scholarly journals U.S. Neurosurgical Response to COVID-19: Forging a Path Toward Disaster Preparedness

2021 ◽  
Author(s):  
Vijay M Ravindra ◽  
Gavin P Dunn ◽  
Shawn Belverud ◽  
Christopher P Carroll ◽  
Scott L Zuckerman ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Disaster Preparedness ◽  
Armed Forces ◽  
Active Duty ◽  
Unit Management ◽  
Humanitarian Mission ◽  
Humanitarian Crises ◽  
The U.S ◽  
Intensive Care Unit Management

ABSTRACT Introduction The worldwide COVID-19 pandemic poses challenges to healthcare capacity and infrastructure. The authors discuss the structure and efficacy of the U.S. Navy’s response to COVID-19 and evaluate the utility of this endeavor, with the objective of providing future recommendations for managing worldwide healthcare and medical operational demands from the perspective of Navy Neurosurgery. Materials and Methods The authors present an extensive review of topics and objectively highlight the efforts of U.S. Navy Neurosurgery as it pertains to the humanitarian mission during the COVID-19 pandemic. Results During the humanitarian mission (March 27, 2020–April 14, 2020), the response of active duty and reserve neurosurgeons in the U.S. Navy was robust. Neurosurgical coverage was present on board the U.S. Navy Ships Mercy and Comfort, with additional neurosurgical deployment to New York City for intensive care unit management and coverage. Conclusions The U.S. Navy neurosurgical response to the COVID-19 pandemic was swift and altruistic. Although neurosurgical pathologies were limited among the presenting patients, readiness and manpower continue to be strong influences within the Armed Forces. The COVID-19 response demonstrates that neurosurgical assets can be rapidly mobilized and deployed in support of wartime, domestic, and global humanitarian crises to augment both trauma and critical care capabilities.

scholarly journals Post-SARS-CoV-2 monoclonal antibody treatment hospitalizations as a sentinel for emergence of viral variants in New York City

2021 ◽  
Author(s):  
Kelsie Cowman ◽  
Yi Guo ◽  
Liise-anne Pirofski ◽  
David Wong ◽  
Hongkai Bao ◽  
...  
Keyword(s):  
New York ◽  
Monoclonal Antibody ◽  
New York City ◽  
York City ◽  
Human Services ◽  
Antibody Treatment ◽  
Health And Human Services ◽  
Department Of Health ◽  
Monoclonal Antibody Treatment ◽  
The U.S

Abstract We partnered with the U.S. Department of Health and Human Services to treat high-risk, non-admitted COVID-19 patients with bamlanivimab in the Bronx, NY per Emergency Use Authorization criteria. Increasing post-treatment hospitalizations were observed monthly between December 2020-March 2021 in parallel to the emergence of SARS-CoV-2 variants in New York City.

scholarly journals Workforce preparedness for disasters: perceptions of clinical and non-clinical staff at the U.S. Department of Veterans Affairs

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Aram Dobalian ◽  
Michelle D. Balut ◽  
Claudia Der-Martirosian
Keyword(s):  
Disaster Preparedness ◽  
Disaster Response ◽  
Armed Forces ◽  
Veterans Affairs ◽  
Clinical Staff ◽  
Department Of Veterans Affairs ◽  
Narrow Scope ◽  
Medical Facilities ◽  
Workforce Preparedness ◽  
The U.S

Abstract Background Most U.S. studies on workforce preparedness have a narrow scope, focusing primarily on perceptions of clinical staff in a single hospital and for one type of disaster. In contrast, this study compares the perceptions of workplace disaster preparedness among both clinical and non-clinical staff at all U.S. Department of Veterans Affairs (VA) medical facilities nationwide for three types of disasters (natural, epidemic/pandemic, and manmade). Methods The VA Preparedness Survey used a stratified simple random, web-based survey (fielded from October through December 2018) of all employees at VA medical facilities. We conducted bivariate and multivariate logistic regression analyses to compare the sociodemographic characteristics and perceptions of disaster preparedness between clinical and non-clinical VA staff. Results The study population included 4026 VA employees (2488 clinicians and 1538 non-clinicians). Overall, VA staff were less confident in their medical facility’s ability to respond to epidemic/pandemics and manmade disasters. Depending on the type of disaster, clinical staff, compared to non-clinical staff, were less likely to be confident in their VA medical facility’s ability to respond to natural disasters (OR:0.78, 95% CI:0.67–0.93, p < 0.01), pandemics (OR:0.82, 95% CI:0.70–0.96, p < 0.05), and manmade disasters (OR: 0.74, 95% CI: 0.63–0.86, p < 0.001). On the other hand, clinicians, compared to non-clinicians, were 1.45 to 1.78 more likely to perceive their role in disaster response to be important (natural OR:1.57, 95% CI:1.32–1.87; pandemic OR:1.78, 95% CI:1.51–2.10; manmade: OR:1.45; 95% CI: 1.23–1.71; p’s < 0.001), and 1.27 to 1.29 more likely to want additional trainings to prepare for all three types of disasters (natural OR:1.29, 95% CI:1.10–1.51; pandemic OR:1.27, 95% CI:1.08–1.49; manmade OR:1.29; 95% CI:1.09–1.52; p’s < 0.01). Clinicians were more likely to be women, younger, and more educated (p’s < 0.001) than non-clinicians. Compared to clinicians, non-clinical staff had been employed longer with the VA (p < 0.025) and were more likely to have served in the U.S. Armed Forces (p < 0.001). Conclusions These findings suggest both a desire and a need for additional training, particularly for clinicians, and with a focus on epidemics/pandemics and manmade disasters. Training programs should underscore the importance of non-clinical roles when responding to disasters.

Marxist Literary Resistance to the Cold War

Prospects ◽  
1995 ◽  
Vol 20 ◽  
pp. 479-492 ◽  
Author(s):  
Alan Wald
Keyword(s):  
New York ◽  
New York City ◽  
Cold War ◽  
Communist Party ◽  
Party Leaders ◽  
Literary Resistance ◽  
The Cold War ◽  
Private Homes ◽  
Smith Act ◽  
The U.S

On the morning of June 20, 1951, a hundred FBI agents poured out of the Foley Square Federal Building in Manhattan at dawn, buttoned up their gray trenchcoats, and bounded into a fleet of waiting Buicks. Spreading throughout New York City in a well-orchestrated operation, they surrounded twenty private homes, burst into bedrooms, and dragged sixteen Communist Party leaders off to jail under the Smith Act charge of conspiring to teach the overthrow of the U.S. government. This was the second group of top Party functionaries to be arrested under the Act.

scholarly journals A Method for Studying Differences in Segregation Across Time and Space

2018 ◽  
Author(s):  
Benjamin Elbers
Keyword(s):  
New York ◽  
New York City ◽  
Residential Segregation ◽  
Structural Changes ◽  
Gender Segregation ◽  
Decomposition Procedure ◽  
Occupational Gender ◽  
Occupational Gender Segregation ◽  
The U.S ◽  
Segregation Measurement

An important topic in the study of segregation are comparisons across space and time. This paper extends current approaches in segregation measurement by presenting a five-term decomposition procedure that can be used to understand more clearly why segregation has changed or differs between two comparison points. Two of the five terms account for differences in segregation that are due to the differing marginal distributions (e.g., the gender and occupational distributions), while one term accounts for differences in segregation due the different structure of segregation (what might be termed “pure” segregation). The decomposition thus presents a solution to the problem of margin-dependency, frequently discussed in the segregation literature. Finally, two terms account for the appearance or disappearance of units when analyzing change over time. The method can be further extended to attribute structural changes to individual units, which makes it possible, for instance, to quantify the effect of each occupation on changing gender segregation. The practical advantages of the decomposition are illustrated by two examples: a study of changing occupational gender segregation in the U.S, and a study of changing residential segregation in Brooklyn, New York City.

Family Formation and Marital Selectivity among Colombian and Dominican Immigrants in New York City

1987 ◽  
Vol 21 (2) ◽  
pp. 275-298 ◽  
Author(s):  
Douglas T. Gurak
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Family Formation ◽  
Early Stage ◽  
Hispanic Immigrants ◽  
The U.S

Utilizing data from a 1981 survey of Dominican and Colombian immigrants to New York City, and from 1975 marriage certificates for the entire city, this article describes the extent of family formation in the U.S. and patterns of marital selectivity of recent Hispanic immigrants residing in New York City. A core goal of the analysis is the provision of indicators of the extent of and nature of integration processes at an early stage of the immigration.

Fotogenika.com

2010 ◽  
pp. 1284-1297
Author(s):  
Esperanza Huerta
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Low Cost ◽  
Strong Ties ◽  
Mexican Families ◽  
Customer Base ◽  
Market Niche ◽  
A Company ◽  
The U.S

Fotogenika is a small e-business that was born out of the idea of two young Mexican entrepreneurs. It started its operations in March 2004, and after a few months, it managed to successfully create a small customer base. Fotogenika.com is the commercial name of a company established in New York City that delivers digital pictures in Mexico. The company serves Mexicans living out of their country who want to keep in touch with their families in Mexico. Owned by Mexicans living in the U.S., Fotogenika understands the strong ties among Mexican families and their need to keep in touch with their family. Fotogenika shows how culture is important to serve customers in America and how to focus on a profitable market niche. Also, this case presents the technology and marketing challenges that small startup e-businesses face, as well. Finally, Fotogenika’s business proposition demonstrates the advantages of displacing a product digitally to where it will be produced and delivered at a low cost.

Fotogenika.com

2008 ◽  
pp. 256-269
Author(s):  
Esperanza Huerta
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Low Cost ◽  
Strong Ties ◽  
Mexican Families ◽  
Customer Base ◽  
Market Niche ◽  
A Company ◽  
The U.S

Fotogenika is a small e-business that was born out of the idea of two young Mexican entrepreneurs. It started its operations in March 2004, and after a few months, it managed to successfully create a small customer base. Fotogenika.com is the commercial name of a company established in New York City that delivers digital pictures in Mexico. The company serves Mexicans living out of their country who want to keep in touch with their families in Mexico. Owned by Mexicans living in the U.S., Fotogenika understands the strong ties among Mexican families and their need to keep in touch with their family. Fotogenika shows how culture is important to serve customers in America and how to focus on a profitable market niche. Also, this case presents the technology and marketing challenges that small startup e-businesses face, as well. Finally, Fotogenika’s business proposition demonstrates the advantages of displacing a product digitally to where it will be produced and delivered at a low cost.

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