened Beverages among New York City (NYC) Children: A Cross-Sectional Analysis of 2017 NYC Kids’ Data." Nutrients 15, no. 18 (September 12, 2023): 3945. http://dx.doi.org/10.3390/nu15183945.

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Food insecurity is a stressor associated with adverse health outcomes, including the consumption of sugar-sweetened beverages (SSBs). Our study tests the hypothesis that other socioeconomic vulnerabilities may magnify this effect using cross-sectional data from the 2017 New York City (NYC) Kids Survey. Households providing an affirmative response to one or both food security screener questions developed by the US Department of Agriculture were coded as households with low food security. The number of sodas plus other SSBs consumed was standardized per day and categorized as 1 = none, 2 = less than one, and 3 = one or more. We tested the joint effect of low food security with chronic hardship, receipt of federal aid, and immigrant head of household on a sample of n = 2362 kids attending kindergarten and beyond using ordinal logistic regression and accounting for the complex survey design. Only having a US-born parent substantially magnified the effect of low household food security on SSB consumption (OR = 4.2, 95%CI: 2.9–6.3, p < 0.001) compared to the reference group of high household food security with an immigrant parent. The effect of low food security on SSB consumption among NYC children warrants intersectional approaches, especially to elucidate US-based SSB norms in low-food-security settings.
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Irvine, Mary K., Bruce Levin, McKaylee M. Robertson, Katherine Penrose, Jennifer Carmona, Graham Harriman, Sarah L. Braunstein, and Denis Nash. "PROMISE (Program Refinements to Optimize Model Impact and Scalability based on Evidence): a cluster-randomised, stepped-wedge trial assessing effectiveness of the revised versus original Ryan White Part A HIV Care Coordination Programme for patients with barriers to treatment in the USA." BMJ Open 10, no. 7 (July 2020): e034624. http://dx.doi.org/10.1136/bmjopen-2019-034624.

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IntroductionGrowing evidence supports combining social, behavioural and biomedical strategies to strengthen the HIV care continuum. However, combination interventions can be resource-intensive and challenging to scale up. Research is needed to identify intervention components and delivery models that maximise uptake, engagement and effectiveness. In New York City (NYC), a multicomponent Ryan White Part A-funded medical case management intervention called the Care Coordination Programme (CCP) was launched at 28 agencies in 2009 in order to address barriers to care and treatment. Effectiveness estimates based on >7000 clients enrolled by April 2013 and their controls indicated modest CCP benefits over ‘usual care’ for short-term and long-term viral suppression, with substantial room for improvement.Methods and analysisIntegrating evaluation findings and CCP service-provider and community-stakeholder input on modifications, the NYC Health Department packaged a Care Coordination Redesign (CCR) in a 2017 request for proposals. Following competitive re-solicitation, 17 of the original CCP-implementing agencies secured contracts. These agencies were randomised within matched pairs to immediate or delayed CCR implementation. Data from three 9-month periods (pre-implementation, partial implementation and full implementation) will be examined to compare CCR versus CCP effects on timely viral suppression (TVS, within 4 months of enrolment) among individuals with unsuppressed HIV viral load newly enrolling in the CCR/CCP. Based on current enrolment (n=933) and the pre-implementation outcome probability (TVS=0.54), the detectable effect size with 80% power is an OR of 2.75 (relative risk: 1.41).Ethics and disseminationThis study was approved by the NYC Department of Health and Mental Hygiene Institutional Review Board (IRB, Protocol 18–009) and the City University of New York Integrated IRB (Protocol 018–0057) with a waiver of informed consent. Findings will be disseminated via publications, conferences, stakeholder meetings, and Advisory Board meetings with implementing agency representatives.Trial registration numberRegistered with ClinicalTrials.gov under identifier: NCT03628287, V.2, 25 September 2019; pre-results.
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Glaser, Allison, Emma Kaplan-Lewis, Ana Ventuneac, Wyley Gates, Michael Cruz, Joaquin Aracena, Diane Tider, Bianca Duah, Judith Aberg, and Antonio Urbina. "860. Immediate Access to Post-Exposure Prophylaxis (PEP) Through a 24/7 New York City PEP Hotline." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S20—S21. http://dx.doi.org/10.1093/ofid/ofy209.045.

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Abstract Background Oral post-exposure prophylaxis (PEP) is effective in preventing HIV transmission. To minimize barriers to PEP for New York City (NYC) residents, the Institute for Advanced Medicine (IAM), Mount Sinai Health System, and the NYC Department of Health and Mental Health established a 24-hour 7-days PEP hotline to provide eligible callers with immediate access to PEP and follow-up clinical care. Methods Data from hotline callers (January to December 2017) was analyzed utilizing multivariable logistic regression to determine whether a call resulted in PEP access within 72 hours of exposure by sociodemographic variables and exposure characteristics. We describe transitions from PEP to PrEP (pre-exposure prophylaxis). Results The PEP hotline cohort (n = 1278) was 83% male, 11% female, 1% transgender; 66% LGBTQ and 20% heterosexual; 35% White, 15% Black, 9% Asian; 41% other/unknown; 25% Hispanic; mean age of 30 years (range 14–72). The majority of callers learned about the hotline by Internet search (59%). Mean exposure time prior to call was 31 hours with 57% within 24 hours. Exposures were 98% sexual; 73% anal sex (43% receptive; 30% insertive), 21% vaginal, and 6% other. 63% reported condomless sex and 29% condom failure. 15% of callers reported a partner with HIV. 35% of callers reported alcohol or recreational substances at the time of the exposure. Prior PEP and PrEP use was 20% and 9%, respectively. 91% of callers were eligible for PEP; 69% called afterhours and received a telephone PEP prescription, and 27% called during business hours and were directed to a clinic. Access to PEP within 72 hours of exposure occurred in 1,081 (93%) of eligible callers and within 36 hours in 68%. 90% of callers had confirmed follow-up clinic appointments. Of the 472 callers linked to care at the IAM, 89 (19%) transitioned to PrEP. Conclusion This unique program demonstrates a timely initiative to facilitate PEP access to a diverse cohort with the purpose of mitigating risk from potential exposure to HIV. Further investigation is needed to explore adherence to PEP, follow-up testing results, transitions to PrEP for prevention planning, and coordination of health care and substance use services. Disclosures E. Kaplan-Lewis, Viiv: Consultant, Consulting fee. J. Aberg, Gilead: Research Contractor, Research support. GSK: Research Contractor, Research support. ViiV: Research Contractor, Research support. A. Urbina, Theratechnologies: Scientific Advisor, Consulting fee. ViiV: Scientific Advisor, Consulting fee. Merck: Scientific Advisor, Consulting fee. Gilead: Scientific Advisor, Consulting fee.
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Ruggiero, Amanda Saba, and Luis Michal. "MoMA A&D talks: on curating architecture and design (Second part)." Risco Revista de Pesquisa em Arquitetura e Urbanismo (Online) 17, no. 2 (September 17, 2019): 129–30. http://dx.doi.org/10.11606/issn.1984-4506.v17i2p129-130.

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During Fall 2016 we had the unique opportunity to participate in the regular internship program of the Museum of Modern Art in New York and assist with ongoing exhibition projects in the Architecture and Design Department (A&D). This Department was established in 1932 as the first curatorial department dedicated to architecture and design and built on an ambitious collection covering major figures and movement of architectural culture from mid-19th century to the present. With looking back on a rich history of influential exhibitions such as Modern Architecture: International Exhibition (1932), Architecture Without Architects (1964/65) or Deconstructivist Architecture (1988) it has been one of the key institutions to push the format of the architecture exhibition and which it keeps doing up to today. Having this in mind we both came to New York with great respect and honored to gain insights in this institution for a period of three months. The department currently employs around 15 people which made it a really pleasant, intimate place to work with highly passionate and professional individuals full of remarkable expertise and respect for each other. This said and with the department going through some recent (at that moment) personnel changes, most notably the new directorship of Martino Stierli since 2015, as well MoMA reconfiguring and adding gallery spaces set to be open in 2019, we felt it was a very interesting moment for us to talk to our curator colleagues about their personal history and professional ambitions as curators at MoMA as well specific challenges of exhibiting architecture and design. Being both educated in architecture in different countries (Brazil and Germany) we could gain not only a lot of professional insights but also talk about personal aspects of the curators´ – not always linear – careers. In total we conducted six interviews with all (senior) curators and one curatorial assistant of the Architecture and Design Department, all of whom we asked the same, around ten questions in order to produce a complete “panorama” of the departments staff at that very moment. In the following we would like to share with you the second half with Juliet Kinchin, Martino Stierli and Sean Anderson. The first three interviews with Paola Antonelli, Barry Bergdoll and Michelle Millar Fisher, were published on RISCO v.16 n.1 2018. From the interviews, Juliet Kinchin had an approach since a student into intellectual debates and design history rather than architectural history, while Martino as a professor, was also engaged doing exhibitions. Sean Anderson struggled being a professor and practicing architect, and curation for him “means also being able to condense ideas and questions”. Since they had different backgrounds before arrive at MoMA, the teaching position and a special love for research is a shared common background for them. Juliet Kinchin argues that the curator’s activity apart from the responsabilities also means communicate and creating view points and arguments in a spatial and material form, while Martino talk about the work of curating a show as very much about a teamwork. For Sean Anderson also the very strong critical sensibility, is a must have skill for a curator. Sean Anderson’s advice to young curators is to ask questions and to have as many experiences in the world as possible. Juliet Kinchin talks about integrity, that makes the difference in your work, Martino in the same way, reinforce the ideia to love what you do and so you will be successful. Luis Michal, Amanda Saba Ruggiero
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Hodo, Laura Nell, Lindsey C. Douglas, Diana S. Lee, Srividya Bhadriraju, and Karen M. Wilson. "Deployed: One Pediatric Department’s Experience of Adult Care During COVID-19." Hospital Pediatrics 11, no. 10 (October 1, 2021): e235-e243. http://dx.doi.org/10.1542/hpeds.2020-005799.

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OBJECTIVES The number of hospitalized coronavirus disease 2019 patients in March 2020 to April 2020 in our New York City hospital required increased physician staffing, including deployment of pediatricians to adult care. To improve the deployment process, we sought to understand the mindset, preparations for, and experience during deployment of pediatric faculty in our institution. METHODS Faculty members of the Department of Pediatrics completed pre- and postsurveys evaluating perspectives, fears, and preparations relevant to deployment. Demographic characteristics of the faculty members were collected. Survey questions included Likert scale, multiple choice, and free-text responses. Descriptive statistics, Fisher’s exact test, and χ2 test were used to compare groups. Free-text responses were categorized by topic. Survey responses were shared with leadership in real time and adjustments to the deployment process made. RESULTS The predeployment survey was sent to 202 pediatric faculty members, with a 29% (n = 59) completion rate. Of the 36 deployed faculty, 29 (81%) completed all items of the postsurvey. The majority (74%, n = 42) expressed discomfort with care of adults and fear and/or nervousness about deployment (61%, n = 35). Most faculty (88%, n = 52) prepared for deployment and cited local guidelines and published literature as helpful preparation materials (55%, n = 16). Dissemination of details about schedules and role clarification before deployment were areas for improvement. CONCLUSIONS Pediatric faculty facing deployment to adult care have concerns about the process of deployment as well as the work itself. Specific information distributed in advance, along with consistent and frequent communication, may help mitigate these fears.
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El-Bassel, Nabila, Louisa Gilbert, Satya Krishnan, Robert F. Schilling, Theodore Gaeta, Stacey Purpura, and Susan S. Witte. "Partner Violence and Sexual HIV-Risk Behaviors Among Women in an Inner-City Emergency Department." Violence and Victims 13, no. 4 (January 1998): 377–93. http://dx.doi.org/10.1891/0886-6708.13.4.377.

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This study examines the relationship between partner violence and sexual risk behaviors in a sample of predominantly Latina and African American women who sought medical care from a New York City hospital emergency department. Eligibility criteria selected women between the ages of 18 and 55, who were sexually active in the past 90 days, and were triaged to nonemergency care. The interview addressed demographics, partner violence, childhood abuse, sexual behavior, and drug and alcohol use. Multiple logistic regression analysis was used to assess the association between partner violence and history of having a sexually transmitted disease (STD) and of having sex with a risky partner. Nearly one half of the 143 respondents (46.1 %, n = 66) reported that they had experienced physical, sexual, or life-threatening abuse by a boyfriend or spouse in the past and 17.5% reported that abuse had occurred within the past year. In the univariate analyses, abused women were more likely than nonabused women to report having had an STD; engaging in sex with a risky partner; having more than one sexual partner; and being tested for HIV. After controlling for confounding variables, abused women were almost five times more likely than their counterparts to have reported an STD and four times more likely to engage in sex with a risky sexual partner. The relationship between partner violence and sexual risk behaviors among women seeking treatment in an emergency department suggests the need for the development of HIV-risk reduction strategies that address the needs of women in abusive relationships.
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Colbeth, Hilary L., Rachel Zeig-Owens, Mayris P. Webber, David G. Goldfarb, Theresa M. Schwartz, Charles B. Hall, and David J. Prezant. "Post-9/11 Peripheral Neuropathy Symptoms among World Trade Center-Exposed Firefighters and Emergency Medical Service Workers." International Journal of Environmental Research and Public Health 16, no. 10 (May 16, 2019): 1727. http://dx.doi.org/10.3390/ijerph16101727.

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Peripheral neuropathy can result from numerous conditions including metabolic disorders, inflammatory disease, or exposure to environmental or biological toxins. We analyzed questionnaire data from 9239 Fire Department of the City of New York (FDNY) World Trade Center (WTC)-exposed firefighters and emergency medical service workers (EMS) to evaluate the association between work at the WTC site and subsequent peripheral neuropathy symptoms using the validated Diabetic Neuropathy Symptom (DNS) score. We grouped the population into an “Indicated” group with conditions known to be associated with paresthesia (N = 2059) and a “Non-Indicated” group without conditions known to be associated (N = 7180). The level of WTC exposure was categorized by time of arrival to the WTC. Overall, 25% of workers aged 40 and older reported peripheral neuropathy symptoms: 30.6% in the Indicated and 23.8% in the Non-Indicated groups, respectively. Multivariable logistic models performed on the Non-Indicated group, and on the Non-Indicated in comparison with non-WTC exposed National Health and Nutrition Examination Survey (NHANES), found that the highest level of WTC-exposure was significantly associated with DNS positive outcomes, after controlling for potential confounders. In conclusion, this study suggests that symptoms of peripheral neuropathy and paresthesias are common and are associated with WTC-exposure intensity.
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Yilmaz, Meltem, and Rusen Keleş. "Sustainable housing design and the natural environment." Ekistics and The New Habitat 71, no. 427-429 (December 1, 2004): 236–43. http://dx.doi.org/10.53910/26531313-e200471427-429194.

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Dr Yilmaz teaches in the Department of Interior Architecture and Environmental Design of the University of Hacettepe, Ankara, Turkey,from which she has a Masters degree. She also has a Ph. D from the Department of Urban and Environmental Sciences, University of Ankara. She has presented papers on environmental problems and vernacular architecture at numerous national and international congresses, and published others in various scholarly journals. Professor Keleş taught at Ankara University, Faculty of Political Science for many years and served as Dean of the Faculty from 1971 to1975. He was also Head of both the Ernst Reuter Center for Urban Studies and the Center for Environmental Studies at the same university. He currently teaches at the Eastern Mediterranean University, North Cyprus. Dr Keleş has published extensively on Comparative Urbanization, Theories of Local Government, Environmental Policies, and Urban Politics. His major publications include The Politics of Urbanization: Government and Growth in Modern Turkey (with Michael N. Danielson, New York, Holmes and Meier, 1985)-, The Urban Poverty in the Third World, Institute of Developing Economies, Tokyo, 1988; and Housing in the Middle East (with Hiromaso Kano), Institute of Developing Economies, Tokyo, 1986. Dr Keles is a member of the World Society for Ekistics. The text that follows is an edited version of a paper presented at the international symposion on 'The Natural City, " Toronto, 23-25 June, 2004, sponsored by the University of Toronto's Division of the Environtmental Studies, and the World Society for Ekistics.
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Thompson, Azure, María Baquero, Devin English, Michele Calvo, Simone Martin-Howard, Tawandra Rowell-Cunsolo, Marné Garretson, and Diksha Brahmbhatt. "Associations between Experiences of Police Contact and Discrimination by the Police and Courts and Health Outcomes in a Representative Sample of Adults in New York City." Journal of Urban Health 98, no. 6 (November 22, 2021): 727–41. http://dx.doi.org/10.1007/s11524-021-00583-6.

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Abstract Communities marginalized because of racism, heterosexism, and other systems of oppression have a history of being aggressively policed, and in those contexts, researchers have observed associations between a range of negative experiences with police and poor physical, mental, and behavioral health outcomes. However, past studies have been limited in that experiences of police contacts were aggregated at the neighborhood level and, if police contacts were self-reported, the sample was not representative. To address these limitations, we employed NYC Department of Health and Mental Hygiene 2017 Social Determinants of Health Survey (n = 2335) data to examine the associations of self-reported police contacts and discrimination by police and the courts with measures of physical (poor physical health), mental (poor mental health, serious psychological distress), and behavioral health (binge drinking). Residents marginalized because of racial, ethnic, and sexual minority status were more likely to be stopped, searched, or questioned by the police; threatened or abused by the police; and discriminated against by the police or in the courts; those experiences were associated with poor physical, mental, and behavioral health outcomes. The associations between experiences with police and poor health outcomes were strongest among Black residents and residents aged 25–44. Our findings suggest that the health of NYC residents who have had exposure to police and experienced discrimination by the police and courts is poorer than those who have not, and build on a growing body of evidence that aggressive policing practices have implications for public health.
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Berger, Kenneth I., Meredith Turetz, Mengling Liu, Yongzhao Shao, Angeliki Kazeros, Sam Parsia, Caralee Caplan-Shaw, et al. "Oscillometry complements spirometry in evaluation of subjects following toxic inhalation." ERJ Open Research 1, no. 2 (October 2015): 00043–2015. http://dx.doi.org/10.1183/23120541.00043-2015.

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The World Trade Center (WTC) destruction released dust and fumes into the environment. Although many community members developed respiratory symptoms, screening spirometry was usually normal. We hypothesised that forced oscillation testing would identify functional abnormalities undetected by spirometry and that symptom severity would relate to magnitude of abnormalities measured by oscillometry.A symptomatic cohort (n=848) from the Bellevue Hospital WTC Environmental Health Center was evaluated and compared to an asymptomatic cohort (n=475) from the New York City Department of Health WTC Health Registry. Spirometry and oscillometry were performed. Oscillometry measurements included resistance (R5) and frequency dependence of resistance (R5−20).Spirometry was normal for the majority of subjects (73.2% symptomatic versus 87.6% asymptomatic, p<0.0001). In subjects with normal spirometry, R5 and R5−20 were higher in symptomatic versus asymptomatic subjects (median (interquartile range) R5 0.436 (0.206) versus 0.314 (0.129) kPa·L−1·s−1, p<0.001; R5−20 0.075 (0.085) versus 0.004 (0.042) kPa·L−1·s−1, p<0.0001). In symptomatic subjects, R5 and R5−20 increased with increasing severity and frequency of wheeze (p<0.05).Measurement of R5–20 correlated with the presence and severity of symptoms even when spirometry was within normal limits. These findings are in accord with small airway abnormalities as a potential explanation of the respiratory symptoms.
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Smith, Carr J., Thomas A. Perfetti, and Richard G. Morford. "Use of 1-bromopropane (N-propyl bromide) in dry cleaning is rare and rapidly declining toward obsolescence." Toxicology Research and Application 4 (January 1, 2020): 239784732096696. http://dx.doi.org/10.1177/2397847320966961.

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Ten years ago, the Halogenated Solvents Industry Alliance (HSIA) and the New York State Department of Environmental Conservation petitioned the US Environmental Protection Agency (USEPA) to classify 1-bromopropane (1-BP) as a hazardous air pollutant (HAP), the first such classification of a chemical since 1990. The USEPA plans to classify 1-BP as a HAP. One of the putative exposures supporting HAP classification is 1-BP-based dry cleaning solvents. Only two 1-BP-based dry cleaning solvents have ever been marketed domestically, i.e. the dominant market share product DrySolv® (DrySolv) and less commonly used FabrisolvTM XL (Fabrisolv). The use of 1-BP-based dry cleaning solvents has been declining for several years. Fabrisolv is no longer marketed as a dry cleaning agent. In the first half of 2020, less than 1,600 pounds of DrySolv have been sold for the remaining six dedicated dry cleaning machines still in operation in the United States. It is expected that the number of dedicated DrySolv dry cleaning machines in operation will be reduced to three by the end of 2020. In addition, no 1-BP-based spot cleaner has ever been marketed in the United States. USEPA currently classifies 187 chemicals as HAPs, with a subset of 30 HAPS classified as urban air toxics. Dry cleaning is considered to be one of the 68 “area sources” that contribute to sub-classification of 1-BP as an urban air toxic. In the near future, 1-BP-based products will not be employed in the dry cleaning industry.
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Scherr, Douglas S. "Commentary on “Tissue-specific mutagenesis by N-butyl-N-(4-hydroxybutyl) nitrosamine as the basis for urothelial cell carcinogenesis.” He Z, Kosinska W, Zhao ZL, Wu XR, Guttenplan JB, Department of Basic Science, New York University Dental College, NY, USA." Urologic Oncology: Seminars and Original Investigations 32, no. 2 (February 2014): 214. http://dx.doi.org/10.1016/j.urolonc.2013.08.014.

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van der Ven, Els, Stephen Smith, Yasmin Rawlins, Ilana Nossel, Cale Basaraba, Melanie Wall, Jennifer Scodes, Wim Veling, Leslie Marino, and Lisa Dixon. "S243. RACIAL AND ETHNIC DIFFERENCES IN PATHWAY TO CARE AND BASELINE CHARACTERISTICS IN EARLY INTERVENTION SERVICES FOR PSYCHOSIS IN NEW YORK STATE." Schizophrenia Bulletin 46, Supplement_1 (April 2020): S131. http://dx.doi.org/10.1093/schbul/sbaa031.309.

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Abstract Background The racial and ethnic background of individuals with psychosis may shape their pathway to early intervention services and clinical presentation at admission. Studies from Europe and Canada demonstrate that black minority patients with first-episode psychosis experience a more adverse and coercive pathway to care. The extent to which these findings can be extrapolated to the US context is unknown. The aims of this study are (1) to compare baseline contextual and clinical characteristics, and (2) to examine care pathways by race and ethnicity among young people with psychosis in early intervention services. Methods This study included individuals with a recent-onset (&lt;2 years) psychosis aged 16 to 30 years enrolled at 19 early intervention programs across New York State. Clinicians collected data on pathway to care, demographic, social and clinical variables at program entry. Level of functioning was assessed using the social, occupational and symptomatic functioning subscales of the MIRECC GAF. Results The sample included 767 individuals with a non-Hispanic white (n=209, 27.2%), non-Hispanic black (277, 36.1%), Hispanic (218, 28.4%), or Asian (63, 8.2%) racial/ethnic background. Compared to non-Hispanic white, minority individuals were more likely to have public or no insurance and, overall, had a lower level of completed education. In terms of pathway to care, a lower proportion of non-Hispanic black (65.7%) and Asian (58.7%) participants had previously used mental health services compared to the non-Hispanic white group (78.0%). In contrast, psychiatric hospital or emergency department admissions in the 90 days prior to program enrollment were more frequent among all minority groups in comparison to the non-Hispanic white group. There were no significant differences by race and ethnicity in the level of symptoms or social functioning at baseline. Discussion Our findings suggest a pattern of mental health service use among minority groups with psychosis characterized by less mental health contacts but more inpatient and emergency care prior to the initiation of early intervention services. This trend could be partly explained by racial and ethnic patterning at the contextual level, including financial barriers to care, less so by racial/ethnic differences in illness severity. Our findings are consistent with evidence demonstrating an overrepresentation of minority individuals, especially African-Americans, in psychiatric emergency services suggesting a gap in unmet mental health need among minority populations in the US.
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