scholarly journals Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism

2020 ◽  
pp. 1-7 ◽  
Author(s):  
JOSEPH J. FINS
Keyword(s):  
New York ◽  
New York City ◽  
Clinical Medicine ◽  
Stress Test ◽  
Patient Rights ◽  
Do Not Resuscitate ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Clinical Ethicist ◽  
Medical Intern

Abstract The COVID-19 Pandemic a stress test for clinical medicine and medical ethics, with a confluence over questions of the proportionality of resuscitation. Drawing upon his experience as a clinical ethicist during the surge in New York City during the Spring of 2020, the author considers how attitudes regarding resuscitation have evolved since the inception of do-not-resuscitate (DNR) orders decades ago. Sharing a personal narrative about a DNR quandry he encountered as a medical intern, the author considers the balance of patient rights versus clinical discretion, warning about the risk of resurgent physician paternalism dressed up in the guise of a public health crisis.

scholarly journals Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men

2011 ◽  
Vol 6 (sup2) ◽  
pp. S227-S242 ◽  
Author(s):  
Patrick A. Wilson ◽  
Natalie M. Wittlin ◽  
Miguel Muñoz-Laboy ◽  
Richard Parker
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Black Churches ◽  
Health Crisis ◽  
The Public ◽  
Public Health Crisis ◽  
Sex With Men

The Economic Impact of Tuberculosis in Hospitals in New York City: A Preliminary Analysis

1993 ◽  
Vol 21 (3-4) ◽  
pp. 317-323 ◽  
Author(s):  
Peter S. Arno ◽  
Christopher J.L. Murray ◽  
Karen A. Bonuck ◽  
Philip Alcabes
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
York City ◽  
Health Resources ◽  
Urban Centers ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Aids Epidemic ◽  
The City

There is a nationwide resurgence of tuberculosis (TB) in the country’s urban centers; New York City stands at the forefront of this resurgence. The root causes are increased homelessness, drug addiction and poverty, all symbols of deteriorating social and economic conditions in the city. The inadequate level of public health resources devoted to TB has also contributed to its spread. Still, even with these factors, it is questionable whether the escalating number of TB cases in this country would have occurred without the reservoir of immunosuppressed persons, who are less resistant to the disease, created by the AIDS epidemic. The fear and urgency of this public health crisis, which has been emerging since the beginning of the last decade, are fueled by the rise of TB strains resistant to the first-line drugs and by the disease’s contagiousness.

scholarly journals COVID-19 in obstetrics 2020: the experience at a New York City medical center

2020 ◽  
Vol 48 (9) ◽  
pp. 892-899
Author(s):  
Ashlesha K. Dayal ◽  
Armin S. Razavi ◽  
Amir K. Jaffer ◽  
Nishant Prasad ◽  
Daniel W. Skupski
Keyword(s):  
New York ◽  
Medical Center ◽  
Severe Disease ◽  
Infection Rates ◽  
Health Crisis ◽  
The Public ◽  
Public Health Crisis ◽  
Asymptomatic Carriage ◽  
Global Spread ◽  
Workforce Flexibility

AbstractThe global spread of the SARS-CoV-2 virus during the early months of 2020 was rapid and exposed vulnerabilities in health systems throughout the world. Obstetric SARS-CoV-2 disease was discovered to be largely asymptomatic carriage but included a small rate of severe disease with rapid decompensation in otherwise healthy women. Higher rates of hospitalization, Intensive Care Unit (ICU) admission and intubation, along with higher infection rates in minority and disadvantaged populations have been documented across regions. The operational gymnastics that occurred daily during the Covid-19 emergency needed to be translated to the obstetrics realm, both inpatient and ambulatory. Resources for adaptation to the public health crisis included workforce flexibility, frequent communication of operational and protocol changes for evaluation and management, and application of innovative ideas to meet the demand.

scholarly journals Crisis clinical pathway for COVID-19

2020 ◽  
Vol 37 (11) ◽  
pp. 700-704
Author(s):  
Edward Hyun Suh ◽  
David J Bodnar ◽  
Laura D Melville ◽  
Manish Sharma ◽  
Brenna M Farmer
Keyword(s):  
New York ◽  
Critically Ill ◽  
Clinical Pathway ◽  
Medical Decision Making ◽  
Care Pathway ◽  
Medical Decision ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
The Usa

The pandemic of COVID-19 has been particularly severe in the New York City area, which has had one of the highest concentrations of cases in the USA. In March 2020, the EDs of New York-Presbyterian Hospital, a 10-hospital health system in the region, began to experience a rapid surge in patients with COVID-19 symptoms. Emergency physicians were faced with a disease that they knew little about that quickly overwhelmed resources. A significant amount of attention has been placed on the problem of limited supply of ventilators and intensive care beds for critically ill patients in the setting of the ongoing global pandemic. Relatively less has been given to the issue that precedes it: the demand on resources posed by patients who are not yet critically ill but are unwell enough to seek care in the ED. We describe here how at one institution, a cross-campus ED physician working group produced a care pathway to guide clinicians and ensure the fair and effective allocation of resources in the setting of the developing public health crisis. This ‘crisis clinical pathway’ focused on using clinical evaluation for medical decision making and maximising benefit to patients throughout the system.

“Kids Know What They Are Doing”: Peer-Led Sex Education in New York City

2019 ◽  
Vol 59 (4) ◽  
pp. 501-527
Author(s):  
Lisa M. F. Andersen
Keyword(s):  
New York ◽  
Young People ◽  
Sex Education ◽  
Peer Education ◽  
Board Of Education ◽  
Health Crisis ◽  
Public Health Crisis ◽  
History Of ◽  
The City ◽  
Information Project

The reasons for peer education's ascendance as a core pedagogy in sex education are as much historical as they are reasonable or ethical. This article traces the history of peer-led sex education from the 1970s to the 1990s against the backdrop of New York City's financial ruin, social unrest, and a public health crisis. Starting with an analysis of the Student Coalition for Relevant Sex Education's Peer Information Project, founded in 1974, it investigates the application of new pedagogical techniques, the interplay between pedagogy and bureaucracy, and the transformation of school culture. Peer education thrived when educators and activists agreed that young people were more likely to accept advice from other young people, a reasonable contention that was nonetheless underassessed. Yet peer education's least intriguing attribute proved to be its most important characteristic: it could be quickly and inexpensively enacted. When HIV/AIDS began to decimate New York City's adolescent population, and the Board of Education proved slow and contradictory in its actions, the city turned to peer education, henceforth coupling the concepts of sex education and peer education.

“Flint Can’t Get in the Hearing”: The Language of Urban Pathology in Coverage of an American Public Health Crisis

2019 ◽  
Vol 44 (1) ◽  
pp. 26-47 ◽  
Author(s):  
Michael Clay Carey ◽  
Jim Lichtenwalter
Keyword(s):  
Public Health ◽  
New York ◽  
Low Income ◽  
New York Times ◽  
Urban Neighborhoods ◽  
Water Crisis ◽  
Wall Street ◽  
Health Crisis ◽  
Public Health Crisis ◽  
The Wall Street Journal

This study examines the presence and influence of urban pathology language in coverage of the Flint, Michigan, water crisis. The use of urban pathology language to describe low-income urban neighborhoods may lead news consumers to “understand those communities entirely in terms of their problems.” This study of coverage in The New York Times and the Wall Street Journal describes urban pathology frames that suggest a lack of agency among residents. The use of those frames, the study argues, may distract from broader questions of environmental justice.

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