scholarly journals Unconventional Care at a Convention Center: An Overview of Patient Focused Care at a COVID-19 Alternative Care Site in New Orleans

Author(s):  
Meghan Maslanka ◽  
John C. Carlson ◽  
Estaban Gershanik ◽  
Yanti Turang ◽  
Jacob Hurwitz ◽  
...  

ABSTRACT In March 2020, the State of Louisiana opened an alternative care site at the New Orleans Convention Center, known as the Medical Monitoring Station (MMS). The facility was designed, constructed, and staffed to serve a population with basic medical needs as they recovered from COVID-19. As the MMS prepared to open, local hospitals indicated a greater need for assistance with patients requiring a higher acuity of care and populations unable to be discharged due to infection risks. In response to this, the capabilities of the facility were altered to accommodate primarily elderly patients, with significant comorbidities, requiring extensive care. This manuscript presents the demographics of the first 250 patients seen at the MMS, and describes the most critical policies/protocols, interventions, and resources that proved successful in adjusting to effectively serve its population.

2021 ◽  
Vol 11 (2) ◽  
pp. 218-222
Author(s):  
N. N. Bedelov ◽  
A. K. Iordanishvili ◽  
M. E. Malyshev ◽  
M. A. Vasiliev ◽  
K. A. Kerimhanov

Author(s):  
Baris Gumus-Dawes ◽  
Thomas Luce ◽  
Myron Orfield
Keyword(s):  

Author(s):  
Marius M. Carriere

This chapter discusses the continued Know Nothing election setbacks in the mid to late 1850s. However, the chapter emphasizes the belief that only the Know Nothings, according to many members, could avoid the sectional tension of the 1850s. While the state elections proved futile for the Know Nothings, the party continued to do well in Greater New Orleans. The chapter also continues to describe how Louisiana Democrats branded the Know Nothings as proscriptionists and abolitionists. The presidential election of 1860 is highlighted in this chapter with sectional stress assuming more importance than native Americanism. The ultimate failure of the Know Nothings in the state follows the party’s 1860 presidential election defeat and its gubernatorial defeat in 1857. Finally, the chapter summarizes how inexperience and lack of Know Nothing unity adversely affected the Know Nothings in these elections, as well as in the state legislature.


2018 ◽  
pp. 69-88
Author(s):  
Lawrence J. Vale

Chapters 3–5 focus on New Orleans to illustrate one dominant strand of HOPE VI practice—the confluence of a weak housing authority and a Big Developer governance constellation in a city without a robust tradition of coordinated tenant empowerment. Chapter 3 traces the rise and fall of the St. Thomas development, completed in 1941 and later extended in 1952. This replaced a mixed-race “slum” area with public housing for white tenants, an act entailing a substantial neighborhood purge. The fifteen-hundred-unit development shifted to primarily black occupancy following desegregation in the 1960s and subsequently underwent disinvestment that led to a protracted decline. Meanwhile, the Louisiana legislature rescinded the state enabling legislation for urban renewal, thereby limiting its impact on both slum clearance while also curtailing the rise of community organizing. White preservationists stopped the Riverfront Expressway, but no one stopped Interstate 10 from devastating a black neighborhood.


2020 ◽  
Vol 32 (3) ◽  
pp. 656-665
Author(s):  
John Coakley ◽  
C. Nathan Kwan ◽  
David Wilson

States exert their power over maritime predation only occasionally depending on prevalent circumstances. Historically, when states have perceived and attempted to address a problem of piracy, they have encountered severe limits on their abilities to manage private maritime enterprise in waters under their purported control. Despite the popular conception that piracy falls into the legal category of ‘universal jurisdiction’, such jurisdiction has only been employed sporadically. In reality, despite high-profile ‘terror’ campaigns against pirates, states regularly employed alternative means of suppression, including negotiation, legal posturing and co-optation. The four articles in this Forum provide detailed case studies of the occasional use of state power to regulate maritime predation in diverse waters and contexts. In these examples, states respectively negotiated with maritime communities in medieval England, sought a monopoly on violence in the South China Sea, collaborated with other states to police colonial Hong Kong, and dealt diplomatically with a local pirate hero to defend New Orleans. Across each article, the ‘state’ faced a particular problem of piracy, but could only occasionally exert power to manage it.


2010 ◽  
Vol 4 (S1) ◽  
pp. S39-S45 ◽  
Author(s):  
Emily W. Harville ◽  
Tri Tran ◽  
Xu Xiong ◽  
Pierre Buekens

ABSTRACTObjective: To examine how the demographic and other population changes affected birth and obstetric outcomes in Louisiana, and the effect of the hurricane on racial disparities in these outcomes.Methods: Vital statistics data were used to compare the incidence of low birth weight (LBW) (<2500 g), preterm birth (PTB) (37 weeks' gestation), cesarean section, and inadequate prenatal care (as measured by the Kotelchuck index), in the 2 years after Katrina compared to the 2 years before, for the state as a whole, region 1 (the area around New Orleans), and Orleans Parish (New Orleans). Logistic models were used to adjust for covariates.Results: After adjustment, rates of LBW rose for the state, but preterm birth did not. In region 1 and Orleans Parish, rates of LBW and PTB remained constant or fell. These patterns were all strongest in African American women. Rates of cesarean section and inadequate prenatal care rose. Racial disparities in birth outcomes remained constant or were reduced.Conclusions: Although risk of LBW/PTB remained higher in African Americans, the storm does not appear to have exacerbated health disparities, nor did population shifts explain the changes in birth and obstetric outcomes.(Disaster Med Public Health Preparedness. 2010;4:S39-S45)


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