scholarly journals Pediatric Otolaryngology During COVID-19: Parental Concern About Elective Surgery

2021 ◽  
pp. 000348942110476
Author(s):  
Francesca C. Viola ◽  
Lauren DiNardo ◽  
Jason C. DeGiovanni ◽  
Michele M. Carr
Keyword(s):  
Emergency Room ◽  
Elective Surgery ◽  
Black Children ◽  
Black Parents ◽  
Parental Concern ◽  
Medical Expenses ◽  
Number Of Children ◽  
Pediatric Otolaryngology ◽  
White Parents ◽  
Emergency Room Care

Objective: To identify the concerns of parents whose children may need elective surgery during the COVID-19 pandemic. Methods: In December 2020, parents of pediatric otolaryngology patients were recruited for a survey about concerns related to elective surgery during the COVID-19 pandemic. A Likert scale quantified concern. The 1 was anchored “Not at all important” and 5 was “Most important.” Demographics included gender, age, race, education level, number of children in household, and whether their child had surgery since March 2020. Results: About 253 participants were included. Medians ranged from 1 for concerns about emotional and family support to 4 for concerns about their child being exposed to COVID-19 in the Emergency Room. Black parents were more concerned about the risks of COVID than White parents; they were more concerned about their child contracting COVID-19 during surgery compared to White parents, median was 4 versus 3 ( P = .027). Black parents had a median score of 3 for concern about medical expenses compared to a median of 2 ( P = .001). Parents of children who had surgery since March 2020 had less concern about their child being exposed to COVID-19 during hospitalization ( P = .045) and less concern about critique from others ( P = .024). Conclusion: Parents were most concerned about the risk of seeking Emergency Room care. Black parents were generally more concerned about having their child undergo elective surgery. Whether this is translated into fewer Black children undergoing important but elective surgery requires more study.

The End of the Brown Era

2004 ◽  
Author(s):  
Derrick Bell
Keyword(s):  
Civil Rights ◽  
Civil Rights Movement ◽  
Educational Opportunity ◽  
Black Children ◽  
Equal Educational Opportunity ◽  
Black Parents ◽  
Court Order ◽  
Civil Rights Organizations ◽  
Emancipation Proclamation ◽  
Racial Balance

The Emancipation Proclamation remains a positive moment in American history despite its mainly symbolic character. Brown v. Board of Education has achieved and will probably retain similar status. The three decades of campaigning to desegregate school systems, though, came to a less-than-exultant end. Black parents recognized long before their civil rights lawyers that the effort to racially balance the schools was not working. Desegregation plans were designed to provide a semblance of compliance with court orders while minimizing the burden on whites. Judges, many more conservative than their predeces­sors, found ways to declare the schools desegregated even in districts where the percentage of black children rose in the wake of white flight. Finally, the statistics on resegregation of once-nominally desegregated schools painfully underscores the fact that many black and Hispanic chil­dren are enrolled in schools as separate and probably more unequal than those their parents and grandparents attended under the era of “sepa­rate but equal.” Because the value of integrated schooling proved elusive, black parents and educators began looking for a more viable vehicle for their educa­tional goals. The search was opposed by those civil rights leaders who maintained that Brown could only be read to require an end to intentional discrimination against black children through their assignment to integrated schools. With an advocate’s hindsight, Robert Carter suggested that while Brown was fashioned on the theory that equal education and inte­grated education were one and the same thing, the goal was not integration but equal educational opportunity. If equal educational opportunity can be achieved without integration, Carter reasoned, Brown has been satisfied. In this, he parted company with those claiming that the inescapable conclusion of the Court’s decision in Brown is that racial separation is itself an injury, regardless of parity in the facilities. By the time of his article, Carter had been out of the civil rights movement for a dozen years, but he now supported those who focused on quality of education and challenged proponents of racial-balance remedies in the courts. When groups not committed to racial balance obtained a court order for educationally oriented forms of relief, they were often opposed by civil rights organizations committed to inte­gration, who intervened with more expertise and resources. This sometimes resulted in open confrontations between the NAACP and local blacks who favored plans oriented toward improving educational quality.

Office and Emergency Room Care of the Injured Hand

1976 ◽  
Vol 69 (1) ◽  
pp. 53-55 ◽  
Author(s):  
CALVIN R. PETERS ◽  
HAROLD E. KLEINERT
Keyword(s):  
Emergency Room ◽  
Emergency Room Care

Characterization of Contemporary Otolaryngology-Specific Emergency Room Care at the Massachusetts Eye and Ear Infirmary

2014 ◽  
Vol 151 (1_suppl) ◽  
pp. P37-P38
Author(s):  
Rosh K. V. Sethi ◽  
Elliot D. Kozin ◽  
Aaron K. Remenschneider ◽  
Daniel J. Lee ◽  
Stacey T. Gray ◽  
...  
Keyword(s):  
Emergency Room ◽  
Emergency Room Care

In Need of Care: African American Families Transform the Providence Association for the Benefit of Colored Orphans during the Final Collapse of Slavery, 1839–1846

2019 ◽  
Vol 45 (3) ◽  
pp. 295-314
Author(s):  
Christy Clark-pujara
Keyword(s):  
African American ◽  
Rhode Island ◽  
Black Children ◽  
African American Families ◽  
Black Parents ◽  
Working Parents ◽  
Term Care ◽  
Short And Long Term ◽  
American Children

In 1839, several white Quaker women in Providence, Rhode Island, founded the Providence Association for the Benefit of Colored Orphans; they sought to take in the city’s orphans. During the first years of operation, dozens of African American parents admitted and withdrew their children from the Association. The vast majority of the children admitted had living parents or were paid boarders. In 1846, the Association incorporated as the Providence Association for the Benefit of Colored Children with an enlarged mission to provide for the support and education of black children. During the final collapse of slavery in Rhode Island, black parents transformed an orphanage into an institution that also offered short- and long-term care and education for wards and boarders. In doing so, they expanded the work of white reformers from raising African American children to supporting their needs as working parents.

Emergency-Room Care

1968 ◽  
Vol 167 (2) ◽  
pp. 292
Author(s):  
Charles Eckert
Keyword(s):  
Emergency Room ◽  
Emergency Room Care

Emergency Room Care

1973 ◽  
Vol 79 (1) ◽  
pp. 135
Author(s):  
ROBERT L. DICKMAN
Keyword(s):  
Emergency Room ◽  
Emergency Room Care

Black Parents for Black Children

1981 ◽  
Vol 103 (1) ◽  
pp. 10-11 ◽  
Author(s):  
John Fitzgerald
Keyword(s):  
Black Children ◽  
Black Parents

Association between immigration status and inpatient psychiatric admission after attempted suicide: Results from a hospital-based observational study

2016 ◽  
Vol 33 (S1) ◽  
pp. s273-s274
Author(s):  
G. Martinez-Ales ◽  
E. Jimenez ◽  
E. Roman ◽  
P. Sanchez-Castro ◽  
A. Suarez ◽  
...  
Keyword(s):  
Emergency Room ◽  
Attempted Suicide ◽  
Cross Sectional Study ◽  
Outpatient Basis ◽  
Immigration Status ◽  
Psychiatric Admission ◽  
Cross Sectional ◽  
Significant Difference ◽  
Emergency Room Care ◽  
Competing Interest

IntroductionAcute suicidality or a condition after attempted suicide frequently leads patients to both voluntary or involuntary inpatient admission. Emergency room psychiatrists decide whether such patients can be treated on an outpatient basis.ObjectivesTo identify if immigration status is associated with the decision whether a patient needs a hospital admission.AimsTo detect social determinants of hospital-based health resource uses.MethodsA cross-sectional study including data from 323 patients treated in a general hospital's emergency room after a suicidal attempt during year 2014.ResultsSeventy-six patients were admitted to the hospital (23.5%). Hospitalization frequencies for immigrant and non-immigrant individuals were 6.3% and 26.5% (P = 0.002). No significant association was found between psychiatric admission and history of a diagnosed psychiatric disorder, previous suicidal attempts, previous emergency room care use, family support or current drug use. A subgroup of patients (n = 37; 9%) answered Beck's suicidal intent scale (SIS), a measure of risk in suicidal attempters. Mean SIS was found to be higher among hospitalized than discharged patients (8.5 vs. 16.5; P = 0.01). No significant difference was found in mean SIS between immigrant and non-immigrant patients (9.3 vs. 9.1; P = 0.3).ConclusionsThese preliminary results call for consideration. The highly significant lower rate of psychiatric admission among immigrant patients, without significant differences in mean SIS score in regard to non-immigrants, needs further study.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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