Association of Routine Chlamydia trachomatis Screening During Pregnancy and Seroprevalence of Chlamydial Infection in Children, 1991–2015

2020 ◽  
Author(s):  
Natalie Banniettis ◽  
Kimberly Wisecup ◽  
Leah Boland ◽  
Izumi Watanabe ◽  
Margaret R Hammerschlag ◽  
...  
Keyword(s):  
New York ◽  
Chlamydia Trachomatis ◽  
Immunoglobulin G ◽  
Chlamydial Infection ◽  
Before And After ◽  
Seroepidemiologic Study

Abstract We performed a seroepidemiologic study of sera from children in Brooklyn, New York, before and after the implementation of prenatal chlamydial screening almost 20% of children aged ≤10 years in the prescreening group had anti-Chlamydia trachomatis immunoglobulin G compared with none in the postscreening group.

scholarly journals Interactive, Hands-On Training for Hospital Workers Increases Level of Special Pathogen Preparedness

Sci ◽  
2021 ◽  
Vol 3 (2) ◽  
pp. 29
Author(s):  
Syra Madad ◽  
Eleanor Tolf
Keyword(s):  
New York ◽  
New York City ◽  
Mixed Method ◽  
Hospital Workers ◽  
Department Of Health ◽  
Interactive Training ◽  
Hands On ◽  
Before And After ◽  
Question Survey

The purpose of this evaluation was to determine the effect of intensive, interactive training on hospital workers’ preparedness for special pathogen cases by utilizing the Frontline Facility Special Pathogens Training Course created by the Systemwide Special Pathogens Program at New York City Health + Hospitals (NYC H+H). An 8 h course was offered in 2018 and 2019 to healthcare employees throughout the Department of Health and Human Services Region 2, mostly from NYC H+H. Evaluation included multiple-choice pre and post exams, a 26-question survey about level of preparedness before and after the training, and follow-up interviews focused on changes in facility protocols. As a result, 61% of survey respondents indicated that they had never previously attended a hospital-sponsored special pathogen training. After the training, there was a 53.3% report rate of feeling “very prepared,” compared to 14.6% before the training. Additionally, there was an 11% improvement in test scores. Furthermore, 77% of respondents reported that their facility had changed protocols relating to topics of the course after their training date. Survey participants reported general satisfaction with the course, as well as an increased level of preparedness for special pathogen cases. Together, the results of the exams, survey, and interviews suggest that this interactive, mixed-method training increases special pathogen preparedness across different healthcare sectors. With the ongoing threat of special pathogens, the need for continued training and maintaining a state of readiness is paramount in healthcare.

scholarly journals The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Reform ◽  
Health Care System ◽  
Spine Surgery ◽  
Private Insurance ◽  
New York State ◽  
Before And After ◽  
The Impact ◽  
Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

Effect of Alzheimer’s Training on Multicultural Personal Care Aides

2008 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Robin C. Fenley ◽  
Sarah J. Bober ◽  
Mebane E. Powell ◽  
Jacquelin Berman ◽  
Barbara N. Altman
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
New York ◽  
New York City ◽  
York City ◽  
The United States ◽  
Personal Care ◽  
Entry Level ◽  
Before And After ◽  
Item Knowledge

This article reports on the first 2 years of an ongoing project that examined the efficacy of a 10-hour dementia training provided to entry-level personal care aide (PCA) trainees from the Hispanic, White, African American, and Asian communities in New York City. Participants were enrolled in a 90-hour PCA training program offered by the New York City Department for the Aging and were either recipients of public assistance, displaced employees from September 11, or recent immigrants to the United States from China. Classes were conducted in Spanish, English, and Mandarin/Cantonese. An 11-item Knowledge of Alzheimer’s Disease instrument was developed for the purposes of this project and administered before and after the dementia training and at 3 months following graduation. All groups, regardless of language, showed a significant increase in knowledge of Alzheimer’s disease at the conclusion of the training and retention of this knowledge at 3 months follow-up. Age was strongly correlated with an increase in knowledge, while gender and education were not.

“Mother’s Health and Well-Being Matters: Is a Mediated Social Cohesion Public Health Intervention Feasible?”

2021 ◽  
pp. 089011712110553
Author(s):  
Cheryl Jones ◽  
Marley Gibbons ◽  
Kate Magsamen-Conrad ◽  
Kathleen T. Ulanday ◽  
Jessica Watterson ◽  
...  
Keyword(s):  
New York ◽  
Low Socioeconomic Status ◽  
Public Health Intervention ◽  
Well Being ◽  
Careful Consideration ◽  
Before And After ◽  
Washington Heights ◽  
Additional Support ◽  
Risk Of Cancer ◽  
The Impact

Purpose To test the feasibility of introducing ‘Free Time for Wellness’ (FT4W) an intervention to increase healthy behaviours and reduce the risk of cancer. Design Feasibility study; Setting: Washington Heights, New York, USA is a low socioeconomic status area. Subjects Mothers aged 18 and above with children under 12 years of age and living in Washington Heights were recruited. Intervention FT4W, a community-based intervention delivered through a neighbourhood-based app, offering weekly dance and yoga classes, food pantry visits and group playdates. Childcare professionals cared for participants' children during wellness activities. Measures A bespoke before and after survey was designed and tested for its ability to collect relevant data to assess the impact of FT4W. Outcomes included recruitment rates, participation, attrition, acceptability, and success of the community champion. Analysis Comparisons of proportions and means Results Twenty-one mothers participated in the study of which 90% attended ≥ 1 FT4W activity; 65% ≥ 2; 52% ≥ 3. The survey was completed by a 100% of participants indicating it was easy to understand and not too burdensome. All measures detected change in constructs from baseline to follow-up. Availability of childcare was the most commonly (66%) reported reason participants were able to engage in the offered wellness activities. Conclusion Conducting a larger-scale trial to assess the impact of FT4W is feasible considering 4 major lessons. (1) Recruitment, retention, and acceptability rates were high; however, moms need additional support to increase participation in wellness activities and improve tech literacy. (2) Research measures were sensitive enough to detect change, but the timing of assessments needs to be considered. (3) Participants greatly valued access to professional childcare. (4) The Community Champion is a necessary, but difficult role to fill that requires careful consideration by the Institutional Review Board (IRB).

The Economic Effects on Acute Care Surgery in a New York City Public Hospital During the COVID Pandemic

2022 ◽  
pp. 000313482110697
Author(s):  
Zhobin Moghadamyeghaneh ◽  
Adedolapo Ojo ◽  
Murwarid Rahimi ◽  
Anthony Paul Kopatsis ◽  
Katherine Kopatsis ◽  
...  
Keyword(s):  
New York ◽  
Acute Care ◽  
Public Hospital ◽  
Economic Effects ◽  
Acute Care Surgery ◽  
Chi Square ◽  
Time Period ◽  
Before And After ◽  
Care Surgery ◽  
Hospital Center

Background Since the start of the COVID-19 pandemic, less acute care surgical procedures have been performed and consequently hospitals have experienced significant revenue loss. We aim to investigate these procedures performed before and after the start of the COVID-19 pandemic, as well as their effect on the economy. Methods This is a retrospective analysis of patients who underwent cholecystectomies and appendectomies during March–May 2019 compared to the same time period in 2020 using Chi-square and t-tests. Results There were 345 patients who presented with appendicitis or cholecystitis to Elmhurst Hospital Center during the March–May 2019 and 2020 time period. There were three times as many total operations, or about 75%, in 2019 (261) compared to 2020 (84). There was a decrease in the number of admissions from 2019 to 2020 for both acute cholecystitis (149 vs 43, respectively) and acute appendicitis (112 vs 41, respectively). The largest decrease in the number of admissions in 2020 compared to 2019 was observed in April 2020 (98 vs 9, P < .01) followed by May [69 vs 20, P < .01], and March [94 vs 55, P < .01]. Corresponding to the decrease in operative patterns was a noticeable six-time reduction in revenue for the procedures in 2019 ($187,283) compared to 2020 ($30,415). Conclusion We observed almost a triple reduction in the number of cholecystitis and appendicitis procedures performed during the 2020 pandemic surge as compared to the 2019 pre-pandemic data. Elmhurst hospital also experienced four times the loss of revenue during the same time period.

The M-Integral Description for a Brittle Plane Strip With Two Cracks Before and After Coalescence

2009 ◽  
Vol 76 (6) ◽  
Author(s):  
Hu Yi-Feng ◽  
Chen Yi-Heng
Keyword(s):  
New York ◽  
Nondestructive Evaluation ◽  
Brittle Material ◽  
Damage Evolution ◽  
Energy Momentum Tensor ◽  
Momentum Tensor ◽  
Release Rates ◽  
Before And After ◽  
Energy Release Rates ◽  
M Integral

In this paper we extend the M-integral concept (Eshelby, J. D., 1956, The Continuum Theory of Lattice Defects, Solid State Physics, F. Seitz and D. Turnbull, eds., Academic, New York, pp. 79–141; Eshelby, J. D., 1970, The Energy Momentum Tensor in Continuum Mechanics, Inelastic Behavior of Solids, M. F. Kanninen, ed., McGraw-Hill, New York, pp. 77–115; Eshelby, J. D., 1975, “The Elastic Energy-Momentum Tensor,” J. Elast., 5, pp. 321–335; Knowles, J. K., and Sternberg, E., 1972, “On a Class of Conservation Laws in Linearized and Finite Elastostatics,” Arch. Ration. Mech. Anal., 44, pp. 187–211; Budiansky, B., and Rice, J. R., 1973, “Conservation Laws and Energy Release Rates,” ASME J. Appl. Mech., 40, pp. 201–203; Freund, L. B., 1978, “Stress Intensity Factor Calculations Based on a Conservation Integral,” Int. J. Solids Struct., 14, pp. 241–250; Herrmann, G. A., and Herrmann, G., 1981, “On Energy Release Rates for a Plane Cracks,” ASME J. Appl. Mech., 48, pp. 525–530; King, R. B., and Herrmann, G., 1981, “Nondestructive Evaluation of the J- and M-Integrals,” ASME J. Appl. Mech., 48, pp. 83–87) to study the degradation of a brittle plan strip caused by irreversible evolution: the cracks coalescence under monotonically increasing loading. Attention is focused on the change of the M-integral before and after coalescence of two neighborly located cracks inclined each other. The influences of different orientations of the two cracks and different coalescence paths connecting the two cracks on the M-integral are studied in detail. Finite element analyses reveal that different orientations of the two cracks lead to different critical values of the M-integral at which the coalescence occurs. It is concluded that the M-integral does play an important role in the description of the damage extent and damage evolution. However, it only provides some outside variable features. This means that the complete failure mechanism due to damage evolution cannot be governed by a single parameter MC as proposed by Chang and Peng, 2004, “Use of M integral for Rubbery Material Problems Containing Multiple Defects,” J. Eng. Mech., 130(5), pp. 589–598. It is found that there is an inherent relation between the M-integral and the reduction of the effective elastic moduli as the orientation of one crack varies, i.e., the larger the M-integral is, the larger the reduction is. Of great significance is that the M-integral is inherently related to the change of the total potential energy for a damaged brittle material regardless of the detailed damage features or damage evolution. Therefore, this provides a useful and convenient experimental technique to measure the values of M-integral for a damaged brittle material from initial damage to final failure without use of many stain gages (King, R. B., and Herrmann, G., 1981, “Nondestructive Evaluation of the J- and M-Integrals,” ASME J. Appl. Mech., 48, pp. 83–87).

scholarly journals Media and Foreign Policy on Pak-Afghan Relations (1997-2005): The Role of US and Pakistani Press

2020 ◽  
Vol Volume 4 (Issue 2) ◽  
pp. 454-477
Author(s):  
Ashraf Iqbal ◽  
Dr. Tanveer Hussain ◽  
Javed
Keyword(s):  
New York ◽  
Foreign Policy ◽  
American Foreign Policy ◽  
New York Times ◽  
Washington Post ◽  
War On Terrorism ◽  
Bilateral Relations ◽  
Time Period ◽  
The Us ◽  
Before And After

The main purpose of the present research is to investigate Pak-Afghan relations in the editorials of US newspapers, The Washington Post & The New York Times and Pakistani newspapers Dawn & The News related to the following issues during the period 1997-2005; A) US as a factor in Pak-Afghan relation, B) Coverage of Islam/Muslims regarding war on terrorism, C) Pakistan’s stance on Pak-Afghan bilateral relations, and D) US’s stance on Pak-Afghan bilateral relations. The time period to be examined in this proposed study spans over eight years regarding the editorial coverage of Pak-Afghan relations in the US and Pakistani leading English Press. Triangulation method based on qualitative and quantitative method was used to conduct the present research. The results show that the editorial contents of USA and Pakistani newspapers were not different regarding Pak-Afghan relations before and after 9/11. The incident of 9/11 changed the American foreign policy towards developing and least developing nations especially Muslims states like Pakistan, Afghanistan, Iraq, and Iran etc. Pakistani press highlighted the issues regarding the Pak-Afghan relations before and after 9/11 as a favorable and conducive, related to Muslim/Islam regarding war on terrorism. The study suggested that instead of the focus on military resolution of the different problems, rather social bilateral negations should be prioritized which would be long lasting and full of mutual respects and honor.

scholarly journals IFRS and Stock Returns: An Empirical Analysis in Brazil

2016 ◽  
Vol 7 (2) ◽  
pp. 179 ◽  
Author(s):  
Rodrigo F. Malaquias ◽  
Anderson Martins Cardoso ◽  
Gabriel Alves Martins
Keyword(s):  
New York ◽  
Stock Market ◽  
Stock Returns ◽  
Stock Exchange ◽  
Relevant Information ◽  
Graphic Analysis ◽  
Accounting Numbers ◽  
Before And After ◽  
Accounting Reports ◽  
Accounting Convergence

In recent years, the convergence of accounting standards has been an issue that motivated new studies in the accounting field. It is expected that the convergence provides users, especially external users of accounting information, with comparable reports among different economies. Considering this scenario, this article was developed in order to compare the effect of accounting numbers on the stock market before and after the accounting convergence in Brazil. The sample of the study involved Brazilian listed companies at BM&FBOVESPA that had American Depository Receipts (levels II and III) at the New York Stock Exchange (NYSE). For data analysis, descriptive statistics and graphic analysis were employed in order to analyze the behavior of stock returns around the publication dates. The main results indicate that the stock market reacts to the accounting reports. Therefore, the accounting numbers contain relevant information for the decision making of investors in the stock market. Moreover, it is observed that after the accounting convergence, the stock returns of the companies seem to present lower volatility.

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